2014 Form 10-K Financial Statement
#000156459015001035 Filed on February 26, 2015
Income Statement
Concept | 2014 | 2013 Q4 | 2013 Q3 |
---|---|---|---|
Revenue | $12.80B | $3.063B | $3.000B |
YoY Change | 8.76% | 23.62% | 54.15% |
Cost Of Revenue | $9.119B | $2.128B | $2.095B |
YoY Change | 11.23% | 24.61% | 57.85% |
Gross Profit | $3.676B | $935.4M | $904.3M |
YoY Change | 3.08% | 21.42% | 46.21% |
Gross Profit Margin | 28.73% | 30.54% | 30.15% |
Selling, General & Admin | $1.276B | $320.0M | $306.6M |
YoY Change | 8.04% | 16.53% | 53.84% |
% of Gross Profit | 34.71% | 34.21% | 33.9% |
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $428.3M | $138.7M | $132.8M |
YoY Change | 14.8% | 26.67% | 64.72% |
% of Gross Profit | 11.65% | 14.83% | 14.68% |
Operating Expenses | $1.867B | $459.5M | $439.4M |
YoY Change | 9.12% | 19.69% | 57.27% |
Operating Profit | $1.815B | $484.2M | $377.1M |
YoY Change | 17.1% | 24.77% | 10.62% |
Interest Expense | -$485.0M | -$99.30M | -$99.20M |
YoY Change | 22.78% | 0.51% | 47.18% |
% of Operating Profit | -26.72% | -20.51% | -26.31% |
Other Income/Expense, Net | $2.374M | $3.500M | $2.113M |
YoY Change | -50.41% | 250.0% | 158.0% |
Pretax Income | $1.341B | $380.0M | $270.8M |
YoY Change | 19.22% | 34.68% | -0.16% |
Income Tax | $446.3M | $135.7M | $100.9M |
% Of Pretax Income | 33.28% | 35.71% | 37.28% |
Net Earnings | $723.1M | $212.3M | $136.6M |
YoY Change | 14.16% | 36.22% | -5.59% |
Net Earnings / Revenue | 5.65% | 6.93% | 4.55% |
Basic Earnings Per Share | $3.41 | $1.01 | $0.65 |
Diluted Earnings Per Share | $3.33 | $0.99 | $0.64 |
COMMON SHARES | |||
Basic Shares Outstanding | 212.3M | 212.7M shares | 210.4M shares |
Diluted Shares Outstanding | 216.9M | 214.9M shares |
Balance Sheet
Concept | 2014 | 2013 Q4 | 2013 Q3 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $1.303B | $971.3M | $977.0M |
YoY Change | 36.73% | 79.53% | 151.8% |
Cash & Equivalents | $965.0M | $946.2M | $970.7M |
Short-Term Investments | $337.0M | $25.02M | $7.000M |
Other Short-Term Assets | $186.0M | $176.4M | $156.9M |
YoY Change | -68.26% | -12.48% | 233.99% |
Inventory | $136.0M | $88.81M | $84.90M |
Prepaid Expenses | $93.88M | ||
Receivables | $1.526B | $1.485B | $1.404B |
Other Receivables | $485.0M | $349.1M | $360.0M |
Total Short-Term Assets | $3.636B | $3.472B | $3.381B |
YoY Change | 4.72% | 20.27% | 45.39% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $2.469B | $2.189B | $2.048B |
YoY Change | 12.79% | 16.93% | 23.79% |
Goodwill | $9.213B | $9.144B | |
YoY Change | 2.91% | 71.72% | |
Intangibles | $2.024B | $2.060B | |
YoY Change | -4.87% | 1060.05% | |
Long-Term Investments | $155.0M | $120.0M | $114.0M |
YoY Change | 29.17% | 27.66% | 171.43% |
Other Assets | $77.00M | $79.60M | $79.83M |
YoY Change | -3.75% | -0.32% | 161.25% |
Total Long-Term Assets | $13.98B | $13.63B | $13.45B |
YoY Change | 2.6% | 3.8% | 58.22% |
TOTAL ASSETS | |||
Total Short-Term Assets | $3.636B | $3.472B | $3.381B |
Total Long-Term Assets | $13.98B | $13.63B | $13.45B |
Total Assets | $17.62B | $17.10B | $16.83B |
YoY Change | 3.03% | 6.77% | 55.46% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $445.0M | $435.5M | $358.4M |
YoY Change | 2.3% | 5.15% | 31.46% |
Accrued Expenses | $1.169B | $772.0M | $685.0M |
YoY Change | 14.16% | 36.16% | 29.49% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $120.0M | $274.7M | $260.0M |
YoY Change | -56.36% | 20.48% | 120.67% |
Total Short-Term Liabilities | $2.089B | $2.462B | $2.453B |
YoY Change | -15.15% | 22.1% | 83.5% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $8.299B | $8.141B | $8.181B |
YoY Change | 1.94% | -2.23% | 45.55% |
Other Long-Term Liabilities | $390.0M | $380.3M | $353.7M |
YoY Change | 2.63% | -14.29% | 143.53% |
Total Long-Term Liabilities | $8.689B | $380.3M | $353.7M |
YoY Change | 1.97% | -14.29% | -93.87% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $2.089B | $2.462B | $2.453B |
Total Long-Term Liabilities | $8.689B | $380.3M | $353.7M |
Total Liabilities | $12.45B | $11.80B | $11.77B |
YoY Change | -1.73% | 2.42% | 54.78% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $3.364B | $3.152B | |
YoY Change | -9.86% | -11.86% | |
Common Stock | $213.0K | $213.0K | |
YoY Change | -21.11% | 57.78% | |
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | 0.000 shares | ||
Shareholders Equity | $5.171B | $4.432B | $4.268B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $17.62B | $17.10B | $16.83B |
YoY Change | 3.03% | 6.77% | 55.46% |
Cashflow Statement
Concept | 2014 | 2013 Q4 | 2013 Q3 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $723.1M | $212.3M | $136.6M |
YoY Change | 14.16% | 36.22% | -5.59% |
Depreciation, Depletion And Amortization | $428.3M | $138.7M | $132.8M |
YoY Change | 14.8% | 26.67% | 64.72% |
Cash From Operating Activities | $1.459B | $354.1M | $733.2M |
YoY Change | -17.7% | 76.87% | 100.0% |
INVESTING ACTIVITIES | |||
Capital Expenditures | $641.3M | -$218.1M | -$141.1M |
YoY Change | 3.84% | 27.39% | 9.89% |
Acquisitions | |||
YoY Change | |||
Other Investing Activities | -$636.4M | -$81.70M | -$88.10M |
YoY Change | 145.43% | -97.89% | 23.91% |
Cash From Investing Activities | -$1.278B | -$299.8M | -$229.2M |
YoY Change | 45.71% | -92.59% | 14.83% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | |||
YoY Change | |||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | -165.0M | -78.80M | -150.5M |
YoY Change | -65.84% | -101.97% | 157.26% |
NET CHANGE | |||
Cash From Operating Activities | 1.459B | 354.1M | 733.2M |
Cash From Investing Activities | -1.278B | -299.8M | -229.2M |
Cash From Financing Activities | -165.0M | -78.80M | -150.5M |
Net Change In Cash | 16.70M | -24.50M | 353.5M |
YoY Change | -95.96% | -116.08% | 225.81% |
FREE CASH FLOW | |||
Cash From Operating Activities | $1.459B | $354.1M | $733.2M |
Capital Expenditures | $641.3M | -$218.1M | -$141.1M |
Free Cash Flow | $818.1M | $572.2M | $874.3M |
YoY Change | -29.22% | 54.07% | 76.63% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2015Q1 | dei |
Entity Common Stock Shares Outstanding
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Patient Care Costs
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Income Loss From Continuing Operations Per Basic Share
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CY2013 | us-gaap |
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CY2012 | us-gaap |
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Income Loss From Continuing Operations Per Basic Share
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CY2013 | us-gaap |
Earnings Per Share Basic
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3.02 | |
CY2014 | dei |
Entity Well Known Seasoned Issuer
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Entity Public Float
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Health Care Organization Patient Service Revenue Less Provision For Bad Debts
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Profit Loss
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Income Loss From Continuing Operations Per Diluted Share
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Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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4852000 | |
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Interest And Debt Expense
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Other Nonoperating Income Expense
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-6204000 | |
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Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
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Discontinued Operation Income Loss From Discontinued Operation During Phase Out Period Net Of Tax
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Profit Loss
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Entity Current Reporting Status
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Entity Voluntary Filers
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Entity Filer Category
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Entity Common Stock Shares Outstanding
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Entity Public Float
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Health Care Organization Patient Service Revenue
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Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
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Costs And Expenses
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Interest And Debt Expense
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Debt Refinancing Charge
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Income Tax Expense Benefit
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Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
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Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
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743965000 | |
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Profit Loss
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757201000 | |
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Net Income Loss Attributable To Noncontrolling Interest
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|
140216000 | |
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Net Income Loss Attributable To Noncontrolling Interest
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123755000 | |
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Net Income Loss
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Net Income Loss
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|
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Earnings Per Share Basic
EarningsPerShareBasic
|
3.41 | |
CY2013 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
2.89 | |
CY2014 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
3.33 | |
CY2013 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
2.95 | |
CY2013 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
209939364 | |
CY2014 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
216927681 | |
CY2013 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
214763887 | |
CY2014 | us-gaap |
Income Loss From Continuing Operations
IncomeLossFromContinuingOperations
|
723114000 | |
CY2013 | us-gaap |
Income Loss From Continuing Operations
IncomeLossFromContinuingOperations
|
620197000 | |
CY2014 | us-gaap |
Other Comprehensive Income Unrealized Gain Loss On Derivatives Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax
|
-10059000 | |
CY2014 | us-gaap |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci On Derivatives Net Of Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIOnDerivativesNetOfTax
|
-10608000 | |
CY2014 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
|
238000 | |
CY2014 | us-gaap |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Net Of Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax
|
207000 | |
CY2014 | us-gaap |
Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Net Of Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax
|
-22952000 | |
CY2014 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
-22372000 | |
CY2014 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
140216000 | |
CY2014 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
700742000 | |
CY2014 | us-gaap |
Increase Decrease In Other Current Liabilities
IncreaseDecreaseInOtherCurrentLiabilities
|
83590000 | |
CY2012 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
40878000 | |
CY2013 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
38368000 | |
CY2012 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
18476000 | |
CY2013 | us-gaap |
Increase Decrease In Other Current Liabilities
IncreaseDecreaseInOtherCurrentLiabilities
|
78817000 | |
CY2014 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-60475000 | |
CY2013 | dva |
Increase Decrease In Other Current Receivables And Other Current Assets
IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
|
108434000 | |
CY2012 | dva |
Increase Decrease In Other Current Receivables And Other Current Assets
IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
|
-51730000 | |
