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v3.22.2

Goodwill - Changes in Goodwill by Reportable Segments (Detail) - USD ($) $ in Thousands | 6 Months Ended | 12 Months Ended
--- | --- | ---
Jun. 30, 2022 | Dec. 31, 2021
Goodwill [Roll Forward] |  |
Beginning balance | $ 7,046,241 | $ 6,919,109
Acquisitions |  | 173,244
Acquisitions | (1,145) |
Divestitures | (3,213) | (1,745)
Foreign currency and other adjustments | (22,105) | (44,367)
Ending balance | 7,019,778 | 7,046,241
Goodwill, before accumulated impairment charges | 7,136,340 |
Accumulated impairment charges | (116,562) |
Ending balance | 7,019,778 | 7,046,241
U.S. dialysis |  |
Goodwill [Roll Forward] |  |
Beginning balance | 6,400,162 | 6,309,928
Acquisitions |  | 91,979
Acquisitions | 0 |
Divestitures | (87) | (1,745)
Foreign currency and other adjustments | 0 | 0
Ending balance | 6,400,075 | 6,400,162
Goodwill, before accumulated impairment charges | 6,400,075 |
Accumulated impairment charges | 0 |
Ending balance | 6,400,075 | 6,400,162
Other—Ancillary services |  |
Goodwill [Roll Forward] |  |
Beginning balance | 646,079 | 609,181
Acquisitions |  | 81,265
Acquisitions | (1,145) |
Divestitures | (3,126) | 0
Foreign currency and other adjustments | (22,105) | (44,367)
Ending balance | 619,703 | 646,079
Goodwill, before accumulated impairment charges | 736,265 |
Accumulated impairment charges | (116,562) |
Ending balance | $ 619,703 | $ 646,079

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