2015 Q4 Form 10-K Financial Statement
#000156459017002409 Filed on February 24, 2017
Income Statement
Concept | 2015 Q4 | 2015 Q3 | 2015 Q2 |
---|---|---|---|
Revenue | $3.534B | $3.526B | $3.435B |
YoY Change | 6.18% | 8.42% | 8.26% |
Cost Of Revenue | $2.515B | $2.501B | $2.446B |
YoY Change | 6.28% | 7.5% | 8.88% |
Gross Profit | $1.019B | $1.025B | $988.5M |
YoY Change | 5.92% | 10.74% | 6.75% |
Gross Profit Margin | 28.82% | 29.06% | 28.78% |
Selling, General & Admin | $407.6M | $356.0M | $354.2M |
YoY Change | 12.97% | 8.94% | 17.36% |
% of Gross Profit | 40.02% | 34.74% | 35.83% |
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $163.3M | $162.1M | $158.8M |
YoY Change | 6.32% | 8.65% | 8.84% |
% of Gross Profit | 16.03% | 15.82% | 16.06% |
Operating Expenses | $571.0M | $518.1M | $513.0M |
YoY Change | 11.11% | 8.84% | 14.56% |
Operating Profit | $244.9M | $509.4M | $480.5M |
YoY Change | -45.82% | 16.42% | -0.77% |
Interest Expense | -$95.70M | -$100.7M | -$147.3M |
YoY Change | 2.46% | 6.34% | -25.46% |
% of Operating Profit | -39.07% | -19.77% | -30.65% |
Other Income/Expense, Net | $4.600M | $2.500M | $2.311M |
YoY Change | 2200.0% | -300.64% | 36.5% |
Pretax Income | $146.3M | $408.4M | $330.5M |
YoY Change | -58.71% | 21.39% | 17.08% |
Income Tax | $111.8M | $147.1M | $122.8M |
% Of Pretax Income | 76.41% | 36.02% | 37.14% |
Net Earnings | -$6.000M | $215.9M | $170.5M |
YoY Change | -102.88% | 17.24% | 15.43% |
Net Earnings / Revenue | -0.17% | 6.12% | 4.96% |
Basic Earnings Per Share | -$0.03 | $1.02 | $0.80 |
Diluted Earnings Per Share | -$0.03 | $1.00 | $0.78 |
COMMON SHARES | |||
Basic Shares Outstanding | 213.0M | ||
Diluted Shares Outstanding | 217.6M |
Balance Sheet
Concept | 2015 Q4 | 2015 Q3 | 2015 Q2 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $1.742B | $2.000B | $1.906B |
YoY Change | 58.23% | 19.86% | 28.32% |
Cash & Equivalents | $1.245B | $1.047B | $933.7M |
Short-Term Investments | $497.2M | $953.0M | $971.8M |
Other Short-Term Assets | $190.3M | $429.0M | $189.5M |
YoY Change | 1.86% | 149.05% | 15.15% |
Inventory | $185.6M | $173.0M | $159.4M |
Prepaid Expenses | $105.2M | ||
Receivables | $1.724B | $1.700B | $1.667B |
Other Receivables | $435.9M | $466.0M | $456.5M |
Total Short-Term Assets | $4.503B | $4.738B | $4.781B |
YoY Change | 23.85% | 13.39% | 14.89% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $2.789B | $2.622B | $2.565B |
YoY Change | 12.95% | 11.14% | 11.97% |
Goodwill | $5.896B | $9.488B | |
YoY Change | -37.38% | 1.53% | |
Intangibles | $1.687B | ||
YoY Change | -9.52% | ||
Long-Term Investments | $167.0M | $158.0M | $160.0M |
YoY Change | 7.74% | 2.6% | 23.08% |
Other Assets | $73.56M | $62.39M | $122.0M |
YoY Change | -4.47% | -7.34% | 84.55% |
Total Long-Term Assets | $14.01B | $14.16B | $14.17B |
YoY Change | 0.22% | 1.68% | 2.92% |
TOTAL ASSETS | |||
Total Short-Term Assets | $4.503B | $4.738B | $4.781B |
Total Long-Term Assets | $14.01B | $14.16B | $14.17B |
Total Assets | $18.51B | $18.89B | $18.95B |
YoY Change | 5.09% | 4.38% | 5.7% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $514.0M | $487.9M | $490.0M |
YoY Change | 15.38% | 10.35% | 20.76% |
Accrued Expenses | $895.0M | $836.0M | $679.0M |
YoY Change | 8.62% | 9.71% | 8.29% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | -100.0% | ||
Long-Term Debt Due | $129.0M | $115.0M | $109.0M |
YoY Change | 7.5% | -5.37% | -6.9% |
Total Short-Term Liabilities | $2.399B | $2.411B | $2.334B |
YoY Change | 14.87% | -7.2% | -10.51% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $9.001B | $9.082B | $9.101B |
YoY Change | 8.46% | 8.36% | 8.46% |
Other Long-Term Liabilities | $439.2M | $406.0M | $400.0M |
YoY Change | 12.68% | 10.19% | 3.62% |
Total Long-Term Liabilities | $439.2M | $406.0M | $9.501B |
YoY Change | 12.68% | 10.19% | 2361.19% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $2.399B | $2.411B | $2.334B |
Total Long-Term Liabilities | $439.2M | $406.0M | $9.501B |
Total Liabilities | $12.57B | $12.81B | $13.80B |
YoY Change | 9.97% | 5.04% | 13.04% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $4.357B | $4.363B | |
YoY Change | 6.6% | 12.47% | |
Common Stock | $1.119B | $1.107B | |
YoY Change | 0.91% | 514578.6% | |
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 | $5.147B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $18.51B | $18.89B | $18.95B |
YoY Change | 5.09% | 4.38% | 5.7% |
Cashflow Statement
Concept | 2015 Q4 | 2015 Q3 | 2015 Q2 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | -$6.000M | $215.9M | $170.5M |
YoY Change | -102.88% | 17.24% | 15.43% |
Depreciation, Depletion And Amortization | $163.3M | $162.1M | $158.8M |
YoY Change | 6.32% | 8.65% | 8.84% |
Cash From Operating Activities | $436.7M | $679.0M | $31.40M |
YoY Change | -723.86% | -19.92% | -88.03% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$245.8M | $171.3M | $169.5M |
YoY Change | 24.27% | 3.9% | 11.46% |
Acquisitions | |||
YoY Change | |||
Other Investing Activities | $514.4M | -$31.70M | -$525.6M |
YoY Change | -306.84% | -85.81% | 452.68% |
Cash From Investing Activities | $268.6M | -$203.1M | -$695.0M |
YoY Change | -160.16% | -47.7% | 181.26% |
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 | 586.0M |
YoY Change | 449.78% | 1.57% | 96.18% |
NET CHANGE | |||
Cash From Operating Activities | 436.7M | 679.0M | 31.40M |
Cash From Investing Activities | 268.6M | -203.1M | -695.0M |
Cash From Financing Activities | -252.9M | -361.2M | 586.0M |
Net Change In Cash | 452.4M | 114.7M | -77.60M |
YoY Change | -180.43% | 10.29% | -124.71% |
FREE CASH FLOW | |||
Cash From Operating Activities | $436.7M | $679.0M | $31.40M |
Capital Expenditures | -$245.8M | $171.3M | $169.5M |
Free Cash Flow | $682.5M | $507.7M | -$138.1M |
YoY Change | 434.04% | -25.67% | -225.08% |
Facts In Submission
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|
2696445000 | |
CY2015Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
2399138000 | |
CY2016Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
8947327000 | |
CY2015Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
9001308000 | |
CY2016Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
465358000 | |
CY2015Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
439229000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
809128000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
726962000 | |
CY2016Q4 | us-gaap |
Liabilities
Liabilities
|
12918258000 | |
CY2015Q4 | us-gaap |
Liabilities
Liabilities
|
12566637000 | |
CY2016Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
973258000 | |
CY2016Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2015Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2016Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
195000 | |
CY2015Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
217000 | |
CY2016Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
1027182000 | |
CY2015Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
1118326000 | |
CY2016Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
3710313000 | |
CY2015Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
4356835000 | |
CY2015Q4 | us-gaap |
Treasury Stock Value
TreasuryStockValue
|
544772000 | |
CY2016Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
-89643000 | |
CY2015Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
-59826000 | |
CY2016Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
4648047000 | |
CY2015Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
4870780000 | |
CY2016Q4 | us-gaap |
Minority Interest
MinorityInterest
|
201694000 | |
CY2015Q4 | us-gaap |
Minority Interest
MinorityInterest
|
213392000 | |
CY2016Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
4849741000 | |
CY2016Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
252056000 | |
CY2015 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
54950000 | |
CY2015Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
264144000 | |
CY2016Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.001 | |
CY2015Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.001 | |
CY2016Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
5000000 | |
CY2015Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
5000000 | |
CY2016Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | |
CY2015Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | |
CY2016Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.001 | |
CY2015Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.001 | |
CY2016Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
450000000 | |
CY2015Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
450000000 | |
CY2016Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
194554491 | |
CY2015Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
217120346 | |
CY2016Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
194554491 | |
CY2015Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
209754247 | |
