v3.26.3
Equity Method and Other Investments Equity Method and Other Investments (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Dec. 31, 2025
Schedule of Equity Method and Other Investments [Line Items]          
Equity method and other investments $ 404,305   $ 404,305   $ 157,249
Equity investment income (loss) from equity method investments in nonconsolidated dialysis partnerships. 8,237 $ 10,162 24,765 $ 23,135  
Adjusted cost method and other investments          
Schedule of Equity Method and Other Investments [Line Items]          
Equity method and other investments 49,516   49,516   23,763
Equity method partnerships          
Schedule of Equity Method and Other Investments [Line Items]          
Equity method and other investments $ 354,789   $ 354,789   $ 133,486