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Other commitments
6 Months Ended
Jun. 30, 2020
Commitments and Contingencies Disclosure [Abstract]  
Noncontrolling interests subject to put provisions and other commitments
Other commitments
The Company has certain other potential commitments to provide operating capital to a number of dialysis centers that are wholly-owned by third parties or businesses in which the Company maintains a noncontrolling equity interest as well as to medical practices that the Company operates under management and administrative services agreements of approximately $9,217.