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Held for Sale and Discontinued Operations Held for Sale and Discontinued Operations
3 Months Ended
Mar. 31, 2018
Held for Sale and Discontinued Operations [Abstract]  
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Held for sale and discontinued operations
DaVita Medical Group
In December 2017, the Company entered into an equity purchase agreement to sell its DMG division to Collaborative Care Holdings, LLC (Optum), a subsidiary of UnitedHealth Group Inc., for $4,900,000 in cash, subject to net working capital and other customary adjustments. The transaction is expected to close in 2018 and is subject to regulatory approvals and other customary closing conditions. As a result of this pending transaction, the DMG business has been classified as held for sale and its results of operations are reported as discontinued operations for all periods presented.
The following table presents the financial results of discontinued operations related to DMG:
 
Three months ended
March 31,

 
2018
 
2017
Revenues
$
1,227,932

 
$
1,086,985

Expenses
1,226,407

 
1,074,452

Income from discontinued operations before taxes
1,525

 
12,533

Income tax expense
7,311

 
6,100

Net (loss) income from discontinued operations, net of tax
$
(5,786
)
 
$
6,433


The following table presents the financial position of discontinued operations related to DMG:
 
March 31, 2018
 
December 31, 2017
Assets
 

 
 

Cash and cash equivalents
192,399

 
179,668

Other current assets
768,388

 
826,608

Property and equipment, net
410,127

 
379,945

Intangible assets, net
1,316,462

 
1,316,550

Other long-term assets
155,385

 
178,894

Goodwill
2,881,504

 
2,879,977

Total current assets held for sale
$
5,724,265

 
$
5,761,642

Liabilities
 

 
 

Other liabilities
529,354

 
505,734

Medical payables
505,872

 
457,040

Current portion of long-term debt
2,735

 
2,845

Long-term debt
34,541

 
35,003

Other long-term liabilities
182,123

 
184,448

Total current liabilities held for sale
$
1,254,625

 
$
1,185,070

The following table presents cash flows of discontinued operations related to DMG:
 
March 31, 2018
 
March 31, 2017
Net cash provided by operating activities from discontinued operations
156,248

 
95,585

Net cash used in investing activities from discontinued operations
(33,068
)
 
(41,686
)

DMG acquisitions
During the first quarter of 2018, the Company's DMG business acquired one medical business for a total of $905 in cash and deferred purchase price of $99. Certain income tax amounts are pending final evaluation and quantification of any pre-acquisition tax contingencies. In addition, valuation of medical claims liabilities and certain other working capital items relating to acquisitions are pending final quantification. The assets and liabilities for all acquisitions were recorded at their estimated fair values at the dates of the acquisitions and are included in the Company’s current held for sale assets and liabilities.