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Held for Sale and Discontinued Operations Held for Sale and Discontinued Operations | 6 Months Ended
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Jun. 30, 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 On June 19, 2019, the Company completed the sale of its DMG division to Collaborative Care Holdings, LLC (Optum), a subsidiary of UnitedHealth Group Inc., for an aggregate purchase price of $4,340,000, prior to certain closing and post-closing adjustments specified in the related equity purchase agreement dated as of December 5, 2017, as amended as of September 20, 2018 and as of December 11, 2018 (as amended, the equity purchase agreement). The Company has recorded a preliminary estimated pre-tax net loss of approximately $23,022 on the sale of its DMG division for the three and six months ended June 30, 2019. This preliminary net loss is based on initial estimates of the Company's expected aggregate proceeds from the sale, net of transaction costs and obligations, as well as the estimated values of DMG net assets sold as of the closing date. These estimated net proceeds include $4,465,476 in cash received from Optum at closing, or $3,824,509 net of cash and restricted cash included in DMG net assets sold. The total net proceeds expected from the DMG sale, as well as the value of its previously held for sale net assets sold, remain subject to estimate revisions and post-closing adjustments pursuant to the equity purchase agreement, which could be material. Under the equity purchase agreement, the Company also has certain indemnification obligations that could require payments to the buyer relating to the Company's previous ownership and operation of the DMG business. Potential payments under these provisions, if any, remain subject to significant uncertainties and could have a material adverse effect on the net proceeds ultimately received and retained by the Company. The following table presents the financial results of discontinued operations related to DMG:
| Three months ended June 30, |  | Six months ended June 30,
| 2019 |  | 2018 |  | 2019 |  | 2018
Revenues | $ | 1,330,777 |  |  | $ | 1,252,430 |  |  | $ | 2,713,059 |  |  | $ | 2,480,362 |
Expenses | 1,201,633 |  |  | 1,192,528 |  |  | 2,539,787 |  |  | 2,418,935 |
Income from operations of discontinued operations before taxes | 129,144 |  |  | 59,902 |  |  | 173,272 |  |  | 61,427 |
Loss on sale of discontinued operations before taxes | (23,022 | ) |  | — |  |  | (23,022 | ) |  | — |
Income tax expense (benefit) | 26,730 |  |  | (9,794 | ) |  | 40,553 |  |  | (2,483 | )
Net income from discontinued operations, net of tax | $ | 79,392 |  |  | $ | 69,696 |  |  | $ | 109,697 |  |  | $ | 63,910 |
The following table presents cash flows of discontinued operations related to DMG:
| Six months ended June 30,
| 2019 |  | 2018
Net cash provided by operating activities from discontinued operations | $ | 103,848 |  |  | $ | 112,683 |
Net cash used in investing activities from discontinued operations | $ | (43,442 | ) |  | $ | (20,982 | )
DMG acquisitions During the period from January 1, 2019 to June 18, 2019 immediately prior to sale, the Company's DMG business acquired two medical business for a total of $2,025 in cash and deferred purchase price of $212.

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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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