2015 Q4 Form 10-K Financial Statement

#000156459016013587 Filed on February 26, 2016

View on sec.gov

Income Statement

Concept 2015 Q4 2015 Q3 2014 Q4
Revenue $3.534B $3.526B $3.328B
YoY Change 6.18% 8.42% 8.64%
Cost Of Revenue $2.515B $2.501B $2.367B
YoY Change 6.28% 7.5% 11.22%
Gross Profit $1.019B $1.025B $961.6M
YoY Change 5.92% 10.74% 2.8%
Gross Profit Margin 28.82% 29.06% 28.89%
Selling, General & Admin $407.6M $356.0M $360.8M
YoY Change 12.97% 8.94% 12.75%
% of Gross Profit 40.02% 34.74% 37.52%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $163.3M $162.1M $153.6M
YoY Change 6.32% 8.65% 10.74%
% of Gross Profit 16.03% 15.82% 15.97%
Operating Expenses $571.0M $518.1M $513.9M
YoY Change 11.11% 8.84% 11.84%
Operating Profit $244.9M $509.4M $452.1M
YoY Change -45.82% 16.42% -6.63%
Interest Expense -$95.70M -$100.7M -$93.40M
YoY Change 2.46% 6.34% -5.94%
% of Operating Profit -39.07% -19.77% -20.66%
Other Income/Expense, Net $4.600M $2.500M $200.0K
YoY Change 2200.0% -300.64% -94.29%
Pretax Income $146.3M $408.4M $354.4M
YoY Change -58.71% 21.39% -6.75%
Income Tax $111.8M $147.1M $104.0M
% Of Pretax Income 76.41% 36.02% 29.35%
Net Earnings -$6.000M $215.9M $208.0M
YoY Change -102.88% 17.24% -2.01%
Net Earnings / Revenue -0.17% 6.12% 6.25%
Basic Earnings Per Share -$0.03 $1.02 $0.98
Diluted Earnings Per Share -$0.03 $1.00 $0.96
COMMON SHARES
Basic Shares Outstanding 214.9M shares
Diluted Shares Outstanding

Balance Sheet

Concept 2015 Q4 2015 Q3 2014 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments $1.742B $2.000B $1.101B
YoY Change 58.23% 19.86% 13.36%
Cash & Equivalents $1.245B $1.047B $736.9M
Short-Term Investments $497.2M $953.0M $364.1M
Other Short-Term Assets $190.3M $429.0M $186.8M
YoY Change 1.86% 149.05% 5.91%
Inventory $185.6M $173.0M $136.1M
Prepaid Expenses $105.2M $102.5M
Receivables $1.724B $1.700B $1.526B
Other Receivables $435.9M $466.0M $400.9M
Total Short-Term Assets $4.503B $4.738B $3.636B
YoY Change 23.85% 13.39% 4.72%
LONG-TERM ASSETS
Property, Plant & Equipment $2.789B $2.622B $2.469B
YoY Change 12.95% 11.14% 12.77%
Goodwill $5.896B $9.488B $9.415B
YoY Change -37.38% 1.53% 2.2%
Intangibles $1.687B $1.865B
YoY Change -9.52% -7.88%
Long-Term Investments $167.0M $158.0M $155.0M
YoY Change 7.74% 2.6% 29.17%
Other Assets $73.56M $62.39M $77.00M
YoY Change -4.47% -7.34% -3.26%
Total Long-Term Assets $14.01B $14.16B $13.98B
YoY Change 0.22% 1.68% 2.6%
TOTAL ASSETS
Total Short-Term Assets $4.503B $4.738B $3.636B
Total Long-Term Assets $14.01B $14.16B $13.98B
Total Assets $18.51B $18.89B $17.62B
YoY Change 5.09% 4.38% 3.03%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $514.0M $487.9M $445.5M
YoY Change 15.38% 10.35% 2.29%
Accrued Expenses $895.0M $836.0M $824.0M
YoY Change 8.62% 9.71% 6.74%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $129.0M $115.0M $120.0M
YoY Change 7.5% -5.37% -56.32%
Total Short-Term Liabilities $2.399B $2.411B $2.089B
YoY Change 14.87% -7.2% -15.17%
LONG-TERM LIABILITIES
Long-Term Debt $9.001B $9.082B $8.299B
YoY Change 8.46% 8.36% 1.94%
Other Long-Term Liabilities $439.2M $406.0M $389.8M
YoY Change 12.68% 10.19% 2.49%
Total Long-Term Liabilities $439.2M $406.0M $389.8M
YoY Change 12.68% 10.19% 2.49%
TOTAL LIABILITIES
Total Short-Term Liabilities $2.399B $2.411B $2.089B
Total Long-Term Liabilities $439.2M $406.0M $389.8M
Total Liabilities $12.57B $12.81B $11.43B
YoY Change 9.97% 5.04% -3.13%
SHAREHOLDERS EQUITY
Retained Earnings $4.357B $4.363B $4.087B
YoY Change 6.6% 12.47% 21.5%
Common Stock $1.119B $1.107B $1.108B
YoY Change 0.91% 514578.6% 520288.26%
Preferred Stock
YoY Change
Treasury Stock (at cost) $544.8M $424.7M
YoY Change
Treasury Stock Shares $7.366M $5.623M
Shareholders Equity $4.871B $4.990B $5.171B
YoY Change
Total Liabilities & Shareholders Equity $18.51B $18.89B $17.62B
YoY Change 5.09% 4.38% 3.03%

Cashflow Statement

Concept 2015 Q4 2015 Q3 2014 Q4
OPERATING ACTIVITIES
Net Income -$6.000M $215.9M $208.0M
YoY Change -102.88% 17.24% -2.01%
Depreciation, Depletion And Amortization $163.3M $162.1M $153.6M
YoY Change 6.32% 8.65% 10.74%
Cash From Operating Activities $436.7M $679.0M -$70.00M
YoY Change -723.86% -19.92% -119.77%
INVESTING ACTIVITIES
Capital Expenditures -$245.8M $171.3M -$197.8M
YoY Change 24.27% 3.9% -9.31%
Acquisitions
YoY Change
Other Investing Activities $514.4M -$31.70M -$248.7M
YoY Change -306.84% -85.81% 204.41%
Cash From Investing Activities $268.6M -$203.1M -$446.5M
YoY Change -160.16% -47.7% 48.93%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -252.9M -361.2M -46.00M
YoY Change 449.78% 1.57% -41.62%
NET CHANGE
Cash From Operating Activities 436.7M 679.0M -70.00M
Cash From Investing Activities 268.6M -203.1M -446.5M
Cash From Financing Activities -252.9M -361.2M -46.00M
Net Change In Cash 452.4M 114.7M -562.5M
YoY Change -180.43% 10.29% 2195.92%
FREE CASH FLOW