CY2014 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-2916000 | |
CY2013 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-17731000 | |
CY2012 | us-gaap |
Increase Decrease In Inventories
IncreaseDecreaseInInventories
|
-4052000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
-2956000 | |
CY2013Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
946249000 | |
CY2014Q4 | us-gaap |
Short Term Investments
ShortTermInvestments
|
337399000 | |
CY2013Q4 | us-gaap |
Short Term Investments
ShortTermInvestments
|
6801000 | |
CY2014Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
1525849000 | |
CY2013Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
1485163000 | |
CY2014Q4 | us-gaap |
Inventory Net
InventoryNet
|
136085000 | |
CY2013Q4 | us-gaap |
Inventory Net
InventoryNet
|
88805000 | |
CY2014Q4 | us-gaap |
Other Receivables Net Current
OtherReceivablesNetCurrent
|
400916000 | |
CY2013Q4 | us-gaap |
Other Receivables Net Current
OtherReceivablesNetCurrent
|
349090000 | |
CY2014Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
186842000 | |
CY2013Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
176414000 | |
CY2014Q4 | us-gaap |
Income Taxes Receivable
IncomeTaxesReceivable
|
83839000 | |
CY2013Q4 | us-gaap |
Income Taxes Receivable
IncomeTaxesReceivable
|
10315000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Net Current
DeferredTaxAssetsNetCurrent
|
240626000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Net Current
DeferredTaxAssetsNetCurrent
|
409441000 | |
CY2014Q4 | us-gaap |
Assets Current
AssetsCurrent
|
3876797000 | |
CY2013Q4 | us-gaap |
Assets Current
AssetsCurrent
|
3472278000 | |
CY2014Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
2469099000 | |
CY2013Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
2189411000 | |
CY2014Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
1949498000 | |
CY2013Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
2024373000 | |
CY2014Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
65637000 | |
CY2013Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
40686000 | |
CY2014Q4 | us-gaap |
Long Term Investments
LongTermInvestments
|
89389000 | |
CY2013Q4 | us-gaap |
Long Term Investments
LongTermInvestments
|
79557000 | |
CY2014Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
77000000 | |
CY2013Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
79598000 | |
CY2014Q4 | us-gaap |
Goodwill
Goodwill
|
9415295000 | |
CY2013Q4 | us-gaap |
Goodwill
Goodwill
|
9212974000 | |
CY2014Q4 | us-gaap |
Assets
Assets
|
17942715000 | |
CY2013Q4 | us-gaap |
Assets
Assets
|
17098877000 | |
CY2014Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
445453000 | |
CY2013Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
435465000 | |
CY2014Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
506579000 | |
CY2013Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
464422000 | |
CY2014Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
698475000 | |
CY2013Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
603013000 | |
CY2014Q4 | dva |
Medical Expense Payable
MedicalExpensePayable
|
314347000 | |
CY2013Q4 | dva |
Medical Expense Payable
MedicalExpensePayable
|
287452000 | |
CY2014Q4 | us-gaap |
Litigation Reserve Current
LitigationReserveCurrent
|
3644000 | |
CY2013Q4 | us-gaap |
Litigation Reserve Current
LitigationReserveCurrent
|
397000000 | |
CY2014Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
120154000 | |
CY2013Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
274697000 | |
CY2014Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
2088652000 | |
CY2013Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
2462049000 | |
CY2014Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
8383280000 | |
CY2013Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
8141231000 | |
CY2014Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
389806000 | |
CY2013Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
380337000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
890701000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
812419000 | |
CY2014Q4 | us-gaap |
Liabilities
Liabilities
|
11752439000 | |
CY2013Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
213000 | |
CY2013Q4 | us-gaap |
Liabilities
Liabilities
|
11796036000 | |
CY2014Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2013Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2014Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
829965000 | |
CY2013Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
697300000 | |
CY2014Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2013Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2014Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
216000 | |
CY2014Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
1108211000 | |
CY2013Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
1070922000 | |
CY2014Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
4087103000 | |
CY2013Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
3363989000 | |
CY2014Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
-25017000 | |
CY2013Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
-2645000 | |
CY2014Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
5170513000 | |
CY2013Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
4432479000 | |
CY2014Q4 | us-gaap |
Minority Interest
MinorityInterest
|
189798000 | |
CY2013Q4 | us-gaap |
Minority Interest
MinorityInterest
|
173062000 | |
CY2014Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
5360311000 | |
CY2013Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
4605541000 | |
CY2014Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
17942715000 | |
CY2013Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
17098877000 | |
CY2014Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
242674000 | |
CY2013Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
237143000 | |
CY2014Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.001 | |
CY2013Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.001 | |
CY2014Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
5000000 | |
CY2013Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
5000000 | |
CY2014Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | |
CY2013Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | |
CY2014Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.001 | |
CY2013Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.001 | |
CY2014Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
450000000 | |
CY2013Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
450000000 | |
CY2014Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
215640968 | |
CY2013Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
213163248 | |
CY2014Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
215640968 | |
CY2013Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
213163248 | |
CY2014 | us-gaap |
Loss Contingency Accrual Carrying Value Period Increase Decrease
LossContingencyAccrualCarryingValuePeriodIncreaseDecrease
|
17000000 | |
CY2013 | us-gaap |
Loss Contingency Accrual Carrying Value Period Increase Decrease
LossContingencyAccrualCarryingValuePeriodIncreaseDecrease
|
397000000 | |
CY2014 | dva |
Adjustment Depreciation And Amortization
AdjustmentDepreciationAndAmortization
|
590935000 | |
CY2013 | dva |
Adjustment Depreciation And Amortization
AdjustmentDepreciationAndAmortization
|
528119000 | |
CY2012 | dva |
Adjustment Depreciation And Amortization
AdjustmentDepreciationAndAmortization
|
343908000 | |
CY2014 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
56743000 | |
CY2013 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
59998000 | |
CY2012 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
45384000 | |
CY2014 | us-gaap |
Deferred Tax Expense From Stock Options Exercised
DeferredTaxExpenseFromStockOptionsExercised
|
59119000 | |
CY2013 | us-gaap |
Deferred Tax Expense From Stock Options Exercised
DeferredTaxExpenseFromStockOptionsExercised
|
46898000 | |
CY2012 | us-gaap |
Deferred Tax Expense From Stock Options Exercised
DeferredTaxExpenseFromStockOptionsExercised
|
88964000 | |
CY2014 | us-gaap |
Excess Tax Benefit From Share Based Compensation Operating Activities
ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
|
45271000 | |
CY2013 | us-gaap |
Excess Tax Benefit From Share Based Compensation Operating Activities
ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
|
36197000 | |
CY2012 | us-gaap |
Excess Tax Benefit From Share Based Compensation Operating Activities
ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
|
62036000 | |
CY2013Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
60538000 | |
CY2014 | dva |
Adjustment Income Loss From Equity Method Investments
AdjustmentIncomeLossFromEquityMethodInvestments
|
-10125000 | |
CY2013 | dva |
Adjustment Income Loss From Equity Method Investments
AdjustmentIncomeLossFromEquityMethodInvestments
|
-2872000 | |
CY2014 | us-gaap |
Payments To Acquire Available For Sale Securities
PaymentsToAcquireAvailableForSaleSecurities
|
8440000 | |
CY2012 | dva |
Adjustment Income Loss From Equity Method Investments
AdjustmentIncomeLossFromEquityMethodInvestments
|
-3384000 | |
CY2013 | us-gaap |
Payments To Acquire Available For Sale Securities
PaymentsToAcquireAvailableForSaleSecurities
|
12445000 | |
CY2013 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-25380000 | |
CY2012 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
43765000 | |
CY2014 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
210955000 | |
CY2014 | dva |
Gain Loss On Disposal Of Assets And Other Noncash Charges
GainLossOnDisposalOfAssetsAndOtherNoncashCharges
|
39274000 | |
CY2013 | dva |
Gain Loss On Disposal Of Assets And Other Noncash Charges
GainLossOnDisposalOfAssetsAndOtherNoncashCharges
|
-31351000 | |
CY2012 | dva |
Gain Loss On Disposal Of Assets And Other Noncash Charges
GainLossOnDisposalOfAssetsAndOtherNoncashCharges
|
30390000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
40676000 | |
CY2013 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
59640000 | |
CY2012 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
47673000 | |
CY2014 | us-gaap |
Increase Decrease In Inventories
IncreaseDecreaseInInventories
|
46398000 | |
CY2013 | us-gaap |
Increase Decrease In Inventories
IncreaseDecreaseInInventories
|
8971000 | |
CY2014 | dva |
Increase Decrease In Other Current Receivables And Other Current Assets
IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
|
61674000 | |
CY2012 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
1775000 | |
CY2013 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
16666000 | |
CY2014 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
97261000 | |
CY2012 | us-gaap |
Increase Decrease In Other Current Liabilities
IncreaseDecreaseInOtherCurrentLiabilities
|
11083000 | |
CY2014 | dva |
Increase Decrease In Loss Contingency Reserve
IncreaseDecreaseInLossContingencyReserve
|
-410356000 | |
CY2013 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
33499000 | |
CY2012 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-129948000 | |
CY2014 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
-1583000 | |
CY2013 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
66145000 | |
CY2012 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
19029000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
1459407000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
1773341000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
1100848000 | |
CY2014 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
641330000 | |
CY2013 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
617597000 | |
CY2012 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
550146000 | |
CY2014 | us-gaap |
Payments To Acquire Businesses And Interest In Affiliates
PaymentsToAcquireBusinessesAndInterestInAffiliates
|
272094000 | |
CY2013 | us-gaap |
Payments To Acquire Businesses And Interest In Affiliates
PaymentsToAcquireBusinessesAndInterestInAffiliates
|
310394000 | |
CY2012 | us-gaap |
Payments To Acquire Businesses And Interest In Affiliates
PaymentsToAcquireBusinessesAndInterestInAffiliates
|
4294077000 | |
