v2.4.1.9

Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2014
Goodwill And Intangible Assets Disclosure [Abstract] |
Changes in Goodwill by Reportable Segments | Changes in the value of goodwill by reportable segments were as follows:
|  | U.S. dialysis and related lab services |  |  | HCP |  |  | Other ancillary services and strategic initiatives |  |  | Consolidated total |
Balance at January 1, 2013 |  | $ | 5,309,152 |  |  | $ | 3,506,571 |  |  | $ | 137,027 |  |  | $ | 8,952,750 |
Acquisitions |  |  | 163,037 |  |  |  | 17,833 |  |  |  | 90,397 |  |  | $ | 271,267 |
Divestitures |  |  | (2,728 | ) |  |  | — |  |  |  | — |  |  | $ | (2,728 | )
Other adjustments |  |  | 12 |  |  |  | (8,242 | ) |  |  | (85 | ) |  | $ | (8,315 | )
Balance at December 31, 2013 |  | $ | 5,469,473 |  |  | $ | 3,516,162 |  |  | $ | 227,339 |  |  | $ | 9,212,974 |
Acquisitions |  |  | 143,021 |  |  |  | 48,649 |  |  |  | 29,844 |  |  | $ | 221,514 |
Divestitures |  |  | (1,851 | ) |  |  | — |  |  |  | — |  |  | $ | (1,851 | )
Foreign currency and other adjustments |  |  | — |  |  |  | (2,277 | ) |  |  | (15,065 | ) |  | $ | (17,342 | )
Balance at December 31, 2014 |  | $ | 5,610,643 |  |  | $ | 3,562,534 |  |  | $ | 242,118 |  |  | $ | 9,415,295 |

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- Definition Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=35741047&loc=d3e13816-109267 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=35741047&loc=d3e13854-109267 + Details
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