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Schedule of VIEs (Details) - USD ($)
$ in Thousands
Dec. 31, 2019
Dec. 31, 2018
Variable Interest Entity [Line Items]    
Assets $ 24,692,208 $ 22,584,555
Liabilities 13,873,078 12,124,820
NHP/PMB L.P. | Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure    
Variable Interest Entity [Line Items]    
Assets 666,404 673,467
Liabilities 244,934 238,147
Other Identified VIEs | Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure    
Variable Interest Entity [Line Items]    
Assets 4,075,821 2,076,715
Liabilities 1,459,830 405,350
Tax Credit VIEs | Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure    
Variable Interest Entity [Line Items]    
Assets 845,229 797,077
Liabilities $ 333,809 $ 297,004