Business Combination Contingent Consideration Acquisitions, Earn-out Obligations and Assumed Liabilities.

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

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- Definition

Amount of liabilities incurred by the acquirer as part of consideration transferred in a business combination.

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- Definition

Fair value at acquisition-date of the equity interest in the acquiree held by the acquirer, immediately before the acquisition date for businesses combined in stages.

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- Definition

In a business combination achieved in stages, this element represents the amount of gain recognized by the entity as a result of remeasuring to fair value the equity interest in the acquiree it held before the business combination.

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The number of businesses acquired by the entity during the period.

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No definition available.

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- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

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Acquisitions and divestitures (Details) $ in Thousands	3 Months Ended		9 Months Ended
Acquisitions and divestitures (Details) $ in Thousands	Sep. 30, 2024 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2024 USD ($) Clinic	Sep. 30, 2023 USD ($)
Business Acquisition [Line Items]
Cash paid to acquire businesses			$ 161,210	$ 7,990
Gain on changes in ownership interest	$ 0	$ 0	35,147	$ 0
Dialysis and other businesses
Business Acquisition [Line Items]
Cash paid to acquire businesses			161,210
Business Combination Contingent Consideration Acquisitions			296
Deferred purchase price obligations			54,033
Business Combination, Step Acquisition, Equity Interest in Acquiree, Fair Value			67,526
Gain on changes in ownership interest			$ 35,147
Dialysis and other businesses \| U.S. dialysis
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic			12
Dialysis and other businesses \| Foreign Dialysis Centers
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic			91