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Loss Per Share (Tables)
12 Months Ended
Dec. 31, 2019
Earnings Per Share [Abstract]  
Schedule of basic and diluted earnings (loss) per share
 
Year Ended December 31,
 
2019
 
2018
 
2017
Basic and Diluted
  

 
  

 
  

Net loss attributable to American Renal Associates Holdings, Inc.
$
(13,790
)
 
$
(28,767
)
 
$
(4,597
)
Change in the difference between the redemption values and estimated fair values for accounting purposes of the related noncontrolling interests
(7,999
)
 
(2,566
)
 
(11,503
)
Net loss attributable to common shareholders
(21,789
)
 
(31,333
)
 
(16,100
)
Weighted‑average common shares outstanding
32,274,570

 
31,965,844

 
31,081,824

Weighted‑average common shares outstanding, assuming dilution
32,274,570

 
31,965,844

 
31,081,824

Loss per share, basic and diluted
$
(0.68
)
 
$
(0.98
)
 
$
(0.52
)
Outstanding options and restricted stock excluded as impact would be antidilutive
2,986,656

 
3,442,048

 
1,894,340