2015 Q4 Form 10-K Financial Statement

#000156459017002409 Filed on February 24, 2017

View on sec.gov

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%

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<div> <div align="left"> <table border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse; width:100%;"> <tr> <td valign="top" style="width:4.54%;white-space:nowrap"> <p style="margin-bottom:0pt;margin-top:0pt;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;"><font style="font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">17.</font></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:0pt;font-weight:bold;font-style:normal;text-transform:none;font-variant: normal;font-family:Times New Roman;font-size:10pt;">Contingencies </p></td></tr></table></div> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The majority of the Company&#8217;s revenues are from government programs and may be subject to adjustment as a result of: (i)&#160;examination by government agencies or contractors, for which the resolution of any matters raised may take extended periods of time to finalize; (ii)&#160;differing interpretations of government regulations by different Medicare contractors or regulatory authorities; (iii)&#160;differing opinions regarding a patient&#8217;s medical diagnosis or the medical necessity of services provided; and (iv)&#160;retroactive applications or interpretations of governmental requirements. In addition, the Company&#8217;s revenues from commercial payors may be subject to adjustment as a result of potential claims for refunds, as a result of government actions or as a result of other claims by commercial payors.</p> <p style="margin-bottom:0pt;margin-top:10pt;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&#8217;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&#8217;s drug administration practices for the Company&#8217;s dialysis operations for Vitamin D and iron agents from 2003 through 2010 fraudulently created unnecessary waste, which was billed to and paid for by the government. In June 2015, the Company finalized the terms of the settlement with plaintiffs, including a settlement amount of $450,000 and attorney fees and other costs of $45,000 which was paid in 2015. </p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><font style="text-decoration:underline;">2011 U.S. Attorney Medicaid Investigation</font>: In October 2011, the Company announced that it would be receiving a request for documents, which could include an administrative subpoena from the OIG. Subsequent to the Company&#8217;s announcement of this 2011 U.S. Attorney Medicaid Investigation, the Company received a request for documents in connection with the inquiry by the U.S. Attorney&#8217;s Office for the Eastern District of New York. The request related to payments for infusion drugs covered by Medicaid composite payments for dialysis. It is the Company&#8217;s understanding that this inquiry is civil in nature. The Company understands further that certain other providers that operate dialysis clinics in New York may have received a similar request for documents. The Company 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>:&#160;In April 2013, HealthCare Partners (HCP), now known as the Company&#8217;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&#160;13, 2009, pursuant to the <font style="font-style:italic;">qui tam</font> provisions of the federal False Claims Act (FCA) and the California False Claims Act, James M. Swoben, as relator, filed 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&#160;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.&#160;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&#8217;s appeal, a panel of the Ninth Circuit overturned the trial court&#8217;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&#160;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&#8217;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.&#160;The Company is investigating these allegations and intends to defend accordingly.&#160;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&#8217; risk adjustment practices and data, including identification and verification of patient diagnoses and factors used in making the diagnoses. The subpoena requests documents and information for the period from January 1, 2008 through December 31, 2013, for certain Medicare Advantage plans for which JSA provided services. It also requests information regarding JSA&#8217;s communications about patient diagnoses as they relate to certain Medicare Advantage plans generally, and more specifically as related to two Florida physicians with whom JSA previously contracted. The Company is producing the requested information and is cooperating with the government&#8217;s investigation.</p> <p style="margin-top:10pt;margin-bottom:0pt;text-indent:4.54%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In addition to the subpoena described above, in June 2015, the Company received a subpoena from the OIG. This civil subpoena covers the period from January 1, 2008 through the present and seeks production of a wide range of documents relating to the Company&#8217;s and its subsidiaries&#8217; (including DMG&#8217;s and its subsidiary JSA&#8217;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&#8217;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&#8217;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&#8217;s vascular access business. The CID covers the period from January 1, 2008 through the present. The Company acquired these two centers in December 2012. Based on the language of the CID, the DOJ 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&#8217;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&#8217; wholly-owned subsidiary, DaVita Rx, received a CID from the U.S. Attorney&#8217;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&#8217;s relationship with pharmaceutical manufacturers. The CID covers the period from January&#160;1, 2006 through the present. In the spring of 2015, the Company initiated an internal compliance review of DaVita Rx during which it identified potential billing and operational issues. The Company notified the government in September 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&#8217;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&#8217;s Office, which is part of the DOJ, knew when it served the CID on the Company that it was already in the process of developing a self-disclosure to the OIG. The OIG informed the Company in February 2016 that its submission was not accepted.&#160;They indicated that the OIG is not expressing an opinion regarding the conduct disclosed or the Company&#8217;s legal positions. The Company 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&#8217;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&#8217;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&#8217;s Office, District of Massachusetts, relating to an investigation into possible federal health care offenses.&#160;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.&#160;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&#8217;s reputation, required changes to the Company&#8217;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&#8217; Annuity and Benefit of Georgia Securities Laws Class Action Civil Suit</font>: On February 1, 2017, the Peace Officers&#8217; 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.&#160;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&#8217;s financial results and revenue derived from patients who received charitable premium assistance from an industry-funded non-profit organization.&#160;The complaint further alleges that the process by which patients obtained commercial insurance and received charitable premium assistance was improper and &#8220;created a false impression of DaVita&#8217;s business and operational status and future growth prospects.&#8221;&#160;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>:&#160;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.&#160;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&#8217;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&#8217;s profits.