CY2014 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
8791000 | |
CY2013 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
62258000 | |
CY2012 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
3559000 | |
CY2012 | us-gaap |
Payments To Acquire Available For Sale Securities
PaymentsToAcquireAvailableForSaleSecurities
|
3935000 | |
CY2014 | us-gaap |
Payments To Acquire Held To Maturity Securities
PaymentsToAcquireHeldToMaturitySecurities
|
472628000 | |
CY2013 | us-gaap |
Payments To Acquire Held To Maturity Securities
PaymentsToAcquireHeldToMaturitySecurities
|
1039000 | |
CY2012 | us-gaap |
Payments To Acquire Held To Maturity Securities
PaymentsToAcquireHeldToMaturitySecurities
|
7418000 | |
CY2014 | us-gaap |
Proceeds From Sale Of Available For Sale Securities
ProceedsFromSaleOfAvailableForSaleSecurities
|
2475000 | |
CY2013 | us-gaap |
Proceeds From Sale Of Available For Sale Securities
ProceedsFromSaleOfAvailableForSaleSecurities
|
4158000 | |
CY2012 | us-gaap |
Proceeds From Sale Of Available For Sale Securities
ProceedsFromSaleOfAvailableForSaleSecurities
|
7211000 | |
CY2014 | us-gaap |
Proceeds From Sale And Maturity Of Held To Maturity Securities
ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
|
141072000 | |
CY2013 | us-gaap |
Proceeds From Sale And Maturity Of Held To Maturity Securities
ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
|
1376000 | |
CY2012 | us-gaap |
Proceeds From Sale And Maturity Of Held To Maturity Securities
ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
|
14530000 | |
CY2014 | us-gaap |
Payments To Acquire Intangible Assets
PaymentsToAcquireIntangibleAssets
|
1018000 | |
CY2013 | us-gaap |
Payments To Acquire Intangible Assets
PaymentsToAcquireIntangibleAssets
|
2391000 | |
CY2012 | us-gaap |
Payments To Acquire Intangible Assets
PaymentsToAcquireIntangibleAssets
|
830000 | |
CY2014 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
35382000 | |
CY2013 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
1305000 | |
CY2012 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
1352000 | |
CY2014 | us-gaap |
Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital
ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
|
825000 | |
CY2012 | dva |
Weighted Average Number Basic Shares Outstanding Adjustment
WeightedAverageNumberBasicSharesOutstandingAdjustment
|
192396000 | |
CY2013 | us-gaap |
Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
|
2194000 | |
CY2012 | us-gaap |
Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
|
366000 | |
CY2013 | us-gaap |
Net Income Loss Attributable To Parent Diluted
NetIncomeLossAttributableToParentDiluted
|
633446000 | |
CY2013 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
2631000 | |
CY2012 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
3540000 | |
CY2013 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
4194000 | |
CY2012 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
2616000 | |
CY2013Q4 | dva |
Percentage Of Accounts Receivable Six Months Or More Past Due
PercentageOfAccountsReceivableSixMonthsOrMorePastDue
|
0.14 | |
CY2013 | us-gaap |
Allowance For Doubtful Accounts Receivable Period Increase Decrease
AllowanceForDoubtfulAccountsReceivablePeriodIncreaseDecrease
|
-7979000 | |
CY2013Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
93877000 | |
CY2014Q4 | us-gaap |
Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
|
3100000 | |
CY2013Q4 | us-gaap |
Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
|
3220000 | |
CY2014Q4 | us-gaap |
Land
Land
|
35885000 | |
CY2013 | us-gaap |
Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital
ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
|
497000 | |
CY2012 | us-gaap |
Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital
ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
|
8000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-1277729000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-876882000 | |
CY2011Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
393752000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-4832450000 | |
CY2014 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
60038508000 | |
CY2013 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
66286097000 | |
CY2012 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
43248175000 | |
CY2014 | us-gaap |
Repayments Of Debt And Capital Lease Obligations
RepaymentsOfDebtAndCapitalLeaseObligations
|
60046487000 | |
CY2013 | us-gaap |
Repayments Of Debt And Capital Lease Obligations
RepaymentsOfDebtAndCapitalLeaseObligations
|
66723385000 | |
CY2012 | us-gaap |
Repayments Of Debt And Capital Lease Obligations
RepaymentsOfDebtAndCapitalLeaseObligations
|
39286027000 | |
CY2014 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
122988000 | |
CY2013 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
719000 | |
CY2012 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
57241000 | |
CY2014 | dva |
Payments Of Distributions Return Of Capital
PaymentsOfDistributionsReturnOfCapital
|
149339000 | |
CY2013 | dva |
Payments Of Distributions Return Of Capital
PaymentsOfDistributionsReturnOfCapital
|
139326000 | |
CY2012 | dva |
Payments Of Distributions Return Of Capital
PaymentsOfDistributionsReturnOfCapital
|
113504000 | |
CY2014 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
19500000 | |
CY2013 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
16423000 | |
CY2012 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
6647000 | |
CY2014 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
45271000 | |
CY2013 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
36197000 | |
CY2012 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
62036000 | |
CY2014 | dva |
Contribution From Noncontrolling Interest
ContributionFromNoncontrollingInterest
|
64655000 | |
CY2013 | dva |
Contribution From Noncontrolling Interest
ContributionFromNoncontrollingInterest
|
36996000 | |
CY2012 | dva |
Contribution From Noncontrolling Interest
ContributionFromNoncontrollingInterest
|
37395000 | |
CY2014 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
3777000 | |
CY2013 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
8295000 | |
CY2012 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
1664000 | |
CY2014 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
17876000 | |
CY2013 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
3569000 | |
CY2012 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
26761000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-164979000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-482991000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
3872384000 | |
CY2014 | us-gaap |
Effect Of Exchange Rate On Cash And Cash Equivalents
EffectOfExchangeRateOnCashAndCashEquivalents
|
2293000 | |
CY2013 | us-gaap |
Effect Of Exchange Rate On Cash And Cash Equivalents
EffectOfExchangeRateOnCashAndCashEquivalents
|
-967000 | |
CY2012 | us-gaap |
Effect Of Exchange Rate On Cash And Cash Equivalents
EffectOfExchangeRateOnCashAndCashEquivalents
|
-786000 | |
CY2014 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
18992000 | |
CY2013 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
412501000 | |
CY2012 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
139996000 | |
CY2012Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
533748000 | |
CY2014Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
157550000 | |
CY2013Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
157998000 | |
CY2014Q4 | us-gaap |
Leasehold Improvements Gross
LeaseholdImprovementsGross
|
2002735000 | |
CY2013Q4 | us-gaap |
Leasehold Improvements Gross
LeaseholdImprovementsGross
|
1762470000 | |
CY2014Q4 | us-gaap |
Machinery And Equipment Gross
MachineryAndEquipmentGross
|
2066775000 | |
CY2013Q4 | us-gaap |
Machinery And Equipment Gross
MachineryAndEquipmentGross
|
1839981000 | |
CY2014Q4 | us-gaap |
Construction In Progress Gross
ConstructionInProgressGross
|
235660000 | |
CY2013Q4 | us-gaap |
Construction In Progress Gross
ConstructionInProgressGross
|
172261000 | |
CY2014Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
4498605000 | |
CY2013Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
3967670000 | |
CY2014Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
2029506000 | |
CY2013Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
1778259000 | |
CY2014 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
428309000 | |
CY2013 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
373107000 | |
CY2012 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
299810000 | |
CY2014 | us-gaap |
Interest Costs Capitalized
InterestCostsCapitalized
|
7888000 | |
CY2013 | us-gaap |
Interest Costs Capitalized
InterestCostsCapitalized
|
6408000 | |
CY2012 | us-gaap |
Interest Costs Capitalized
InterestCostsCapitalized
|
8126000 | |
CY2014Q4 | us-gaap |
Finite Lived Customer Relationships Gross
FiniteLivedCustomerRelationshipsGross
|
1575865000 | |
CY2014Q4 | us-gaap |
Finite Lived Trade Names Gross
FiniteLivedTradeNamesGross
|
171168000 | |
CY2013Q4 | us-gaap |
Finite Lived Trade Names Gross
FiniteLivedTradeNamesGross
|
170994000 | |
CY2014Q4 | dva |
Provider Network And Practice Management Tools Gross
ProviderNetworkAndPracticeManagementToolsGross
|
183688000 | |
CY2013Q4 | dva |
Provider Network And Practice Management Tools Gross
ProviderNetworkAndPracticeManagementToolsGross
|
184558000 | |
CY2014Q4 | us-gaap |
Finite Lived Noncompete Agreements Gross
FiniteLivedNoncompeteAgreementsGross
|
506867000 | |
CY2013Q4 | us-gaap |
Finite Lived Noncompete Agreements Gross
FiniteLivedNoncompeteAgreementsGross
|
495475000 | |
CY2014Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
2571389000 | |
CY2013Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
2508146000 | |
CY2013Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
483773000 | |
CY2012 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
47489000 | |
CY2012 | dva |
Amortization Of Intangible Assets And Liabilities Net
AmortizationOfIntangibleAssetsAndLiabilitiesNet
|
103000 | |
CY2013Q4 | dva |
Intangible Lease Liabilities
IntangibleLeaseLiabilities
|
12563000 | |
CY2013Q4 | dva |
Finite Lived Intangible Liabilities Net
FiniteLivedIntangibleLiabilitiesNet
|
21890000 | |
CY2013Q4 | dva |
Intangible Lease Liabilities Accumulated Amortization
IntangibleLeaseLiabilitiesAccumulatedAmortization
|
2628000 | |
CY2012 | dva |
Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
|
5330000 | |
CY2014 | us-gaap |
Loss Contingency Disclosures
LossContingencyDisclosures
|
