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Segment Reporting - Summary of Expenditures for Property and Equipment by Segment (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | $ 674,541 | $ 766,546 | $ 987,138
U.S. dialysis |  |  |
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | 646,870 | 681,339 | 856,108
Other - Ancillary services |  |  |
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | 27,671 | 46,741 | 45,806
DMG - discontinued operations |  |  |
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | $ 0 | $ 38,466 | $ 85,224

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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3213-108585 + Details
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
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- Details
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