|
Supplemental data (Tables)
|
12 Months Ended |
|
Dec. 31, 2014
|
| Condensed Financial Statements, Captions [Line Items] |
|
| Consolidating Statements of Income |
Consolidating Statements of Income
|
|
|
DaVita
HealthCare
Partners Inc. |
|
|
Guarantor
Subsidiaries |
|
|
Non-
Guarantor
Subsidiaries |
|
|
Consolidating
Adjustments |
|
|
Consolidated
Total |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
— |
|
|
$ |
6,246,683 |
|
|
$ |
2,739,996 |
|
|
$ |
(118,341 |
) |
|
$ |
8,868,338 |
|
|
Less: Provision for uncollectible accounts |
|
|
— |
|
|
|
(238,600 |
) |
|
|
(128,284 |
) |
|
|
— |
|
|
|
(366,884 |
) |
|
Net patient service revenues |
|
|
— |
|
|
|
6,008,083 |
|
|
|
2,611,712 |
|
|
|
(118,341 |
) |
|
|
8,501,454 |
|
|
Capitated revenues |
|
|
— |
|
|
|
1,689,634 |
|
|
|
1,579,804 |
|
|
|
(8,150 |
) |
|
|
3,261,288 |
|
|
Other revenues |
|
|
684,066 |
|
|
|
1,639,828 |
|
|
|
24,155 |
|
|
|
(1,315,685 |
) |
|
|
1,032,364 |
|
|
Total net revenues |
|
|
684,066 |
|
|
|
9,337,545 |
|
|
|
4,215,671 |
|
|
|
(1,442,176 |
) |
|
|
12,795,106 |
|
|
Operating expenses and charges |
|
|
443,951 |
|
|
|
8,276,991 |
|
|
|
3,701,199 |
|
|
|
(1,442,176 |
) |
|
|
10,979,965 |
|
|
Operating income |
|
|
240,115 |
|
|
|
1,060,554 |
|
|
|
514,472 |
|
|
|
— |
|
|
|
1,815,141 |
|
|
Debt (expense) and refinancing charges |
|
|
(502,762 |
) |
|
|
(363,623 |
) |
|
|
(43,449 |
) |
|
|
401,992 |
|
|
|
(507,842 |
) |
|
Other income, net |
|
|
385,532 |
|
|
|
11,731 |
|
|
|
7,103 |
|
|
|
(401,992 |
) |
|
|
2,374 |
|
|
Income tax expense |
|
|
46,856 |
|
|
|
397,268 |
|
|
|
2,219 |
|
|
|
— |
|
|
|
446,343 |
|
|
Equity earnings in subsidiaries |
|
|
647,085 |
|
|
|
335,691 |
|
|
|
— |
|
|
|
(982,776 |
) |
|
|
— |
|
|
Net income |
|
|
723,114 |
|
|
|
647,085 |
|
|
|
475,907 |
|
|
|
(982,776 |
) |
|
|
863,330 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(140,216 |
) |
|
|
(140,216 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
723,114 |
|
|
$ |
647,085 |
|
|
$ |
475,907 |
|
|
$ |
(1,122,992 |
) |
|
$ |
723,114 |
|
Consolidating Statements of Income
|
|
|
DaVita
HealthCare
Partners Inc. |
|
|
Guarantor
Subsidiaries |
|
|
Non-
Guarantor
Subsidiaries |
|
|
Consolidating
Adjustments |
|
|
Consolidated
Total |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
— |
|
|
$ |
5,989,658 |
|
|
$ |
2,420,975 |
|
|
$ |
(103,438 |
) |
|
$ |
8,307,195 |
|
|
Less: Provision for uncollectible accounts |
|
|
— |
|
|
|
(177,415 |
) |
|
|
(116,131 |
) |
|
|
— |
|
|
|
(293,546 |
) |
|
Net patient service revenues |
|
|
— |
|
|
|
5,812,243 |
|
|
|
2,304,844 |
|
|
|
(103,438 |
) |
|
|
8,013,649 |
|
|
Capitated revenues |
|
|
— |
|
|
|
1,427,321 |
|
|
|
1,560,244 |
|
|
|
(250 |
) |
|
|
2,987,315 |
|
|
Other revenues |
|
|
616,155 |
|
|
|
1,534,310 |
|
|
|
17,867 |
|
|
|
(1,405,246 |
) |
|
|
763,086 |
|
|
Total net revenues |
|
|
616,155 |
|
|
|
8,773,874 |
|
|
|
3,882,955 |
|
|
|
(1,508,934 |
) |
|
|
11,764,050 |
|
|
Operating expenses and charges |
|
|
434,776 |
|
|
|
7,843,476 |
|
|
|
3,444,598 |
|
|
|
(1,508,934 |
) |
|
|
10,213,916 |
|
|
Operating income |
|
|
181,379 |
|
|
|
930,398 |
|
|
|
438,357 |
|
|
|
— |
|
|
|
1,550,134 |
|
|
Debt (expense) |
|
|
(427,141 |
) |
|
|
(366,188 |
) |
|
|
(39,413 |
) |
|
|
402,799 |
|
|
|
(429,943 |
) |
|
Other income, net |
|
|
402,910 |
|
|
|
1,903 |
|
|
|
2,773 |
|
|
|
(402,799 |
) |
|
|
4,787 |
|
|
Income tax expense |
|
|
59,716 |
|
|
|
303,603 |
|
|
|
17,694 |
|
|
|
— |
|
|
|
381,013 |
|
|
Equity earnings in subsidiaries |
|
|
536,014 |
|
|
|
260,268 |
|
|
|
— |
|
|
|
(796,282 |
) |
|
|
— |
|
|
Income from continuing operations |
|
|
633,446 |
|
|
|
522,778 |
|
|
|
384,023 |
|
|
|
(796,282 |
) |
|
|
743,965 |
|
|
Discontinued operations net of gain on disposal
of discontinued operations |
|
|
— |
|
|
|
— |
|
|
|
13,236 |
|
|
|
— |
|
|
|
13,236 |
|
|
Net income |
|
|
633,446 |
|
|
|
522,778 |
|
|
|
397,259 |
|
|
|
(796,282 |
) |
|
|
757,201 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(123,755 |
) |
|
|
(123,755 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
633,446 |
|
|
$ |
522,778 |
|
|
$ |
397,259 |
|
|
$ |
(920,037 |
) |
|
$ |
