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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified |
12 Months Ended | ||
|---|---|---|---|
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Dec. 31, 2014
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Dec. 31, 2013
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Dec. 31, 2012
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| Cash flows from operating activities: | |||
| Net income | $ 863,330us-gaap_ProfitLoss | $ 757,201us-gaap_ProfitLoss | $ 641,237us-gaap_ProfitLoss |
| Adjustments to reconcile net income to cash provided by operating activities: | |||
| Loss contingency accrual | 17,000us-gaap_LossContingencyAccrualCarryingValuePeriodIncreaseDecrease | 397,000us-gaap_LossContingencyAccrualCarryingValuePeriodIncreaseDecrease | |
| Depreciation and amortization | 590,935dva_AdjustmentDepreciationAndAmortization | 528,119dva_AdjustmentDepreciationAndAmortization | 343,908dva_AdjustmentDepreciationAndAmortization |
| Debt refinancing charges | 97,548dva_DebtRefinancingCharge | 10,963dva_DebtRefinancingCharge | |
| Stock-based compensation expense | 56,743us-gaap_ShareBasedCompensation | 59,998us-gaap_ShareBasedCompensation | 45,384us-gaap_ShareBasedCompensation |
| Tax benefits from stock award exercises | 59,119us-gaap_DeferredTaxExpenseFromStockOptionsExercised | 46,898us-gaap_DeferredTaxExpenseFromStockOptionsExercised | 88,964us-gaap_DeferredTaxExpenseFromStockOptionsExercised |
| Excess tax benefits from stock award exercises | (45,271)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities | (36,197)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities | (62,036)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities |
| Deferred income taxes | 210,955us-gaap_DeferredIncomeTaxExpenseBenefit | (25,380)us-gaap_DeferredIncomeTaxExpenseBenefit | 43,765us-gaap_DeferredIncomeTaxExpenseBenefit |
| Equity investment income, net | 10,125dva_AdjustmentIncomeLossFromEquityMethodInvestments | 2,872dva_AdjustmentIncomeLossFromEquityMethodInvestments | 3,384dva_AdjustmentIncomeLossFromEquityMethodInvestments |
| Other non-cash charges and losses on disposal of assets | 39,274dva_GainLossOnDisposalOfAssetsAndOtherNoncashCharges | (31,351)dva_GainLossOnDisposalOfAssetsAndOtherNoncashCharges | 30,390dva_GainLossOnDisposalOfAssetsAndOtherNoncashCharges |
| Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: | |||
| Accounts receivable | (40,676)us-gaap_IncreaseDecreaseInAccountsReceivable | (59,640)us-gaap_IncreaseDecreaseInAccountsReceivable | (47,673)us-gaap_IncreaseDecreaseInAccountsReceivable |
| Inventories | (46,398)us-gaap_IncreaseDecreaseInInventories | (8,971)us-gaap_IncreaseDecreaseInInventories | 4,052us-gaap_IncreaseDecreaseInInventories |
| Other receivables and other current assets | (61,674)dva_IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets | (108,434)dva_IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets | 51,730dva_IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets |
| Other long-term assets | 2,916us-gaap_IncreaseDecreaseInOtherNoncurrentAssets | 17,731us-gaap_IncreaseDecreaseInOtherNoncurrentAssets | (1,775)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets |
| Accounts payable | (2,956)us-gaap_IncreaseDecreaseInAccountsPayable | 16,666us-gaap_IncreaseDecreaseInAccountsPayable | 40,878us-gaap_IncreaseDecreaseInAccountsPayable |
| Accrued compensation and benefits | 97,261us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities | 38,368us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities | 18,476us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities |
| Other current liabilities | 83,590us-gaap_IncreaseDecreaseInOtherCurrentLiabilities | 78,817us-gaap_IncreaseDecreaseInOtherCurrentLiabilities | 11,083us-gaap_IncreaseDecreaseInOtherCurrentLiabilities |
| Loss contingency reserve | (410,356)dva_IncreaseDecreaseInLossContingencyReserve | ||
| Income taxes | (60,475)us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable | 33,499us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable | (129,948)us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable |
