XML 24 R12.htm IDEA: XBRL DOCUMENT
v3.24.3

Goodwill | 9 Months Ended
--- | ---
Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Goodwill | Goodwill Changes in the carrying value of goodwill by reportable segment were as follows:
| U.S. dialysis |  | Other — Ancillary services |  | Consolidated
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 |
Acquisitions | 102,082 |  |  | 37,524 |  |  | 139,606 |
Divestitures | (1,687) |  |  | (1,506) |  |  | (3,193) |
Foreign currency and other adjustments | — |  |  | (21,343) |  |  | (21,343) |
Balance at September 30, 2024 | $ | 6,517,220 |  |  | $ | 710,410 |  |  | $ | 7,227,630 |
Balance at September 30, 2024: |  |  |  |  |
Goodwill | $ | 6,517,220 |  |  | $ | 860,669 |  |  | $ | 7,377,889 |
Accumulated impairment charges | — |  |  | (150,259) |  |  | (150,259) |
| $ | 6,517,220 |  |  | $ | 710,410 |  |  | $ | 7,227,630 |
The Company did not recognize any goodwill impairment charges during the nine months ended September 30, 2024 and 2023. The Company performed various annual impairment assessments during the nine months ended September 30, 2024, with no impairment indicated. None of the Company's various reporting units were considered at risk of significant goodwill impairment as of September 30, 2024.

X
- References No definition available. + Details
Name: | us-gaap_GoodwillAndIntangibleAssetsDisclosureAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for goodwill. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 24 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482548/350-20-55-24 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482573/350-20-50-2 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482573/350-20-50-1 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/350-20/tableOfContent + Details
Name: | us-gaap_GoodwillDisclosureTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration