Accumulated Other Comprehensive Income (Loss) - Schedule of Activity in AOCI (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	$ 1,698
Period change	3,949	$ 3,879	$ (3,683)
Ending balance	5,674	1,698
Unrealized gains (losses) on Available for sale securities
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	1,711	(2,069)	(460)
Other comprehensive gain (loss) before reclassification	4,364	4,911	(2,257)
Amounts reclassified from AOCI	(415)	(1,032)	648
Period change	3,949	3,879	(1,609)
Ending balance	5,702	1,711	(2,069)
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	0	0	2,074
Other comprehensive gain (loss) before reclassification	0	0	835
Amounts reclassified from AOCI	0	0	0
Period change	0	0	(2,074)
Ending balance	0	0	0
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent | Care Disposition
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI			2,909
Total AOCI
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	1,711	(2,069)	1,614
Other comprehensive gain (loss) before reclassification	4,364	4,911	(1,422)
Amounts reclassified from AOCI	(415)	(1,032)	648
Period change	3,949	3,879	(3,683)
Ending balance	5,702	1,711	(2,069)
Total AOCI | Care Disposition
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI			(2,909)
Accumulated other comprehensive income (loss)
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	1,698	(2,058)	966
Other comprehensive gain (loss) before reclassification	4,349	4,887	(1,150)
Amounts reclassified from AOCI	(415)	(1,032)	648
Reclassification from Accumulated Other Comprehensive Income Due To Reorganization, Current Period, Net of Tax			341
Period change	3,934	3,855	(3,024)
Ending balance	5,674	1,698	(2,058)
Accumulated other comprehensive income (loss) | Care Disposition
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI			(2,181)
Noncontrolling interests - other | Noncontrolling interest
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	(13)	11	(426)
Other comprehensive gain (loss) before reclassification	(15)	(24)	211
Amounts reclassified from AOCI	0	0	0
Period change	(15)	(24)	437
Ending balance	(28)	(13)	11
Noncontrolling interests - other | Noncontrolling interest | Care Disposition
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI			226
Noncontrolling interest - TFP | Noncontrolling interest
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance	0	0	(222)
Other comprehensive gain (loss) before reclassification	0	0	61
Amounts reclassified from AOCI	0	0	0
Reclassification from Accumulated Other Comprehensive Income Due To Reorganization, Current Period, Net of Tax			341
Period change	0	0	222
Ending balance	0	0	0
Noncontrolling interest - TFP | Noncontrolling interest | Care Disposition
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI			$ 502
Accounting Standards Update 2018-02 | Cumulative Effect, Period of Adoption, Adjustment | Unrealized gains (losses) on Available for sale securities
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Tax Cuts and Jobs Act, Reclassification from AOCI to Retained Earnings, Tax Effect		(99)
Accounting Standards Update 2018-02 | Cumulative Effect, Period of Adoption, Adjustment | Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Tax Cuts and Jobs Act, Reclassification from AOCI to Retained Earnings, Tax Effect		0
Accounting Standards Update 2018-02 | Cumulative Effect, Period of Adoption, Adjustment | Total AOCI
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Tax Cuts and Jobs Act, Reclassification from AOCI to Retained Earnings, Tax Effect		(99)
Accounting Standards Update 2018-02 | Cumulative Effect, Period of Adoption, Adjustment | Accumulated other comprehensive income (loss)
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Tax Cuts and Jobs Act, Reclassification from AOCI to Retained Earnings, Tax Effect		(99)
Accounting Standards Update 2018-02 | Cumulative Effect, Period of Adoption, Adjustment | Noncontrolling interests - other | Noncontrolling interest
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Tax Cuts and Jobs Act, Reclassification from AOCI to Retained Earnings, Tax Effect		0
Accounting Standards Update 2018-02 | Cumulative Effect, Period of Adoption, Adjustment | Noncontrolling interest - TFP | Noncontrolling interest
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Tax Cuts and Jobs Act, Reclassification from AOCI to Retained Earnings, Tax Effect
Accounting Standards Update 2016-13 | Unrealized gains (losses) on Available for sale securities
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI	(42)
Accounting Standards Update 2016-13 | Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI	0
Accounting Standards Update 2016-13 | Total AOCI
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI	(42)
Accounting Standards Update 2016-13 | Accumulated other comprehensive income (loss)
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI	(42)
Accounting Standards Update 2016-13 | Noncontrolling interests - other | Noncontrolling interest
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI	0
Accounting Standards Update 2016-13 | Noncontrolling interest - TFP | Noncontrolling interest
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Amounts reclassified from AOCI	$ 0