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 $ 211,737us-gaap_ProfitLoss
Adjustments to reconcile net income to cash provided by operating activities:    
Loss contingency accrual 495,000us-gaap_LossContingencyLossInPeriod  
Depreciation and amortization 153,789dva_AdjustmentDepreciationAndAmortization 142,565dva_AdjustmentDepreciationAndAmortization
Stock-based compensation expense 12,762us-gaap_ShareBasedCompensation 15,074us-gaap_ShareBasedCompensation
Tax benefits from stock award exercises 9,366us-gaap_DeferredTaxExpenseFromStockOptionsExercised 22,978us-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 8,902us-gaap_DeferredIncomeTaxExpenseBenefit
Equity investment income, net 2,539dva_AdjustmentIncomeLossFromEquityMethodInvestments (187)dva_AdjustmentIncomeLossFromEquityMethodInvestments
Other non-cash charges and loss on disposal of assets 7,865dva_GainLossOnDisposalOfAssetsAndOtherNoncashCharges 8,346dva_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 153us-gaap_IncreaseDecreaseInOtherNoncurrentAssets 1,418us-gaap_IncreaseDecreaseInOtherNoncurrentAssets
Accounts payable (10,933)us-gaap_IncreaseDecreaseInAccountsPayable (42,558)us-gaap_IncreaseDecreaseInAccountsPayable
Accrued compensation and benefits 30,638us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities 23,570us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities
Other current liabilities 60,772us-gaap_IncreaseDecreaseInOtherCurrentLiabilities 20,615us-gaap_IncreaseDecreaseInOtherCurrentLiabilities
Income taxes 106,970us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable 92,905us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable
Other long-term liabilities 8,395us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities 16,663us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash provided by operating activities 410,089us-gaap_NetCashProvidedByUsedInOperatingActivities 419,107us-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 2,565us-gaap_ProceedsFromSaleOfProductiveAssets 56us-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 1,217us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities 1,262us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities
Proceeds from sale of investments held-to-maturity 205,650us-gaap_ProceedsFromSaleAndMaturityOfHeldToMaturitySecurities 1,508us-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   146us-gaap_ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
Net cash used in investing activities (252,287)us-gaap_NetCashProvidedByUsedInInvestingActivities (195,793)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:    
Borrowings 13,353,767us-gaap_ProceedsFromIssuanceOfLongTermDebt 16,179,463us-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 5,648us-gaap_ProceedsFromStockOptionsExercised 3,450us-gaap_ProceedsFromStockOptionsExercised
Excess tax benefits from stock award exercises 7,584us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 18,336us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Contributions from noncontrolling interests 15,898dva_ContributionFromNoncontrollingInterest 13,625dva_ContributionFromNoncontrollingInterest
Proceeds from sales of additional noncontrolling interests   761us-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 631us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase in cash and cash equivalents 46,030us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 161,820us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year 965,241us-gaap_CashAndCashEquivalentsAtCarryingValue 946,249us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the period $ 1,011,271us-gaap_CashAndCashEquivalentsAtCarryingValue $ 1,108,069us-gaap_CashAndCashEquivalentsAtCarryingValue