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Acquisitions and divestitures (Tables)
3 Months Ended
Mar. 31, 2018
Business Acquisition [Line Items]  
Reconciliation of Changes in Contingent Earn-Out Obligations
The following is a reconciliation of changes in liabilities for contingent earn-out obligations:
 
 
For the three
months ended
March 31, 2018
Beginning balance
$
6,388

Remeasurement of fair value for contingent earn-out obligations
174

Ending balance
$
6,562

Dialysis and other businesses  
Business Acquisition [Line Items]  
Assets Acquired and Liabilities Assumed in Business Acquisitions
The following table summarizes the assets acquired and liabilities assumed in these transactions at their estimated acquisition date fair values: 
Current assets
$
1,572

Property and equipment
1,643

Amortizable intangible and other long-term assets
2,563

Goodwill
16,042

Current liabilities
(2,392
)
Noncontrolling interests
(688
)

$
18,740