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Selected Quarterly Financial Data (Unaudited) (Tables)
 12 Months Ended
Dec. 31, 2019
Quarterly Financial Information Disclosure [Abstract]  
Selected Quarterly Financial Data (Unaudited)
 
Three Months Ended 
(in thousands, except per share data)
December 31, 2019
 
September 30, 2019
 
June 30, 2019
 
March 31, 2019
 
December 31, 2018
 
September 30, 2018
 
June 30, 2018
 
March 31, 2018
Net patient service operating revenues
$
206,079

 
$
211,429

 
$
213,252

 
$
191,762

 
$
207,806

 
$
205,719

 
$
205,952

 
$
186,299

Operating Income (loss)
$
13,215

 
$
18,204

 
$
17,629

 
$
2,625

 
$
22,949

 
$
24,110

 
$
(4,310
)
 
$
12,573

Income (loss) before income taxes
$
1,034

 
$
5,932

 
$
5,784

 
$
(4,443
)
 
$
19,590

 
$
12,388

 
$
(10,710
)
 
$
4,095

Net (loss) income attributable to American Renal Associates Holdings, Inc.
$
90

 
$
4,777

 
$
(8,178
)
 
$
(10,479
)
 
$
(572
)
 
$
(734
)
 
$
(23,659
)
 
$
(3,802
)
Basic (loss) income per share attributable to American Renal Associates Holdings, Inc.
$
(0.22
)
 
$
0.11

 
$
(0.22
)
 
$
(0.35
)
 
$
(0.06
)
 
$
(0.04
)
 
$
(0.78
)
 
$
(0.10
)
Diluted (loss) income per share attributable to American Renal Associates Holdings, Inc.
$
(0.22
)
 
$
0.11

 
$
(0.22
)
 
$
(0.35
)
 
$
(0.06
)
 
$
(0.04
)
 
$
(0.78
)
 
$
(0.10
)