v2.4.1.9

CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
--- | ---
Mar. 31, 2015 | Mar. 31, 2014
Cash flows from operating activities: |  |
Net (loss) income | $ (76,148)us-gaap_ProfitLoss | $ 211,737 us-gaap_ProfitLoss
Adjustments to reconcile net income to cash provided by operating activities: |  |
Loss contingency accrual | 495,000 us-gaap_LossContingencyLossInPeriod |
Depreciation and amortization | 153,789 dva_AdjustmentDepreciationAndAmortization | 142,565 dva_AdjustmentDepreciationAndAmortization
Stock-based compensation expense | 12,762 us-gaap_ShareBasedCompensation | 15,074 us-gaap_ShareBasedCompensation
Tax benefits from stock award exercises | 9,366 us-gaap_DeferredTaxExpenseFromStockOptionsExercised | 22,978 us-gaap_DeferredTaxExpenseFromStockOptionsExercised
Excess tax benefits from stock award exercises | (7,584)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities | (18,336)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Deferred income taxes | (203,940)us-gaap_DeferredIncomeTaxExpenseBenefit | 8,902 us-gaap_DeferredIncomeTaxExpenseBenefit
Equity investment income, net | 2,539 dva_AdjustmentIncomeLossFromEquityMethodInvestments | (187)dva_AdjustmentIncomeLossFromEquityMethodInvestments
Other non-cash charges and loss on disposal of assets | 7,865 dva_GainLossOnDisposalOfAssetsAndOtherNoncashCharges | 8,346 dva_GainLossOnDisposalOfAssetsAndOtherNoncashCharges
Changes in operating assets and liabilities, other than from acquisitions and divestitures: |  |
Accounts receivable | (151,743)us-gaap_IncreaseDecreaseInAccountsReceivable | (54,565)us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories | (9,193)us-gaap_IncreaseDecreaseInInventories | (12,280)us-gaap_IncreaseDecreaseInInventories
Other receivables and other current assets | (18,619)dva_IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets | (17,740)dva_IncreaseDecreaseInOtherCurrentReceivablesAndOtherCurrentAssets
Other long-term assets | 153 us-gaap_IncreaseDecreaseInOtherNoncurrentAssets | 1,418 us-gaap_IncreaseDecreaseInOtherNoncurrentAssets
Accounts payable | (10,933)us-gaap_IncreaseDecreaseInAccountsPayable | (42,558)us-gaap_IncreaseDecreaseInAccountsPayable
Accrued compensation and benefits | 30,638 us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities | 23,570 us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities
Other current liabilities | 60,772 us-gaap_IncreaseDecreaseInOtherCurrentLiabilities | 20,615 us-gaap_IncreaseDecreaseInOtherCurrentLiabilities
Income taxes | 106,970 us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable | 92,905 us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable
Other long-term liabilities | 8,395 us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities | 16,663 us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash provided by operating activities | 410,089 us-gaap_NetCashProvidedByUsedInOperatingActivities | 419,107 us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities: |  |
Additions of property and equipment | (121,421)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (126,562)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisitions | (40,650)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates | (67,857)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
Proceeds from asset and business sales | 2,565 us-gaap_ProceedsFromSaleOfProductiveAssets | 56 us-gaap_ProceedsFromSaleOfProductiveAssets
Purchase of investments available for sale | (1,448)us-gaap_PaymentsToAcquireAvailableForSaleSecurities | (1,824)us-gaap_PaymentsToAcquireAvailableForSaleSecurities
Purchase of investments held-to-maturity | (290,774)us-gaap_PaymentsToAcquireHeldToMaturitySecurities | (2,511)us-gaap_PaymentsToAcquireHeldToMaturitySecurities
Proceeds from sale of investments available for sale | 1,217 us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities | 1,262 us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities
Proceeds from sale of investments held-to-maturity | 205,650 us-gaap_ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities | 1,508 us-gaap_ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities
Purchase of intangible assets and equity investment |  | (11)dva_PaymentsToAcquireIntangibleAssetsAndEquityMethodInvestments
Purchase of equity investments | (7,426)us-gaap_PaymentsToAcquireEquityMethodInvestments |
Distributions received on equity investments |  | 146 us-gaap_ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
Net cash used in investing activities | (252,287)us-gaap_NetCashProvidedByUsedInInvestingActivities | (195,793)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities: |  |
Borrowings | 13,353,767 us-gaap_ProceedsFromIssuanceOfLongTermDebt | 16,179,463 us-gaap_ProceedsFromIssuanceOfLongTermDebt
Payments on long-term debt and other financing costs | (13,382,203)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations | (16,244,613)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations
Purchase of treasury stock | (70,063)us-gaap_PaymentsForRepurchaseOfCommonStock |
Distributions to noncontrolling interests | (41,499)dva_PaymentsOfDistributionsReturnOfCapital | (33,147)dva_PaymentsOfDistributionsReturnOfCapital
Stock award exercises and other share issuances, net | 5,648 us-gaap_ProceedsFromStockOptionsExercised | 3,450 us-gaap_ProceedsFromStockOptionsExercised
Excess tax benefits from stock award exercises | 7,584 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 18,336 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Contributions from noncontrolling interests | 15,898 dva_ContributionFromNoncontrollingInterest | 13,625 dva_ContributionFromNoncontrollingInterest
Proceeds from sales of additional noncontrolling interests |  | 761 us-gaap_ProceedsFromMinorityShareholders
Net cash used in financing activities | (110,868)us-gaap_NetCashProvidedByUsedInFinancingActivities | (62,125)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents | (904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | 631 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase in cash and cash equivalents | 46,030 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | 161,820 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year | 965,241 us-gaap_CashAndCashEquivalentsAtCarryingValue | 946,249 us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the period | $ 1,011,271 us-gaap_CashAndCashEquivalentsAtCarryingValue | $ 1,108,069 us-gaap_CashAndCashEquivalentsAtCarryingValue

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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=6871852&loc=d3e26853-111562 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (a),(b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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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). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition Amount of cash outflow through purchase of long-term held-to-maturity securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=6871852&loc=d3e26853-111562 + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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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. + References No definition available. + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
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- Definition Amount of cash inflow from the sale or maturity of long-term held-to-maturity securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=6871852&loc=d3e26853-111562 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 + Details
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- Definition The cash inflow associated with the sale of debt and equity securities classified as available-for-sale securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=6871852&loc=d3e26853-111562 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (a),(b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 + Details
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- Definition The cash inflow from the sale of property, plant and equipment (capital expenditures), software, and other intangible assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 718 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (j) -URI http://asc.fasb.org/extlink&oid=6415400&loc=d3e5070-113901 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591552-111686 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4569616-111683 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a),(c) -URI http://asc.fasb.org/extlink&oid=18733093&loc=SL4573702-111684 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591551-111686 + Details
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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. + References No definition available. + Details
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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. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 + Details
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