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Acquisitions and Divestitures (Tables)
 12 Months Ended
Dec. 31, 2018
Business Acquisition [Line Items]  
Pro Forma Summary of Results of Operations The following summary, prepared on a pro forma basis, combines the results of operations as if all acquisitions within continuing operations in 2018 and 2017 had been consummated as of the beginning of 2017, including the impact of certain adjustments such as amortization of intangibles, interest expense on acquisition financing and income tax effects.
 
Year ended December 31,
 
2018
 
2017
 
(unaudited)
Pro forma net revenues
$
11,508,555

 
$
11,176,736

Pro forma net income from continuing operations attributable to
DaVita Inc.
$
634,326

 
$
922,718

Pro forma basic net income per share from continuing operations
attributable to DaVita Inc.
$
3.71

 
$
4.89

Pro forma diluted net income per share from continuing operations
attributable to DaVita Inc.
$
3.68

 
$
4.82
Reconciliation of Changes in Contingent Earn-Out Obligations The following is a reconciliation of changes in contingent earn-out obligations for the year ended December 31, 2018: 
Beginning balance December 31, 2017
$
6,388

Contingent earn-out obligations associated with acquisitions
1,246

Remeasurement of fair value
(4,729
)
Payments of contingent earn-out obligations
(297
)
Ending balance December 31, 2018
$
2,608
Series of individually immaterial business acquisitions  
Business Acquisition [Line Items]  
Aggregate Purchase Cost Allocations for Acquisitions The following table summarizes the assets acquired and liabilities assumed in these transactions and recognized at their acquisition dates at estimated fair values, as well as the estimated fair value of noncontrolling interests assumed in these transactions:
 
Year ended December 31,
 
2018
 
2017
 
2016
Current assets
$
23,686

 
$
14,366

 
$
3,996

Property and equipment
11,421

 
18,192

 
8,840

Amortizable intangible and other long-term assets
3,079

 
11,663

 
5,876

Non-amortizable intangibles
23,656

 
32,296

 
—

Goodwill
278,348

 
318,832

 
198,927

Deferred income taxes
—

 
(210
)
 
597

Noncontrolling interests assumed
(80,291
)
 
(44,303
)
 
(30,337
)
Liabilities assumed
(19,946
)
 
(15,846
)
 
(3,317
)
Aggregate purchase cost
$
239,953

 
$
334,990

 
$
184,582
Renal Ventures Limited, LLC  
Business Acquisition [Line Items]  
Aggregate Purchase Cost Allocations for Acquisitions The following table summarizes the assets acquired and liabilities assumed in this transaction and recognized at the acquisition date at estimated fair values: 
Current assets, net of cash acquired
$
22,739

Property and equipment
36,295

Amortizable intangible and other long-term assets
11,547

Goodwill
298,200

Current liabilities
(8,389
)
Long-term liabilities
(479
)
 
$
359,913