XML 66 R77.htm IDEA: XBRL DOCUMENT v3.19.3.a.u2
Goodwill - Schedule of Reporting Units Goodwill Balances (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Goodwill [Line Items]      
Goodwill $ 6,787,635 $ 6,841,960 $ 6,610,279
Percentage change in operating income used to evaluate fair value of reporting unit for goodwill assessment 3.00%    
Percentage change in discount rate used to evaluate fair value of reporting unit for goodwill assessment 1.00%    
Kidney Care | GERMANY      
Goodwill [Line Items]      
Goodwill $ 295,151    
Carrying amount coverage 0.00%    
Sensitivities, Operating Income (1.30%)    
Sensitivities, Discount rate (11.00%)    
Kidney Care | BRAZIL      
Goodwill [Line Items]      
Goodwill $ 88,551    
Carrying amount coverage 4.40%    
Sensitivities, Operating Income (2.80%)    
Sensitivities, Discount rate (7.00%)