633,446 |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
— |
|
|
$ |
5,417,800 |
|
|
$ |
2,005,424 |
|
|
$ |
(71,322 |
) |
|
$ |
7,351,902 |
|
|
Less: Provision for uncollectible accounts |
|
|
— |
|
|
|
(124,592 |
) |
|
|
(110,626 |
) |
|
|
— |
|
|
|
(235,218 |
) |
|
Net patient service revenues |
|
|
— |
|
|
|
5,293,208 |
|
|
|
1,894,798 |
|
|
|
(71,322 |
) |
|
|
7,116,684 |
|
|
Capitated revenues |
|
|
— |
|
|
|
232,744 |
|
|
|
248,592 |
|
|
|
— |
|
|
|
481,336 |
|
|
Other revenues |
|
|
514,190 |
|
|
|
745,920 |
|
|
|
10,190 |
|
|
|
(682,040 |
) |
|
|
588,260 |
|
|
Total net revenues |
|
|
514,190 |
|
|
|
6,271,872 |
|
|
|
2,153,580 |
|
|
|
(753,362 |
) |
|
|
8,186,280 |
|
|
Operating expenses and charges |
|
|
365,680 |
|
|
|
5,479,531 |
|
|
|
1,797,347 |
|
|
|
(753,362 |
) |
|
|
6,889,196 |
|
|
Operating income |
|
|
148,510 |
|
|
|
792,341 |
|
|
|
356,233 |
|
|
|
— |
|
|
|
1,297,084 |
|
|
Debt (expense) and refinancing charges |
|
|
(331,944 |
) |
|
|
(207,499 |
) |
|
|
(27,193 |
) |
|
|
267,119 |
|
|
|
(299,517 |
) |
|
Other income, net |
|
|
265,508 |
|
|
|
4,305 |
|
|
|
1,043 |
|
|
|
(267,119 |
) |
|
|
3,737 |
|
|
Income tax expense |
|
|
32,912 |
|
|
|
320,267 |
|
|
|
6,666 |
|
|
|
— |
|
|
|
359,845 |
|
|
Equity earnings in subsidiaries |
|
|
486,855 |
|
|
|
218,197 |
|
|
|
— |
|
|
|
(705,052 |
) |
|
|
— |
|
|
Income from continuing operations |
|
|
536,017 |
|
|
|
487,077 |
|
|
|
323,417 |
|
|
|
(705,052 |
) |
|
|
641,459 |
|
|
Discontinued operations |
|
|
— |
|
|
|
— |
|
|
|
(222 |
) |
|
|
— |
|
|
|
(222 |
) |
|
Net income |
|
|
536,017 |
|
|
|
487,077 |
|
|
|
323,195 |
|
|
|
(705,052 |
) |
|
|
641,237 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(105,220 |
) |
|
|
(105,220 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
536,017 |
|
|
$ |
487,077 |
|
|
$ |
323,195 |
|
|
$ |
(810,272 |
) |
|
$ |
536,017 |
|
|
| Consolidating Statements of Comprehensive Income |
Consolidating Statements of Comprehensive Income
|
|
|
DaVita
HealthCare
Partners Inc. |
|
|
Guarantor
Subsidiaries |
|
|
Non-
Guarantor
Subsidiaries |
|
|
Consolidating
Adjustments |
|
|
Consolidated
Total |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
723,114 |
|
|
$ |
647,085 |
|
|
$ |
475,907 |
|
|
$ |
(982,776 |
) |
|
$ |
863,330 |
|
|
Other comprehensive income (losses) |
|
|
580 |
|
|
|
— |
|
|
|
(22,952 |
) |
|
|
— |
|
|
|
(22,372 |
) |
|
Total comprehensive income |
|
|
723,694 |
|
|
|
647,085 |
|
|
|
452,955 |
|
|
|
(982,776 |
) |
|
|
840,958 |
|
|
Less: Comprehensive income attributable to
noncontrolling interest |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(140,216 |
) |
|
|
(140,216 |
) |
|
Comprehensive income attributable to DaVita HealthCare
Partners Inc. |
|
$ |
723,694 |
|
|
$ |
647,085 |
|
|
$ |
452,955 |
|
|
$ |
(1,122,992 |
) |
|
$ |
700,742 |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
633,446 |
|
|
$ |
522,778 |
|
|
$ |
397,259 |
|
|
$ |
(796,282 |
) |
|
$ |
757,201 |
|
|
Other comprehensive income (losses) |
|
|
14,868 |
|
|
|
— |
|
|
|
(2,216 |
) |
|
|
— |
|
|
|
12,652 |
|
|
Total comprehensive income |
|
|
648,314 |
|
|
|
522,778 |
|
|
|
395,043 |
|
|
|
(796,282 |
) |
|
|
769,853 |
|
|
Less: Comprehensive income attributable to
noncontrolling interest |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(123,755 |
) |
|
|
(123,755 |
) |
|
Comprehensive income attributable to DaVita HealthCare
Partners Inc. |
|
$ |
648,314 |
|
|
$ |
522,778 |
|
|
$ |
395,043 |
|
|
$ |
(920,037 |
) |
|
$ |
646,098 |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
536,017 |
|
|
$ |
487,077 |
|
|
$ |
323,195 |
|
|
$ |
(705,052 |
) |
|
$ |
641,237 |
|
|
Other comprehensive income (losses) |
|
|
5,392 |
|
|
|
— |
|
|
|
(1,205 |
) |
|
|
— |
|
|
|
4,187 |
|
|
Total comprehensive income |
|
|
541,409 |
|
|
|
487,077 |
|
|
|
321,990 |
|
|
|
(705,052 |
) |
|
|
645,424 |
|
|
Less: Comprehensive income attributable to
noncontrolling interest |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(105,220 |
) |
|
|
(105,220 |
) |
|
Comprehensive income attributable to DaVita HealthCare
Partners Inc. |
|
$ |
541,409 |
|
|
$ |
487,077 |
|
|
$ |
321,990 |
|
|
$ |
(810,272 |
) |
|
$ |
