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Acquisitions and Divestitures Assets Acquired and Liabilities Assumed (Details) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020	Dec. 31, 2019
Business Acquisition [Line Items]
Goodwill	$ 6,943,665	$ 6,919,109	$ 6,787,635
Dialysis and other businesses
Business Acquisition [Line Items]
Current assets	3,832
Property and equipment	1,853
Other long-term assets	2,259
Indefinite-lived licenses	1,593
Goodwill	28,323
Liabilities assumed	6,726
Noncontrolling interests	1,249
Total assets acquired and liabilities assumed	$ 29,885

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