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Acquisitions and Divestitures (Tables)

12 Months Ended

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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