Cash From Operating Activities $436.7M $679.0M -$70.00M
Capital Expenditures -$245.8M $171.3M -$197.8M
Free Cash Flow $682.5M $507.7M $127.8M
YoY Change 434.04% -25.67% -77.67%

Facts In Submission

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<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;"><font style="font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">17.</font></p></td> <td valign="top"> <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&#8217;s revenues are from government programs and may be subject to adjustment as a result of: (i)&#160;examination by government agencies or contractors, for which the resolution of any matters raised may take extended periods of time to finalize; (ii)&#160;differing interpretations of government regulations by different Medicare contractors or regulatory authorities; (iii)&#160;differing opinions regarding a patient&#8217;s medical diagnosis or the medical necessity of services provided; and (iv)&#160;retroactive applications or interpretations of governmental requirements. In addition, the Company&#8217;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-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">Vainer Private Civil Suit</font>: As previously disclosed, the Company received a subpoena for documents from the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) relating to the pharmaceutical products Zemplar, Hectorol, Venofer, Ferrlecit and erythropoietin (EPO), as well as other related matters, covering the period from January 2003 to December 2008. The Company subsequently learned that the allegations underlying this inquiry were made as part of a civil complaint filed by relators, Daniel Barbir and Dr. Alon Vainer, pursuant to the <font style="font-style:italic;">qui tam</font> provisions of the federal False Claims Act. The relators also alleged that the Company&#8217;s drug administration practices for the Company&#8217;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. In June 2015, the Company finalized the terms of the settlement with plaintiffs, including a settlement amount of $450,000 and attorney fees and other costs of $45,000 which was paid in 2015. </p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;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&#8217;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&#8217;s Office for the Eastern District of New York. The request related to payments for infusion drugs covered by Medicaid composite payments for dialysis. It is the Company&#8217;s understanding that this inquiry is civil in nature. The Company understands further that certain other providers that operate dialysis clinics in New York may 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 with the government and expects to execute in the first quarter of 2016 the settlement agreements with the government and the state of New York to finalize the terms of the settlement and to resolve this matter, and has accrued an amount that is immaterial.</p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">Swoben Private Civil Suit</font>:&#160;In April 2013, the Company&#8217;s 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&#160;13, 2009, pursuant to the <font style="font-style:italic;">qui tam</font> provisions of the federal False Claims Act (FCA) 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.&#160;In or about November 2011, the relator filed his Third Amended Complaint under seal alleging violations&#160;of the federal FCA 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.&#160;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&#160;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&#160;30, 2013, the court granted HCP&#8217;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&#160;&amp; Medicaid Services (CMS). In October 2013, the plaintiff appealed to the United States Court of Appeals for the Ninth Circuit and the court&#8217;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 administrative subpoenas from the OIG&#160;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 each respective dialysis center. In February 2016, the Company received four additional subpoenas for four additional dialysis centers in southern California. The subpoenas were similarly limited in scope to the subpoenas received in 2015. The Company has been advised by an attorney with the United States Attorney&#8217;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 nor does it bill for the transport of its dialysis patients.