CY2015Q4 | us-gaap |
Treasury Stock Shares
TreasuryStockShares
|
7366099 | |
CY2016 | dva |
Adjustment Depreciation And Amortization
AdjustmentDepreciationAndAmortization
|
720252000 | |
CY2015 | dva |
Adjustment Depreciation And Amortization
AdjustmentDepreciationAndAmortization
|
638024000 | |
CY2014 | dva |
Adjustment Depreciation And Amortization
AdjustmentDepreciationAndAmortization
|
590935000 | |
CY2016 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
38338000 | |
CY2015 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
56664000 | |
CY2014 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
56743000 | |
CY2016 | dva |
Employee Service Stock Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceStockBasedCompensationTaxBenefitFromCompensationExpense
|
28397000 | |
CY2015 | dva |
Employee Service Stock Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceStockBasedCompensationTaxBenefitFromCompensationExpense
|
45749000 | |
CY2014 | dva |
Employee Service Stock Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceStockBasedCompensationTaxBenefitFromCompensationExpense
|
59119000 | |
CY2016 | us-gaap |
Excess Tax Benefit From Share Based Compensation Operating Activities
ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
|
13251000 | |
CY2015 | us-gaap |
Excess Tax Benefit From Share Based Compensation Operating Activities
ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
|
28157000 | |
CY2014 | us-gaap |
Excess Tax Benefit From Share Based Compensation Operating Activities
ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
|
45271000 | |
CY2016 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
52010000 | |
CY2015 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
61744000 | |
CY2014 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
210955000 | |
CY2016 | dva |
Adjustment Income Loss From Equity Method Investments
AdjustmentIncomeLossFromEquityMethodInvestments
|
-17766000 | |
CY2015 | dva |
Adjustment Income Loss From Equity Method Investments
AdjustmentIncomeLossFromEquityMethodInvestments
|
-9293000 | |
CY2014 | dva |
Adjustment Income Loss From Equity Method Investments
AdjustmentIncomeLossFromEquityMethodInvestments
|
-10125000 | |
CY2016 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
7338000 | |
CY2015 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
-44691000 | |
CY2014 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
-39274000 | |
CY2016 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
152240000 | |
CY2015 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
202867000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
40676000 | |
CY2016 | us-gaap |
Increase Decrease In Inventories
IncreaseDecreaseInInventories
|
-22920000 | |
CY2015 | us-gaap |
Increase Decrease In Inventories
IncreaseDecreaseInInventories
|
48313000 | |
CY2014 | us-gaap |
Increase Decrease In Inventories
IncreaseDecreaseInInventories
|
46398000 | |
CY2016 | dva |
Increase Decrease In Other Current Receivables And Other Current Assets
IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
|
54038000 | |
CY2015 | dva |
Increase Decrease In Other Current Receivables And Other Current Assets
IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
|
-32761000 | |
CY2014 | dva |
Increase Decrease In Other Current Receivables And Other Current Assets
IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
|
61674000 | |
CY2016 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-35893000 | |
CY2015 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-3723000 | |
CY2014 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-2916000 | |
CY2016 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
11897000 | |
CY2015 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
30998000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
-2956000 | |
CY2016 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
68272000 | |
CY2014 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
97261000 | |
CY2015 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
24175000 | |
CY2016 | us-gaap |
Increase Decrease In Other Current Liabilities
IncreaseDecreaseInOtherCurrentLiabilities
|
176494000 | |
CY2014 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-60475000 | |
CY2015 | us-gaap |
Increase Decrease In Other Current Liabilities
IncreaseDecreaseInOtherCurrentLiabilities
|
113470000 | |
CY2015 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
17911000 | |
CY2014 | us-gaap |
Increase Decrease In Other Current Liabilities
IncreaseDecreaseInOtherCurrentLiabilities
|
83590000 | |
CY2015 | dva |
Increase Decrease In Loss Contingency Payments
IncreaseDecreaseInLossContingencyPayments
|
-493775000 | |
CY2014 | dva |
Increase Decrease In Loss Contingency Payments
IncreaseDecreaseInLossContingencyPayments
|
-410356000 | |
CY2016 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
62230000 | |
CY2016 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
30517000 | |
CY2015 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
33354000 | |
CY2014 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
-1583000 | |
CY2016 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
1963444000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
1557200000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
1459407000 | |
CY2016 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
829095000 | |
CY2015 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
707998000 | |
CY2014 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
641330000 | |
CY2016 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
563856000 | |
CY2015 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
96469000 | |
CY2014 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
272094000 | |
CY2016 | us-gaap |
Proceeds From Sales Of Business Affiliate And Productive Assets
ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets
|
64725000 | |
CY2015 | us-gaap |
Proceeds From Sales Of Business Affiliate And Productive Assets
ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets
|
19715000 | |
CY2014 | us-gaap |
Proceeds From Sales Of Business Affiliate And Productive Assets
ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets
|
8791000 | |
CY2016 | us-gaap |
Payments To Acquire Available For Sale Securities
PaymentsToAcquireAvailableForSaleSecurities
|
13539000 | |
CY2015 | us-gaap |
Payments To Acquire Available For Sale Securities
PaymentsToAcquireAvailableForSaleSecurities
|
8783000 | |
CY2014 | us-gaap |
Payments To Acquire Available For Sale Securities
PaymentsToAcquireAvailableForSaleSecurities
|
8440000 | |
CY2016 | us-gaap |
Payments To Acquire Held To Maturity Securities
PaymentsToAcquireHeldToMaturitySecurities
|
1133192000 | |
CY2015 | us-gaap |
Payments To Acquire Held To Maturity Securities
PaymentsToAcquireHeldToMaturitySecurities
|
1709883000 | |
CY2014 | us-gaap |
Payments To Acquire Held To Maturity Securities
PaymentsToAcquireHeldToMaturitySecurities
|
472628000 | |
CY2016 | us-gaap |
Proceeds From Sale Of Available For Sale Securities
ProceedsFromSaleOfAvailableForSaleSecurities
|
18963000 | |
CY2015 | us-gaap |
Proceeds From Sale Of Available For Sale Securities
ProceedsFromSaleOfAvailableForSaleSecurities
|
2058000 | |
CY2014 | us-gaap |
Proceeds From Sale Of Available For Sale Securities
ProceedsFromSaleOfAvailableForSaleSecurities
|
2475000 | |
CY2016 | us-gaap |
Proceeds From Sale And Maturity Of Held To Maturity Securities
ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
|
1240502000 | |
CY2015 | us-gaap |
Proceeds From Sale And Maturity Of Held To Maturity Securities
ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
|
1637358000 | |
CY2014 | us-gaap |
Proceeds From Sale And Maturity Of Held To Maturity Securities
ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
|
141072000 | |
CY2014 | us-gaap |
Payments To Acquire Intangible Assets
PaymentsToAcquireIntangibleAssets
|
1018000 | |
CY2016 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
27096000 | |
CY2014 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
35382000 | |
CY2016 | us-gaap |
Proceeds From Sale Of Equity Method Investments
ProceedsFromSaleOfEquityMethodInvestments
|
40920000 | |
CY2015 | us-gaap |
Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital
ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
|
129000 | |
CY2014 | us-gaap |
Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital
ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
|
825000 | |
CY2016 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-1201668000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-881784000 | |
CY2016 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
51991490000 | |
CY2016 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
13251000 | |
CY2015 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
26155000 | |
CY2014 | us-gaap |
Payments Of Distributions To Affiliates
PaymentsOfDistributionsToAffiliates