540,204 |
|
|
| Consolidating Balance Sheets |
Consolidating Balance Sheets
|
|
|
DaVita
HealthCare
Partners Inc. |
|
|
Guarantor
Subsidiaries |
|
|
Non-
Guarantor
Subsidiaries |
|
|
Consolidating
Adjustments |
|
|
Consolidated
Total |
|
|
As of December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
698,876 |
|
|
$ |
77,921 |
|
|
$ |
188,444 |
|
|
$ |
— |
|
|
$ |
965,241 |
|
|
Accounts receivable, net |
|
|
— |
|
|
|
915,851 |
|
|
|
609,998 |
|
|
|
— |
|
|
|
1,525,849 |
|
|
Other current assets |
|
|
362,672 |
|
|
|
930,093 |
|
|
|
92,942 |
|
|
|
— |
|
|
|
1,385,707 |
|
|
Total current assets |
|
|
1,061,548 |
|
|
|
1,923,865 |
|
|
|
891,384 |
|
|
|
— |
|
|
|
3,876,797 |
|
|
Property and equipment, net |
|
|
195,690 |
|
|
|
1,473,188 |
|
|
|
800,221 |
|
|
|
— |
|
|
|
2,469,099 |
|
|
Intangible assets, net |
|
|
85,338 |
|
|
|
1,811,218 |
|
|
|
52,942 |
|
|
|
— |
|
|
|
1,949,498 |
|
|
Investments in subsidiaries |
|
|
8,868,335 |
|
|
|
1,561,195 |
|
|
|
— |
|
|
|
(10,429,530 |
) |
|
|
— |
|
|
Intercompany receivables |
|
|
3,723,454 |
|
|
|
— |
|
|
|
564,241 |
|
|
|
(4,287,695 |
) |
|
|
— |
|
|
Other long-term assets and investments |
|
|
70,309 |
|
|
|
60,385 |
|
|
|
101,332 |
|
|
|
— |
|
|
|
232,026 |
|
|
Goodwill |
|
|
— |
|
|
|
7,958,221 |
|
|
|
1,457,074 |
|
|
|
— |
|
|
|
9,415,295 |
|
|
Total assets |
|
$ |
14,004,674 |
|
|
$ |
14,788,072 |
|
|
$ |
3,867,194 |
|
|
$ |
(14,717,225 |
) |
|
$ |
17,942,715 |
|
|
Current liabilities |
|
$ |
180,977 |
|
|
$ |
1,493,243 |
|
|
$ |
414,432 |
|
|
$ |
— |
|
|
$ |
2,088,652 |
|
|
Intercompany payables |
|
|
— |
|
|
|
3,105,173 |
|
|
|
1,182,522 |
|
|
|
(4,287,695 |
) |
|
|
— |
|
|
Long-term debt and other long-term liabilities |
|
|
8,124,863 |
|
|
|
1,321,321 |
|
|
|
217,603 |
|
|
|
— |
|
|
|
9,663,787 |
|
|
Noncontrolling interests subject to put provisions |
|
|
528,321 |
|
|
|
— |
|
|
|
— |
|
|
|
301,644 |
|
|
|
829,965 |
|
|
Total DaVita HealthCare Partners Inc.
shareholders’' equity |
|
|
5,170,513 |
|
|
|
8,868,335 |
|
|
|
1,561,195 |
|
|
|
(10,429,530 |
) |
|
|
5,170,513 |
|
|
Noncontrolling interests not subject to put provisions |
|
|
— |
|
|
|
— |
|
|
|
491,442 |
|
|
|
(301,644 |
) |
|
|
189,798 |
|
|
Total equity |
|
|
5,170,513 |
|
|
|
8,868,335 |
|
|
|
2,052,637 |
|
|
|
(10,731,174 |
) |
|
|
5,360,311 |
|
|
Total liabilities and equity |
|
$ |
14,004,674 |
|
|
$ |
14,788,072 |
|
|
$ |
3,867,194 |
|
|
$ |
(14,717,225 |
) |
|
$ |
17,942,715 |
|
|
As of December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
602,188 |
|
|
$ |
175,004 |
|
|
$ |
169,057 |
|
|
$ |
— |
|
|
$ |
946,249 |
|
|
Accounts receivable, net |
|
|
— |
|
|
|
939,543 |
|
|
|
545,620 |
|
|
|
— |
|
|
|
1,485,163 |
|
|
Other current assets |
|
|
27,910 |
|
|
|
904,852 |
|
|
|
108,104 |
|
|
|
— |
|
|
|
1,040,866 |
|
|
Total current assets |
|
|
630,098 |
|
|
|
2,019,399 |
|
|
|
822,781 |
|
|
|
— |
|
|
|
3,472,278 |
|
|
Property and equipment, net |
|
|
177,633 |
|
|
|
1,378,017 |
|
|
|
633,761 |
|
|
|
— |
|
|
|
2,189,411 |
|
|
Intangible assets, net |
|
|
77,531 |
|
|
|
1,882,685 |
|
|
|
64,157 |
|
|
|
— |
|
|
|
2,024,373 |
|
|
Investments in subsidiaries |
|
|
8,231,059 |
|
|
|
1,391,655 |
|
|
|
— |
|
|
|
(9,622,714 |
) |
|
|
— |
|
|
Intercompany receivables |
|
|
3,983,214 |
|
|
|
— |
|
|
|
480,993 |
|
|
|
(4,464,207 |
) |
|
|
— |
|
|
Other long-term assets and investments |
|
|
61,391 |
|
|
|
70,728 |
|
|
|
67,722 |
|
|
|
— |
|
|
|
199,841 |
|
|
Goodwill |
|
— |
|
|
|
7,850,910 |
|
|
|
1,362,064 |
|
|
|
— |
|
|
|
9,212,974 |
|
|
Total assets |
|
$ |
13,160,926 |
|
|
$ |
14,593,394 |
|
|
$ |
3,431,478 |
|
|
$ |
(14,086,921 |
) |
|
$ |
17,098,877 |
|
|
Current liabilities |
|
$ |
328,875 |
|
|
$ |
1,776,419 |
|
|
$ |
356,755 |
|
|
$ |
— |
|
|
$ |
2,462,049 |
|
|
Intercompany payables |
|
|
— |
|
|
|
3,426,433 |
|
|
|
1,037,774 |
|
|
|
(4,464,207 |
) |
|
|
— |
|
|
Long-term debt and other long-term liabilities |
|
|
7,948,390 |
|
|
|
1,159,483 |
|
|
|
226,114 |
|
|
|
— |
|
|
|
9,333,987 |
|
|
Noncontrolling interests subject to put provisions |
|
|
451,182 |
|
|
|
— |
|
|
|
— |
|
|
|
246,118 |
|
|
|
697,300 |
|
|
Total DaVita HealthCare Partners Inc.
