Goodwill (Tables)

6 Months Ended

Jun. 30, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in Goodwill by Reportable Segments [Text Block]

Changes in goodwill by reportable segments were as follows:

	U.S. dialysis		Other - Ancillary services		Consolidated
Balance at December 31, 2019	$	6,287,100	$	500,535	$	6,787,635
Acquisitions	24,377		105,680		130,057
Divestitures	(1,549)		(6,744)		(8,293)
Foreign currency and other adjustments	—		9,710		9,710
Balance at December 31, 2020	$	6,309,928	$	609,181	$	6,919,109
Acquisitions	3,481		24,842		28,323
Foreign currency and other adjustments	—		(3,767)		(3,767)
Balance at June 30, 2021	$	6,313,409	$	630,256	$	6,943,665
Balance at June 30, 2021:
Goodwill	$	6,313,409	$	762,407	$	7,075,816
Accumulated impairment charges	—		(132,151)		(132,151)
	$	6,313,409	$	630,256	$	6,943,665