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Goodwill (Tables) | 9 Months Ended
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Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Changes in Goodwill by Reportable Segments [Text Block] | 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 |

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