&#160;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-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">2015 U.S. OIG Medicare Advantage Civil Investigation</font>: In March 2015, JSA HealthCare Corporation (JSA), a subsidiary of HCP, received a subpoena from the OIG. The Company has been advised by an attorney with the Civil Division of the United States Department of Justice in Washington, D.C. that the subpoena relates to an ongoing civil investigation concerning Medicare Advantage service providers&#8217; risk adjustment practices and data, including identification and verification of patient diagnoses and factors used in making the diagnoses. The subpoena requests documents and information for the period from January 1, 2008 through December 31, 2013, for certain Medicare Advantage plans for which JSA provided services. It also requests information regarding JSA&#8217;s communications about patient diagnoses as they relate to certain Medicare Advantage plans generally, and more specifically as related to two Florida physicians with whom JSA previously contracted. The Company is producing the requested information and is cooperating with the government&#8217;s investigation.</p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In addition to the subpoena described above, in June 2015, the Company received a subpoena from the OIG. This civil subpoena covers the period from January 1, 2008 through the present and seeks production of a wide range of documents relating to the Company&#8217;s and its subsidiaries&#8217; (including HealthCare Partners and its subsidiary JSA HealthCare Corporation) provision of services to Medicare Advantage plans and related patient diagnosis coding and risk adjustment submissions and payments. The Company believes that the request is part of a broader industry investigation into Medicare Advantage patient diagnosis coding and risk adjustment practices and potential overpayments by the government. Some of the information requested relates to what the Company first disclosed in the risk factors of the Company&#8217;s quarterly report on Form 10-Q for the first quarter of 2015 as a potentially improper historical HCP coding practice related to a particular condition. The practice in question was discontinued following the Company&#8217;s November 1, 2012 acquisition of HCP and, as the Company previously disclosed, the Company notified CMS of the coding practice and potential overpayments. In connection with the HCP merger, the Company has certain indemnification rights against the sellers and an escrow was established as security for the indemnification. The Company would pursue an indemnification claim against the sellers secured by the escrow for any and all liabilities incurred. The Company can make no assurances that the indemnification and escrow would cover the full amount of the Company&#8217;s potential losses related to this matter. The Company is cooperating with the government and is producing the requested information. </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. Department of Justice Vascular Access Investigation</font>: In November 2015, the Company announced that RMS Lifeline, Inc., a wholly owned subsidiary of the Company that operates under the name Lifeline Vascular Access (Lifeline), received a Civil Investigative Demand (CID) from the U.S. Department of Justice (DOJ). The CID relates to two vascular access centers in Florida that are part of Lifeline&#8217;s vascular access business. The CID covers the period from January 1, 2008 through the present. The Company acquired these two centers in December 2012. Based on the language of the CID, the DOJ appears to be looking at whether the angiograms of 10 patients performed at the two centers were medically unnecessary and therefore whether related claims filed with federal healthcare programs possibly violated the FCA. Lifeline does not perform dialysis services but instead provides <font style="Background-color:#FFFFFF;">vascular access management services for dialysis patients</font>. The Company is in the process of producing the requested documents to the DOJ. </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;">2016 U.S. Attorney Prescription Drug Investigation</font>: In early February 2016, the Company announced that its pharmacy services wholly owned subsidiary, DaVita Rx, received a CID from the U.S. Attorney&#8217;s Office for the Northern District of Texas. Based on the language of the CID, it appears the government is conducting an FCA investigation concerning allegations that DaVita Rx presented or caused to be presented false claims for payment to the government for prescription medications. The CID covers the period from January&#160;1, 2006 through the present. In the spring of 2015, the Company initiated an internal compliance review of DaVita Rx during which it identified potential billing and operational issues. The Company notified the government in September of 2015 that it was conducting this review of DaVita Rx and began providing regular updates of its review. In the fourth quarter of 2015, the Company recorded an estimated accrual of $22 million for