XML 62 R44.htm IDEA: XBRL DOCUMENT v3.22.4
Goodwill (Tables)
 12 Months Ended
Dec. 31, 2022
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. dialysisOther - Ancillary
services		Consolidated
Balance at December 31, 2020$6,309,928 $609,181 $6,919,109 
Acquisitions91,979 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 
Acquisitions16,750 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 
Balance at December 31, 2022:
Goodwill$6,416,825 $778,774 $7,195,599 
Accumulated impairment charges— (118,989)(118,989)
$6,416,825 $659,785 $7,076,610 
Schedule of Reporting Units Goodwill Balances
Reporting unitGoodwill
balance
Carrying amount
coverage(1)
Sensitivities
Operating
income(2)
Discount
rate(3)
Germany kidney care$281,781 18.9 %(2.0)%(9.2)%
 
(1)Excess of estimated fair value of the reporting unit over its carrying amount as of the latest assessment date.
(2)Potential impact on estimated fair value of a sustained, long-term reduction of 3% in operating income as of the latest assessment date.
(3)Potential impact on estimated fair value of an increase in discount rates of 100 basis points as of the latest assessment date.