Goodwill (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in Carrying Value of Goodwill by Reportable Segments

Changes in the carrying value of goodwill by reportable segment were as follows:

	U.S. dialysis		Other - Ancillary services		Consolidated
Balance at December 31, 2021	$	6,400,162	$	646,079	$	7,046,241
Acquisitions	16,750		32,297		49,047
Divestitures	(87)		(3,263)		(3,350)
Foreign currency and other adjustments	—		(15,328)		(15,328)
Balance at December 31, 2022	$	6,416,825	$	659,785	$	7,076,610
Acquisitions	—		25,723		25,723
Impairment charges	—		(26,083)		(26,083)
Foreign currency and other adjustments	—		36,310		36,310
Balance at December 31, 2023	$	6,416,825	$	695,735	$	7,112,560
Balance at December 31, 2023:
Goodwill	$	6,416,825	$	844,836	$	7,261,661
Accumulated impairment charges	—		(149,101)		(149,101)
	$	6,416,825	$	695,735	$	7,112,560