|
149339000 | |
CY2014 | us-gaap |
Proceeds From Contributions From Affiliates
ProceedsFromContributionsFromAffiliates
|
64655000 | |
CY2014 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
3777000 | |
CY2016 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
21512000 | |
CY2015 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
66382000 | |
CY2014 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
17876000 | |
CY2016 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-1351981000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-138970000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-164979000 | |
CY2016 | us-gaap |
Effect Of Exchange Rate On Cash And Cash Equivalents
EffectOfExchangeRateOnCashAndCashEquivalents
|
4276000 | |
CY2015 | us-gaap |
Effect Of Exchange Rate On Cash And Cash Equivalents
EffectOfExchangeRateOnCashAndCashEquivalents
|
-2571000 | |
CY2014 | us-gaap |
Effect Of Exchange Rate On Cash And Cash Equivalents
EffectOfExchangeRateOnCashAndCashEquivalents
|
2293000 | |
CY2016 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
-585929000 | |
CY2015 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
533875000 | |
CY2014 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
18992000 | |
CY2014Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
965241000 | |
CY2013Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
946249000 | |
CY2016 | 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;"><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’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;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 operates in a highly regulated industry and is a party to various lawsuits, claims, governmental investigations and audits (including investigations resulting from its obligation to self-report suspected violations of law) and other legal proceedings. The Company records accruals for certain legal proceedings and regulatory matters to the extent that the Company determines an unfavorable outcome is probable and the amount of the loss can be reasonably estimated. While these accruals reflect the Company’s best estimate of the probable loss for those matters as the dates of those accruals, the recorded amounts may differ materially from the actual amount of the losses for those matters. Additionally, in some cases, no estimate of the possible loss or range of loss in excess of amounts accrued, if any, can be made because of the inherently unpredictable nature of legal proceedings and regulatory matters, which may be exacerbated by various factors, including that they may involve indeterminate claims for monetary damages or may involve fines, penalties or non-monetary remedies; present novel legal theories or legal uncertainties; involve disputed facts; represent a shift in regulatory policy; are in the early stages of the proceedings; or result in a change of business practices. Further, there may be various levels of judicial review available to the Company in connection with any such proceeding.</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 following is a description of certain lawsuits, claims, governmental investigations and audits and other legal proceedings to which the Company is subject.</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 (FCA). The relators also alleged 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. 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’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 related 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 further that certain other providers that operate dialysis clinics in New York may have received a similar request for documents. The Company cooperated with the government and produced the requested documents. In April 2014, the Company reached an agreement in principle with the government. In March 2016, the Company finalized and executed settlement agreements with the State of New York and the U.S. Department of Justice (DOJ), including a settlement payment of an immaterial amount.</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>: In April 2013, HealthCare Partners (HCP), now known as the Company’s DaVita Medical Group (DMG) subsidiary, was one of several defendants served with a civil complaint filed by a former employee of SCAN Health Plan (SCAN), an HMO. On July 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 his initial <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 2009 and 2010, the relator twice amended his complaint and added additional defendants, and in November 2011, he filed his Third Amended Complaint under seal alleging violations of the federal FCA and the California False Claims Act, and added 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 HCC and RAF scores. The complaint sought monetary damages and civil penalties as well as costs and expenses. The DOJ reviewed these allegations and in January 2013 declined to intervene in the case. HCP and the other defendants filed motions to dismiss the Third Amended Complaint, and the court dismissed with prejudice the claims and judgment was entered in September 2013. Upon the plaintiff’s appeal, a panel of the Ninth Circuit overturned the trial court’s ruling and vacated the dismissal of the case. The Company, with certain defendants, petitioned the Ninth Circuit for a rehearing, but in December 2016, the Ninth Circuit rejected the petition and determined the relator should be given an opportunity to amend the complaint, and remanded the case back to district court.</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 for medical records from six different dialysis centers in southern California operated by the Company. Specifically, each subpoena sought 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. On February 8, 2017, the Company was served with a qui tam complaint in the U.S. District Court for the Central District of California. The Company has been advised by an attorney with the United States Attorney’s Office for the Central District of California that the qui tam is related to the investigation concerning the medical necessity of patient transportation, which was the basis for the subpoenas. The relator alleges that an ambulance company submitted false claims for patient transportation. Although the Company does not provide transportation nor does it bill for the transport of its dialysis patients, the relator alleges that two of its purported clinical staff caused the submission of a small number of those claims through improper certifications of medical necessity. The Company is investigating these allegations and intends to defend accordingly. The DOJ has declined to intervene.</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. Office of Inspector General (OIG) Medicare Advantage Civil Investigation</font>: In March 2015, JSA HealthCare Corporation (JSA), a subsidiary of DMG, received a subpoena from the OIG. The Company has been advised by an attorney with the Civil Division of the DOJ in Washington, D.C. that the subpoena relates to an ongoing civil investigation concerning Medicare Advantage service providers’ 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’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’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’s and its subsidiaries’ (including DMG’s and its subsidiary JSA’s) 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. The information requested includes information relating to patient diagnosis coding practices for a number of conditions, including potentially improper historical DMG coding for a particular condition. With respect to that condition, the guidance related to that coding issue was discontinued following the Company’s November 1, 2012 acquisition of DMG, and the Company notified CMS in April 2015 of the coding practice and potential overpayments. In that regard, the Company has identified certain additional coding practices which may have been problematic and is in discussions with the DOJ about the scope and nature of a review of claims relating to those practices. The Company is cooperating with the government and is producing the requested information. In addition, the Company is continuing to review other DMG coding practices to determine whether there were any improper coding issues. In connection with the DMG merger, the Company has certain indemnification rights against the sellers and an escrow was established as security for the indemnification. The Company has submitted an indemnification claim against the sellers secured by the escrow for any and all liabilities incurred relating to these matters and intends to pursue recovery from the escrow. However, the Company can make no assurances that the indemnification and escrow will cover the full amount of the Company’s potential losses related to 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;"><font style="text-decoration:underline;">2015 