Goodwill (Tables)

12 Months Ended

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