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Acquisitions and Divestitures (Tables)
3 Months Ended
Mar. 31, 2024
Business Combination and Asset Acquisition [Abstract]  
Schedule of Noncash or Part Noncash Acquisitions
During three months ended March 31, 2024 the Company acquired dialysis businesses, as follows:
Three months ended
March 31, 2024
Cash paid, net of cash acquired$105,163 
Liabilities assumed$357 
Fair value of previously held equity method investments$67,526 
Number of dialysis centers acquired — U.S.
Number of dialysis centers acquired — International67
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
The following table summarizes the assets acquired and liabilities assumed in these transactions and recognized at their acquisition dates at estimated fair values, as well as the estimated fair value of noncontrolling interests assumed in these transactions:
Three months ended
March 31, 2024
Current assets$33,732 
Property and equipment32,274 
Right-of-use lease assets and other long-term assets29,703 
Indefinite-lived licenses3,329 
Goodwill137,290 
Liabilities assumed(43,024)
Noncontrolling interests assumed(20,258)
$173,046