U.S. Department of Justice Vascular Access Investigation and Related </font><font style="font-style:italic;text-decoration:underline;">Qui Tam</font><font style="text-decoration:underline;"> Litigation</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 DOJ. The CID relates to two vascular access centers in Florida that are part of Lifeline’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 appeared to be looking at whether angiograms 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 cooperated with the government and produced the requested information. The DOJ investigation was initiated pursuant to a complaint brought under the <font style="font-style:italic;">qui tam</font> provisions of the FCA (the Complaint). The Complaint was originally filed under seal in August 2014 in the U.S. District Court, Middle District of Florida, United States ex. rel James Spafford v. DaVita HealthCare Partners, Inc., et al., Case Number 6:14-cv-1251-Orl-41DAB, naming several doctors along with the Company as defendants. In December 2015, a First Amended Complaint was filed under seal. In May 2016, the First Amended Complaint was unsealed. The First Amended Complaint alleges violations of the FCA due to the submission of claims to the government for allegedly medically unnecessary angiograms and angiography procedures at the two vascular access centers as well as employment-related claims. The Complaint covers alleged conduct dating from July 2008, prior to the Company’s acquisition of the centers, to the present. The DOJ declined to intervene. In the third quarter of 2016 the Company recorded an accrual of a non-material amount for potential damages and liabilities. In January 2017, the Company finalized and executed a settlement agreement with the relator and the government for an immaterial amount.</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’s Office for the Northern District of Texas. 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, as well as into the Company’s relationship with pharmaceutical manufacturers. The CID covers the period from January 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 2015 that it was conducting this review of DaVita Rx and began providing regular updates of its review. As of December 31, 2016, the Company recorded estimated accruals totaling $38,330 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. 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 overlap with information requested by the U.S. Attorney’s Office. The Company may accrue additional reserves for refunds and related damages and potential liabilities arising out of this review. The Company does not know if the U.S. Attorney’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 February 2016 that its submission was not accepted. They indicated that the OIG is not expressing an opinion regarding the conduct disclosed or the Company’s legal positions. The Company is cooperating with the government and is producing the requested information<font style="color:#000000;">.</font></p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;color:#000000;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;">Solari Post-Acquisition Matter</font>:<font style="font-style:italic;"> </font>In 2016, HCP Nevada disclosed to the <font style="color:#000000;">OIG for the Department of Health and Human Services (HHS) that </font>proper procedures for clinical and eligibility determinations may not have been followed by Las Vegas Solari Hospice (Solari), which was acquired in March 2013 and sold in September 2016 by HCP Nevada. In June 2016, the Company was notified by the OIG that the disclosure submission had been accepted into the OIG’s Self Disclosure Protocol. The Company recorded an estimated accrual of $<font style="color:#000000;">16,000 </font>for potential damages and liabilities associated with this matter. HCP Nevada had previously made a disclosure and repayment of overpayments to National Government Services (NGS), the Medicare Administrative Contractor for HCP Nevada, for claims submitted by Solari to the federal government prior to DMG’s acquisition of Solari and claims made to the government post-acquisition for which the sellers had certain responsibilities pursuant to a management services agreement. The Company may accrue additional reserves for potential damages and liabilities related to this matter. The Company is cooperating with the government in this matter.</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;">2017 U.S. Attorney American Kidney Fund Investigation</font>. On January 4, 2017, the Company was served with an administrative subpoena for records by the United States Attorney’s Office, District of Massachusetts, relating to an investigation into possible federal health care offenses. The subpoena covers the period from January 1, 2007 through the present, and seeks documents relevant to charitable patient assistance organizations, particularly the American Kidney Fund, including documents related to efforts to provide patients with information concerning the availability of charitable assistance. The Company intends to cooperate with the government in this 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;">Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved (other than as described above), 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. In addition to the inquiries and proceedings specifically identified above, the Company is frequently subject to other inquiries by state or federal government agencies and/or private civil qui tam complaints filed by relators. Negative findings or terms and conditions that the Company might agree to accept as part of a negotiated resolution of pending or future government inquiries or relator proceedings could result in, among other things, substantial financial penalties or awards against the Company, substantial payments made by the Company, harm to the Company’s reputation, required changes to the Company’s business practices, exclusion from future participation in the Medicare, Medicaid and other federal health care programs and, if criminal proceedings were initiated against the Company, possible criminal penalties, any of which could have a material adverse effect on the Company. </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 Claims </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;">Peace Officers’ Annuity and Benefit of Georgia Securities Laws Class Action Civil Suit</font>: On February 1, 2017, the Peace Officers’ Annuity and Benefit Fund of Georgia filed a putative federal securities class action complaint in the U.S. District Court for the District of Colorado against the Company and certain executives. The complaint covers the time period of August 2015 to October 2016 and alleges, generally, that the Company and its executives violated<font style="font-weight:bold;font-style:italic;"> </font>federal securities laws concerning the Company’s financial results and revenue derived from patients who received charitable premium assistance from an industry-funded non-profit organization. The complaint further alleges that the process by which patients obtained commercial insurance and received charitable premium assistance was improper and “created a false impression of DaVita’s business and operational status and future growth prospects.” The Company disputes these allegations and intends to defend this action accordingly.</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;">Blackburn Shareholder Derivative Civil Suit</font>: On February 10, 2017, Charles Blackburn filed a derivative shareholder lawsuit in the U.S. District Court for the District of Delaware against the Company, as nominal defendant, the Board of Directors and certain executives. The complaint covers the time period from 2015 to present and alleges, generally, breach of fiduciary duty, unjust enrichment and misrepresentations and/or failures to disclose certain information in violation of the federal securities laws in the Company’s 2016 proxy statement in connection with an alleged practice to direct patients with government-subsidized health insurance into private health insurance plans to maximize the Company’s profits. The Company disputes these allegations and intends to defend this action accordingly.</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 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;">In addition to the foregoing, from time to time the Company is subject to other lawsuits, claims, governmental investigations and audits and legal proceedings that arise due to the nature of its business, including contractual disputes, such as with payors, suppliers and others, employee-related matters and professional and general liability 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;">From time to time, the Company initiates litigation or other legal proceedings as a plaintiff arising out of contracts or other matters. In that regard, the Company had a pending lawsuit in the U.S. Court of Federal Claims against the federal government which was originally filed in May 2011. The lawsuit related to the U.S. Department of Veterans Affairs (VA) underpayment of dialysis services the Company provided from 2005 through 2011 to veterans pursuant to VA regulations. In January 2017, the Company reached a resolution of its claims with the government for $538,000, which the Company expects to recognize in its first quarter 2017 financial statements.