XML 27 R12.htm IDEA: XBRL DOCUMENT v3.24.1.u1
Goodwill
 3 Months Ended
Mar. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill Goodwill
Changes in the carrying value of goodwill by reportable segment were as follows:
U.S. dialysisOther — Ancillary servicesConsolidated
Balance at December 31, 2022$6,416,825 $659,785 $7,076,610 
Acquisitions— 25,723 25,723 
Impairment charges— (26,083)(26,083)
Foreign currency and other adjustments— 36,310 36,310 
Balance at December 31, 2023$6,416,825 $695,735 $7,112,560 
Acquisitions102,082 35,208 137,290 
Divestitures(1,687)— (1,687)
Foreign currency and other adjustments— (18,461)(18,461)
Balance at March 31, 2024$6,517,220 $712,482 $7,229,702 
Balance at March 31, 2024:
Goodwill$6,517,220 $858,977 $7,376,197 
Accumulated impairment charges— (146,495)(146,495)
$6,517,220 $712,482 $7,229,702 
The Company did not recognize any goodwill impairment charges during the three months ended March 31, 2024 or the three months ended March 31, 2023. None of the Company's various reporting units were considered at risk of significant goodwill impairment as of March 31, 2024.