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Acquisitions and Divestitures (Tables)

9 Months Ended

Sep. 30, 2024

Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract]

Schedule of Noncash or Part Noncash Acquisitions

During the nine months ended September 30, 2024 the Company acquired dialysis businesses as follows:

			Nine months ended September 30, 2024
Cash paid, net of cash acquired			$	161,210
Contingent earn-out obligations			$	296
Liabilities assumed			$	54,033
Fair value of previously held equity method investments			$	67,526
Number of dialysis centers acquired — U.S.			12
Number of dialysis centers acquired — International			91

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:

			Nine months ended September 30, 2024
Current assets			$	150,907
Property and equipment			46,738
Right-of-use lease assets and other long-term assets			51,491
Indefinite-lived licenses			10,722
Goodwill			139,606
Liabilities assumed			(96,141)
Noncontrolling interests assumed			(20,258)
			$	283,065

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Tabular disclosure of acquisition of assets or a business through noncash (or part noncash) transactions. Noncash is defined as information about all investing and financing activities of an enterprise during a period that affect recognized assets or liabilities but that do not result in cash receipts or cash payments in the period. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. Disclosure may include the equity interest acquired, value of assets acquired, value of liabilities acquired, net monetary assets acquired, number of shares, warrants or options issued as consideration for a business or asset acquired and other information necessary to a fair presentation.

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Tabular disclosure of the amounts recognized as of the acquisition date for each major class of assets acquired and liabilities assumed. May include but not limited to the following: (a) acquired receivables; (b) contingencies recognized at the acquisition date; and (c) the fair value of noncontrolling interests in the acquiree.

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