</p> <p style="text-align:center;margin-bottom:0pt;margin-top:10pt;text-indent:0%;font-size:11pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">* * *</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;">Other than as described above, the Company cannot predict the ultimate outcomes of the various legal proceedings and regulatory matters to which the Company is or may be subject from time to time, including those described in this Note 17, or the timing of their resolution or the ultimate losses or impact of developments in those matters, which could have a material adverse effect on the Company’s revenues, earnings and cash flows. Further, any legal proceedings or regulatory matters involving the Company, whether meritorious or not, are time consuming, and often require management’s attention and result in significant legal expense, and may result in the diversion of significant operational resources, or otherwise harm the Company’s business or reputation. </p></div> | |
CY2016 | 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 and 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> | |
CY2015Q4 | us-gaap |
Construction In Progress Gross
ConstructionInProgressGross
|
336513000 | |
CY2015 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1365000 | |
CY2016 | us-gaap |
Number Of Operating Segments
NumberOfOperatingSegments
|
2 | |
CY2016Q4 | us-gaap |
Number Of Countries In Which Entity Operates
NumberOfCountriesInWhichEntityOperates
|
11 | |
CY2016Q4 | us-gaap |
Deposits Assets Current
DepositsAssetsCurrent
|
75877000 | |
CY2016Q4 | dva |
Number Of Entities That Third Parties Held Non Controlling Equity Interests
NumberOfEntitiesThatThirdPartiesHeldNonControllingEquityInterests
|
490 | |
CY2016 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
879874000 | |
CY2015 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
269732000 | |
CY2014 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
723114000 | |
CY2016 | dva |
Weighted Average Number Basic Shares Outstanding Adjustment
WeightedAverageNumberBasicSharesOutstandingAdjustment
|
203835000 | |
CY2015 | dva |
Weighted Average Number Basic Shares Outstanding Adjustment
WeightedAverageNumberBasicSharesOutstandingAdjustment
|
214062000 | |
CY2014 | dva |
Weighted Average Number Basic Shares Outstanding Adjustment
WeightedAverageNumberBasicSharesOutstandingAdjustment
|
214496000 | |
CY2016 | us-gaap |
Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
|
2194000 | |
CY2015 | us-gaap |
Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
|
2194000 | |
CY2014 | us-gaap |
Weighted Average Number Of Shares Contingently Issuable
WeightedAverageNumberOfSharesContingentlyIssuable
|
2194000 | |
CY2016 | us-gaap |
Net Income Loss Attributable To Parent Diluted
NetIncomeLossAttributableToParentDiluted
|
879874000 | |
CY2015 | us-gaap |
Net Income Loss Attributable To Parent Diluted
NetIncomeLossAttributableToParentDiluted
|
269732000 | |
CY2014 | us-gaap |
Net Income Loss Attributable To Parent Diluted
NetIncomeLossAttributableToParentDiluted
|
723114000 | |
CY2016 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1070000 | |
CY2015 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
2190000 | |
CY2014 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
2432000 | |
CY2016 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
2523000 | |
CY2014 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1715000 | |
CY2016 | us-gaap |
Allowance For Doubtful Accounts Receivable Period Increase Decrease
AllowanceForDoubtfulAccountsReceivablePeriodIncreaseDecrease
|
-12088000 | |
CY2015 | us-gaap |
Allowance For Doubtful Accounts Receivable Period Increase Decrease
AllowanceForDoubtfulAccountsReceivablePeriodIncreaseDecrease
|
21470000 | |
CY2016Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
131833000 | |
CY2015Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
105216000 | |
CY2015Q4 | us-gaap |
Deposits Assets Current
DepositsAssetsCurrent
|
82679000 | |
CY2016Q4 | us-gaap |
Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
|
2894000 | |
CY2015Q4 | us-gaap |
Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
|
2427000 | |
CY2016Q4 | us-gaap |
Land
Land
|
59013000 | |
CY2015Q4 | us-gaap |
Land
Land
|
42080000 | |
CY2016Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
491301000 | |
CY2015Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
437283000 | |
CY2016Q4 | us-gaap |
Leasehold Improvements Gross
LeaseholdImprovementsGross
|
2598471000 | |
CY2015Q4 | us-gaap |
Leasehold Improvements Gross
LeaseholdImprovementsGross
|
2289425000 | |
CY2016Q4 | us-gaap |
Machinery And Equipment Gross
MachineryAndEquipmentGross
|
2378303000 | |
CY2015Q4 | us-gaap |
Machinery And Equipment Gross
MachineryAndEquipmentGross
|
2080446000 | |
CY2016Q4 | us-gaap |
Construction In Progress Gross
ConstructionInProgressGross
|
480439000 | |
CY2016Q4 | dva |
Intangible Lease Liabilities
IntangibleLeaseLiabilities
|
7420000 | |
CY2015Q4 | dva |
Intangible Lease Liabilities
IntangibleLeaseLiabilities
|
8969000 | |
CY2016Q4 | dva |
Finite Lived Intangible Liabilities Net
FiniteLivedIntangibleLiabilitiesNet
|
7420000 | |
CY2016Q4 | us-gaap |
Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
|
103679000 | |
CY2015Q4 | dva |
Finite Lived Intangible Liabilities Net
FiniteLivedIntangibleLiabilitiesNet
|
8969000 | |
CY2016Q4 | us-gaap |
Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
|
103679000 | |
CY2016Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
6007527000 | |
CY2015Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
5185747000 | |
CY2016Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
2832160000 | |
CY2015Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
2397007000 | |
CY2016 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
545734000 | |
CY2015 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
475484000 | |
CY2014 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
428309000 | |
CY2016 | us-gaap |
Interest Costs Capitalized
InterestCostsCapitalized
|
12990000 | |
CY2015 | us-gaap |
Interest Costs Capitalized
InterestCostsCapitalized
|
9723000 | |
CY2014 | us-gaap |
Interest Costs Capitalized
InterestCostsCapitalized
|
7888000 | |
CY2016Q4 | us-gaap |
Finite Lived Customer Relationships Gross
FiniteLivedCustomerRelationshipsGross
|
1568161000 | |
CY2015Q4 | us-gaap |
Finite Lived Customer Relationships Gross
FiniteLivedCustomerRelationshipsGross
|
1575865000 | |
CY2016Q4 | us-gaap |
Finite Lived Trade Names Gross
FiniteLivedTradeNamesGross
|
190761000 | |
CY2015Q4 | us-gaap |
Finite Lived Trade Names Gross
FiniteLivedTradeNamesGross
|
170883000 | |
CY2016Q4 | dva |
Provider Network And Practice Management Tools Gross
ProviderNetworkAndPracticeManagementToolsGross
|
187318000 | |
CY2015Q4 | dva |
Provider Network And Practice Management Tools Gross
ProviderNetworkAndPracticeManagementToolsGross
|
183724000 | |
CY2016Q4 | us-gaap |
Finite Lived Noncompete Agreements Gross
FiniteLivedNoncompeteAgreementsGross
|
512505000 | |
CY2015Q4 | us-gaap |
Finite Lived Noncompete Agreements Gross
FiniteLivedNoncompeteAgreementsGross
|
510521000 | |
CY2016Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
1546000 | |
CY2015Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
9310000 | |
CY2016Q4 | us-gaap |
Other Indefinite Lived Intangible Assets
OtherIndefiniteLivedIntangibleAssets
|
583000 | |
CY2015Q4 | us-gaap |
Other Indefinite Lived Intangible Assets
OtherIndefiniteLivedIntangibleAssets
|
408000 | |
CY2016Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
2468498000 | |
CY2015Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
2458017000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
940731000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
770691000 | |
CY2016 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
174518000 | |
CY2015 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
166537000 | |
CY2014 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
167956000 | |
CY2016 | dva |
Amortization Of Intangible Assets And Liabilities Net
AmortizationOfIntangibleAssetsAndLiabilitiesNet
|
-923000 | |
CY2015 | dva |
Amortization Of Intangible Assets And Liabilities Net
AmortizationOfIntangibleAssetsAndLiabilitiesNet
|
-1613000 | |
CY2014 | dva |
Amortization Of Intangible Assets And Liabilities Net
AmortizationOfIntangibleAssetsAndLiabilitiesNet
|
