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Goodwill (Tables)
 9 Months Ended
Sep. 30, 2016
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

 

 

DMG

 

 

strategic initiatives

 

 

Consolidated total

 

Balance at January 1, 2015

 

$

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

 

Acquisitions

 

 

52,792

 

 

 

248,901

 

 

 

70,116

 

 

 

371,809

 

Divestitures

 

 

(4,222

)

 

 

(2,223

)

 

 

(29,374

)

 

 

(35,819

)

Goodwill impairment charges

 

 

—

 

 

 

(253,000

)

 

 

—

 

 

 

(253,000

)

Foreign currency and other adjustments

 

 

—

 

 

 

—

 

 

 

5,527

 

 

 

5,527

 

Balance at September 30, 2016

 

$

5,677,753

 

 

$

3,391,942

 

 

$

313,301

 

 

$

9,382,996