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Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2015
Goodwill And Intangible Assets Disclosure [Abstract] |
Changes in Carrying Value of Goodwill by Reportable Segments | Changes in the carrying 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, 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 |  |  | 21,910 |  |  |  | 29,910 |  |  |  | 45,273 |  |  |  | 97,093 |
Divestitures |  |  | (3,370 | ) |  |  | (5,411 | ) |  |  | — |  |  |  | (8,781 | )
Goodwill impairment charges |  |  | — |  |  |  | (188,769 | ) |  |  | (4,065 | ) |  |  | (192,834 | )
Foreign currency and other adjustments |  |  | — |  |  |  | — |  |  |  | (16,294 | ) |  |  | (16,294 | )
Balance at December 31, 2015 |  | $ | 5,629,183 |  |  | $ | 3,398,264 |  |  | $ | 267,032 |  |  | $ | 9,294,479 |
Schedule of Goodwill and Indefinite-Lived Intangible Asset Impairment Charges | Based on these preliminary assessments of the HCP reporting units as well as assessments of other reporting units, the Company recorded the following goodwill and indefinite-lived intangible asset impairment charges during the year ended December 31, 2015:
|  |  |  |  |  | Intangible |  |
|  | Impairment |  |  | asset |  |
Reporting unit |  | charge |  |  | impaired |  | Quarter ended
HCP Nevada |  |  | 181,253 |  |  | Goodwill |  | December 31, 2015
HCP Arizona |  |  | 1,716 |  |  | Goodwill |  | December 31, 2015
HCP Florida |  |  | 5,800 |  |  | Goodwill |  | December 31, 2015
International operations |  |  | 4,065 |  |  | Goodwill |  | June 30, 2015
Total goodwill impairment charges |  |  | 192,834 |  |  |  |  |
HCP Nevada |  |  | 17,400 |  |  | Indefinite-lived license |  | December 31, 2015
Total intangible impairment charges |  | $ | 210,234 |  |  |  |  |

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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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