<div> <div align="left"> <table border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse; width:100%;"> <tr> <td valign="top" style="width:4.54%;white-space:nowrap"> <p style="margin-bottom:0pt;margin-top:0pt;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">17.</p></td> <td valign="top" style="width:95.46%;"> <p style="margin-bottom:0pt;margin-top:0pt;font-weight:bold;font-style:normal;text-transform:none;font-variant: normal;font-family:Times New Roman;font-size:10pt;">Contingencies </p></td></tr></table></div> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The majority of the Company’s revenues are from government programs and may be subject to adjustment as a result of: (i) examination by government agencies or contractors, for which the resolution of any matters raised may take extended periods of time to finalize; (ii) differing interpretations of government regulations by different Medicare contractors or regulatory authorities; (iii) differing opinions regarding a patient’s medical diagnosis or the medical necessity of services provided; and (iv) retroactive applications or interpretations of governmental requirements. In addition, the Company’s revenues from commercial payors may be subject to adjustment as a result of potential claims for refunds, as a result of government actions or as a result of other claims by commercial payors. </p> <p style="margin-bottom:0pt;margin-top:10pt;margin-left:2.27%;text-indent:0%;font-weight:bold;font-style:italic;font-size:10pt;font-family:Times New Roman;text-transform:none;font-variant: normal;">Inquiries by the Federal Government and Certain Related Civil Proceedings </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">Vainer Private Civil Suit</font>: In December 2008, the Company received a subpoena for documents from the Office of Inspector General (OIG) for HHS relating to the pharmaceutical products Zemplar, Hectorol, Venofer, Ferrlecit and erythropoietin (EPO), as well as other related matters. The subpoena covered the period from January 2003 to December 2008. The Company was advised by the U.S. Attorney’s Office for the Northern District of Georgia and the U.S. Department of Justice in Washington, DC that this was a civil inquiry. On June 17, 2009, the Company learned that the allegations underlying this inquiry were made as part of a civil complaint filed by individuals and brought pursuant to the <font style="font-style:italic;">qui tam</font> provisions of the federal False Claims Act. On April 1, 2011, the U.S. District Court for the Northern District of Georgia ordered the case to be unsealed. At that time, the Department of Justice and U.S. Attorney’s Office filed a notice of declination stating that the federal government would not be intervening and not pursuing the relators’ allegation in litigation. On July 25, 2011, the relators, Daniel Barbir and Dr. Alon Vainer, filed their amended civil complaint in the U.S. District Court for the Northern District of Georgia, purportedly on behalf of the federal government. The amended complaint alleges that the Company’s drug administration practices for the Company’s dialysis operations for Vitamin D and iron agents from 2003 through 2010 fraudulently created unnecessary waste, which was billed to and paid for by the government. The amended complaint seeks monetary damages and civil penalties as well as costs and expenses. The parties completed discovery in early 2014; however in August 2014, the Court granted relators’ motion for sanctions and reopened discovery on a limited basis. The Company is vigorously defending this matter and intends to continue to do so. The Company can make no assurances as to the time or resources that will be needed to devote to this litigation. The Company cannot predict the ultimate outcome of this case, but if the case is resolved in favor of the plaintiffs, its resolution could have a material adverse effect on our earnings and cash flows. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">2010 U.S. Attorney Physician Relationship Investigation</font>: As previously disclosed, the U.S. Attorney’s Office for the District of Colorado and the OIG investigated, among other things, the Company’s financial relationships with physicians and joint ventures, and whether those relationships and joint ventures comply with the federal anti-kickback statute and the False Claims Act. This investigation has been described in the Company’s prior Reports on Forms 10-K and 10-Q and referred to as the 2010 U.S. Attorney Physician Relationship Investigation. This investigation overlapped substantially with the investigation described below under the caption 2011 U.S. Attorney Physician Relationship Investigation. The Company disclosed in early 2014 that it had reached an agreement in principle with the government to resolve these matters. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">As described more fully in the Company’s current report on Form 8-K filed on October 23, 2014, and as also disclosed in the Company’s prior report on Form 10-Q for the quarter ended September 30, 2014 that was filed with the SEC on November 6, 2014, the Company entered into a final settlement agreement on October 22, 2014 (the Settlement Agreement) with the United States of America, acting through the United States Department of Justice and on behalf of the OIG, the Defense Health Agency on behalf of TRICARE, through its General Counsel (collectively, the United States) and relator David Barbetta, to resolve the 2010 and 2011 U.S. Attorney Physician Relationship Investigations. In connection with the resolution of these matters, the Company agreed to pay and has now paid to the United States $350,000 plus accrued interest from the date of the Company’s agreement in principle with the United States, plus a civil forfeiture of $39,000. In addition, the Company agreed to and has paid a settlement of certain state Medicaid claims in the amount of $11,500 plus interest. Under the Settlement Agreement, among other things, the United States agrees to release the Company from any civil or administrative monetary liability arising from allegations that the Company caused the submission of claims to the federal health care programs that were ineligible for reimbursement due to certain violations of the federal anti-kickback statute in connection with certain of its dialysis center joint venture arrangements, and the United States and the relator agree to dismissal of the civil action filed by the relator under the <font style="font-style:italic;">qui tam</font> provisions of the federal False Claims Act. The Company also has entered into a five-year corporate integrity agreement (the CIA) with the OIG. The CIA, among other things, (i) requires that the Company maintain certain elements of its compliance programs, (ii) imposes certain expanded compliance-related requirements during the term of the CIA, (iii) requires ongoing monitoring, reporting, certification, records retention and training obligations, the formal allocation of certain oversight responsibility to the Board’s Compliance Committee, the creation of a Management Compliance Committee and the retention of an independent compliance advisor to the Board, and (iv) contains certain business restrictions related to a subset of the Company’s joint venture arrangements, including the Company’s agreeing to: (1) unwind 11 joint venture transactions that were created through partial divestitures to or partial acquisitions from nephrologists and that cover 26 of the Company’s 2,119 clinics that existed at the time the Company entered into the Settlement Agreement; (2) not enter into certain types of partial divestiture joint venture transactions with nephrologists during the term of the CIA; and (3) certain other restrictions. In the event of a breach of the CIA, the Company could become liable for payment of certain stipulated penalties, or could be excluded from participation in federal health care programs. The costs associated with compliance with the CIA could be substantial and may be greater than the Company currently anticipates. In 2013, the Company accrued a loss contingency reserve of $397,000 related to this matter. In the third quarter of 2014, the Company accrued an additional $17,000 related to this matter which resulted in an increase in the reserve from $397,000 to $414,000.</p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">2011 U.S. Attorney Physician Relationship Investigation</font>: In August 2011, the Company announced it had learned that the U.S. Attorney’s Office for the District of Colorado would be investigating certain activities of its dialysis business in connection with information being provided to a grand jury. This investigation related to the Company’s relationships with physicians, including its joint ventures, and whether those relationships and joint ventures comply with the federal anti-kickback statute, and overlapped substantially with the 2010 U.S. Attorney Physician Relationship Investigation described above. As also described above, both the 2010 and 2011 U.S. Attorney Physician Relationship Investigations have now been resolved. The United States has informed the Company that it has declined to proceed with any criminal charges in connection with this matter. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">2011 U.S. Attorney Medicaid Investigation</font>: In October 2011, the Company announced that it would be receiving a request for documents, which could include an administrative subpoena from the OIG. Subsequent to the Company’s announcement of this 2011 U.S. Attorney Medicaid Investigation, the Company received a request for documents in connection with the inquiry by the U.S. Attorney’s Office for the Eastern District of New York. The request relates to payments for infusion drugs covered by Medicaid composite payments for dialysis. It is the Company’s understanding that this inquiry is civil in nature. The Company understands that certain other providers that operate dialysis clinics in New York may be receiving or have received a similar request for documents. The Company has cooperated with the government and produced the requested documents. In April 2014, the Company reached an agreement in principle to resolve this matter. The specific terms of a settlement have not been finalized. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">Swoben Private Civil Suit</font>: In April 2013, the Company’s HealthCare Partners (HCP) subsidiary was served with a civil complaint filed by a former employee of SCAN Health Plan (SCAN), a health maintenance organization (HMO). On July 13, 2009, pursuant to the <font style="font-style:italic;">qui tam</font> provisions of the federal False Claims Act and the California False Claims Act, James M. Swoben, as relator, filed a <font style="font-style:italic;">qui tam</font> action in the United States District Court for the Central District of California purportedly on behalf of the United States of America and the State of California against SCAN, and certain other defendants whose identities were under seal. The allegations in the complaint relate to alleged overpayments received from government healthcare programs. In or about August 2012, SCAN entered into a settlement agreement with the United States of America and the State of California. The United States and the State of California partially intervened in the action for the purpose of settlement with and dismissal of the action against SCAN. In or about November 2011, the relator filed his Third Amended Complaint under seal alleging violations of the federal False Claims Act and the California False Claims Act, which named additional defendants, including HCP and certain health insurance companies (the defendant HMOs). The allegations in the complaint against HCP relate to patient diagnosis coding to determine reimbursement in the Medicare Advantage program, referred to as Hierarchical Condition Coding (HCC) and Risk Adjustment Factor (RAF) scores. The complaint sought monetary damages and civil penalties as well as costs and expenses. The United States Department of Justice reviewed these allegations and in January 2013 declined to intervene in the case. On June 26, 2013, HCP and the defendant HMOs filed their respective motions to dismiss the Third Amended Complaint pursuant to Federal Rules of Civil Procedure 12(b)(6) and 9(b), challenging the legal sufficiency of the claims asserted in the complaint. On July 30, 2013, the court granted HCP’s motion and dismissed with prejudice all of the claims in the Third Amended Complaint and judgment was entered in September 2013. The court specifically determined that further amendments to the complaint would be futile because, in part, the allegations were publicly disclosed in reports and other sources relating to audits conducted by the Centers of Medicare & Medicaid Services. In October 2013, the plaintiff appealed to the United States Court of Appeals for the Ninth Circuit and the court’s disposition of the appeal is pending. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">2015 U.S. Attorney Transportation Investigation</font>: In February 2015, the Company announced that it received six subpoenas from the OIG for medical records from six different dialysis centers in Southern California operated by the Company. Specifically, each subpoena seeks the medical records of a single patient of the respective dialysis center. The Company has been advised by an attorney with the Civil Division of the United States Attorney’s Office for the Central District of California that the subpoenas relate to an investigation concerning the medical necessity of patient transportation.  The Company does not provide transportation or bill for the transport of its dialysis patients.  The Company does not know the scope of the investigation by the government, nor what conduct or activities might be the subject of the investigation.