v2.4.0.8

Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended
--- | ---
Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011
Cash flows from operating activities: |  |  |
Net income | $ 757,201 | $ 641,237 | $ 573,395
Changes in operating assets and liabilities and non cash items included in net income | 1,016,140 | 459,611 | 606,651
Net cash provided by operating activities | 1,773,341 | 1,100,848 | 1,180,046
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (617,597) | (550,146) | (400,156)
Acquisitions | (310,394) | (4,294,077) | (1,077,442)
Proceeds from asset sales | 62,258 | 3,559 | 75,183
Proceeds from investment sales and other items | (11,149) | 8,214 | 3,187
Net cash provided by (used in) by investing activities | (876,882) | (4,832,450) | (1,399,228)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (438,007) | 3,904,893 | 127,660
Other items | (44,984) | (32,509) | (374,843)
Net cash provided by (used in) financing activities | (482,991) | 3,872,384 | (247,183)
Effect of exchange rate changes on cash | (967) | (786) |
Net (decrease) increase in cash and cash equivalents | 412,501 | 139,996 | (466,365)
Cash and cash equivalents at beginning of the year | 533,748 | 393,752 | 860,117
Cash and cash equivalents at end of the year | 946,249 | 533,748 | 393,752
DaVita HealthCare Partners Inc. |  |  |
Cash flows from operating activities: |  |  |
Net income | 633,446 | 536,017 | 478,001
Changes in operating assets and liabilities and non cash items included in net income | (443,071) | (383,619) | (230,599)
Net cash provided by operating activities | 190,375 | 152,398 | 247,402
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (55,252) | (72,125) | (52,653)
Acquisitions |  | (3,645,760) |
Proceeds from asset sales | 60,650 |  |
Proceeds from investment sales and other items | (4,944) | 2,841 | (6,077)
Net cash provided by (used in) by investing activities | 454 | (3,715,044) | (58,730)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (421,739) | 3,909,760 | 113,762
Intercompany borrowing | 585,441 | (586,050) | (502,763)
Other items | 52,620 | 68,697 | (291,198)
Net cash provided by (used in) financing activities | 216,322 | 3,392,407 | (680,199)
Net (decrease) increase in cash and cash equivalents | 407,151 | (170,239) | (491,527)
Cash and cash equivalents at beginning of the year | 195,037 | 365,276 | 856,803
Cash and cash equivalents at end of the year | 602,188 | 195,037 | 365,276
Guarantor Subsidiaries |  |  |
Cash flows from operating activities: |  |  |
Net income | 522,778 | 487,077 | 416,058
Changes in operating assets and liabilities and non cash items included in net income | 652,374 | 15,693 | 287,537
Net cash provided by operating activities | 1,175,152 | 502,770 | 703,595
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (337,042) | (305,885) | (232,540)
Acquisitions | (156,830) | (564,499) | (1,048,136)
Proceeds from asset sales | 1,608 | 3,559 | 75,183
Proceeds from investment sales and other items | (3,502) | (1,761) | 9,264
Net cash provided by (used in) by investing activities | (495,766) | (868,586) | (1,196,229)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (11,061) | (23,805) | (1,896)
Intercompany borrowing | (664,154) | 580,825 | 498,532
Other items | 4,726 | (25,097) | (4,002)
Net cash provided by (used in) financing activities | (670,489) | 531,923 | 492,634
Net (decrease) increase in cash and cash equivalents | 8,897 | 166,107 |
Cash and cash equivalents at beginning of the year | 166,107 |  |
Cash and cash equivalents at end of the year | 175,004 | 166,107 |
Non-Guarantor Subsidiaries |  |  |
Cash flows from operating activities: |  |  |
Net income | 397,259 | 323,195 | 255,360
Changes in operating assets and liabilities and non cash items included in net income | 10,555 | 122,485 | (26,311)
Net cash provided by operating activities | 407,814 | 445,680 | 229,049
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (225,303) | (172,136) | (114,963)
Acquisitions | (153,564) | (83,818) | (29,306)
Proceeds from investment sales and other items | (2,703) | 7,134 |
Net cash provided by (used in) by investing activities | (381,570) | (248,820) | (144,269)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (5,207) | 18,938 | 15,794
Intercompany borrowing | 78,713 | 5,225 | 4,231
Other items | (102,330) | (76,109) | (79,643)
Net cash provided by (used in) financing activities | (28,824) | (51,946) | (59,618)
Effect of exchange rate changes on cash | (967) | (786) |
Net (decrease) increase in cash and cash equivalents | (3,547) | 144,128 | 25,162
Cash and cash equivalents at beginning of the year | 172,604 | 28,476 | 3,314
Cash and cash equivalents at end of the year | 169,057 | 172,604 | 28,476
Consolidating Adjustments |  |  |
Cash flows from operating activities: |  |  |
Net income | (796,282) | (705,052) | (576,024)
Changes in operating assets and liabilities and non cash items included in net income | $ 796,282 | $ 705,052 | $ 576,024

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