potential damages and liabilities associated with write-offs and discounts of patient co-payment obligations, and credits to payors for returns of prescriptions drugs, related to DaVita Rx that were identified during the course of this internal compliance review. The Company may accrue additional reserves for refunds and related damages and potential liabilities arising out of this review. Upon completion of its review, the Company filed a self-disclosure with the OIG in early February 2016 and has been working to address and update the practices it identified in the self-disclosure, some of which overlaps with information requested by the U.S. Attorney&#8217;s Office. The Company does not know if the U.S. Attorney&#8217;s Office, which is part of the DOJ, knew when it served the CID on the Company that it was already in the process of developing a self-disclosure to the OIG. The OIG informed the Company in late February that its submission was not accepted.&#160;They indicated that the OIG is not expressing an opinion regarding the conduct disclosed or the Company&#8217;s legal positions. The Company intends to cooperate with the government in this matter<font style="color:#000000;">.</font></p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;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&#8217;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&#8217;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 if criminal proceedings were 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&#8217; claims (except as described above), or the potential range of damages, if any. </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;">DaVita HealthCare Partners Inc. Derivative Litigation</font>: On January&#160;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&#160;17, 2013 and the Clark Shareholder action filed on August&#160;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&#8217;s directors breached fiduciary duties to the Company relating to the 2010 and 2011 U.S. Attorney physician relationship investigations described above, the Vainer <font style="font-style:italic;">qui tam</font> private civil suit described above and the Woodard <font style="font-style:italic;">qui tam</font> private civil suit for which the Company previously announced a settlement in July 2012. The Company entered into a settlement with the lead plaintiff, which as previously disclosed, were described in a court-ordered notice sent to shareholders in late January 2015, and included enhancements to the Company&#8217;s corporate governance practices and provides that the Company will not oppose the derivative plaintiff&#8217;s application for an award of fees and expenses, the dollar amount of which is not material to the Company. The Court approved the settlement and entered an order granting final approval of the settlement on June 5, 2015 and final judgment in the case was entered on June 9, 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 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 DOJ and certain agencies of the U.S. government. The Company has not received any further indication that any of these claims are active except for one payor claim relating to a special needs plan, and some of the other claims may be barred by applicable statutes of limitations. The Company is working to resolve the one active claim of which it is aware and, based on the dollar amount of the claim, expects that its eventual resolution will involve an amount that is immaterial.</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 April 2008, a wage and hour lawsuit was filed against the Company in the Superior Court of California which was styled as a class action and was subsequently amended. The complaint, as amended, alleged 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. After the Company prevailed on certain trial court rulings, the plaintiffs later appealed to the California Court of Appeals, and some of the issues on appeal were remanded to the trial court. The Company reached an agreement with the plaintiffs to settle the case in June 2015. The settlement has now been approved by the court. The amount of the settlement is not material to the Company&#8217;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>
CY2015 us-gaap Unrecognized Tax Benefits Period Increase Decrease
UnrecognizedTaxBenefitsPeriodIncreaseDecrease
7134000
CY2015Q4 us-gaap Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
9918000
CY2014Q4 us-gaap Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
10123000
CY2015Q4 us-gaap Senior Notes
SeniorNotes
4500000000
CY2014Q4 us-gaap Senior Notes
SeniorNotes
3775000000
CY2015Q4 dva Acquisition Obligations And Other Notes Payable
AcquisitionObligationsAndOtherNotesPayable
70645000
CY2014Q4 dva Acquisition Obligations And Other Notes Payable
