Amount of loss from the write-down of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
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Name:	us-gaap_GoodwillImpairmentLoss
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

Goodwill - Narrative (Details) $ in Thousands	3 Months Ended			9 Months Ended		12 Months Ended
Goodwill - Narrative (Details) $ in Thousands	Sep. 30, 2020 USD ($) segment	Sep. 30, 2019 USD ($)	Mar. 31, 2019 USD ($)	Sep. 30, 2020 USD ($)	Sep. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Goodwill [Line Items]
Goodwill impairment charges	$ 0	$ 83,855		$ 0	$ 124,892	$ 124,892
Other Health Operations
Goodwill [Line Items]
Number of Reportable Segments \| segment	0
GERMANY \| Kidney Care
Goodwill [Line Items]
Goodwill impairment charges		$ 78,439	$ 41,037		119,476
GERMANY \| Other Health Operations
Goodwill [Line Items]
Goodwill impairment charges					$ 5,416