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Basis of Presentation and Organization (Details)
12 Months Ended
Dec. 31, 2019
USD ($)
dialysis_clinic
patient
state
Dec. 31, 2018
USD ($)
dialysis_clinic
patient
state
New Accounting Pronouncements or Change in Accounting Principle [Line Items]    
Assets $ 1,086,791,000 $ 985,843,000
Number of dialysis clinics owned and operated | dialysis_clinic 246 241
Number of patients | patient 17,306 16,543
Number of states | state 27 27
American Renal Holdings Intermediate Company, LLC    
New Accounting Pronouncements or Change in Accounting Principle [Line Items]    
Percentage ownership of subsidiary 100.00%  
Assets $ 0  
Percentage ownership of parent 100.00%