AcquisitionObligationsAndOtherNotesPayable
69045000
CY2015Q4 us-gaap Capital Lease Obligations
CapitalLeaseObligations
283185000
CY2015Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
9226330000
CY2014Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
8519642000
CY2015Q4 dva Discount And Deferred Finance Costs
DiscountAndDeferredFinanceCosts
95985000
CY2014Q4 dva Discount And Deferred Finance Costs
DiscountAndDeferredFinanceCosts
100864000
CY2015Q4 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
9130345000
CY2014Q4 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
8418778000
CY2015Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
129037000
CY2015Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
152768000
CY2015Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
166132000
CY2015Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
740895000
CY2015Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
65171000
CY2015Q4 us-gaap Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
7972327000
CY2015 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&#8217;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>
CY2014Q1 us-gaap Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
3042776000
CY2014Q2 us-gaap Operating Income Loss
OperatingIncomeLoss
484295000
CY2014Q1 us-gaap Operating Income Loss
OperatingIncomeLoss
441225000
CY2014Q2 us-gaap Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
282308000
CY2014Q1 us-gaap Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
336588000
CY2014Q2 us-gaap Net Income Loss
NetIncomeLoss
147683000
CY2014Q1 us-gaap Net Income Loss
NetIncomeLoss
183289000
CY2015 us-gaap Number Of Operating Segments
NumberOfOperatingSegments
2
CY2015Q4 us-gaap Number Of Countries In Which Entity Operates
NumberOfCountriesInWhichEntityOperates
10
CY2015 dva Percentage Of Voting Rights Held By Controlling Shareholder
PercentageOfVotingRightsHeldByControllingShareholder
1.00
CY2015 dva Ownership In Joint Venture
OwnershipInJointVenture
0.50
CY2015Q4 us-gaap Deposits Assets Current
DepositsAssetsCurrent
82679000
CY2015Q4 dva Number Of Entities That Third Parties Held Non Controlling Ownership
NumberOfEntitiesThatThirdPartiesHeldNonControllingOwnership
440
CY2014 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
723114000
CY2013 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
633446000
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
CY2013 us-gaap Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
2194000
CY2013 dva Income Loss From Discontinued Operations Per Basic Share
IncomeLossFromDiscontinuedOperationsPerBasicShare
0.07
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
CY2013 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
0.06
CY2013 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
4194000
CY2014Q4 dva Percentage Of Accounts Receivable Six Months Or More Past Due
PercentageOfAccountsReceivableSixMonthsOrMorePastDue
0.11
CY2015Q4 dva Percentage Of Outstanding Patient Accounts Receivables
PercentageOfOutstandingPatientAccountsReceivables
1.00
CY2015 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 Deposits Assets Current
DepositsAssetsCurrent
81276000
CY2015Q4 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-0.03
CY2015Q3 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
1.02
CY2015Q2 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
0.80
CY2015Q1 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-0.52
CY2014Q4 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
0.98
CY2014Q3 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
0.87
CY2015Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
9310000
CY2014Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
24818000
CY2015Q4 us-gaap Other Indefinite Lived Intangible Assets
OtherIndefiniteLivedIntangibleAssets
408000
CY2014Q4 us-gaap Other Indefinite Lived Intangible Assets
OtherIndefiniteLivedIntangibleAssets
402000
CY2015Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
1687326000
CY2014Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
1864842000
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
CY2015Q4 dva Alliance And Product Supply Agreement Gross
AllianceAndProductSupplyAgreementGross
68200000
CY2014Q4 dva Alliance And Product Supply Agreement Gross
AllianceAndProductSupplyAgreementGross
68200000
CY2015Q4 dva Amortized Intangible Liabilities Accumulated Amortization
AmortizedIntangibleLiabilitiesAccumulatedAmortization
68200000
CY2014Q4 dva Amortized Intangible Liabilities Accumulated Amortization
AmortizedIntangibleLiabilitiesAccumulatedAmortization
64203000
CY2014Q4 dva Product Supply Agreement
ProductSupplyAgreement
3997000
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
CY2013 dva Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
5330000
CY2015Q4 us-gaap Held To Maturity Securities
HeldToMaturitySecurities
