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Acquisitions and Divestitures (Tables) | 12 Months Ended
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Dec. 31, 2022
Business Combinations [Abstract] |
Schedule of Components of Routine Acquisitions | During 2022, 2021 and 2020, the Company acquired dialysis businesses and other businesses, including a transplant software company, as follows:
| Year ended Year ended December 31,
| 2022 |  | 2021 |  | 2020
Cash paid, net of cash acquired | $ | 57,308 |  |  | $ | 187,050 |  |  | $ | 182,013 |
Contingent earn-out obligations | 4,261 |  |  | 14,854 |  |  | 14,042 |
Deferred purchase price and liabilities assumed | 15,076 |  |  | 10,226 |  |  | 20,415 |
Non-cash gain | — |  |  | — |  |  | 1,821 |
Aggregate consideration | $ | 76,645 |  |  | $ | 212,130 |  |  | $ | 218,291 |
Number of dialysis centers acquired — U.S. | 5 |  | 19 |  | 8
Number of dialysis centers acquired — International | 11 |  | 17 |  | 66
Aggregate Purchase Cost Allocations for Acquisitions | The following table summarizes the assets acquired and liabilities assumed in these transactions and recognized at their acquisition dates at estimated fair values, as well as the estimated fair value of noncontrolling interests assumed in these transactions:
| Year ended December 31,
| 2022 |  | 2021 |  | 2020
Current assets | $ | 6,389 |  |  | $ | 9,134 |  |  | $ | 23,607 |
Property and equipment | 7,481 |  |  | 9,277 |  |  | 37,457 |
Customer relationships | — |  |  | 17,200 |  |  | 34,625 |
Noncompetition agreements and other long-term assets | 1,066 |  |  | 9,964 |  |  | 10,168 |
Indefinite-lived licenses | 19,610 |  |  | 11,432 |  |  | 22,136 |
Goodwill | 49,047 |  |  | 173,244 |  |  | 130,057 |
Deferred income taxes | — |  |  | — |  |  | (3,962) |
Liabilities assumed | (6,081) |  |  | (14,200) |  |  | (34,068) |
Noncontrolling interests assumed | (867) |  |  | (3,921) |  |  | (1,729) |
| $ | 76,645 |  |  | $ | 212,130 |  |  | $ | 218,291 |
Schedule of other information related to acquired intangibles and goodwill | The following summarizes weighted-average estimated useful lives of amortizable intangible assets acquired during 2022, 2021 and 2020, as well as goodwill deductible for tax purposes associated with these acquisitions:
| Year ended December 31,
| 2022 |  | 2021 |  | 2020
Weighted-average estimated useful lives (in years): |  |  |  |  |
Customer relationships | — |  |  | 10 |  | 18
Noncompetition agreements | 4 |  | 6 |  | 5
Goodwill deductible for tax purposes | $ | 49,047 |  |  | $ | 169,014 |  |  | $ | 94,318 |
Pro Forma Summary of Results of Operations | The following summary, prepared on a pro forma basis, combines the results of operations as if all acquisitions within continuing operations in 2022 and 2021 had been consummated as of the beginning of 2021, including the impact of certain adjustments such as amortization of intangibles, interest expense on acquisition financing and income tax effects.
| Year ended December 31,
| 2022 |  | 2021
| (unaudited)
Pro forma total revenues | $ | 11,624,270 |  |  | $ | 11,706,823 |
Pro forma net income from continuing operations attributable to DaVita Inc. | $ | 545,859 |  |  | $ | 984,227 |
Pro forma basic net income per share from continuing operations attributable to DaVita Inc. | $ | 5.87 |  |  | $ | 9.35 |
Pro forma diluted net income per share from continuing operations attributable to DaVita Inc. | $ | 5.70 |  |  | $ | 8.95 |
Reconciliation of Changes in Contingent Earn-Out Obligations | The following is a reconciliation of changes in contingent earn-out liabilities for the years ended December 31, 2022 and 2021:
| Year ended December 31,
| 2022 |  | 2021
Beginning balance | $ | 33,600 |  |  | $ | 30,248 |
Acquisitions | 4,261 |  |  | 14,854 |
Foreign currency translation | 840 |  |  | (1,674) |
Fair value remeasurements | (5,921) |  |  | (1,292) |
Payments or other settlements | (7,358) |  |  | (8,536) |
Ending balance | $ | 25,422 |  |  | $ | 33,600 |

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- Definition Tabular disclosure of acquisition of assets or a business through noncash (or part noncash) transactions. Noncash is defined as information about all investing and financing activities of an enterprise during a period that affect recognized assets or liabilities but that do not result in cash receipts or cash payments in the period. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. Disclosure may include the equity interest acquired, value of assets acquired, value of liabilities acquired, net monetary assets acquired, number of shares, warrants or options issued as consideration for a business or asset acquired and other information necessary to a fair presentation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -URI https://asc.fasb.org/extlink&oid=126999549&loc=d3e4313-108586 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -URI https://asc.fasb.org/extlink&oid=126999549&loc=d3e4304-108586 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=126999549&loc=d3e4332-108586 + Details
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