XML 24 R12.htm IDEA: XBRL DOCUMENT v3.25.2
Goodwill
 6 Months Ended
Jun. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill Goodwill
Changes in the carrying value of goodwill by reportable segment were as follows:
U.S. dialysisOther — Ancillary servicesConsolidated
Balance at December 31, 2023$6,416,825 $695,735 $7,112,560 
Acquisitions102,082 246,987 349,069 
Divestitures(1,687)(1,506)(3,193)
Foreign currency and other adjustments— (83,220)(83,220)
Balance at December 31, 20246,517,220 857,996 7,375,216 
Acquisitions5,384 (4,715)669 
Foreign currency and other adjustments— 89,884 89,884 
Balance at June 30, 2025$6,522,604 $943,165 $7,465,769 
Balance at June 30, 2025:
Goodwill$6,522,604 $1,099,747 $7,622,351 
Accumulated impairment charges— (156,582)(156,582)
$6,522,604 $943,165 $7,465,769 
The Company did not recognize any goodwill impairment charges during the six months ended June 30, 2025 and 2024.
The Company performed various annual impairment assessments during the six months ended June 30, 2025, with no impairment indicated. None of the Company's various reporting units were considered at risk of significant goodwill impairment as of June 30, 2025.