</p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Except for the private civil complaints filed by the relators as described above, to the Company’s knowledge, no proceedings have been initiated against the Company at this time in connection with any of the inquiries by the federal government. Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for inquiries such as these to continue for a considerable period of time through the various phases of document and witness requests and on-going discussions with regulators. Responding to the subpoenas or inquiries and defending the Company in the relator proceedings will continue to require management’s attention and significant legal expense. Any negative findings in the inquiries or relator proceedings could result in substantial financial penalties or awards against the Company, exclusion from future participation in the Medicare and Medicaid programs and, to the extent criminal proceedings may be initiated against the Company, possible criminal penalties. At this time, the Company cannot predict the ultimate outcome of these inquiries, or the potential outcome of the relators’ claims (except as described above), or the potential range of damages, if any. </p> <p style="margin-bottom:0pt;margin-top:0pt;text-indent:0%;font-size:5pt;"> </p> <p style="margin-bottom:0pt;margin-top:10pt;margin-left:2.27%;text-indent:0%;font-weight:bold;font-style:italic;font-size:10pt;font-family:Times New Roman;text-transform:none;font-variant: normal;">Shareholder Derivative Claims </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">In re DaVita HealthCare Partners Inc. Derivative Litigation</font>: On January 7, 2014, the U.S. District Court for the District of Colorado consolidated the two previously disclosed shareholder derivative lawsuits: the Haverhill Retirement System action filed on May 17, 2013 and the Clark Shareholder action filed on August 7, 2012. The court appointed Haverhill lead plaintiff. The complaints filed against the directors of the Company and against the Company, as nominal defendant allege, among other things, that the Company’s directors breached fiduciary duties to the Company relating to the 2010 and 2011 U.S. Attorney Physician Relationship Investigations described above, the Vainer qui tam private civil suit described above and the Woodard qui tam private civil suit for which the Company previously announced a settlement in July 2012. The Company has entered into a settlement with the lead plaintiff, subject to court approval. The terms of the settlement, which were described in a court-ordered notice sent to shareholders in late January 2015, include enhancements to the Company’s corporate governance practices and provides that the Company will not oppose the derivative plaintiff’s application for an award of fees and expenses, the dollar amount of which is not material to the Company. On January 8, 2015, the Court entered an order preliminarily approving the settlement, directing that the notice to shareholders be provided as described above and setting a settlement fairness hearing on May 1, 2015.</p> <p style="margin-bottom:0pt;margin-top:10pt;margin-left:2.27%;text-indent:0%;font-weight:bold;font-style:italic;font-size:10pt;font-family:Times New Roman;text-transform:none;font-variant: normal;">Other </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The Company has received several notices of claims from commercial payors and other third parties related to historical billing practices and claims against DVA Renal Healthcare (formerly known as Gambro Healthcare), a subsidiary of the Company, related to historical Gambro Healthcare billing practices and other matters covered by its 2004 settlement agreement with the Department of Justice and certain agencies of the U.S. government. The Company has received no further indication that any of these claims are active, and some of them may be barred by applicable statutes of limitations. To the extent any of these claims might proceed, the Company intends to defend against them vigorously; however, the Company may not be successful and these claims may lead to litigation and any such litigation may be resolved unfavorably. At this time, the Company cannot predict the ultimate outcome of these matters or the potential range of damages, if any. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">A wage and hour claim, which has been styled as a class action, is pending against the Company in the Superior Court of California. The Company was served with the complaint in this lawsuit in April 2008, and it has been amended since that time. The complaint, as amended, alleges that the Company failed to provide meal periods, failed to pay compensation in lieu of providing rest or meal periods, failed to pay overtime, and failed to comply with certain other California Labor Code requirements. In September 2011, the court denied the plaintiffs’ motion for class certification. Plaintiffs appealed that decision. In January 2013, the Court of Appeals affirmed the trial court’s decision on some claims, but remanded the case to the trial court for clarification of its decision on one of the claims. The Company reached an agreement with the plaintiffs to settle the claim that was remanded to the trial court, and that settlement has been finalized. The amount of the settlement is not material to the Company’s consolidated financial statements. The Company intends to continue to vigorously defend against the remaining claims. Any potential settlement of the remaining claims is not anticipated to be material to the Company’s consolidated financial statements. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In addition to the foregoing, the Company is subject to claims and suits, including from time to time, contractual disputes and professional and general liability claims, as well as audits and investigations by various government entities, in the ordinary course of business. The Company believes that the ultimate resolution of any such pending proceedings, whether the underlying claims are covered by insurance or not, will not have a material adverse effect on its financial condition, results of operations or cash flows. </p></div> | |
CY2014 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<div> <p style="margin-bottom:0pt;margin-top:10pt;margin-left:2.27%;text-indent:0%;font-style:italic;font-size:10pt;font-family:Times New Roman;font-weight:normal;text-transform:none;font-variant: normal;">Use of estimates </p> <p style="margin-bottom:0pt;margin-top:10pt;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;text-indent:4.54%;">The preparation of financial statements in conformity with U.S. GAAP requires the use of estimates and assumptions that affect the reported amounts of revenues, expenses, assets, liabilities, contingencies and noncontrolling interests subject to put provisions. Although actual results in subsequent periods will differ from these estimates, such estimates are developed based on the best information available to management and management’s best judgments at the time. All significant assumptions and estimates underlying the amounts reported in the financial statements and accompanying notes are regularly reviewed and updated when necessary. Changes in estimates are reflected in the financial statements based upon on-going actual experience trends, or subsequent settlements and realizations depending on the nature and predictability of the estimates and contingencies. Interim changes in estimates related to annual operating costs are applied prospectively within annual periods. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The most significant assumptions and estimates underlying these financial statements and accompanying notes involve revenue recognition and accounts receivable, contingencies, impairments of long-lived assets including goodwill, valuation adjustments, accounting for income taxes, quarterly, annual and long-term variable compensation accruals, consolidation of variable interest entities, purchase accounting valuation estimates, other fair value estimates, stock-based compensation and medical liability claims. Specific estimating risks and contingencies are further addressed within these notes to the consolidated financial statements. </p></div> | |
CY2014 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
2432000 | |
CY2013 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
|
0.06 | |
CY2013 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
633446000 | |
CY2014 | us-gaap |
Number Of Operating Segments
NumberOfOperatingSegments
|
2 | |
CY2014 | dva |
Ownership In Joint Venture
OwnershipInJointVenture
|
0.50 | |
CY2014Q4 | dva |
Number Of Entities That Third Parties Held Non Controlling Ownership
NumberOfEntitiesThatThirdPartiesHeldNonControllingOwnership
|
380 | |
CY2014 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
723114000 | |
CY2012 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
536017000 | |
CY2014 | dva |
Weighted Average Number Basic Shares Outstanding Adjustment
WeightedAverageNumberBasicSharesOutstandingAdjustment
|
214496000 | |
CY2013 | dva |
Weighted Average Number Basic Shares Outstanding Adjustment
WeightedAverageNumberBasicSharesOutstandingAdjustment
|
212128000 | |
CY2013 | dva |
Stock Issued Or Vested During Period Shares Stock Awards
StockIssuedOrVestedDuringPeriodSharesStockAwards
|
5000 | |
CY2012 | dva |
Stock Issued Or Vested During Period Shares Stock Awards
StockIssuedOrVestedDuringPeriodSharesStockAwards
|
6000 | |
CY2014 | us-gaap |
Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
|
2194000 | |
CY2013 | dva |
Income Loss From Discontinued Operations Per Basic Share
IncomeLossFromDiscontinuedOperationsPerBasicShare
|
0.07 | |
CY2014 | us-gaap |
Net Income Loss Attributable To Parent Diluted
NetIncomeLossAttributableToParentDiluted
|
723114000 | |
CY2012 | us-gaap |
Net Income Loss Attributable To Parent Diluted
NetIncomeLossAttributableToParentDiluted
|
536017000 | |
CY2014Q4 | dva |
Percentage Of Outstanding Patient Accounts Receivables
PercentageOfOutstandingPatientAccountsReceivables
|
1.00 | |
CY2013Q4 | us-gaap |
Marketable Securities Current
MarketableSecuritiesCurrent
|
6801000 | |
CY2014 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1715000 | |
CY2014Q4 | dva |
Percentage Of Accounts Receivable Six Months Or More Past Due
PercentageOfAccountsReceivableSixMonthsOrMorePastDue
|
0.12 | |
CY2014 | dva |
Accounts Receivable Period Outstanding
AccountsReceivablePeriodOutstanding
|
P4M | |
CY2014 | us-gaap |
Allowance For Doubtful Accounts Receivable Period Increase Decrease
AllowanceForDoubtfulAccountsReceivablePeriodIncreaseDecrease
|
5531000 | |
CY2014Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
102466000 | |
CY2014Q4 | us-gaap |
Deposit Assets
DepositAssets
|
81276000 | |
CY2013Q4 | us-gaap |
Deposit Assets
DepositAssets
|
79317000 | |
CY2013Q4 | us-gaap |
Land
Land
|
34960000 | |
CY2013Q4 | us-gaap |
Finite Lived Customer Relationships Gross
FiniteLivedCustomerRelationshipsGross
|
1503426000 | |
CY2014Q4 | us-gaap |
Deferred Finance Costs Gross
DeferredFinanceCostsGross
|
101001000 | |
CY2013Q4 | us-gaap |
Deferred Finance Costs Gross
DeferredFinanceCostsGross
|
121872000 | |
CY2014Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
24818000 | |
CY2013Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
22932000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
621891000 | |
CY2014 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
167956000 | |
CY2013 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
160960000 | |
CY2014 | dva |
Amortization Of Intangible Assets And Liabilities Net
AmortizationOfIntangibleAssetsAndLiabilitiesNet
|
-1798000 | |
CY2013 | dva |
Amortization Of Intangible Assets And Liabilities Net
AmortizationOfIntangibleAssetsAndLiabilitiesNet
|
-1447000 | |
CY2014Q4 | dva |
Alliance And Product Supply Agreement Gross
AllianceAndProductSupplyAgreementGross
|
68200000 | |
CY2013Q4 | dva |
Alliance And Product Supply Agreement Gross
AllianceAndProductSupplyAgreementGross
|
68200000 | |
CY2014Q4 | dva |
