Business Segment and Geographic Information (Tables)

12 Months Ended

Dec. 31, 2017

Segment Reporting [Abstract]

Summary of Operating Performance of Reportable Segments

The following summarizes the operating performance of our reportable segments (in thousands):

	System One		In-Center		Other			Services			Intersegment Elimination			Total
Year Ended December 31, 2017
Revenues from external customers	$	301,299	$	61,307	$	11,796		$	19,539		$	—		$	393,941
Intersegment Revenues	5,062		—		—			—			(5,062		)	—
Revenues	306,361		61,307		11,796			19,539			(5,062		)	393,941
Segment profit (loss)	82,585		8,070		(80,804		)	(23,702		)	—			(13,851		)
Depreciation and amortization	22,166		2,121		4,349			5,217			(99		)	33,754
Segment assets	134,825		25,225		146,737			19,712			(870		)	325,629
Year Ended December 31, 2016
Revenues from external customers	$	276,393	$	63,038	$	12,166		$	14,781		$	—		$	366,378
Intersegment Revenues	7,530		—		—			—			(7,530		)	—
Revenues	283,923		63,038		12,166			14,781			(7,530		)	366,378
Segment profit (loss)	74,912		10,092		(62,309		)	(26,233		)	(747		)	(4,285		)
Depreciation and amortization	23,671		2,003		4,427			4,781			(2,245		)	32,637
Segment assets	135,038		21,246		138,273			23,620			(970		)	317,207
Year Ended December 31, 2015
Revenues from external customers	$	244,641	$	74,768	$	10,302		$	6,412		$	—		$	336,123
Intersegment Revenues	3,134		—		—			—			(3,134		)	—
Revenues	247,775		74,768		10,302			6,412			(3,134		)	336,123
Segment profit (loss)	59,748		12,395		(62,946		)	(23,826		)	—			(14,629		)
Depreciation and amortization	20,554		1,835		5,004			3,322			—			30,715
Segment assets	120,253		24,232		142,842			19,547			—			306,874

Reconciliation of Total Segment Assets to Total Assets

The following table presents a reconciliation of the total segment assets to total assets (in thousands):

	December 31,
	2017			2016
Total segment assets	$	179,762		$	179,904
Intersegment elimination	(870		)	(970		)
Corporate assets:
Cash and cash equivalents	64,927			59,632
Accounts Receivable, net	949			632
Inventory	305			—
Property and equipment, net	16,628			16,600
Intangible assets, net	7,660			9,688
Goodwill	42,748			42,648
Prepaid and other assets	13,520			9,073
Total assets	$	325,629		$	317,207

Schedule of Total Long-Lived Tangible Assets by Geographic Area

The following table presents total long-lived tangible assets by geographic area (in thousands):

	December 31,
	2017		2016		2015
United States	$	42,610	$	46,724	$	46,551
Mexico	16,790		13,431		14,233
Other Americas	1,630		571		825
Total Americas	61,030		60,726		61,609
Germany	18,270		17,574		19,053
Other Europe	5,226		5,754		6,793
Total Europe	23,496		23,328		25,846
Total	$	84,526	$	84,054	$	87,455

Summary of Number of Customers Who Individually Make Up Greater than 10% of Total Revenues

The following table summarizes the number of customers who individually make up greater than ten percent of total revenues:

	Years Ended December 31,
	2017		2016		2015
DaVita	20	%	20	%	20	%
Fresenius	20	%	18	%	17	%