Acquisitions and divestitures (Tables)

9 Months Ended

Sep. 30, 2018

Business Acquisition [Line Items]

Reconciliation of Changes in Contingent Earn-Out Obligations

The following is a reconciliation of changes in liabilities for contingent earn-out obligations:

	For the nine months ended September 30, 2018
Beginning balance	$	6,388
Contingent earn-out obligations associated with acquisitions	1,246
Remeasurement of fair value for contingent earn-out obligations	(401		)
Ending balance	$	7,233

Dialysis and other businesses

Business Acquisition [Line Items]

Assets Acquired and Liabilities Assumed in Business Acquisitions

The following table summarizes the assets acquired and liabilities assumed in these transactions at their estimated acquisition date fair values: 

Current assets	$	10,183
Property and equipment	5,654
Intangible and other long-term assets	3,672
Goodwill	135,654
Current liabilities	(12,139		)
Long-term liabilities	(212		)
Noncontrolling interests	(11,947		)
	$	130,865