Amortized Intangible Liabilities Accumulated Amortization
AmortizedIntangibleLiabilitiesAccumulatedAmortization
|
64203000 | |
CY2013Q4 | dva |
Amortized Intangible Liabilities Accumulated Amortization
AmortizedIntangibleLiabilitiesAccumulatedAmortization
|
58873000 | |
CY2014Q4 | dva |
Product Supply Agreement
ProductSupplyAgreement
|
3997000 | |
CY2013Q4 | dva |
Product Supply Agreement
ProductSupplyAgreement
|
9327000 | |
CY2014Q4 | dva |
Intangible Lease Liabilities
IntangibleLeaseLiabilities
|
10407000 | |
CY2014Q4 | dva |
Finite Lived Intangible Liabilities Net
FiniteLivedIntangibleLiabilitiesNet
|
14404000 | |
CY2014Q4 | dva |
Intangible Lease Liabilities Accumulated Amortization
IntangibleLeaseLiabilitiesAccumulatedAmortization
|
4785000 | |
CY2014 | dva |
Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
|
5330000 | |
CY2013 | dva |
Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
|
5330000 | |
CY2014Q4 | dva |
Certificates Of Deposit Money Market Funds And United States Government Securities
CertificatesOfDepositMoneyMarketFundsAndUnitedStatesGovernmentSecurities
|
335975000 | |
CY2013Q4 | dva |
Certificates Of Deposit Money Market Funds And United States Government Securities
CertificatesOfDepositMoneyMarketFundsAndUnitedStatesGovernmentSecurities
|
5601000 | |
CY2014Q4 | dva |
Mutual Fund Investments At Fair Value
MutualFundInvestmentsAtFairValue
|
28123000 | |
CY2013Q4 | dva |
Mutual Fund Investments At Fair Value
MutualFundInvestmentsAtFairValue
|
19421000 | |
CY2014Q4 | us-gaap |
Marketable Securities
MarketableSecurities
|
364098000 | |
CY2013Q4 | us-gaap |
Marketable Securities
MarketableSecurities
|
25022000 | |
CY2014Q4 | us-gaap |
Marketable Securities Current
MarketableSecuritiesCurrent
|
337399000 | |
CY2014Q4 | us-gaap |
Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
|
26699000 | |
CY2013Q4 | us-gaap |
Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
|
18221000 | |
CY2014Q4 | us-gaap |
Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
AvailableForSaleSecuritiesAccumulatedGrossUnrealizedGainLossBeforeTax
|
5181000 | |
CY2013Q4 | us-gaap |
Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
AvailableForSaleSecuritiesAccumulatedGrossUnrealizedGainLossBeforeTax
|
5096000 | |
CY2014 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax
|
425000 | |
CY2013 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax
|
3752000 | |
CY2014 | dva |
Proceeds From Sale Of Available For Sale Securities Previously Recorded In Oci
ProceedsFromSaleOfAvailableForSaleSecuritiesPreviouslyRecordedInOCI
|
1262000 | |
CY2013 | dva |
Proceeds From Sale Of Available For Sale Securities Previously Recorded In Oci
ProceedsFromSaleOfAvailableForSaleSecuritiesPreviouslyRecordedInOCI
|
4158000 | |
CY2014 | us-gaap |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
|
340000 | |
CY2013 | us-gaap |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
|
802000 | |
CY2012Q4 | us-gaap |
Goodwill
Goodwill
|
8952750000 | |
CY2013 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
271267000 | |
CY2013 | us-gaap |
Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
|
2728000 | |
CY2013 | us-gaap |
Goodwill Other Changes
GoodwillOtherChanges
|
8315000 | |
CY2014 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
221514000 | |
CY2014 | us-gaap |
Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
|
1851000 | |
CY2013 | dva |
Payments For Proceeds From Sale Of Investments In Securities And Other
PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
|
11149000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
2077000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
186000 | |
CY2013 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
68715000 | |
CY2012 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
49178000 | |
CY2014 | us-gaap |
Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
|
1687000 | |
CY2013 | us-gaap |
Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
|
1764000 | |
CY2012 | us-gaap |
Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
|
660000 | |
CY2014 | us-gaap |
Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
|
220778000 | |
CY2013 | us-gaap |
Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
|
404737000 | |
CY2012 | us-gaap |
Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
|
289070000 | |
CY2014 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
192267000 | |
CY2013 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
-6695000 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.350 | |
CY2014 | us-gaap |
Goodwill Translation Adjustments
GoodwillTranslationAdjustments
|
17342000 | |
CY2014 | us-gaap |
Goodwill Impaired Change In Estimate Description
GoodwillImpairedChangeInEstimateDescription
|
For example, a sustained, long-term reduction of 3% in operating income for HCP California, HCP Nevada and HCP New Mexico could reduce their estimated fair values by up to 2.5%, 2.8% and 3.0%, respectively. Separately, an increase in their respective discount rates of 100 basis points could reduce the estimated fair values of HCP California, HCP Nevada and HCP New Mexico by up to 5.3%, 5.9% and 6.3%, respectively. | |
CY2014 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | |
CY2013 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | |
CY2014Q4 | us-gaap |
Customer Advances And Deposits Current
CustomerAdvancesAndDepositsCurrent
|
125435000 | |
CY2013Q4 | us-gaap |
Customer Advances And Deposits Current
CustomerAdvancesAndDepositsCurrent
|
169480000 | |
CY2014Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
15614000 | |
CY2013Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
6577000 | |
CY2014Q4 | us-gaap |
Accrued Insurance Current
AccruedInsuranceCurrent
|
92928000 | |
CY2013Q4 | us-gaap |
Accrued Insurance Current
AccruedInsuranceCurrent
|
84882000 | |
CY2014Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
87224000 | |
CY2013Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
45662000 | |
CY2014Q4 | dva |
Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
|
39867000 | |
CY2013Q4 | dva |
Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
|
31219000 | |
CY2014Q4 | us-gaap |
Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
|
25909000 | |
CY2013Q4 | us-gaap |
Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
|
18366000 | |
CY2014Q4 | us-gaap |
Interest Rate Derivative Liabilities At Fair Value
InterestRateDerivativeLiabilitiesAtFairValue
|
1457000 | |
CY2013Q4 | us-gaap |
Interest Rate Derivative Liabilities At Fair Value
InterestRateDerivativeLiabilitiesAtFairValue
|
12069000 | |
CY2014Q4 | us-gaap |
Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
|
118145000 | |
CY2013Q4 | us-gaap |
Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
|
96167000 | |
CY2014 | dva |
Increase Decrease In Prior Year Estimates Of Health Care Costs Payable
IncreaseDecreaseInPriorYearEstimatesOfHealthCareCostsPayable
|
3429000 | |
CY2013 | dva |
Increase Decrease In Prior Year Estimates Of Health Care Costs Payable
IncreaseDecreaseInPriorYearEstimatesOfHealthCareCostsPayable
|
-16587000 | |
CY2014 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
188302000 | |
CY2013 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
334258000 | |
CY2012 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
239232000 | |
CY2014 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
30789000 | |
CY2012 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
64195000 | |
CY2014 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
32360000 | |
CY2013 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
-8941000 | |
CY2012 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
6498000 | |
CY2014 | us-gaap |
Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
|
938000 | |
CY2013 | us-gaap |
Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
|
746000 | |
CY2014 | us-gaap |
Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
|
225565000 | |
CY2013 | us-gaap |
Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
|
-14890000 | |
CY2012 | us-gaap |
Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
|
70693000 | |
CY2014 | dva |
Income Tax Expense Benefit Continuing Operations And Discontinued Operations
IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations
|
446343000 | |
CY2013 | dva |
Income Tax Expense Benefit Continuing Operations And Discontinued Operations
IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations
|
389847000 | |
CY2012 | dva |
Income Tax Expense Benefit Continuing Operations And Discontinued Operations
IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations
|
359763000 | |
CY2013 | us-gaap |
Discontinued Operation Tax Effect Of Income Loss From Discontinued Operation During Phase Out Period
DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod
|
-84000 | |
CY2012 | us-gaap |
Discontinued Operation Tax Effect Of Income Loss From Discontinued Operation During Phase Out Period
DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod
|
-82000 | |
CY2013 | us-gaap |
Discontinued Operation Tax Effect Of Income Loss From Disposal Of Discontinued Operation
DiscontinuedOperationTaxEffectOfIncomeLossFromDisposalOfDiscontinuedOperation
|
8918000 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.038 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.350 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.350 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.035 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.040 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
|
-0.002 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
|
0.001 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.006 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.003 | |
CY2013 | dva |
Effective Income Tax Rate Reconciliation Contingent Earn Out Adjustments
EffectiveIncomeTaxRateReconciliationContingentEarnOutAdjustments
|
-0.026 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.008 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
0.014 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
0.011 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
|
-0.040 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
|
-0.041 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
|
-0.042 | |
CY2014 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.341 | |
CY2013 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.339 | |
CY2012 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.359 | |
CY2014Q4 | dva |
Deferred Tax Assets Receivables
DeferredTaxAssetsReceivables
|
42973000 | |
CY2013Q4 | dva |
Deferred Tax Assets Receivables
DeferredTaxAssetsReceivables
|
49667000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
|
253158000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
|
252008000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
1423000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
139844000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
100768000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
96212000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
88435000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
67882000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
486757000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
605613000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
26667000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
13860000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
460090000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
591753000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
835816000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
752838000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
187054000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
183059000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Investments
DeferredTaxLiabilitiesInvestments
|
78618000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Investments
DeferredTaxLiabilitiesInvestments
|
51921000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
8677000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
6913000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
1110165000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
994731000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