406884000
CY2014Q4 us-gaap Held To Maturity Securities
HeldToMaturitySecurities
335975000
CY2014Q4 us-gaap Available For Sale Securities
AvailableForSaleSecurities
28123000
CY2014Q4 us-gaap Marketable Securities
MarketableSecurities
364098000
CY2015Q4 us-gaap Available For Sale Securities
AvailableForSaleSecurities
33482000
CY2015Q4 us-gaap Marketable Securities
MarketableSecurities
440366000
CY2015Q4 us-gaap Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
406884000
CY2015Q4 us-gaap Available For Sale Securities Current
AvailableForSaleSecuritiesCurrent
1200000
CY2014Q4 us-gaap Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
335975000
CY2014Q4 us-gaap Available For Sale Securities Current
AvailableForSaleSecuritiesCurrent
1424000
CY2015Q4 us-gaap Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
32282000
CY2015Q4 us-gaap Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
32282000
CY2014Q4 us-gaap Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
26699000
CY2014Q4 us-gaap Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
26699000
CY2015Q4 us-gaap Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
AvailableForSaleSecuritiesAccumulatedGrossUnrealizedGainLossBeforeTax
2589000
CY2014Q4 us-gaap Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
AvailableForSaleSecuritiesAccumulatedGrossUnrealizedGainLossBeforeTax
5181000
CY2015 us-gaap Proceeds From Sale Of Available For Sale Securities Equity
ProceedsFromSaleOfAvailableForSaleSecuritiesEquity
1295000
CY2014 us-gaap Proceeds From Sale Of Available For Sale Securities Equity
ProceedsFromSaleOfAvailableForSaleSecuritiesEquity
1262000
CY2015 us-gaap Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
618000
CY2014 us-gaap Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
340000
CY2015 dva Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Net Of Sold In Current Quarter Net Of Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfSoldInCurrentQuarterNetOfTax
377000
CY2014 dva Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Net Of Sold In Current Quarter Net Of Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfSoldInCurrentQuarterNetOfTax
207000
CY2013Q4 us-gaap Goodwill
Goodwill
9212974000
CY2014 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
221514000
CY2014 us-gaap Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
1851000
CY2014 us-gaap Goodwill Translation Adjustments
GoodwillTranslationAdjustments
-17342000
CY2015 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
97093000
CY2015 us-gaap Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
8781000
CY2015 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
192834000
CY2015 us-gaap Goodwill Translation Adjustments
GoodwillTranslationAdjustments
-16294000
CY2015 us-gaap Goodwill Impaired Facts And Circumstances Leading To Impairment
GoodwillImpairedFactsAndCircumstancesLeadingToImpairment
During the quarter ended December 31, 2015, and in conjunction with the annual goodwill impairment assessment for its HCP reporting units as of November 1, the Company determined that circumstances indicated it had become more likely than not that the goodwill and an indefinite-lived intangible asset of certain HCP reporting units had become impaired. These circumstances included underperformance of the business in recent quarters as well as changes in other market conditions, including government reimbursement cuts and our expected ability to mitigate them. We are performing the required “step 1” and “step 2” valuations for these HCP reporting units and have estimated the fair value of their net assets and implied goodwill with the assistance of a third-party valuation firm. The Company also recorded a minor goodwill impairment charge on one of its international operations during 2015.
CY2015 us-gaap Goodwill Impaired Change In Estimate Description
GoodwillImpairedChangeInEstimateDescription
For example, a sustained, long-term reduction of 3% in operating income for HCP Nevada or HCP Florida could reduce their estimated fair values by up to 2.0% and 1.6%, respectively. Separately, an increase in their respective discount rates of 100 basis points could reduce the estimated fair values of HCP Nevada and HCP Florida by up to 2.9% and 2.8%, respectively.
CY2015Q4 us-gaap Customer Advances And Deposits Current
CustomerAdvancesAndDepositsCurrent
153104000
CY2014Q4 us-gaap Customer Advances And Deposits Current
CustomerAdvancesAndDepositsCurrent
125435000
CY2015Q4 us-gaap Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
29050000
CY2014Q4 us-gaap Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
15614000
CY2015Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
80355000
CY2014Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
92928000
CY2015Q4 us-gaap Interest Payable Current
InterestPayableCurrent
81585000
CY2014Q4 us-gaap Interest Payable Current
