Acquisitions and Divestitures (Tables)

12 Months Ended

Dec. 31, 2020

Business Combinations [Abstract]

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,
	2020		2019		2018
Current assets	$	23,607	$	6,713	$	23,686
Property and equipment	37,457		4,842		11,421
Customer relationships	34,625		—		—
Noncompetition agreements and other long-term assets	10,168		1,980		3,079
Indefinite-lived licenses	22,136		31,858		23,656
Goodwill	130,057		90,226		278,348
Deferred income taxes	(3,962)		—		—
Liabilities assumed	(34,068)		(7,159)		(19,946)
Noncontrolling interests assumed	(1,729)		(1,762)		(80,291)
	$	218,291	$	126,698	$	239,953

Schedule of other information related to acquired intangibles and goodwill

The following summarizes weighted-average estimated useful lives of amortizable intangible assets acquired during 2020, 2019 and 2018, as well as goodwill deductible for tax purposes associated with these acquisitions:

	Year ended December 31,
	2020		2019		2018
Weighted-average estimated useful lives:
Customer relationships	18
Noncompetition agreements	5		6		6
Goodwill deductible for tax purposes	$	94,318	$	88,517	$	165,013

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 2020 and 2019 had been consummated as of the beginning of 2019, including the impact of certain adjustments such as amortization of intangibles, interest expense on acquisition financing and income tax effects.

	Year ended December 31,
	2020		2019
	(unaudited)
Pro forma total revenues	$	11,636,416	$	11,570,086
Pro forma net income from continuing operations attributable to DaVita Inc.	$	789,473	$	718,928
Pro forma basic net income per share from continuing operations attributable to DaVita Inc.	$	6.59	$	4.69
Pro forma diluted net income per share from continuing operations attributable to DaVita Inc.	$	6.44	$	4.67

Reconciliation of Changes in Contingent Earn-Out Obligations

The following is a reconciliation of changes in contingent earn-out liabilities for the years ended December 31, 2020 and 2019: 

	Year ended December 31,
	2020		2019
Beginning balance	$	24,586	$	2,608
Acquisitions	14,042		23,536
Foreign currency translation	(3,688)		(905)
Fair value remeasurements	(2,630)		121
Payments or other settlements	(2,062)		(774)
Ending balance	$	30,248	$	24,586