v3.26.1
Goodwill
 6 Months Ended
Jun. 30, 2026
Intangible Asset, Goodwill and Other [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, 2024$6,517,220 $857,996 $7,375,216 
Acquisitions10,396 61,288 71,684 
Foreign currency and other adjustments— 98,195 98,195 
Balance at December 31, 20256,527,616 1,017,479 7,545,095 
Acquisitions21,928 12,680 34,608 
Foreign currency and other adjustments— 11,263 11,263 
Balance at June 30, 2026$6,549,544 $1,041,422 $7,590,966 
Balance at June 30, 2026:
Goodwill6,549,544 1,194,825 7,744,369 
Accumulated impairment charges— (153,403)(153,403)
$6,549,544 $1,041,422 $7,590,966 
The Company did not recognize any goodwill impairment charges during the six months ended June 30, 2026 and 2025.
The Company performed various annual impairment assessments during the six months ended June 30, 2026, with no impairment indicated. None of the Company's various reporting units were considered at risk of significant goodwill impairment as of June 30, 2026.