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Goodwill - Schedule of Reporting Units Goodwill Balances (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Goodwill [Line Items]
Goodwill	$ 7,076,610	$ 7,046,241	$ 6,919,109
Percentage change in operating income used to evaluate fair value of reporting unit for goodwill assessment	3.00%
Percentage change in discount rate used to evaluate fair value of reporting unit for goodwill assessment	1.00%
Kidney Care | GERMANY
Goodwill [Line Items]
Goodwill	$ 281,781
Carrying amount coverage	18.90%
Sensitivities, Operating Income	(2.00%)
Sensitivities, Discount rate	(9.20%)

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