v3.25.4
Equity Method and Other Investmetns Equity Method and Other Investments (Details)
$ in Thousands
3 Months Ended
Dec. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Apr. 01, 2023
USD ($)
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments $ 157,249 $ 336,684  
Equity Method Investments In Nonconsolidated Dialysis Partnerships      
Schedule of Equity Method Investments [Line Items]      
Number of equity method investments 19    
Mozarc Medical Holding LLC      
Schedule of Equity Method Investments [Line Items]      
Fair value of Contingent Consideration payable to Medtronic $ 0   $ 86,200
Equity method investment, significant impairments and other valuation adjustments 73,559    
Mozarc Medical Holding LLC      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments 0 215,706  
Voting Equity Interest by the Company     50.00%
Voting Equity Interest in Mozarc, Owned by Medtronic     50.00%
Adjusted cost method and other investments      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments 23,763 21,732  
Other equity method partnerships      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments $ 133,486 $ 99,246