Disposal Group, Including Discontinued Operations, Valuation Adjustment

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Tax Expense Related To Valuation Adjustment for Disposal Group, Including Discontinued Operations.

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Valuation Charge To Record Valuation Allowance and Related Tax Expense for a Disposal Group, Including Discontinued Operations.

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No definition available.

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- Definition

Amount of write-down of assets recognized in the income statement. Includes, but is not limited to, losses from tangible assets, intangible assets and goodwill.

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In a business combination in which the amount of net identifiable assets acquired and liabilities assumed exceeds the aggregate consideration transferred or to be transferred (as defined), this element represents the amount of gain recognized by the entity.

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In a business combination achieved in stages, this element represents the amount of gain recognized by the entity as a result of remeasuring to fair value the equity interest in the acquiree it held before the business combination.

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This item represents an other than temporary decline in value that has been recognized against an investment accounted for under the equity method of accounting. The excess of the carrying amount over the fair value of the investment represents the amount of the write down which is or was reflected in earnings. The written down value is a new cost basis with the adjusted value of the investment becoming its new carrying value subject to the equity accounting method. Evidence of a loss in value might include, but would not necessarily be limited to, absence of an ability to recover the carrying amount of the investment or inability of the investee to sustain an earnings capacity which would justify the carrying amount of the investment.

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Amount of gain (loss) on sale or disposal of an equity method investment.

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Amount of gain (loss) recognized in settlement of litigation and insurance claims. Excludes claims within an insurance entity's normal claims settlement process.

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Amount of loss from the write-down of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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This item represents the entity's proportionate share for the period of the net income (loss) of its investee (such as unconsolidated subsidiaries and joint ventures) to which the equity method of accounting is applied. This item includes income or expense related to stock-based compensation based on the investor's grant of stock to employees of an equity method investee.

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Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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Amount of increase (decrease) in loss contingency liability.

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The charge against earnings resulting from the write down of long lived assets other than goodwill due to the difference between the carrying value and lower fair value.

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Amount of expenses associated with exit or disposal activities pursuant to an authorized plan. Excludes expenses related to a discontinued operation or an asset retirement obligation.

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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No definition available.

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An excess of the fair value of the modified award over the fair value of the award immediately before the modification.

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Selected Quarterly Financial Data (unaudited) Selected Quarterly Financial Data - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended							6 Months Ended	12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Jun. 30, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Schedule of Equity Method Investments [Line Items]
Business Combination, Step Acquisition, Equity Interest in Acquiree, Remeasurement Gain	$ (28,152)								$ (28,152)
Income tax expense									258,400	$ 323,859	$ 431,761
Valuation adjustment on disposal group									316,840	0	0
Equity investment (loss) income									(4,484)	(8,640)	16,874
Restructuring Charges					$ 9,569
Loss Contingency Accrual, Period Increase (Decrease)					11,100	$ 3,600
Investment and other asset impairments									17,338	295,234	14,993
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost		$ 23,470							14,704
Goodwill impairment charges									3,106	36,196	28,415
Gain (loss) related to litigation settlement									0	526,827	0
APAC JV - Deconsolidated Noncontrolling Entity
Schedule of Equity Method Investments [Line Items]
Equity Method Investment, Realized Gain (Loss) on Disposal							$ (6,273)
Equity investment (loss) income	1,530	5,995			6,293				(4,484)	(8,640)	16,874
Equity Method Investment, Other than Temporary Impairment				$ 280,066
Paladina - Direct Primary Care
Schedule of Equity Method Investments [Line Items]
Equity Method Investment, Realized Gain (Loss) on Disposal		1,506	$ 35,205
Tandigm Health
Schedule of Equity Method Investments [Line Items]
Equity Method Investment, Realized Gain (Loss) on Disposal			25,096
Business Combination, Bargain Purchase, Gain Recognized, Amount					(17,129)
INDIA \| APAC JV - Deconsolidated Noncontrolling Entity
Schedule of Equity Method Investments [Line Items]
Equity investment (loss) income	8,715
GERMANY
Schedule of Equity Method Investments [Line Items]
Goodwill impairment charges			3,106						3,106
DaVita Rx - Pharmacy
Schedule of Equity Method Investments [Line Items]
Restructuring Charges		11,366
Investment and other asset impairments		6,093
Asset Impairment Charges			11,245				15,168
International Operations
Schedule of Equity Method Investments [Line Items]
Equity Method Investment, Realized Gain (Loss) on Disposal			$ 1,248
Restructuring Charges					2,700
Goodwill impairment charges										1,500
Vascular access
Schedule of Equity Method Investments [Line Items]
Goodwill impairment charges							24,198	$ 10,498		34,696	28,415
U.S. Department of Veterans Affairs (VA)
Schedule of Equity Method Investments [Line Items]
Gain (loss) related to litigation settlement							$ (529,504)			527,000
DMG - Held for sale
Schedule of Equity Method Investments [Line Items]
Goodwill impairment charges					$ 601,040	$ 50,619
DMG - Held for sale \| Discontinued Operations, Held-for-sale
Schedule of Equity Method Investments [Line Items]
Income tax expense				$ 163,555
Valuation adjustment on disposal group	218,639	98,201							316,840
Goodwill impairment charges	41,537								41,537	$ 651,659	$ 253,000
Tax expense related to valuation adjustment, disposal group, including discontinued operation	$ 8,318	117,946							109,628
Valuation Charge To Record Valuation Allowance And Related Tax Expense, Disposal Group, Including Discontinued Operations		$ 216,147							$ 468,005