-650075000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
-402978000 | |
CY2014 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
12807000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
914000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
27312000 | |
CY2014Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
31877000 | |
CY2012Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
67546000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
6005000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
3901000 | |
CY2014 | us-gaap |
Minority Interest Period Increase Decrease
MinorityInterestPeriodIncreaseDecrease
|
-5002000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
262645000 | |
CY2013 | us-gaap |
Minority Interest Period Increase Decrease
MinorityInterestPeriodIncreaseDecrease
|
-4561000 | |
CY2013 | us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
424096000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
901792000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
302752000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
8480000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
632000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Period Increase Decrease
UnrecognizedTaxBenefitsPeriodIncreaseDecrease
|
28661000 | |
CY2014Q4 | us-gaap |
Significant Change In Unrecognized Tax Benefits Is Reasonably Possible Amount Of Unrecorded Benefit
SignificantChangeInUnrecognizedTaxBenefitsIsReasonablyPossibleAmountOfUnrecordedBenefit
|
27427000 | |
CY2014Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
10123000 | |
CY2013Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
10742000 | |
CY2014Q4 | us-gaap |
Senior Notes
SeniorNotes
|
3775000000 | |
CY2013Q4 | us-gaap |
Senior Notes
SeniorNotes
|
2800000000 | |
CY2014Q4 | dva |
Acquisition Obligations And Other Notes Payable
AcquisitionObligationsAndOtherNotesPayable
|
69045000 | |
CY2013Q4 | dva |
Acquisition Obligations And Other Notes Payable
AcquisitionObligationsAndOtherNotesPayable
|
67352000 | |
CY2014Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
218097000 | |
CY2013Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
152751000 | |
CY2014Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
8519642000 | |
CY2013Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
8433603000 | |
CY2014Q4 | us-gaap |
Debt Instrument Unamortized Discount
DebtInstrumentUnamortizedDiscount
|
16208000 | |
CY2013Q4 | us-gaap |
Debt Instrument Unamortized Discount
DebtInstrumentUnamortizedDiscount
|
17675000 | |
CY2014Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
8503434000 | |
CY2013Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
8415928000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
120154000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
117193000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
144161000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
155750000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
|
730084000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
|
7252300000 | |
CY2014Q2 | us-gaap |
Line Of Credit Facility Maximum Borrowing Capacity
LineOfCreditFacilityMaximumBorrowingCapacity
|
5500000000 | |
CY2014Q2 | dva |
Line Of Credit Facility Additional Borrowing Capacity
LineOfCreditFacilityAdditionalBorrowingCapacity
|
1500000000 | |
CY2014Q2 | us-gaap |
Derivative Instruments Gain Loss Recognized In Other Comprehensive Income Effective Portion Net
DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet
|
3000000 | |
CY2013Q4 | dva |
Line Of Credit Weighted Average Interest Rate
LineOfCreditWeightedAverageInterestRate
|
0.0343 | |
CY2014 | us-gaap |
Debt Instrument Interest Rate During Period
DebtInstrumentInterestRateDuringPeriod
|
0.0468 | |
CY2014Q4 | us-gaap |
Longterm Debt Weighted Average Interest Rate
LongtermDebtWeightedAverageInterestRate
|
0.0446 | |
CY2014 | us-gaap |
Interest Expense Debt
InterestExpenseDebt
|
385750000 | |
CY2013 | us-gaap |
Interest Expense Debt
InterestExpenseDebt
|
401140000 | |
CY2012 | us-gaap |
Interest Expense Debt
InterestExpenseDebt
|
270107000 | |
CY2014 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
24544000 | |
CY2013 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
28803000 | |
CY2012 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
18447000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
395862000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
370920000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
344232000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
2578203000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
|
21011000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
|
21277000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
|
21552000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Four Years
CapitalLeasesFutureMinimumPaymentsDueInFourYears
|
21961000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Five Years
CapitalLeasesFutureMinimumPaymentsDueInFiveYears
|
22615000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Thereafter
CapitalLeasesFutureMinimumPaymentsDueThereafter
|
202245000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due
CapitalLeasesFutureMinimumPaymentsDue
|
310661000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Interest Included In Payments
CapitalLeasesFutureMinimumPaymentsInterestIncludedInPayments
|
92564000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Present Value Of Net Minimum Payments
CapitalLeasesFutureMinimumPaymentsPresentValueOfNetMinimumPayments
|
218097000 | |
CY2014 | us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
460093000 | |
CY2012 | us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
345066000 | |
CY2014Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
452085000 | |
CY2014Q4 | us-gaap |
Capital Leases Balance Sheet Assets By Major Class Net
CapitalLeasesBalanceSheetAssetsByMajorClassNet
|
197344000 | |
CY2014Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
437536000 | |
CY2014Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
484295000 | |
CY2012 | us-gaap |
Minority Interest Period Increase Decrease
MinorityInterestPeriodIncreaseDecrease
|
-19630000 | |
CY2013Q4 | us-gaap |
Capital Leases Balance Sheet Assets By Major Class Net
CapitalLeasesBalanceSheetAssetsByMajorClassNet
|
145615000 | |
CY2014Q3 | us-gaap |
Loss Contingency Loss In Period
LossContingencyLossInPeriod
|
17000000 | |
CY2014 | dva |
Agreement Period
AgreementPeriod
|
P5Y | |
CY2014Q4 | us-gaap |
Other Commitment
OtherCommitment
|
1000000 | |
CY2014 | us-gaap |
Unrecorded Unconditional Purchase Obligation Description
UnrecordedUnconditionalPurchaseObligationDescription
|
Certain consolidated joint ventures are contractually scheduled to dissolve after terms ranging from ten to fifty years. | |
CY2013Q3 | us-gaap |
Stockholders Equity Note Stock Split Conversion Ratio1
StockholdersEquityNoteStockSplitConversionRatio1
|
2 | |
CY2014Q4 | us-gaap |
Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions
|
10585172 | |
CY2014Q4 | us-gaap |
Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Outstanding Options Weighted Average Exercise Price Beginning Balance1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1
|
53.21 | |
CY2014Q4 | us-gaap |
Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions
|
2541397 | |
CY2014Q4 | us-gaap |
Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Exercisable Options Weighted Average Exercise Price1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1
|
42.79 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
151342000 | |
CY2013 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
120775000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
228698000 | |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
310351000 | |
CY2014Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
84129000 | |
CY2014 | dva |
Longterm Incentive Program Compensation Cost
LongtermIncentiveProgramCompensationCost
|
118970000 | |
CY2013 | dva |
Longterm Incentive Program Compensation Cost
LongtermIncentiveProgramCompensationCost
|
84841000 | |
CY2012 | dva |
Longterm Incentive Program Compensation Cost
LongtermIncentiveProgramCompensationCost
|
45820000 | |
CY2014 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
56743000 | |
CY2013 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
59998000 | |
CY2012 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
45384000 | |
CY2014 | us-gaap |
Employee Service Share Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
|
20351000 | |
CY2013 | us-gaap |
Employee Service Share Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
|
22187000 | |
CY2012 | us-gaap |
Employee Service Share Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
|
16874000 | |
CY2014Q4 | dva |
Longterm Incentive Program Awards Compensation Cost Not Yet Recognized Net
LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedNet
|
122574000 | |
CY2014Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
|
73585000 | |
CY2014 | dva |
Longterm Incentive Program Awards Compensation Cost Not Yet Recognized Period For Recognition
LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedPeriodForRecognition
|
P1Y | |
CY2014 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
|
P1Y3M18D | |
CY2014 | us-gaap |
Employee Service Share Based Compensation Tax Benefit Realized From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
|
59119000 | |
CY2013 | us-gaap |
Employee Service Share Based Compensation Tax Benefit Realized From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
|
46898000 | |
CY2012 | us-gaap |
Employee Service Share Based Compensation Tax Benefit Realized From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
|
88964000 | |
CY2014 | us-gaap |
Employee Service Share Based Compensation Cash Received From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationCashReceivedFromExerciseOfStockOptions
|
0 | |
CY2013 | us-gaap |
Employee Service Share Based Compensation Cash Received From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationCashReceivedFromExerciseOfStockOptions
|
0 | |
CY2012 | us-gaap |
Employee Service Share Based Compensation Cash Received From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationCashReceivedFromExerciseOfStockOptions
|
2175000 | |
CY2014 | us-gaap |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
0 | |
CY2013 | us-gaap |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
0 | |
CY2011 | us-gaap |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
0 | |
CY2014Q4 | us-gaap |
Stock Repurchase Program Remaining Authorized Repurchase Amount1
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1
|
358200000 | |
CY2014 | us-gaap |
Targeted Or Tracking Stock Corporate Events
TargetedOrTrackingStockCorporateEvents
|
The Company’s charter documents include provisions that may deter hostile takeovers, delay or prevent changes of control or changes in management, or limit the ability of stockholders to approve transactions that they may otherwise determine to be in their best interests. These include provisions prohibiting stockholders from acting by written consent, requiring 90 days advance notice of stockholder proposals or nominations to the Board of Directors and granting the Board of Directors the authority to issue up to five million shares of preferred stock and to determine the rights and preferences of the preferred stock without the need for further stockholder approval. The Company is also subject to Section 203 of the Delaware General Corporation Law that, subject to exceptions, would prohibit the Company from engaging in any business combinations with any interested stockholder, as defined in that section, for a period of three years following the date on which that stockholder became an interested stockholder. These restrictions may discourage, delay or prevent a change in the control of the Company. | |
CY2014 | dva |
Changes From Net Income Attributable To Parent And Transfers From To Noncontrolling Interests
ChangesFromNetIncomeAttributableToParentAndTransfersFromToNoncontrollingInterests
|
718112000 | |
CY2013 | dva |
Changes From Net Income Attributable To Parent And Transfers From To Noncontrolling Interests