&#160;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;">*&nbsp;&nbsp;*&nbsp;&nbsp;*</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&#8217;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&#8217;s attention and result in significant legal expense, and may result in the diversion of significant operational resources, or otherwise harm the Company&#8217;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&#8217;s best judgments at the time. All significant assumptions and estimates underlying the amounts reported in the financial statements and accompanying notes are regularly reviewed and updated when necessary. Changes in estimates are reflected in the financial statements based upon on-going actual experience trends, or subsequent settlements and realizations depending on the nature and predictability of the estimates and contingencies. Interim changes in estimates related to annual operating costs are applied prospectively within annual periods. </p> <p style="margin-bottom:0pt;margin-top:10pt;text-indent:4.54%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The most significant assumptions and estimates underlying these financial statements and accompanying notes involve revenue recognition and accounts receivable, contingencies, impairments of long-lived assets 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
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2523000
CY2014 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
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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
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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
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7420000
CY2016Q4 us-gaap Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
103679000
CY2015Q4 dva Finite Lived Intangible Liabilities Net
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8969000
CY2016Q4 us-gaap Marketable Securities Noncurrent
MarketableSecuritiesNoncurrent
103679000
CY2016Q4 us-gaap Property Plant And Equipment Gross
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6007527000
CY2015Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
5185747000
CY2016Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
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2832160000
CY2015Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
2397007000
CY2016 us-gaap Depreciation Depletion And Amortization
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545734000
CY2015 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
475484000
CY2014 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
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CY2016 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
12990000
CY2015 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
9723000
CY2014 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
7888000
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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
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1546000
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9310000
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583000
CY2015Q4 us-gaap Other Indefinite Lived Intangible Assets
OtherIndefiniteLivedIntangibleAssets
408000
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2468498000
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2458017000
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940731000
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FiniteLivedIntangibleAssetsAccumulatedAmortization
770691000
CY2016 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
174518000
CY2015 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
166537000
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AmortizationOfIntangibleAssets
167956000
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AmortizationOfIntangibleAssetsAndLiabilitiesNet
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AmortizationOfIntangibleAssetsAndLiabilitiesNet
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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
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AmortizationExpenseBenefitFromAllianceAndProductSupplyAgreement
5330000
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14993000
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306827000
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107050000
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MarketableSecurities
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CY2015Q4 us-gaap Held To Maturity Securities
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3371000
CY2015Q4 us-gaap Held To Maturity Securities Current
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CY2015Q4 us-gaap Available For Sale Securities Current
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GoodwillImpairmentLoss
192834000
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89122000
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OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfSoldInCurrentQuarterNetOfTax
377000
CY2014Q4 us-gaap Goodwill
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9415295000
CY2015 us-gaap Goodwill Acquired During Period
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CY2015 us-gaap Goodwill Written Off Related To Sale Of Business Unit
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8781000
CY2015Q4 us-gaap Marketable Securities Noncurrent
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CY2016Q4 us-gaap Available For Sale Securities Accumulated Gross Unrealized Gain Loss Before Tax
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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
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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
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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
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1309673000
CY2015 us-gaap Goodwill Foreign Currency Translation Gain Loss
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-16294000
CY2016 us-gaap Goodwill Acquired During Period
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447828000
CY2016 us-gaap Goodwill Written Off Related To Sale Of Business Unit
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44759000
CY2016 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
281415000
CY2016 us-gaap Goodwill Foreign Currency Translation Gain Loss
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-8816000
CY2016Q4 us-gaap Goodwill Gross
GoodwillGross
9883410000
CY2016Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
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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
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277482000
CY2015Q4 us-gaap Customer Advances And Deposits Current
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153104000
CY2016Q4 us-gaap Business Combination Contingent Consideration Liability
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7217000
CY2015Q4 us-gaap Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
29050000
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80437000
CY2015Q4 us-gaap Accrued Insurance Current
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80355000
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InterestPayableCurrent
82234000
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81585000
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36645000
CY2015Q4 dva Accrued Medical Claims Current
AccruedMedicalClaimsCurrent
53687000
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27759000
CY2015Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
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29291000
CY2016Q4 us-gaap Other Sundry Liabilities Current
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345073000
CY2015Q4 us-gaap Other Sundry Liabilities Current
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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

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