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Held for Sale and Discontinued Operations Held for Sale and Discontinued Operations
6 Months Ended
Jun. 30, 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 in these condensed consolidated financial statements.
The following table presents the financial results of discontinued operations related to DMG:
 
Three months ended
June 30,
 
Six months ended
June 30,
 
2018
 
2017
 
2018
 
2017
Revenues
$
1,252,430

 
$
1,196,066

 
$
2,480,362

 
$
2,283,050

Expenses
1,192,528

 
1,157,901

 
2,418,935

 
2,232,352

Goodwill impairment charges

 
50,619

 

 
50,619

Income (loss) from discontinued operations before taxes
59,902

 
(12,454
)
 
61,427

 
79

Income tax benefit (expense)
9,794

 
(12,066
)
 
2,483

 
(18,166
)
Net income (loss) from discontinued operations, net of tax
$
69,696

 
$
(24,520
)
 
$
63,910

 
$
(18,087
)

The following table presents the financial position of discontinued operations related to DMG:
 
June 30, 2018
 
December 31, 2017
Assets
 

 
 

Cash and cash equivalents
$
404,435

 
$
179,668

Other current assets
862,764

 
826,608

Property and equipment, net
425,943

 
379,945

Intangible assets, net
1,316,468

 
1,316,550

Other long-term assets
161,622

 
178,894

Goodwill
2,881,849

 
2,879,977

Total current assets held for sale
$
6,053,081

 
$
5,761,642

Liabilities
 

 
 

Other liabilities
$
580,978

 
$
505,734

Medical payables
487,920

 
457,040

Current portion of long-term debt
2,636

 
2,845

Long-term debt
34,076

 
35,003

Other long-term liabilities
165,754

 
184,448

Total current liabilities held for sale
$
1,271,364

 
$
1,185,070

The following table presents cash flows of discontinued operations related to DMG:
 
June 30, 2018
 
June 30, 2017
Net cash provided by operating activities from discontinued operations
$
112,683

 
$
101,215

Net cash used in investing activities from discontinued operations
$
(20,982
)
 
$
(85,289
)

DMG acquisitions
During the first six months of 2018, the Company's DMG business acquired two medical businesses for a total of $1,280 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.
Sale of Tandigm Health Investment
Effective June 1, 2018, DMG sold its 19% ownership interest in the Tandigm Health joint venture and a related supporting business resulting in a gain, net of tax, of $18,636.
Goodwill impairment charges
As previously disclosed, prior to being reclassified as held for sale the Company recorded goodwill impairment charges for the DMG business of $50,619 for the three and six months ended June 30, 2017. These charges resulted from continuing developments in the Company’s DMG business, including recent annual updates to Medicare Advantage benchmark reimbursement rates, changes in expectations concerning future government reimbursement rates and the Company’s expected ability to mitigate them, as well as medical cost and utilization trends.