shareholders’' equity |
|
|
4,432,479 |
|
|
|
8,231,059 |
|
|
|
1,391,655 |
|
|
|
(9,622,714 |
) |
|
|
4,432,479 |
|
|
Noncontrolling interests not subject to put provisions |
|
|
— |
|
|
|
— |
|
|
|
419,180 |
|
|
|
(246,118 |
) |
|
|
173,062 |
|
|
Total equity |
|
|
4,432,479 |
|
|
|
8,231,059 |
|
|
|
1,810,835 |
|
|
|
(9,868,832 |
) |
|
|
4,605,541 |
|
|
Total liabilities and equity |
|
$ |
13,160,926 |
|
|
$ |
14,593,394 |
|
|
$ |
3,431,478 |
|
|
$ |
(14,086,921 |
) |
|
$ |
17,098,877 |
|
|
| Consolidating Statements of Cash Flows |
Consolidating Statements of Cash Flows
|
|
|
DaVita
HealthCare
Partners Inc. |
|
|
Guarantor
Subsidiaries |
|
|
Non-Guarantor
Subsidiaries |
|
|
Consolidating
Adjustments |
|
|
Consolidated
Total |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income. |
|
$ |
723,114 |
|
|
$ |
647,085 |
|
|
$ |
475,907 |
|
|
$ |
(982,776 |
) |
|
$ |
863,330 |
|
|
Changes in operating assets and liabilities and non cash
items included in net income |
|
|
(597,992 |
) |
|
|
120,772 |
|
|
|
90,521 |
|
|
|
982,776 |
|
|
|
596,077 |
|
|
Net cash provided by operating activities |
|
|
125,122 |
|
|
|
767,857 |
|
|
|
566,428 |
|
|
|
— |
|
|
|
1,459,407 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment, net |
|
|
(51,374 |
) |
|
|
(312,191 |
) |
|
|
(277,765 |
) |
|
|
— |
|
|
|
(641,330 |
) |
|
Acquisitions |
|
|
— |
|
|
|
(228,569 |
) |
|
|
(43,525 |
) |
|
|
— |
|
|
|
(272,094 |
) |
|
Proceeds from asset sales |
|
|
— |
|
|
|
8,791 |
|
|
|
— |
|
|
|
— |
|
|
|
8,791 |
|
|
Purchase of investments and other items |
|
|
(333,803 |
) |
|
|
(316 |
) |
|
|
(38,977 |
) |
|
|
— |
|
|
|
(373,096 |
) |
|
Net cash (used in) provided by investing activities |
|
|
(385,177 |
) |
|
|
(532,285 |
) |
|
|
(360,267 |
) |
|
|
— |
|
|
|
(1,277,729 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt and related financing costs, net |
|
|
4,513 |
|
|
|
(12,545 |
) |
|
|
43 |
|
|
|
— |
|
|
|
(7,989 |
) |
|
Intercompany borrowing |
|
|
410,437 |
|
|
|
(306,011 |
) |
|
|
(104,426 |
) |
|
|
— |
|
|
|
— |
|
|
Other items |
|
|
(58,207 |
) |
|
|
(14,099 |
) |
|
|
(84,684 |
) |
|
|
— |
|
|
|
(156,990 |
) |
|
Net cash provided by (used in) financing activities |
|
|
356,743 |
|
|
|
(332,655 |
) |
|
|
(189,067 |
) |
|
|
— |
|
|
|
(164,979 |
) |
|
Effect of exchange rate changes on cash |
|
|
— |
|
|
|
— |
|
|
|
2,293 |
|
|
|
— |
|
|
|
2,293 |
|
|
Net increase (decrease) in cash and cash equivalents |
|
|
96,688 |
|
|
|
(97,083 |
) |
|
|
19,387 |
|
|
|
— |
|
|
|
18,992 |
|
|
Cash and cash equivalents at beginning of the year |
|
|
602,188 |
|
|
|
175,004 |
|
|
|
169,057 |
|
|
|
— |
|
|
|
946,249 |
|
|
Cash and cash equivalents at the end of the year |
|
$ |
698,876 |
|
|
$ |
77,921 |
|
|
$ |
188,444 |
|
|
$ |
— |
|
|
$ |
965,241 |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income. |
|
$ |
633,446 |
|
|
$ |
522,778 |
|
|
$ |
397,259 |
|
|
$ |
(796,282 |
) |
|
$ |
757,201 |
|
|
Changes in operating assets and liabilities and non cash
items included in net income |
|
|
(443,071 |
) |
|
|
652,374 |
|
|
|
10,555 |
|
|
|
796,282 |
|
|
|
1,016,140 |
|
|
Net cash provided by operating activities |
|
|
190,375 |
|
|
|
1,175,152 |
|
|
|
407,814 |
|
|
|
— |
|
|
|
1,773,341 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment, net |
|
|
(55,252 |
) |
|
|
(337,042 |
) |
|
|
(225,303 |
) |
|
|
— |
|
|
|
(617,597 |
) |
|
Acquisitions |
|
|
— |
|
|
|
(156,830 |
) |
|
|
(153,564 |
) |
|
|
— |
|
|
|
(310,394 |
) |
|
Proceeds from asset sales |
|
|
60,650 |
|
|
|
1,608 |
|
|
|
— |
|
|
|
— |
|
|
|
62,258 |
|
|
Purchase of investments and other items |
|
|
(4,944 |
) |
|
|
(3,502 |
) |
|
|
(2,703 |
) |
|
|
— |
|
|
|
(11,149 |
) |
|
Net cash provided by (used in) by investing activities |
|
|
454 |
|
|
|
(495,766 |
) |
|
|
(381,570 |
) |
|
|
— |
|
|
|
(876,882 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt and related financing costs, net |
|
|
(421,739 |
) |
|
|
(11,061 |
) |
|
|
(5,207 |
) |
|
|
— |
|
|
|
(438,007 |
) |
|
Intercompany borrowing |
|
|
585,441 |
|
|
|
(664,154 |
) |
|
|
78,713 |
|
|
|
— |
|
|
|
— |
|
|
Other items |
|
|
52,620 |
|
|
|
4,726 |
|
|
|
(102,330 |
) |
|
|
— |
|
|
|
(44,984 |
) |
|
Net cash provided by (used in) financing activities |
|
|
216,322 |
|
|
|
(670,489 |
) |
|
|
(28,824 |
) |
|
|
— |
|
|
|
(482,991 |
) |
|
Effect of exchange rate changes on cash |
|
|
— |
|
|
|
— |
|
|
|
(967 |
) |
|
|
— |
|
|
|