InterestPayableCurrent
87224000
CY2015Q4 dva Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
53687000
CY2014Q4 dva Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
39867000
CY2015Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
29291000
CY2014Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
25909000
CY2015Q4 us-gaap Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
255051000
CY2014Q4 us-gaap Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
123246000
CY2014 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
188302000
CY2015 dva Increase Decrease In Prior Year Estimates Of Health Care Costs Payable
IncreaseDecreaseInPriorYearEstimatesOfHealthCareCostsPayable
1523000
CY2014 dva Increase Decrease In Prior Year Estimates Of Health Care Costs Payable
IncreaseDecreaseInPriorYearEstimatesOfHealthCareCostsPayable
3429000
CY2015 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
183263000
CY2013 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
0.014
CY2015 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
-0.113
CY2013 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
334258000
CY2015 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
30766000
CY2014 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
-0.008
CY2014 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
30789000
CY2013 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
68715000
CY2015 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
856000
CY2014 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
1687000
CY2013 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
1764000
CY2015 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
214885000
CY2014 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
220778000
CY2013 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
404737000
CY2015 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
88718000
CY2014 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
192267000
CY2013 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
-6695000
CY2015 us-gaap Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
80841000
CY2013 us-gaap Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
-14890000
CY2015 dva Income Tax Expense Benefit Continuing Operations And Discontinued Operations
IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations
295726000
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
CY2013 us-gaap Discontinued Operation Tax Effect Of Income Loss From Discontinued Operation During Phase Out Period
DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod
-84000
CY2013 us-gaap Discontinued Operation Tax Effect Of Income Loss From Disposal Of Discontinued Operation
DiscontinuedOperationTaxEffectOfIncomeLossFromDisposalOfDiscontinuedOperation
8918000
CY2015 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.350
CY2014 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.350
CY2013 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.350
CY2015 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.025
CY2014 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.035
CY2013 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.038
CY2015 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
-0.011
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
CY2015 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Impairment Losses
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseImpairmentLosses
0.117
CY2015 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
0.026
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
CY2015 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
0.015
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
CY2015 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.409
CY2014 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.341
CY2013 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.339
CY2014Q4 dva Deferred Tax Assets Receivables
DeferredTaxAssetsReceivables
42976000
CY2014Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
253228000
CY2014Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
102212000
CY2014Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
93567000
CY2014Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
491983000
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2
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2013-08-23
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19689000
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20351000
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0
CY2015 us-gaap Targeted Or Tracking Stock Corporate Events
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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.
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209000
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P8Y
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P10Y
