Business acquisition contingent consideration revenue earn-out period.

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- Definition

Business Combination Contingent Consideration Acquisitions, Earn-out Obligations and Assumed Liabilities.

+ References

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

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- Definition

Amount of liabilities incurred by the acquirer as part of consideration transferred in a business combination.

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- Definition

For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid.

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- Definition

Amount of liability recognized arising from contingent consideration in a business combination.

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- Definition

In a business combination achieved in stages, this element represents the amount of gain recognized by the entity as a result of remeasuring to fair value the equity interest in the acquiree it held before the business combination.

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- Definition

Amount of gain (loss) on sale or disposal of equity in securities of subsidiaries or equity method investee.

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- Definition

The number of businesses acquired by the entity during the period.

+ References

No definition available.

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- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

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Acquisitions and Divestitures - Additional Information (Details) $ in Thousands		3 Months Ended	12 Months Ended
	May 01, 2020 USD ($)	Jun. 30, 2020 USD ($)	Dec. 31, 2020 USD ($) clinic	Dec. 31, 2019 USD ($) clinic	Dec. 31, 2018 USD ($) clinic
Business Acquisition [Line Items]
Cash paid to acquire business			$ 182,013	$ 100,861	$ 183,156
Business combination contingent consideration acquisitions, earn-outs			14,042	23,536
Non-cash gain on acquiring additional ownership in business acquisition					28,152
Contingent earn-out obligations			42,378
Fair value of contingent earn-out consideration			30,248	24,586	2,608
RMS Lifeline
Business Acquisition [Line Items]
Gain (Loss) on Divestiture	$ 16,252	$ 16,252
Other Long-term Liabilities
Business Acquisition [Line Items]
Fair value of contingent earn-out consideration			17,223
Other Current Liabilities
Business Acquisition [Line Items]
Fair value of contingent earn-out consideration			13,025
Other companies
Business Acquisition [Line Items]
Fair value of contingent earn-out consideration			$ 30,248
Minimum \| Other companies \| EBITDA or Operating Income Performance Targets or Quality Margins
Business Acquisition [Line Items]
Earn-out consideration payment period			1 year
Maximum \| Other companies \| EBITDA or Operating Income Performance Targets or Quality Margins
Business Acquisition [Line Items]
Earn-out consideration payment period			5 years
Series of individually immaterial business acquisitions
Business Acquisition [Line Items]
Cash paid to acquire business			$ 182,013	98,836	176,161
Business combination contingent consideration acquisitions, earn-outs			14,042	23,536	1,246
Deferred Purchase price and liabilities assumed			20,415	$ 4,326	$ 34,394
Non-cash gain on acquiring additional ownership in business acquisition			$ 1,821
U S Dialysis And Related Lab Services \| Series of individually immaterial business acquisitions
Business Acquisition [Line Items]
Number of businesses acquired \| clinic			8	7	18
Foreign Dialysis Centers \| Series of individually immaterial business acquisitions
Business Acquisition [Line Items]
Number of businesses acquired \| clinic			66	16	28