(967 |
) |
|
Net increase (decrease) in cash and cash equivalents |
|
|
407,151 |
|
|
|
8,897 |
|
|
|
(3,547 |
) |
|
|
— |
|
|
|
412,501 |
|
|
Cash and cash equivalents at beginning of the year |
|
|
195,037 |
|
|
|
166,107 |
|
|
|
172,604 |
|
|
|
— |
|
|
|
533,748 |
|
|
Cash and cash equivalents at the end of the year |
|
$ |
602,188 |
|
|
$ |
175,004 |
|
|
$ |
169,057 |
|
|
$ |
— |
|
|
$ |
946,249 |
|
Consolidating Statements of Cash Flows
|
|
|
DaVita
HealthCare
Partners Inc. |
|
|
Guarantor
Subsidiaries |
|
|
Non-Guarantor
Subsidiaries |
|
|
Consolidating
Adjustments |
|
|
Consolidated
Total |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income. |
|
$ |
536,017 |
|
|
$ |
487,077 |
|
|
$ |
323,195 |
|
|
$ |
(705,052 |
) |
|
$ |
641,237 |
|
|
Changes in operating assets and liabilities and non cash
items included in net income |
|
|
(383,619 |
) |
|
|
15,693 |
|
|
|
122,485 |
|
|
|
705,052 |
|
|
|
459,611 |
|
|
Net cash provided by operating activities |
|
|
152,398 |
|
|
|
502,770 |
|
|
|
445,680 |
|
|
|
— |
|
|
|
1,100,848 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment, net |
|
|
(72,125 |
) |
|
|
(305,885 |
) |
|
|
(172,136 |
) |
|
|
— |
|
|
|
(550,146 |
) |
|
Acquisitions |
|
|
(3,645,760 |
) |
|
|
(564,499 |
) |
|
|
(83,818 |
) |
|
|
— |
|
|
|
(4,294,077 |
) |
|
Proceeds from asset sales |
|
|
— |
|
|
|
3,559 |
|
|
|
— |
|
|
|
— |
|
|
|
3,559 |
|
|
Proceeds from investment sales and other items |
|
|
2,841 |
|
|
|
(1,761 |
) |
|
|
7,134 |
|
|
|
— |
|
|
|
8,214 |
|
|
Net cash used in by investing activities |
|
|
(3,715,044 |
) |
|
|
(868,586 |
) |
|
|
(248,820 |
) |
|
|
— |
|
|
|
(4,832,450 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt and related financing costs, net |
|
|
3,909,760 |
|
|
|
(23,805 |
) |
|
|
18,938 |
|
|
|
— |
|
|
|
3,904,893 |
|
|
Intercompany borrowing |
|
|
(586,050 |
) |
|
|
580,825 |
|
|
|
5,225 |
|
|
— |
|
|
|
— |
|
|
Other items |
|
|
68,697 |
|
|
|
(25,097 |
) |
|
|
(76,109 |
) |
|
|
— |
|
|
|
(32,509 |
) |
|
Net cash provided by (used in) financing activities |
|
|
3,392,407 |
|
|
|
531,923 |
|
|
|
(51,946 |
) |
|
|
— |
|
|
|
3,872,384 |
|
|
Effect of exchange rate changes on cash |
|
|
— |
|
|
|
— |
|
|
|
(786 |
) |
|
|
— |
|
|
|
(786 |
) |
|
Net (decrease) increase in cash and cash equivalents |
|
|
(170,239 |
) |
|
|
166,107 |
|
|
|
144,128 |
|
|
|
— |
|
|
|
139,996 |
|
|
Cash and cash equivalents at beginning of the year |
|
|
365,276 |
|
|
|
— |
|
|
|
28,476 |
|
|
|
— |
|
|
|
393,752 |
|
|
Cash and cash equivalents at the end of the year |
|
$ |
195,037 |
|
|
$ |
166,107 |
|
|
$ |
172,604 |
|
|
$ |
— |
|
|
$ |
533,748 |
|
|
| Additional Reporting Entities |
|
| Condensed Financial Statements, Captions [Line Items] |
|
| Consolidating Statements of Income |
Condensed Consolidating Statements of Income
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
8,868,338 |
|
|
$ |
121,929 |
|
|
$ |
— |
|
|
$ |
8,746,409 |
|
|
Less: Provision for uncollectible accounts |
|
|
(366,884 |
) |
|
|
(8,534 |
) |
|
|
— |
|
|
|
(358,350 |
) |
|
Net patient service revenues |
|
|
8,501,454 |
|
|
|
113,395 |
|
|
|
— |
|
|
|
8,388,059 |
|
|
Capitated revenues |
|
|
3,261,288 |
|
|
|
1,511,000 |
|
|
|
— |
|
|
|
1,750,288 |
|
|
Other revenues |
|
|
1,032,364 |
|
|
|
6,630 |
|
|
|
— |
|
|
|
1,025,734 |
|
|
Total net revenues |
|
|
12,795,106 |
|
|
|
1,631,025 |
|
|
|
— |
|
|
|
11,164,081 |
|
|
Operating expenses and charges |
|
|
10,979,965 |
|
|
|
1,601,027 |
|
|
|
514 |
|
|
|
9,378,424 |
|
|
Operating income |
|
|
1,815,141 |
|
|
|
29,998 |
|
|
|
(514 |
) |
|
|
1,785,657 |
|
|
Debt (expense) and refinancing charges |
|
|
(507,842 |
) |
|
|
(11,113 |
) |
|
|
— |
|
|
|
(496,729 |
) |
|
Other income, net |
|
|
2,374 |
|
|
|
238 |
|
|
|
— |
|
|
|
2,136 |
|
|
Income tax expense |
|
|
446,343 |
|
|
|
1,866 |
|
|
|
(206 |
) |
|
|
444,683 |
|
|
Net income |
|
|
863,330 |
|
|
|
17,257 |
|
|
|
(308 |
) |
|
|
846,381 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
(140,216 |
) |
|
|
— |
|
|
|
— |
|
|
|
(140,216 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
723,114 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
706,165 |
|
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
8,307,195 |
|
|
$ |
122,873 |
|
|
$ |
— |
|
|
$ |
8,184,322 |
|
|
Less: Provision for uncollectible accounts |
|
|
(293,546 |
) |
|
|
(6,602 |
) |
|
|
— |
|
|
|
(286,944 |
) |
|
Net patient service revenues |
