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Held for Sale and Discontinued Operations Held for Sale and Discontinued Operations | 3 Months Ended
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Mar. 31, 2019
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 agreement to sell its DMG division to Collaborative Care Holdings, LLC (Optum), a subsidiary of UnitedHealth Group Inc., subject to receipt of required regulatory approvals and other customary closing conditions. As a result, 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 contractual termination date under this equity purchase agreement is June 30, 2019. The following table presents the financial results of discontinued operations related to DMG:
| Three months ended March 31,
| 2019 |  | 2018
Revenues | $ | 1,382,281 |  |  | $ | 1,227,932 |
Expenses | 1,338,153 |  |  | 1,226,407 |
Income from discontinued operations before taxes | 44,128 |  |  | 1,525 |
Income tax expense | 13,823 |  |  | 7,311 |
Net income (loss) from discontinued operations, net of tax | $ | 30,305 |  |  | $ | (5,786 | )
The following table presents the financial position of discontinued operations related to DMG:
| March 31, 2019 |  | December 31, 2018
Assets |  |  |  |  |
Cash and cash equivalents | $ | 533,615 |  |  | $ | 414,683 |
Other current assets | 613,359 |  |  | 557,403 |
Property and equipment, net | 476,781 |  |  | 458,040 |
Operating lease right-of-use assets | 412,388 |  |  | — |
Intangible assets, net | 1,317,036 |  |  | 1,316,974 |
Other long-term assets | 120,347 |  |  | 112,127 |
Goodwill | 2,848,262 |  |  | 2,847,178 |
Valuation allowance on disposal group | (316,840 | ) |  | (316,840 | )
Total current assets held for sale, net | $ | 6,004,948 |  |  | $ | 5,389,565 |
Liabilities |  |  |  |  |
Other liabilities | $ | 624,319 |  |  | $ | 479,134 |
Medical payables | 512,523 |  |  | 436,839 |
Current portion of operating leases liabilities | 68,031 |  |  | — |
Current portion of long-term debt | 2,832 |  |  | 3,122 |
Long-term operating leases liabilities | 387,841 |  |  | — |
Long-term debt | 33,073 |  |  | 33,425 |
Other long-term liabilities | 124,691 |  |  | 291,239 |
Total current liabilities held for sale | $ | 1,753,310 |  |  | $ | 1,243,759 |
The following table presents cash flows of discontinued operations related to DMG:
| Three months ended March 31,
| 2019 |  | 2018
Net cash provided by operating activities from discontinued operations | $ | 68,240 |  |  | $ | 156,248 |
Net cash used in investing activities from discontinued operations | $ | (22,809 | ) |  | $ | (33,068 | )
DMG acquisitions During the first three months of 2019, the Company's DMG business acquired one medical business for a total of $1,064 in cash and deferred purchase price of $105. 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.

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- Definition Held for Sale and Discontinued Operations [Abstract] + References No definition available. + Details
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- Definition The entire disclosure related to a disposal group. Includes, but is not limited to, a discontinued operation, disposal classified as held-for-sale or disposed of by means other than sale or disposal of an individually significant component. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -URI http://asc.fasb.org/topic&trid=2155823 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -URI http://asc.fasb.org/subtopic&trid=2122178 + Details
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