-1798000 | |
CY2016 | us-gaap |
Impairment Of Intangible Assets Excluding Goodwill
ImpairmentOfIntangibleAssetsExcludingGoodwill
|
0 | |
CY2016Q4 | dva |
Intangible Lease Liabilities Accumulated Amortization
IntangibleLeaseLiabilitiesAccumulatedAmortization
|
8485000 | |
CY2015Q4 | dva |
Intangible Lease Liabilities Accumulated Amortization
IntangibleLeaseLiabilitiesAccumulatedAmortization
|
6936000 | |
CY2016 | dva |
Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
|
0 | |
CY2015 | dva |
Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
|
3997000 | |
CY2014 | dva |
Amortization Expense Benefit From Alliance And Product Supply Agreement
AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
|
5330000 | |
CY2016 | us-gaap |
Impairment Of Investments
ImpairmentOfInvestments
|
14993000 | |
CY2016Q4 | us-gaap |
Held To Maturity Securities
HeldToMaturitySecurities
|
306827000 | |
CY2016Q4 | us-gaap |
Available For Sale Securities
AvailableForSaleSecurities
|
107050000 | |
CY2016Q4 | us-gaap |
Marketable Securities
MarketableSecurities
|
413877000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities
HeldToMaturitySecurities
|
406884000 | |
CY2015Q4 | us-gaap |
Available For Sale Securities
AvailableForSaleSecurities
|
90322000 | |
CY2015Q4 | us-gaap |
Marketable Securities
MarketableSecurities
|
497206000 | |
CY2016Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
306827000 | |
CY2016Q4 | us-gaap |
Available For Sale Securities Current
AvailableForSaleSecuritiesCurrent
|
3371000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
406884000 | |
CY2015Q4 | us-gaap |
Available For Sale Securities Current
AvailableForSaleSecuritiesCurrent
|
1200000 | |
CY2015 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
192834000 | |
CY2015Q4 | us-gaap |
Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
|
89122000 | |
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 | |
CY2014Q4 | us-gaap |
Goodwill
Goodwill
|
9415295000 | |
CY2015 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
97093000 | |
CY2015 | us-gaap |
Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
|
8781000 | |
CY2015Q4 | us-gaap |
Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
|
89122000 | |
CY2016Q4 | us-gaap |
Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
AvailableForSaleSecuritiesAccumulatedGrossUnrealizedGainLossBeforeTax
|
3701000 | |
CY2015Q4 | us-gaap |
Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
AvailableForSaleSecuritiesAccumulatedGrossUnrealizedGainLossBeforeTax
|
2589000 | |
CY2016 | us-gaap |
Proceeds From Sale Of Available For Sale Securities Equity
ProceedsFromSaleOfAvailableForSaleSecuritiesEquity
|
14971000 | |
CY2015 | us-gaap |
Proceeds From Sale Of Available For Sale Securities Equity
ProceedsFromSaleOfAvailableForSaleSecuritiesEquity
|
1295000 | |
CY2016 | us-gaap |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
|
690000 | |
CY2015 | us-gaap |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
|
618000 | |
CY2016 | dva |
Other Comprehensive Income Loss Reclassification Adjustment From Aoci For Sale Of Securities Net Of Sold In Current Quarter Net Of Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfSoldInCurrentQuarterNetOfTax
|
423000 | |
CY2016 | dva |
Income Loss From Continuing Operations Including Noncontrolling Interest Before Income Taxes
IncomeLossFromContinuingOperationsIncludingNoncontrollingInterestBeforeIncomeTaxes
|
1488895000 | |
CY2015 | dva |
Income Loss From Continuing Operations Including Noncontrolling Interest Before Income Taxes
IncomeLossFromContinuingOperationsIncludingNoncontrollingInterestBeforeIncomeTaxes
|
723136000 | |
CY2014 | dva |
Income Loss From Continuing Operations Including Noncontrolling Interest Before Income Taxes
IncomeLossFromContinuingOperationsIncludingNoncontrollingInterestBeforeIncomeTaxes
|
1309673000 | |
CY2015 | us-gaap |
Goodwill Foreign Currency Translation Gain Loss
GoodwillForeignCurrencyTranslationGainLoss
|
-16294000 | |
CY2016 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
447828000 | |
CY2016 | us-gaap |
Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
|
44759000 | |
CY2016 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
281415000 | |
CY2016 | us-gaap |
Goodwill Foreign Currency Translation Gain Loss
GoodwillForeignCurrencyTranslationGainLoss
|
-8816000 | |
CY2016Q4 | us-gaap |
Goodwill Gross
GoodwillGross
|
9883410000 | |
CY2016Q4 | us-gaap |
Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
|
476093000 | |
CY2014 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
1000000 | |
CY2016Q4 | dva |
Percentage Change In Operating Income Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment
PercentageChangeInOperatingIncomeUsedToEvaluateFairValueOfReportingUnitForGoodwillAssessment
|
0.03 | |
CY2016Q4 | dva |
Percentage Change In Discount Rate Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment
PercentageChangeInDiscountRateUsedToEvaluateFairValueOfReportingUnitForGoodwillAssessment
|
0.0100 | |
CY2016Q4 | us-gaap |
Customer Advances And Deposits Current
CustomerAdvancesAndDepositsCurrent
|
277482000 | |
CY2015Q4 | us-gaap |
Customer Advances And Deposits Current
CustomerAdvancesAndDepositsCurrent
|
153104000 | |
CY2016Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
7217000 | |
CY2015Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
29050000 | |
CY2016Q4 | us-gaap |
Accrued Insurance Current
AccruedInsuranceCurrent
|
80437000 | |
CY2015Q4 | us-gaap |
Accrued Insurance Current
AccruedInsuranceCurrent
|
80355000 | |
CY2016Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
82234000 | |
CY2015Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
81585000 | |
CY2016Q4 | dva |
Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
|
36645000 | |
CY2015Q4 | dva |
Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
|
53687000 | |
CY2016Q4 | us-gaap |
Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
|
27759000 | |
CY2015Q4 | us-gaap |
Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
|
29291000 | |
CY2016Q4 | us-gaap |
Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
|
345073000 | |
CY2015Q4 | us-gaap |
Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
|
255051000 | |
CY2016 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
1144544000 | |
CY2015 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
764998000 | |
CY2014 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
1341208000 | |
CY2016 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
|
344351000 | |
CY2015 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
|
-41862000 | |
CY2014 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
|
-31535000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.350 | |
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 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.012 | |
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 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
|
0.002 | |
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 | |
CY2016 | dva |
Effective Income Tax Rate Reconciliation Gain On Changes In Ownership Interest
EffectiveIncomeTaxRateReconciliationGainOnChangesInOwnershipInterest
|
-0.098 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense Impairment Losses
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseImpairmentLosses
|
0.067 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense Impairment Losses
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseImpairmentLosses
|
0.117 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.006 | |
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 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
0.002 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
0.015 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.008 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
|
-0.035 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
|
-0.113 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
|
-0.040 | |
CY2016 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.306 | |
CY2015 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.409 | |
CY2014 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.341 | |
CY2016Q4 | us-gaap |
Undistributed Earnings Of Foreign Subsidiaries
UndistributedEarningsOfForeignSubsidiaries
|
381523000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Undistributed Foreign Earnings
DeferredTaxLiabilitiesUndistributedForeignEarnings
|
0 | |
CY2016Q4 | dva |
Deferred Tax Assets Receivables
DeferredTaxAssetsReceivables
|
19283000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
|
318596000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
130456000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
147487000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
615822000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
56016000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
559806000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