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73733000
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175247000
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221454000
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428000
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CY2015Q4 us-gaap Variable Interest Entity Consolidated Carrying Amount Assets
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CY2015 us-gaap Concentration Risk Customer
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There is no single commercial payor that accounted for more than 10% of total consolidated accounts receivable at December 31, 2015 and 2014.
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3251824000
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3172489000
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244935000
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509368000
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408371000
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336412000
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0.87
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0.70
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CY2014Q2 us-gaap Earnings Per Share Basic
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0.70
CY2014Q1 us-gaap Earnings Per Share Basic
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CY2015Q4 us-gaap Income Loss From Continuing Operations Per Diluted Share
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0.78
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0.85
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0.68
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IncomeLossFromContinuingOperationsPerDilutedShare
0.85
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1.00
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0.96
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0.85
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EarningsPerShareDiluted
0.68
CY2014Q1 us-gaap Earnings Per Share Diluted
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0.85
CY2015 dva Debt Expense Including Debt Refinancing Charges
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456452000
CY2014 dva Debt Expense Including Debt Refinancing Charges
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507842000
CY2013 dva Debt Expense Including Debt Refinancing Charges
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429943000
CY2013 us-gaap Income Loss From Discontinued Operations Net Of Tax
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13236000
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CY2015Q4 us-gaap Investments And Other Noncurrent Assets
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CY2014Q4 dva Investments And Other Current Assets
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CY2014Q4 us-gaap Investments And Other Noncurrent Assets
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232026000
CY2014Q4 dva Long Term Debt And Other Noncurrent
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9338505000
CY2015 us-gaap Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
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1129790000
CY2015 us-gaap Proceeds From Sale Of Productive Assets
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19715000
CY2015 dva Payments For Proceeds From Sale Of Investments In Securities And Other
PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
97032000
CY2015 dva Proceeds From Repayments Of Long Term Debt
ProceedsFromRepaymentsOfLongTermDebt
619698000
CY2015 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
-758668000
CY2014 us-gaap Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
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596077000
CY2014 us-gaap Proceeds From Sale Of Productive Assets
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8791000
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PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
373096000
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AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
1016140000
CY2013 us-gaap Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
62258000
CY2013 dva Payments For Proceeds From Sale Of Investments In Securities And Other
PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
11149000
CY2013 dva Proceeds From Repayments Of Long Term Debt
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CY2013 us-gaap Proceeds From Payments For Other Financing Activities
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-44984000
CY2015 us-gaap Payments For Proceeds From Businesses And Interest In Affiliates
PaymentsForProceedsFromBusinessesAndInterestInAffiliates
96469000

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