Goodwill (Tables)

6 Months Ended

Jun. 30, 2022

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, 2020	$	6,309,928	$	609,181	$	6,919,109
Acquisitions	91,979		81,265		173,244
Divestitures	(1,745)		—		(1,745)
Foreign currency and other adjustments	—		(44,367)		(44,367)
Balance at December 31, 2021	$	6,400,162	$	646,079	$	7,046,241
Acquisitions	—		(1,145)		(1,145)
Divestitures	(87)		(3,126)		(3,213)
Foreign currency and other adjustments	—		(22,105)		(22,105)
Balance at June 30, 2022	$	6,400,075	$	619,703	$	7,019,778
Balance at June 30, 2022:
Goodwill	$	6,400,075	$	736,265	$	7,136,340
Accumulated impairment charges	—		(116,562)		(116,562)
	$	6,400,075	$	619,703	$	7,019,778