1025488000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
230870000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Investments
DeferredTaxLiabilitiesInvestments
|
95936000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
16640000 | |
CY2016Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
1368934000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
809128000 | |
CY2016 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
1795000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Present Value Of Net Minimum Payments
CapitalLeasesFutureMinimumPaymentsPresentValueOfNetMinimumPayments
|
299682000 | |
CY2014 | us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
460093000 | |
CY2016Q4 | us-gaap |
Capital Leases Balance Sheet Assets By Major Class Net
CapitalLeasesBalanceSheetAssetsByMajorClassNet
|
263995000 | |
CY2015Q4 | us-gaap |
Capital Leases Balance Sheet Assets By Major Class Net
CapitalLeasesBalanceSheetAssetsByMajorClassNet
|
261960000 | |
CY2016 | us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
563204000 | |
CY2015 | us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
514287000 | |
CY2016 | dva |
Increase Decrease In Realizability Of Losses
IncreaseDecreaseInRealizabilityOfLosses
|
8339000 | |
CY2015Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
39011000 | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
9714000 | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
23382000 | |
CY2014Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
31877000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
6131000 | |
CY2015 | dva |
Unrecognized Tax Benefits Increases Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesDecreasesResultingFromPriorPeriodTaxPositions
|
2999000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1996000 | |
CY2016 | us-gaap |
Debt Instrument Interest Rate During Period
DebtInstrumentInterestRateDuringPeriod
|
0.0443 | |
CY2016Q4 | us-gaap |
Longterm Debt Weighted Average Interest Rate
LongtermDebtWeightedAverageInterestRate
|
0.0452 | |
CY2016 | us-gaap |
Interest Expense Debt
InterestExpenseDebt
|
394279000 | |
CY2015 | us-gaap |
Interest Expense Debt
InterestExpenseDebt
|
389755000 | |
CY2014 | us-gaap |
Interest Expense Debt
InterestExpenseDebt
|
385750000 | |
CY2016 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
20103000 | |
CY2015 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
18625000 | |
CY2014 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
24544000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
473302000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
442959000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
401242000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
354559000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
310704000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
1244309000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
3227075000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
|
37758000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
|
34442000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
|
35292000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Four Years
CapitalLeasesFutureMinimumPaymentsDueInFourYears
|
35575000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Five Years
CapitalLeasesFutureMinimumPaymentsDueInFiveYears
|
31133000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Thereafter
CapitalLeasesFutureMinimumPaymentsDueThereafter
|
232191000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due
CapitalLeasesFutureMinimumPaymentsDue
|
406391000 | |
CY2016 | us-gaap |
Unrecorded Unconditional Purchase Obligation Description
UnrecordedUnconditionalPurchaseObligationDescription
|
Certain consolidated joint ventures are originally contractually scheduled to dissolve after terms ranging from 10 to 50 years. | |
CY2016Q4 | us-gaap |
Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions
|
7337266 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Interest Included In Payments
CapitalLeasesFutureMinimumPaymentsInterestIncludedInPayments
|
106709000 | |
CY2016Q4 | us-gaap |
Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Outstanding Options Weighted Average Exercise Price Beginning Balance1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1
|
64.90 | |
CY2016Q4 | us-gaap |
Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions
|
3026721 | |
CY2016Q4 | us-gaap |
Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Exercisable Options Weighted Average Exercise Price1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1
|
56.83 | |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
73001000 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
116933000 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
151342000 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
79717000 | |
CY2016Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
23566000 | |
CY2016Q2 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
7500000 | |
CY2016 | dva |
Longterm Incentive Program Compensation Cost
LongtermIncentiveProgramCompensationCost
|
73337000 | |
CY2015 | dva |
Longterm Incentive Program Compensation Cost
LongtermIncentiveProgramCompensationCost
|
130682000 | |
CY2014 | dva |
Longterm Incentive Program Compensation Cost
LongtermIncentiveProgramCompensationCost
|
118970000 | |
CY2016 | dva |
Employee Service Share Based Compensation Estimated Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationEstimatedTaxBenefitFromCompensationExpense
|
12731000 | |
CY2015 | dva |
Employee Service Share Based Compensation Estimated Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationEstimatedTaxBenefitFromCompensationExpense
|
19689000 | |
CY2014 | dva |
Employee Service Share Based Compensation Estimated Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationEstimatedTaxBenefitFromCompensationExpense
|
20351000 | |
CY2016Q4 | dva |
Longterm Incentive Program Awards Compensation Cost Not Yet Recognized Net
LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedNet
|
92987000 | |
CY2016Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
|
59016000 | |
CY2016 | dva |
Longterm Incentive Program Awards Compensation Cost Not Yet Recognized Period For Recognition
LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedPeriodForRecognition
|
P1Y | |
CY2016 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
|
P1Y4M24D | |
CY2016 | us-gaap |
Employee Service Share Based Compensation Tax Benefit Realized From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
|
28397000 | |
CY2015 | us-gaap |
Employee Service Share Based Compensation Tax Benefit Realized From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
|
45749000 | |
CY2014 | us-gaap |
Employee Service Share Based Compensation Tax Benefit Realized From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
|
59119000 | |
CY2016 | us-gaap |
Employee Service Share Based Compensation Cash Received From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationCashReceivedFromExerciseOfStockOptions
|
0 | |
CY2015 | us-gaap |
Employee Service Share Based Compensation Cash Received From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationCashReceivedFromExerciseOfStockOptions
|
0 | |
CY2014 | us-gaap |
Employee Service Share Based Compensation Cash Received From Exercise Of Stock Options
EmployeeServiceShareBasedCompensationCashReceivedFromExerciseOfStockOptions
|
0 | |
CY2016 | us-gaap |
Treasury Stock Shares Acquired
TreasuryStockSharesAcquired
|
16649090 | |
CY2015 | us-gaap |
Treasury Stock Shares Acquired
TreasuryStockSharesAcquired
|
7779958 | |
CY2016 | us-gaap |
Treasury Stock Value Acquired Cost Method
TreasuryStockValueAcquiredCostMethod
|
1072377000 | |
CY2015 | us-gaap |
Treasury Stock Value Acquired Cost Method
TreasuryStockValueAcquiredCostMethod
|
575380000 | |
CY2016 | us-gaap |
Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
|
64.41 | |
CY2015 | us-gaap |
Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
|
73.96 | |
CY2016Q3 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
1240748000 | |
CY2015Q2 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
259252000 | |
CY2016Q4 | us-gaap |
Stock Repurchase Program Remaining Authorized Repurchase Amount1
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1
|
677104000 | |
CY2016 | dva |
Charter Documents And Delaware Law Description
CharterDocumentsAndDelawareLawDescription
|
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 which, 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. | |
CY2016 | us-gaap |
Minority Interest Period Increase Decrease
MinorityInterestPeriodIncreaseDecrease
|
-13105000 | |
CY2015 | us-gaap |
Minority Interest Period Increase Decrease
MinorityInterestPeriodIncreaseDecrease
|
-55826000 | |
CY2014 | us-gaap |
Minority Interest Period Increase Decrease
MinorityInterestPeriodIncreaseDecrease
|
-5002000 | |