| Other long-term liabilities | (1,583)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities | 66,145us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities | 19,029us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities |
| Net cash provided by operating activities | 1,459,407us-gaap_NetCashProvidedByUsedInOperatingActivities | 1,773,341us-gaap_NetCashProvidedByUsedInOperatingActivities | 1,100,848us-gaap_NetCashProvidedByUsedInOperatingActivities |
| Cash flows from investing activities: | |||
| Additions of property and equipment, net | (641,330)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (617,597)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (550,146)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment |
| Acquisitions | (272,094)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates | (310,394)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates | (4,294,077)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates |
| Proceeds from asset sales | 8,791us-gaap_ProceedsFromSaleOfProductiveAssets | 62,258us-gaap_ProceedsFromSaleOfProductiveAssets | 3,559us-gaap_ProceedsFromSaleOfProductiveAssets |
| Purchase of investments available-for-sale | (8,440)us-gaap_PaymentsToAcquireAvailableForSaleSecurities | (12,445)us-gaap_PaymentsToAcquireAvailableForSaleSecurities | (3,935)us-gaap_PaymentsToAcquireAvailableForSaleSecurities |
| Purchase of investments held-to-maturity | (472,628)us-gaap_PaymentsToAcquireHeldToMaturitySecurities | (1,039)us-gaap_PaymentsToAcquireHeldToMaturitySecurities | (7,418)us-gaap_PaymentsToAcquireHeldToMaturitySecurities |
| Proceeds from sale of investments available-for-sale | 2,475us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities | 4,158us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities | 7,211us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities |
| Proceeds from investments held-to-maturity | 141,072us-gaap_ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities | 1,376us-gaap_ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities | 14,530us-gaap_ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities |
| Purchase of intangible assets | (1,018)us-gaap_PaymentsToAcquireIntangibleAssets | (2,391)us-gaap_PaymentsToAcquireIntangibleAssets | (830)us-gaap_PaymentsToAcquireIntangibleAssets |
| Purchase of equity investments | (35,382)us-gaap_PaymentsToAcquireEquityMethodInvestments | (1,305)us-gaap_PaymentsToAcquireEquityMethodInvestments | (1,352)us-gaap_PaymentsToAcquireEquityMethodInvestments |
| Distributions received on equity investments | 825us-gaap_ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital | 497us-gaap_ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital | 8us-gaap_ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital |
| Net cash used in investing activities | (1,277,729)us-gaap_NetCashProvidedByUsedInInvestingActivities | (876,882)us-gaap_NetCashProvidedByUsedInInvestingActivities | (4,832,450)us-gaap_NetCashProvidedByUsedInInvestingActivities |
| Cash flows from financing activities: | |||
| Borrowings | 60,038,508us-gaap_ProceedsFromIssuanceOfLongTermDebt | 66,286,097us-gaap_ProceedsFromIssuanceOfLongTermDebt | 43,248,175us-gaap_ProceedsFromIssuanceOfLongTermDebt |
| Payments on long-term debt, contingent earn-out obligations and other financing costs | (60,046,487)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations | (66,723,385)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations | (39,286,027)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations |
| Deferred financing and debt redemption costs | (122,988)us-gaap_PaymentsOfFinancingCosts | (719)us-gaap_PaymentsOfFinancingCosts | (57,241)us-gaap_PaymentsOfFinancingCosts |
| Distributions to noncontrolling interests | (149,339)dva_PaymentsOfDistributionsReturnOfCapital | (139,326)dva_PaymentsOfDistributionsReturnOfCapital | (113,504)dva_PaymentsOfDistributionsReturnOfCapital |
| Stock award exercises and other share issuances, net | 19,500us-gaap_ProceedsFromStockOptionsExercised | 16,423us-gaap_ProceedsFromStockOptionsExercised | 6,647us-gaap_ProceedsFromStockOptionsExercised |
| Excess tax benefits from stock award exercises | 45,271us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 36,197us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 62,036us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities |
