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Segment Reporting - Summary of Assets by Segment (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
ASSETS
Assets	$ 16,928,252	$ 17,121,488
Equity method and other investments	231,108	238,881
Property and equipment, net of accumulated depreciation	3,256,397	3,479,972
U.S. dialysis
ASSETS
Assets	15,084,454	15,375,000
Equity method and other investments	113,781	112,500
Other - Ancillary services
ASSETS
Assets	1,843,798	1,746,488
Equity method and other investments	117,327	126,381
Other - Ancillary services | International
ASSETS
Property and equipment, net of accumulated depreciation	$ 207,162	$ 190,029

X

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Sum of the carrying amounts as of the balance sheet date of all assets that are recognized. Assets are probable future economic benefits obtained or controlled by an entity as a result of past transactions or events.

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