CY2016 | dva |
Net Income Attributable To Parent Net Of Transfers To Noncontrolling Interests
NetIncomeAttributableToParentNetOfTransfersToNoncontrollingInterests
|
866769000 | |
CY2015 | dva |
Net Income Attributable To Parent Net Of Transfers To Noncontrolling Interests
NetIncomeAttributableToParentNetOfTransfersToNoncontrollingInterests
|
213906000 | |
CY2014 | dva |
Net Income Attributable To Parent Net Of Transfers To Noncontrolling Interests
NetIncomeAttributableToParentNetOfTransfersToNoncontrollingInterests
|
718112000 | |
CY2014 | us-gaap |
Business Combination Consideration Transferred Liabilities Incurred
BusinessCombinationConsiderationTransferredLiabilitiesIncurred
|
136000 | |
CY2016 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P7Y | |
CY2015 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P8Y | |
CY2014 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P10Y | |
CY2016Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
173718000 | |
CY2015Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
73733000 | |
CY2015Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
215872000 | |
CY2015Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
170477000 | |
CY2014Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
175247000 | |
CY2016 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
14875592000 | |
CY2015 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
14342138000 | |
CY2016 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
884284000 | |
CY2015 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
280124000 | |
CY2016 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
4.39 | |
CY2015 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
1.32 | |
CY2016 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
4.32 | |
CY2015 | dva |
Segment Reporting Information Corporate Expenses
SegmentReportingInformationCorporateExpenses
|
18965000 | |
CY2014 | dva |
Segment Reporting Information Corporate Expenses
SegmentReportingInformationCorporateExpenses
|
13012000 | |
CY2015 | dva |
Debt Redemption And Refinancing Charges
DebtRedemptionAndRefinancingCharges
|
48072000 | |
CY2014 | dva |
Debt Redemption And Refinancing Charges
DebtRedemptionAndRefinancingCharges
|
97548000 | |
CY2016 | us-gaap |
Income Taxes Paid
IncomeTaxesPaid
|
339411000 | |
CY2015 | us-gaap |
Income Taxes Paid
IncomeTaxesPaid
|
156075000 | |
CY2014 | us-gaap |
Income Taxes Paid
IncomeTaxesPaid
|
238615000 | |
CY2016 | us-gaap |
Interest Paid
InterestPaid
|
406987000 | |
CY2015 | us-gaap |
Interest Paid
InterestPaid
|
405120000 | |
CY2014 | us-gaap |
Interest Paid
InterestPaid
|
351967000 | |
CY2016 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
28127000 | |
CY2015 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
74035000 | |
CY2014 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
72389000 | |
CY2016Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3717651000 | |
CY2016Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3581136000 | |
CY2015Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3533589000 | |
CY2015Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3525665000 | |
CY2015Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3434618000 | |
CY2015Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
3287965000 | |
CY2016Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
329070000 | |
CY2016Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
364889000 | |
CY2015Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
244935000 | |
CY2015Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
509368000 | |
CY2015Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
480548000 | |
CY2015Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
-64156000 | |
CY2015 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
1.30 | |
CY2015Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value High
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
|
34135000 | |
CY2016 | dva |
Business Combination Contingent Consideration Acquisitions
BusinessCombinationContingentConsiderationAcquisitions
|
1511000 | |
CY2016 | dva |
Business Combination Contingent Consideration Acquisitions Fair Value Remeasurement Gain Loss
BusinessCombinationContingentConsiderationAcquisitionsFairValueRemeasurementGainLoss
|
4132000 | |
CY2016 | dva |
Business Combination Contingent Consideration Acquisitions Earnouts Payments
BusinessCombinationContingentConsiderationAcquisitionsEarnoutsPayments
|
21537000 | |
CY2016Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value High
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
|
9977000 | |
CY2016Q4 | us-gaap |
Variable Interest Entity Consolidated Carrying Amount Assets
VariableInterestEntityConsolidatedCarryingAmountAssets
|
747574000 | |
CY2016Q4 | us-gaap |
Variable Interest Entity Consolidated Carrying Amount Liabilities
VariableInterestEntityConsolidatedCarryingAmountLiabilities
|
425034000 | |
CY2016Q4 | dva |
Number Of Customers Accounting For Approximately11 Of Consolidated Net Revenues
NumberOfCustomersAccountingForApproximately11OfConsolidatedNetRevenues
|
1 | |
CY2016Q4 | dva |
Number Of Customers Accounting For More Than10 Of Consolidated Accounts Receivable
NumberOfCustomersAccountingForMoreThan10OfConsolidatedAccountsReceivable
|
0 | |
CY2015Q4 | dva |
Number Of Customers Accounting For More Than10 Of Consolidated Accounts Receivable
NumberOfCustomersAccountingForMoreThan10OfConsolidatedAccountsReceivable
|
0 | |
CY2016 | dva |
Segment Reporting Information Corporate Expenses
SegmentReportingInformationCorporateExpenses
|
44561000 | |
CY2016Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
229391000 | |
CY2016Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
264981000 | |
CY2015Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
146307000 | |
CY2015Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
408371000 | |
CY2015Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
330539000 | |
CY2015Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
-162081000 | |
CY2016Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
53382000 | |
CY2016Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
97434000 | |
CY2015Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-6000000 | |
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 | |
CY2016 | us-gaap |
Payments For Proceeds From Businesses And Interest In Affiliates
PaymentsForProceedsFromBusinessesAndInterestInAffiliates
|
563856000 | |
CY2016 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
64725000 | |
CY2015Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-110617000 | |
CY2016Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.81 | |
CY2016Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
2.80 | |
CY2016Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.80 | |
CY2016Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
2.76 | |
CY2016Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.26 | |
CY2016Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.47 | |
CY2015Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.03 | |
CY2015Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.00 | |
CY2015Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.78 | |
CY2015Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.52 | |
CY2015 | dva |
Debt Expense Including Debt Refinancing Charges
DebtExpenseIncludingDebtRefinancingCharges
|
456452000 | |
CY2014 | dva |
Debt Expense Including Debt Refinancing Charges
DebtExpenseIncludingDebtRefinancingCharges
|
507842000 | |
CY2016Q4 | dva |
Investments And Other Current Assets
InvestmentsAndOtherCurrentAssets
|
1149739000 | |
CY2016Q4 | us-gaap |
Investments And Other Noncurrent Assets
InvestmentsAndOtherNoncurrentAssets
|
650578000 | |
CY2016Q4 | dva |
Long Term Debt And Other Noncurrent
LongTermDebtAndOtherNoncurrent
|
10221813000 | |
CY2015Q4 | dva |
Investments And Other Current Assets
InvestmentsAndOtherCurrentAssets
|
1279936000 | |
CY2015Q4 | us-gaap |
Investments And Other Noncurrent Assets
InvestmentsAndOtherNoncurrentAssets
|
241050000 | |
CY2015Q4 | dva |
Long Term Debt And Other Noncurrent
LongTermDebtAndOtherNoncurrent
|
10167499000 | |
CY2016 | us-gaap |
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
|
930362000 | |
CY2016 | us-gaap |
Proceeds From Divestiture Of Businesses Net Of Cash Divested
ProceedsFromDivestitureOfBusinessesNetOfCashDivested
|
64725000 | |
CY2016 | dva |
Payments For Proceeds From Sale Of Investments In Securities And Other
PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
|
-126558000 | |
CY2016 | dva |
Proceeds From Repayments Of Long Term Debt
ProceedsFromRepaymentsOfLongTermDebt
|
-124442000 | |
CY2016 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-1227539000 | |
CY2015 | us-gaap |
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities
AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
|
1129790000 | |
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 |