| Contributions from noncontrolling interests | 64,655dva_ContributionFromNoncontrollingInterest | 36,996dva_ContributionFromNoncontrollingInterest | 37,395dva_ContributionFromNoncontrollingInterest |
| Proceeds from sales of additional noncontrolling interests | 3,777us-gaap_ProceedsFromMinorityShareholders | 8,295us-gaap_ProceedsFromMinorityShareholders | 1,664us-gaap_ProceedsFromMinorityShareholders |
| Purchases from noncontrolling interests | (17,876)us-gaap_PaymentsToMinorityShareholders | (3,569)us-gaap_PaymentsToMinorityShareholders | (26,761)us-gaap_PaymentsToMinorityShareholders |
| Net cash (used in) provided by financing activities | (164,979)us-gaap_NetCashProvidedByUsedInFinancingActivities | (482,991)us-gaap_NetCashProvidedByUsedInFinancingActivities | 3,872,384us-gaap_NetCashProvidedByUsedInFinancingActivities |
| Effect of exchange rate changes on cash and cash equivalents | 2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | (967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | (786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents |
| Net increase in cash and cash equivalents | 18,992us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | 412,501us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | 139,996us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease |
| Cash and cash equivalents at beginning of the year | 946,249us-gaap_CashAndCashEquivalentsAtCarryingValue | 533,748us-gaap_CashAndCashEquivalentsAtCarryingValue | 393,752us-gaap_CashAndCashEquivalentsAtCarryingValue |
| Cash and cash equivalents at end of the year | $ 965,241us-gaap_CashAndCashEquivalentsAtCarryingValue | $ 946,249us-gaap_CashAndCashEquivalentsAtCarryingValue | $ 533,748us-gaap_CashAndCashEquivalentsAtCarryingValue |
| X | ||||||||||
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- Definition
The current period expense charged against earnings on long-lived, physical assets used in the normal conduct of business and not intended for resale to allocate or recognize the cost of assets over their useful lives; or to record the reduction in book value of an intangible asset over the benefit period of such asset. Examples include buildings, production equipment and customer lists. No definition available.
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| X | ||||||||||
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- Definition
This item represents the entity's proportionate share for the period of the undistributed net income (loss) of its investee (such as unconsolidated subsidiaries and joint ventures) to which the equity method of accounting is applied. Such amount typically reflects adjustments similar to those made in preparing consolidated statements, including adjustments to eliminate intercompany gains and losses, and to amortize, if appropriate, any difference between cost and underlying equity in net assets of the investee at the date of investment. No definition available.
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- Definition
Contribution from noncontrolling interest. No definition available.
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- Definition
Amount of debt refinancing charges No definition available.
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- Definition
(Gain) Loss on Disposal of Assets and Other Noncash Charges No definition available.
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| X | ||||||||||
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- Definition
Increase (decrease) in loss contingency reserve. No definition available.
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- Definition
The net change during the reporting period in other current receivables and other current assets. No definition available.
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- Definition
Cash distributions paid to unconsolidated subsidiaries, certain corporate joint ventures, and certain non controlled corporations that are returns of capital. Excludes dividends or distributions for equity method investments classified as operating activities. No definition available.