ChangesFromNetIncomeAttributableToParentAndTransfersFromToNoncontrollingInterests
|
628885000 | |
CY2012 | dva |
Changes From Net Income Attributable To Parent And Transfers From To Noncontrolling Interests
ChangesFromNetIncomeAttributableToParentAndTransfersFromToNoncontrollingInterests
|
516387000 | |
CY2014 | us-gaap |
Business Combination Consideration Transferred Liabilities Incurred
BusinessCombinationConsiderationTransferredLiabilitiesIncurred
|
136000 | |
CY2013 | us-gaap |
Business Combination Consideration Transferred Liabilities Incurred
BusinessCombinationConsiderationTransferredLiabilitiesIncurred
|
209000 | |
CY2014 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P10Y | |
CY2013 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P14Y | |
CY2012 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P17Y | |
CY2012Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
491457000 | |
CY2014 | dva |
Business Combination Contingent Consideration Acquisitions Earnouts Payments
BusinessCombinationContingentConsiderationAcquisitionsEarnoutsPayments
|
2715000 | |
CY2014Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
441225000 | |
CY2013Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
484179000 | |
CY2014Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
175247000 | |
CY2013Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
221454000 | |
CY2013Q4 | dva |
Business Acquisition Contingent Earn Out Fair Value Disclosure
BusinessAcquisitionContingentEarnOutFairValueDisclosure
|
28058000 | |
CY2014 | dva |
Business Combination Contingent Consideration Acquisitions
BusinessCombinationContingentConsiderationAcquisitions
|
18234000 | |
CY2014 | dva |
Business Combination Contingent Consideration Acquisitions Fair Value Remeasurement Gain Loss
BusinessCombinationContingentConsiderationAcquisitionsFairValueRemeasurementGainLoss
|
4448000 | |
CY2014Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
336588000 | |
CY2013Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
377074000 | |
CY2013Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
380020000 | |
CY2013Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
270766000 | |
CY2013Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
412550000 | |
CY2013 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
60920000 | |
CY2012 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
55813000 | |
CY2014Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3328017000 | |
CY2014Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3251824000 | |
CY2014Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3172489000 | |
CY2014Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3042776000 | |
CY2013Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3063209000 | |
CY2013Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
2999586000 | |
CY2013Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
2871673000 | |
CY2013Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
2829582000 | |
CY2013Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
522020000 | |
CY2013Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
166861000 | |
CY2014Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
354365000 | |
CY2014Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
336412000 | |
CY2014Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
282308000 | |
CY2013Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
61642000 | |
CY2014Q4 | dva |
Business Acquisition Contingent Earn Out Fair Value Disclosure
BusinessAcquisitionContingentEarnOutFairValueDisclosure
|
39129000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
12887330000 | |
CY2013 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
12160749000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
733490000 | |
CY2013 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
651204000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Income Loss From Continuing Operations Before Changes In Accounting And Extraordinary Items Net Of Tax
BusinessAcquisitionsProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax
|
733490000 | |
CY2013 | us-gaap |
Business Acquisitions Pro Forma Income Loss From Continuing Operations Before Changes In Accounting And Extraordinary Items Net Of Tax
BusinessAcquisitionsProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax
|
651204000 | |
CY2014 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.45 | |
CY2013 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.10 | |
CY2014 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.38 | |
CY2013 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.03 | |
CY2014Q4 | us-gaap |
Variable Interest Entity Consolidated Carrying Amount Assets
VariableInterestEntityConsolidatedCarryingAmountAssets
|
575074000 | |
CY2014Q4 | us-gaap |
Variable Interest Entity Consolidated Carrying Amount Liabilities
VariableInterestEntityConsolidatedCarryingAmountLiabilities
|
311148000 | |
CY2014 | us-gaap |
Concentration Risk Customer
ConcentrationRiskCustomer
|
There is no single payor that accounted for more than 10% of total consolidated accounts receivable at December 31, 2014 and 2013. | |
CY2014 | dva |
Segment Reporting Information Corporate Expenses
SegmentReportingInformationCorporateExpenses
|
13012000 | |
CY2013 | dva |
Segment Reporting Information Corporate Expenses
SegmentReportingInformationCorporateExpenses
|
53699000 | |
CY2012 | dva |
Segment Reporting Information Corporate Expenses
SegmentReportingInformationCorporateExpenses
|
46481000 | |
CY2012 | dva |
Segment Reporting Information Acquisitions Related Transaction Expenses
SegmentReportingInformationAcquisitionsRelatedTransactionExpenses
|
30753000 | |
CY2014 | us-gaap |
Payments To Acquire Productive Assets
PaymentsToAcquireProductiveAssets
|
641330000 | |
CY2013 | us-gaap |
Payments To Acquire Productive Assets
PaymentsToAcquireProductiveAssets
|
617597000 | |
CY2012 | us-gaap |
Payments To Acquire Productive Assets
PaymentsToAcquireProductiveAssets
|
550146000 | |
CY2014 | us-gaap |
Income Taxes Paid
IncomeTaxesPaid
|
238615000 | |
CY2013 | us-gaap |
Income Taxes Paid
IncomeTaxesPaid
|
341426000 | |
CY2012 | us-gaap |
Income Taxes Paid
IncomeTaxesPaid
|
322018000 | |
CY2014 | us-gaap |
Interest Paid
InterestPaid
|
351967000 | |
CY2013 | us-gaap |
Interest Paid
InterestPaid
|
405030000 | |
CY2012 | us-gaap |
Interest Paid
InterestPaid
|
257640000 | |
CY2014 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
72389000 | |
CY2013Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
13236000 | |
CY2014Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
208020000 | |
CY2012 | dva |
Debt Expense Including Debt Refinancing Charges
DebtExpenseIncludingDebtRefinancingCharges
|
299517000 | |
CY2014Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
184122000 | |
CY2013Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.14 | |
CY2014 | dva |
Debt Expense Including Debt Refinancing Charges
DebtExpenseIncludingDebtRefinancingCharges
|
507842000 | |
CY2013 | dva |
Debt Expense Including Debt Refinancing Charges
DebtExpenseIncludingDebtRefinancingCharges
|
429943000 | |
CY2013 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
13236000 | |
CY2013 | dva |
Proceeds From Repayments Of Long Term Debt
ProceedsFromRepaymentsOfLongTermDebt
|
-438007000 | |
CY2014 | us-gaap |
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
|
596077000 | |
CY2014 | dva |
Payments For Proceeds From Sale Of Investments In Securities And Other
PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
|
373096000 | |
CY2014 | dva |
Proceeds From Repayments Of Long Term Debt
ProceedsFromRepaymentsOfLongTermDebt
|
-7989000 | |
CY2014 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-156990000 | |
CY2013 | us-gaap |
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
|
1016140000 | |
CY2014Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
147683000 | |
CY2014Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
183289000 | |
CY2013Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
212278000 | |
CY2013Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
136628000 | |
CY2013Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
254376000 | |
CY2013Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
30164000 | |
CY2014Q4 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.98 | |
CY2014Q3 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.87 | |
CY2014Q2 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.70 | |
CY2014Q1 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.87 | |
CY2013Q4 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
1.01 | |
CY2013Q3 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.65 | |
CY2013Q2 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
1.21 | |
CY2013Q1 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.08 | |
CY2014Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.98 | |
CY2014Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.87 | |
CY2014Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.70 | |
CY2014Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.87 | |
CY2013Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.01 | |
CY2013Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.65 | |
CY2013Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.21 | |
CY2013Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.14 | |
CY2014Q4 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.96 | |
CY2014Q3 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.85 | |
CY2014Q2 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.68 | |
CY2014Q1 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.85 | |
CY2013Q4 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.99 | |
CY2013Q3 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.64 | |
CY2013Q2 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
1.18 | |
CY2013Q1 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.08 | |
CY2014Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.96 | |
CY2014Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.85 | |
CY2014Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.68 | |
CY2014Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.85 | |
CY2013Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.99 | |
CY2013Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.64 | |
CY2013Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.18 | |
CY2012 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-222000 | |
CY2014Q4 | dva |
Investments And Other Current Assets
InvestmentsAndOtherCurrentAssets
|
1385707000 | |
CY2014Q4 | us-gaap |
Investments And Other Noncurrent Assets
InvestmentsAndOtherNoncurrentAssets
|
232026000 | |
CY2014Q4 | dva |
Long Term Debt And Other Noncurrent
LongTermDebtAndOtherNoncurrent
|
9663787000 | |
CY2013Q4 | dva |
Investments And Other Current Assets
InvestmentsAndOtherCurrentAssets
|
1040866000 | |
CY2013Q4 | us-gaap |
Investments And Other Noncurrent Assets
InvestmentsAndOtherNoncurrentAssets
|
199841000 | |
CY2013Q4 | dva |
Long Term Debt And Other Noncurrent
LongTermDebtAndOtherNoncurrent
|
9333987000 | |
CY2013 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-44984000 | |
CY2012 | us-gaap |
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
|
459611000 | |
CY2012 | dva |
Payments For Proceeds From Sale Of Investments In Securities And Other
PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
|
-8214000 | |
CY2012 | dva |
Proceeds From Repayments Of Long Term Debt
ProceedsFromRepaymentsOfLongTermDebt
|
3904893000 | |
CY2012 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-32509000 | |
CY2014 | us-gaap |
Payments For Proceeds From Businesses And Interest In Affiliates
PaymentsForProceedsFromBusinessesAndInterestInAffiliates
|
272094000 | |
CY2013 | us-gaap |
Payments For Proceeds From Businesses And Interest In Affiliates
PaymentsForProceedsFromBusinessesAndInterestInAffiliates
|
310394000 | |
CY2013 | us-gaap |
Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
|
62258000 | |
CY2012 | us-gaap |
Payments For Proceeds From Businesses And Interest In Affiliates
PaymentsForProceedsFromBusinessesAndInterestInAffiliates
|
4294077000 | |
CY2012 | us-gaap |
Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
|
3559000 |