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Acquisitions and divestitures Assets And Liabilities Assumed (Details) - USD ($) $ in Thousands | Mar. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
--- | --- | --- | ---
Business Acquisition [Line Items] |  |  |
Goodwill | $ 7,229,702 | $ 7,112,560 | $ 7,076,610
Goodwill deductible for tax purposes associated with acquisitions | 59,521 |  |
Dialysis and other businesses |  |  |
Business Acquisition [Line Items] |  |  |
Current assets | 33,732 |  |
Property and equipment | 32,274 |  |
Right-of-use lease assets and other long-term assets | 29,703 |  |
Indefinite-lived licenses | 3,329 |  |
Goodwill | 137,290 |  |
Liabilities assumed | (43,024) |  |
Noncontrolling interests assumed | (20,258) |  |
Total assets acquired and liabilities assumed | 173,046 |  |
U.S. dialysis |  |  |
Business Acquisition [Line Items] |  |  |
Goodwill | $ 6,517,220 | $ 6,416,825 | $ 6,416,825

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