Goodwill (Tables)

9 Months Ended

Sep. 30, 2022

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in Goodwill by Reportable Segments [Text Block]

Changes in goodwill by reportable segments were as follows:

	U.S. dialysis		Other — Ancillary services		Consolidated
Balance at December 31, 2020	$	6,309,928	$	609,181	$	6,919,109
Acquisitions	91,979		81,265		173,244
Divestitures	(1,745)		—		(1,745)
Foreign currency and other adjustments	—		(44,367)		(44,367)
Balance at December 31, 2021	$	6,400,162	$	646,079	$	7,046,241
Acquisitions	16,750		18,019		34,769
Divestitures	(87)		(3,126)		(3,213)
Foreign currency and other adjustments	—		(55,155)		(55,155)
Balance at September 30, 2022	$	6,416,825	$	605,817	$	7,022,642
Balance at September 30, 2022:
Goodwill	$	6,416,825	$	715,147	$	7,131,972
Accumulated impairment charges	—		(109,330)		(109,330)
	$	6,416,825	$	605,817	$	7,022,642