|
|
8,013,649 |
|
|
|
116,271 |
|
|
|
— |
|
|
|
7,897,378 |
|
|
Capitated revenues |
|
|
2,987,315 |
|
|
|
1,560,244 |
|
|
|
— |
|
|
|
1,427,071 |
|
|
Other revenues |
|
|
763,086 |
|
|
|
5,239 |
|
|
|
— |
|
|
|
757,847 |
|
|
Total net revenues |
|
|
11,764,050 |
|
|
|
1,681,754 |
|
|
|
— |
|
|
|
10,082,296 |
|
|
Operating expenses and charges |
|
|
10,213,916 |
|
|
|
1,659,151 |
|
|
|
457 |
|
|
|
8,554,308 |
|
|
Operating income |
|
|
1,550,134 |
|
|
|
22,603 |
|
|
|
(457 |
) |
|
|
1,527,988 |
|
|
Debt (expense) |
|
|
(429,943 |
) |
|
|
(14,605 |
) |
|
|
— |
|
|
|
(415,338 |
) |
|
Other income, net |
|
|
4,787 |
|
|
|
6 |
|
|
|
— |
|
|
|
4,781 |
|
|
Income tax expense |
|
|
381,013 |
|
|
|
3,523 |
|
|
|
(183 |
) |
|
|
377,673 |
|
|
Income from continuing operations |
|
|
743,965 |
|
|
|
4,481 |
|
|
|
(274 |
) |
|
|
739,758 |
|
|
Discontinued operations net of gain on disposal of discontinued
operations |
|
|
13,236 |
|
|
|
— |
|
|
|
— |
|
|
|
13,236 |
|
|
Net income |
|
|
757,201 |
|
|
|
4,481 |
|
|
|
(274 |
) |
|
|
752,994 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
(123,755 |
) |
|
|
— |
|
|
|
— |
|
|
|
(123,755 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
633,446 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
629,239 |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
7,351,902 |
|
|
$ |
20,052 |
|
|
$ |
— |
|
|
$ |
7,331,850 |
|
|
Less: Provision for uncollectible accounts |
|
|
(235,218 |
) |
|
|
(686 |
) |
|
|
— |
|
|
|
(234,532 |
) |
|
Net patient service revenues |
|
|
7,116,684 |
|
|
|
19,366 |
|
|
|
— |
|
|
|
7,097,318 |
|
|
Capitated revenues |
|
|
481,336 |
|
|
|
248,592 |
|
|
|
— |
|
|
|
232,744 |
|
|
Other revenues |
|
|
588,260 |
|
|
|
487 |
|
|
|
— |
|
|
|
587,773 |
|
|
Total net revenues |
|
|
8,186,280 |
|
|
|
268,445 |
|
|
|
— |
|
|
|
7,917,835 |
|
|
Operating expenses and charges |
|
|
6,889,196 |
|
|
|
268,205 |
|
|
|
(1,372 |
) |
|
|
6,622,363 |
|
|
Operating income |
|
|
1,297,084 |
|
|
|
240 |
|
|
|
1,372 |
|
|
|
1,295,472 |
|
|
Debt (expense) and refinancing charges |
|
|
(299,517 |
) |
|
|
(1,386 |
) |
|
|
— |
|
|
|
(298,131 |
) |
|
Other income, net |
|
|
3,737 |
|
|
|
54 |
|
|
|
— |
|
|
|
3,683 |
|
|
Income tax expense |
|
|
359,845 |
|
|
|
— |
|
|
|
549 |
|
|
|
359,296 |
|
|
Income from continuing operations |
|
|
641,459 |
|
|
|
(1,092 |
) |
|
|
823 |
|
|
|
641,728 |
|
|
Discontinued operations |
|
|
(222 |
) |
|
|
— |
|
|
|
— |
|
|
|
(222 |
) |
|
Net income |
|
|
641,237 |
|
|
|
(1,092 |
) |
|
|
823 |
|
|
|
641,506 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
(105,220 |
) |
|
|
— |
|
|
|
— |
|
|
|
(105,220 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
536,017 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
536,286 |
|
|
| Consolidating Statements of Comprehensive Income |
Condensed Consolidating Statements of Comprehensive Income
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (losses) |
|
$ |
863,330 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
846,381 |
|
|
Other comprehensive losses |
|
|
(22,372 |
) |
|
|
— |
|
|
|
— |
|
|
|
(22,372 |
) |
|
Total comprehensive income (losses) |
|
|
840,958 |
|
|
|
17,257 |
|
|
|
(308 |
) |
|
|
824,009 |
|
|
Less: Comprehensive income attributable to noncontrolling
interest |
|
|
(140,216 |
) |
|
|
— |
|
|
|
— |
|
|
|
(140,216 |
) |
|
Comprehensive income (losses) attributable to DaVita
HealthCare Partners Inc. |
|
$ |
700,742 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
683,793 |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (losses) |
|
$ |
757,201 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
752,994 |
|
|
Other comprehensive income |
|
|
12,652 |
|
|
|
— |
|
|
|
— |
|
|
|
12,652 |
|
|
Total comprehensive income (losses) |
|
|
769,853 |
|
|
|
4,481 |
|
|
|
(274 |
) |
|
|
765,646 |
|
|
Less: Comprehensive income attributable to noncontrolling
interest |
|
|
(123,755 |
) |
|
|
— |
|
|
|
— |
|
|
|
(123,755 |
) |
|
Comprehensive income (losses) attributable to DaVita
HealthCare Partners Inc. |
|
$ |
646,098 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
641,891 |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (losses) |
|
$ |
641,237 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
641,506 |
|
|
Other comprehensive income |
|
|
4,187 |
|
|
|
— |
|
|
|
— |
|
|
|
4,187 |
|
|
Total comprehensive income (losses) |
|
|
645,424 |
|
|
|
(1,092 |
) |
|
|
823 |
