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Acquisitions and divestitures (Tables)
6 Months Ended
Jun. 30, 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 six
months ended
June 30, 2018
Beginning balance
$
6,388

Contingent earn-out obligations associated with acquisitions
1,436

Remeasurement of fair value for contingent earn-out obligations
(335
)
Ending balance
$
7,489

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
$
8,854

Property and equipment
4,303

Intangible and other long-term assets
1,486

Goodwill
106,220

Current liabilities
(10,290
)
Long-term liabilities
(171
)
Noncontrolling interests
(1,349
)

$
109,053