v3.26.3
Equity Method and Other Investments - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Jul. 20, 2026
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Equity Method Investment income from equity method investments          
Equity investment income (loss) from equity method investments in nonconsolidated dialysis partnerships.   $ 8,237 $ 10,162 $ 24,765 $ 23,135
Payments to Acquire Equity Method Investments       221,839 2,466
Income Statement Location: us-gaap:OtherNonoperatingIncomeExpense          
Equity Method Investment income from equity method investments          
Equity investment income (loss) from other equity method investments       1,345 (95,013)
Equity Method Investments In Nonconsolidated Dialysis Partnerships [Member]          
Equity Method Investment income from equity method investments          
Equity investment income (loss) from equity method investments in nonconsolidated dialysis partnerships.       $ 24,765 $ 23,135
Elara Caring          
Equity Method Investment income from equity method investments          
Payments to Acquire Equity Method Investments $ 200,000