|
|
|
645,693 |
|
|
Less: Comprehensive income attributable to noncontrolling
interest |
|
|
(105,220 |
) |
|
|
— |
|
|
|
— |
|
|
|
(105,220 |
) |
|
Comprehensive income (losses) attributable to DaVita
HealthCare Partners Inc. |
|
$ |
540,204 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
540,473 |
|
|
| Consolidating Balance Sheets |
Condensed Consolidating Balance Sheets
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
As of December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
965,241 |
|
|
$ |
112,448 |
|
|
$ |
— |
|
|
$ |
852,793 |
|
|
Accounts receivable, net |
|
|
1,525,849 |
|
|
|
255,953 |
|
|
|
— |
|
|
|
1,269,896 |
|
|
Other current assets |
|
|
1,385,707 |
|
|
|
18,450 |
|
|
|
— |
|
|
|
1,367,257 |
|
|
Total current assets |
|
|
3,876,797 |
|
|
|
386,851 |
|
|
|
— |
|
|
|
3,489,946 |
|
|
Property and equipment, net |
|
|
2,469,099 |
|
|
|
2,406 |
|
|
|
— |
|
|
|
2,466,693 |
|
|
Amortizable intangibles, net |
|
|
1,949,498 |
|
|
|
6,239 |
|
|
|
— |
|
|
|
1,943,259 |
|
|
Other long-term assets |
|
|
232,026 |
|
|
|
66,087 |
|
|
|
2,811 |
|
|
|
163,128 |
|
|
Goodwill |
|
|
9,415,295 |
|
|
|
9,181 |
|
|
|
— |
|
|
|
9,406,114 |
|
|
Total assets |
|
$ |
17,942,715 |
|
|
$ |
470,764 |
|
|
$ |
2,811 |
|
|
$ |
17,469,140 |
|
|
Current liabilities |
|
$ |
2,088,652 |
|
|
$ |
213,609 |
|
|
$ |
— |
|
|
$ |
1,875,043 |
|
|
Payables to parent |
|
|
— |
|
|
|
178,371 |
|
|
|
2,811 |
|
|
|
(181,182 |
) |
|
Long-term debt and other long-term liabilities |
|
|
9,663,787 |
|
|
|
61,895 |
|
|
|
— |
|
|
|
9,601,892 |
|
|
Noncontrolling interests subject to put provisions |
|
|
829,965 |
|
|
|
— |
|
|
|
— |
|
|
|
829,965 |
|
|
Total DaVita HealthCare Partners Inc. shareholders'’ equity |
|
|
5,170,513 |
|
|
|
16,889 |
|
|
|
— |
|
|
|
5,153,624 |
|
|
Noncontrolling interests not subject to put provisions |
|
|
189,798 |
|
|
|
— |
|
|
|
— |
|
|
|
189,798 |
|
|
Shareholders' equity |
|
|
5,360,311 |
|
|
|
16,889 |
|
|
|
— |
|
|
|
5,343,422 |
|
|
Total liabilities and shareholder's equity |
|
$ |
17,942,715 |
|
|
$ |
470,764 |
|
|
$ |
2,811 |
|
|
$ |
17,469,140 |
|
|
As of December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
946,249 |
|
|
$ |
127,309 |
|
|
$ |
— |
|
|
$ |
818,940 |
|
|
Accounts receivable, net |
|
|
1,485,163 |
|
|
|
235,463 |
|
|
|
— |
|
|
|
1,249,700 |
|
|
Other current assets |
|
|
1,040,866 |
|
|
|
35,640 |
|
|
|
— |
|
|
|
1,005,226 |
|
|
Total current assets |
|
|
3,472,278 |
|
|
|
398,412 |
|
|
|
— |
|
|
|
3,073,866 |
|
|
Property and equipment, net |
|
|
2,189,411 |
|
|
|
5,541 |
|
|
|
— |
|
|
|
2,183,870 |
|
|
Amortizable intangibles, net |
|
|
2,024,373 |
|
|
|
7,283 |
|
|
|
— |
|
|
|
2,017,090 |
|
|
Other long-term assets |
|
|
199,841 |
|
|
|
64,013 |
|
|
|
3,325 |
|
|
|
132,503 |
|
|
Goodwill |
|
|
9,212,974 |
|
|
|
8,981 |
|
|
|
— |
|
|
|
9,203,993 |
|
|
Total assets |
|
$ |
17,098,877 |
|
|
$ |
484,230 |
|
|
$ |
3,325 |
|
|
$ |
16,611,322 |
|
|
Current liabilities |
|
$ |
2,462,049 |
|
|
$ |
193,079 |
|
|
$ |
— |
|
|
$ |
2,268,970 |
|
|
Payables to parent |
|
|
— |
|
|
|
194,958 |
|
|
|
3,325 |
|
|
|
(198,283 |
) |
|
Long-term debt and other long-term liabilities |
|
|
9,333,987 |
|
|
|
94,727 |
|
|
|
— |
|
|
|
9,239,260 |
|
|
Noncontrolling interests subject to put provisions |
|
|
697,300 |
|
|
|
— |
|
|
|
— |
|
|
|
697,300 |
|
|
Total DaVita HealthCare Partners Inc. shareholders’' equity |
|
|
4,432,479 |
|
|
|
1,466 |
|
|
|
— |
|
|
|
4,431,013 |
|
|
Noncontrolling interests not subject to put provisions |
|
|
173,062 |
|
|
|
— |
|
|
|
— |
|
|
|
173,062 |
|
|
Shareholders' equity |
|
|
4,605,541 |
|
|
|
1,466 |
|
|
|
— |
|
|
|
4,604,075 |
|
|
Total liabilities and shareholder's equity |
|
$ |
17,098,877 |
|
|
$ |
484,230 |
|
|
$ |
3,325 |
|
|
$ |
16,611,322 |
|
|
| Consolidating Statements of Cash Flows |
Condensed Consolidating Statements of Cash Flows
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
863,330 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
846,381 |
|
|
Changes in operating and intercompany assets and liabilities and
non cash items included in net income |
|
|
596,077 |
|
|
|
1,048 |
|
|
|
308 |
|
|
|
594,721 |
|
|
Net cash provided by operating activities |
|
|
1,459,407 |
|
|
|
18,305 |
|
|
|
— |
|
|
|
1,441,102 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment |
|
|
(641,330 |
) |
|
|
2,058 |
|
|
|
— |
|
|
|
(643,388 |
) |
|
