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Held for Sale and Discontinued Operations Held for Sale and Discontinued Operations
3 Months Ended
Mar. 31, 2019
Held for Sale and Discontinued Operations [Abstract]  
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block] Held for sale and discontinued operations
DaVita Medical Group
In December 2017, the Company entered into an agreement to sell its DMG division to Collaborative Care Holdings, LLC (Optum), a subsidiary of UnitedHealth Group Inc., subject to receipt of required regulatory approvals and other customary closing conditions. As a result, the DMG business has been classified as held for sale and its results of operations are reported as discontinued operations for all periods presented in these condensed consolidated financial statements. The contractual termination date under this equity purchase agreement is June 30, 2019.
The following table presents the financial results of discontinued operations related to DMG:
 
Three months ended March 31,
 
2019
 
2018
Revenues
$
1,382,281

 
$
1,227,932

Expenses
1,338,153

 
1,226,407

Income from discontinued operations before taxes
44,128

 
1,525

Income tax expense
13,823

 
7,311

Net income (loss) from discontinued operations, net of tax
$
30,305

 
$
(5,786
)

The following table presents the financial position of discontinued operations related to DMG:
 
March 31, 2019
 
December 31, 2018
Assets
 

 
 

Cash and cash equivalents
$
533,615

 
$
414,683

Other current assets
613,359

 
557,403

Property and equipment, net
476,781

 
458,040

Operating lease right-of-use assets
412,388

 

Intangible assets, net
1,317,036

 
1,316,974

Other long-term assets
120,347

 
112,127

Goodwill
2,848,262

 
2,847,178

Valuation allowance on disposal group
(316,840
)
 
(316,840
)
Total current assets held for sale, net
$
6,004,948

 
$
5,389,565

Liabilities
 

 
 

Other liabilities
$
624,319

 
$
479,134

Medical payables
512,523

 
436,839

Current portion of operating leases liabilities
68,031

 

Current portion of long-term debt
2,832

 
3,122

Long-term operating leases liabilities
387,841

 

Long-term debt
33,073

 
33,425

Other long-term liabilities
124,691

 
291,239

Total current liabilities held for sale
$
1,753,310

 
$
1,243,759

The following table presents cash flows of discontinued operations related to DMG:
 
Three months ended March 31,
 
2019
 
2018
Net cash provided by operating activities from discontinued operations
$
68,240

 
$
156,248

Net cash used in investing activities from discontinued operations
$
(22,809
)
 
$
(33,068
)

DMG acquisitions
During the first three months of 2019, the Company's DMG business acquired one medical business for a total of $1,064 in cash and deferred purchase price of $105. Certain income tax amounts are pending final evaluation and quantification of any pre-acquisition tax contingencies. In addition, valuation of medical claims liabilities and certain other working capital items relating to acquisitions are pending final quantification. The assets and liabilities for all acquisitions were recorded at their estimated fair values at the dates of the acquisitions and are included in the Company’s current held for sale assets and liabilities.