v2.4.1.9

Goodwill (Tables) | 3 Months Ended
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Mar. 31, 2015
Goodwill And Intangible Assets Disclosure [Abstract] |
Changes in Goodwill by Reportable Segments | Changes in goodwill by reportable segments were as follows:
|  |  |  |  |  |  |  |  |  | Other-ancillary |  |  |  |  |
|  | U.S. dialysis and |  |  |  |  |  |  | services and |  |  |  |  |
|  | related lab services |  |  | HCP |  |  | strategic initiatives |  |  | Consolidated total |
Balance at January 1, 2014 |  | $ | 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 |
Acquisitions |  |  | — |  |  |  | 24,039 |  |  |  | 7,568 |  |  |  | 31,607 |
Foreign currency and other adjustments |  |  | — |  |  |  | — |  |  |  | (15,512 | ) |  |  | (15,512 | )
Balance at March 31, 2015 |  | $ | 5,610,643 |  |  | $ | 3,586,573 |  |  | $ | 234,174 |  |  | $ | 9,431,390 |

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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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