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| X | ||||||||||
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- Details
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| X | ||||||||||
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- Definition
Amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Excludes cash and cash equivalents within disposal group and discontinued operation. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of increase (decrease) in cash and cash equivalents. Cash and cash equivalents are the amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Includes effect from exchange rate changes. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of deferred income tax expense (benefit) pertaining to income (loss) from continuing operations. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of deferred tax expense from write-off of the deferred tax asset related to deductible stock options at exercise. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of increase (decrease) from the effect of exchange rate changes on cash and cash equivalent balances held in foreign currencies. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of cash inflow from realized tax benefit related to deductible compensation cost reported on the entity's tax return for equity instruments in excess of the compensation cost for those instruments recognized for financial reporting purposes. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of cash outflow for realized tax benefit related to deductible compensation cost reported on the entity's tax return for equity instruments in excess of the compensation cost for those instruments recognized for financial reporting purposes. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The increase (decrease) during the reporting period in the aggregate amount of liabilities incurred (and for which invoices have typically been received) and payable to vendors for goods and services received that are used in an entity's business. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The increase (decrease) during the reporting period in amount due within one year (or one business cycle) from customers for the credit sale of goods and services. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The increase (decrease) during the period in the amount due for taxes based on the reporting entity's earnings or attributable to the entity's income earning process (business presence) within a given jurisdiction. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The increase (decrease) during the reporting period in the aggregate amount of obligations related to services received from employees, such as accrued salaries and bonuses, payroll taxes and fringe benefits. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The increase (decrease) during the reporting period in the aggregate value of all inventory held by the reporting entity, associated with underlying transactions that are classified as operating activities. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Details
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| X | ||||||||||
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- Definition
The increase (decrease) during the reporting period in other current operating liabilities not separately disclosed in the statement of cash flows. No definition available.
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- Definition
The increase (decrease) during the reporting period in other noncurrent operating assets not separately disclosed in the statement of cash flows. No definition available.
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| X | ||||||||||
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- Definition
The increase (decrease) during the reporting period in other noncurrent operating liabilities not separately disclosed in the statement of cash flows. No definition available.
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- Definition
Amount of increase (decrease) in loss contingency liability. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Amount of cash inflow (outflow) from financing activities, including discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Details
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| X | ||||||||||
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- Definition
Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Details
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| X | ||||||||||
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- Definition
Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Details
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| X | ||||||||||
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- Definition
The cash outflow for loan and debt issuance costs. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash outflow to acquire debt and equity securities not classified as either held-to-maturity securities or trading securities which would be classified as available-for-sale securities and reported at fair value, with unrealized gains and losses excluded from earnings and reported in a separate component of shareholders' equity. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash outflow associated with the acquisition of a controlling interest in another entity or an entity that is related to it but not strictly controlled (for example, an unconsolidated subsidiary, affiliate, joint venture or equity method investment). Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash outflow associated with the purchase of or advances to an equity method investments, which are investments in joint ventures and entities in which the entity has an equity ownership interest normally of 20 to 50 percent and exercises significant influence. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of cash outflow through purchase of long-term held-to-maturity securities. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
The cash outflow to acquire asset without physical form usually arising from contractual or other legal rights, excluding goodwill. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of cash outflow to a noncontrolling interest. Includes, but not limited to, reduction of noncontrolling interest ownership. Excludes dividends paid to the noncontrolling interest. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Cash dividends or other distributions received from unconsolidated subsidiaries, certain corporate joint ventures, and certain noncontrolled corporations that are returns of capital. Excludes dividends or distributions from equity method investments classified as operating activities. No definition available.
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| X | ||||||||||
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- Definition
The cash inflow from a debt initially having maturity due after one year or beyond the operating cycle, if longer. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of cash inflow from a noncontrolling interest. Includes, but is not limited to, purchase of additional shares or other increase in noncontrolling interest ownership. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
Amount of cash inflow from the sale or maturity of long-term held-to-maturity securities. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash inflow associated with the sale of debt and equity securities classified as available-for-sale securities. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash inflow from the sale of property, plant and equipment (capital expenditures), software, and other intangible assets. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash inflow associated with the amount received from holders exercising their stock options. This item inherently excludes any excess tax benefit, which the entity may have realized and reported separately. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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| X | ||||||||||
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- Definition
The cash outflow during the period from the repayment of aggregate short-term and long-term debt and payment of capital lease obligations. No definition available.
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| X | ||||||||||
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- Definition
The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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