Acquisitions and divestitures, net |
|
|
(272,094 |
) |
|
|
— |
|
|
|
— |
|
|
|
(272,094 |
) |
|
Proceeds from asset sales |
|
|
8,791 |
|
|
|
— |
|
|
|
— |
|
|
|
8,791 |
|
|
Investments and other items |
|
|
(373,096 |
) |
|
|
(16,745 |
) |
|
|
— |
|
|
|
(356,351 |
) |
|
Net cash used in investing activities |
|
|
(1,277,729 |
) |
|
|
(14,687 |
) |
|
|
— |
|
|
|
(1,263,042 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt and related financing costs, net |
|
|
(7,989 |
) |
|
|
— |
|
|
|
— |
|
|
|
(7,989 |
) |
|
Intercompany |
|
|
— |
|
|
|
(18,479 |
) |
|
|
— |
|
|
|
18,479 |
|
|
Other items |
|
|
(156,990 |
) |
|
|
— |
|
|
|
— |
|
|
|
(156,990 |
) |
|
Net cash used in financing activities |
|
|
(164,979 |
) |
|
|
(18,479 |
) |
|
|
— |
|
|
|
(146,500 |
) |
|
Effect of exchange rate changes on cash |
|
|
2,293 |
|
|
|
— |
|
|
|
— |
|
|
|
2,293 |
|
|
Net increase (decrease) in cash |
|
|
18,992 |
|
|
|
(14,861 |
) |
|
|
— |
|
|
|
33,853 |
|
|
Cash at beginning of the year |
|
|
946,249 |
|
|
|
127,309 |
|
|
|
— |
|
|
|
818,940 |
|
|
Cash at the end of the year |
|
$ |
965,241 |
|
|
$ |
112,448 |
|
|
$ |
— |
|
|
$ |
852,793 |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
757,201 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
752,994 |
|
|
Changes in operating and intercompany assets and liabilities and
non cash items included in net income |
|
|
1,016,140 |
|
|
|
4,343 |
|
|
|
274 |
|
|
|
1,011,523 |
|
|
Net cash provided by operating activities |
|
|
1,773,341 |
|
|
|
8,824 |
|
|
|
— |
|
|
|
1,764,517 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment |
|
|
(617,597 |
) |
|
|
(2,262 |
) |
|
|
— |
|
|
|
(615,335 |
) |
|
Acquisitions and divestitures, net |
|
|
(310,394 |
) |
|
|
— |
|
|
|
— |
|
|
|
(310,394 |
) |
|
Proceeds from discontinued operations |
|
|
62,258 |
|
|
|
— |
|
|
|
— |
|
|
|
62,258 |
|
|
Investments and other items |
|
|
(11,149 |
) |
|
|
— |
|
|
|
— |
|
|
|
(11,149 |
) |
|
Net cash used in investing activities |
|
|
(876,882 |
) |
|
|
(2,262 |
) |
|
|
— |
|
|
|
(874,620 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt |
|
|
(438,007 |
) |
|
|
— |
|
|
|
— |
|
|
|
(438,007 |
) |
|
Intercompany |
|
|
— |
|
|
|
(11,615 |
) |
|
|
— |
|
|
|
11,615 |
|
|
Other items |
|
|
(44,984 |
) |
|
|
— |
|
|
|
— |
|
|
|
(44,984 |
) |
|
Net cash used in financing activities |
|
|
(482,991 |
) |
|
|
(11,615 |
) |
|
|
— |
|
|
|
(471,376 |
) |
|
Effect of exchange rate changes on cash |
|
|
(967 |
) |
|
|
— |
|
|
|
— |
|
|
|
(967 |
) |
|
Net increase (decrease) in cash |
|
|
412,501 |
|
|
|
(5,053 |
) |
|
|
— |
|
|
|
417,554 |
|
|
Cash at beginning of the year |
|
|
533,748 |
|
|
|
132,362 |
|
|
|
— |
|
|
|
401,386 |
|
|
Cash at the end of the year |
|
$ |
946,249 |
|
|
$ |
127,309 |
|
|
$ |
— |
|
|
$ |
818,940 |
|
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
641,237 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
641,506 |
|
|
Changes in operating and intercompany assets and liabilities and
non cash items included in net income |
|
|
459,611 |
|
|
|
(26,549 |
) |
|
|
(823 |
) |
|
|
486,983 |
|
|
Net cash provided by operating activities |
|
|
1,100,848 |
|
|
|
(27,641 |
) |
|
|
— |
|
|
|
1,128,489 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment |
|
|
(550,146 |
) |
|
|
(4,794 |
) |
|
|
— |
|
|
|
(545,352 |
) |
|
Acquisitions and divestitures, net |
|
|
(4,294,077 |
) |
|
|
— |
|
|
|
— |
|
|
|
(4,294,077 |
) |
|
Proceeds from discontinued operations |
|
|
3,559 |
|
|
|
— |
|
|
|
— |
|
|
|
3,559 |
|
|
Investments and other items |
|
|
8,214 |
|
|
|
— |
|
|
|
— |
|
|
|
8,214 |
|
|
Net cash used in investing activities |
|
|
(4,832,450 |
) |
|
|
(4,794 |
) |
|
|
— |
|
|
|
(4,827,656 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt |
|
|
3,904,893 |
|
|
|
— |
|
|
|
— |
|
|
|
3,904,893 |
|
|
Intercompany |
|
|
— |
|
|
|
164,797 |
|
|
|
— |
|
|
|
(164,797 |
) |
|
Other items |
|
|
(32,509 |
) |
|
|
— |
|
|
|
— |
|
|
|
(32,509 |
) |
|
Net cash provided by financing activities |
|
|
3,872,384 |
|
|
|
164,797 |
|
|
|
— |
|
|
|
3,707,587 |
|
|
Effect of exchange rate changes on cash |
|
|
(786 |
) |
|
|
— |
|
|
|
— |
|
|
|
(786 |
) |
|
Net increase in cash |
|
|
139,996 |
|
|
|
132,362 |
|
|
|
— |
|
|
|
7,634 |
|
|
Cash at beginning of the year |
|
|
393,752 |
|
|
|
— |
|
|
|
— |
|
|
|
393,752 |
|
|
Cash at the end of the year |
|
$ |
533,748 |
|
|
$ |
132,362 |
|
|
$ |
— |
|
|
$ |
401,386 |
|
|