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Consolidating Financial Statements
12 Months Ended
Dec. 31, 2017
Condensed Financial Information of Parent Company Only Disclosure [Abstract]  
Consolidating Financial Statements
Consolidating financial statements
The following information is presented in accordance with Rule 3-10 of Regulation S-X. The operating and investing activities of the separate legal entities included in the Company’s consolidated financial statements are fully interdependent and integrated. Revenues and operating expenses of the separate legal entities include intercompany charges for management and other services. The Company’s Senior Notes are guaranteed by substantially all of its domestic subsidiaries. Each of the guarantor subsidiaries has guaranteed the Senior Notes on a joint and several basis. However, the guarantor subsidiaries can be released from their obligations in the event of a sale or other disposition of all or substantially all of the assets of such subsidiary, including by merger or consolidation or the sale of all equity interests in such subsidiary owned by the Company, if such subsidiary guarantor is designated as an unrestricted subsidiary or otherwise ceases to be a restricted subsidiary, and if such subsidiary guarantor no longer guaranties any other indebtedness of the Company. Certain domestic subsidiaries, foreign subsidiaries, joint ventures, partnerships and third parties are not guarantors of the Senior Notes.
Consolidating Statements of Income
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-
Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
For twelve months ended December 31, 2017
 

 
 

 
 

 
 

 
 

Dialysis and related lab patient service revenues
$

 
$
6,884,750

 
$
3,393,026

 
$
(184,106
)
 
$
10,093,670

Less: Provision for uncollectible accounts

 
(340,586
)
 
(151,982
)
 
7,170

 
(485,398
)
Net dialysis and related lab patient service revenues

 
6,544,164

 
3,241,044

 
(176,936
)
 
9,608,272

Other revenues
793,751

 
1,204,501

 
68,322

 
(798,212
)
 
1,268,362

Total net revenues
793,751

 
7,748,665

 
3,309,366

 
(975,148
)
 
10,876,634

Operating expenses and charges
527,942

 
6,475,550

 
3,035,535

 
(975,148
)
 
9,063,879

Operating income
265,809

 
1,273,115

 
273,831

 

 
1,812,755

Debt expense
(426,149
)
 
(209,612
)
 
(34,831
)
 
239,958

 
(430,634
)
Other income, net
411,731

 
11,169

 
18,467

 
(423,702
)
 
17,665

Income tax expense
65,965

 
237,670

 
20,224

 

 
323,859

Equity earnings in subsidiaries
478,192

 
74,375

 

 
(552,567
)
 

Net income from continuing operations
663,618

 
911,377

 
237,243

 
(736,311
)
 
1,075,927

Net (loss) income from discontinued operations, net
of tax

 
(433,185
)
 
4,069

 
183,744

 
(245,372
)
Net income
663,618

 
478,192

 
241,312

 
(552,567
)
 
830,555

Less: Net income attributable to noncontrolling
interests

 

 

 
(166,937
)
 
(166,937
)
Net income attributable to DaVita Inc.
$
663,618

 
$
478,192

 
$
241,312

 
$
(719,504
)
 
$
663,618

 
 
 
 
 
 
 
 
 
 
For twelve months ended December 31, 2016
 
 
 
 
 
 
 
 
 
Dialysis and related lab patient service revenues
$

 
$
6,665,601

 
$
3,215,085

 
$
(153,326
)
 
$
9,727,360

Less: Provision for uncollectible accounts

 
(272,430
)
 
(158,878
)
 

 
(431,308
)
Net dialysis and related lab patient service revenues

 
6,393,171

 
3,056,207

 
(153,326
)
 
9,296,052

Other revenues
767,791

 
1,378,956

 
30,184

 
(765,516
)
 
1,411,415

Total net revenues
767,791

 
7,772,127

 
3,086,391

 
(918,842
)
 
10,707,467

Operating expenses and charges
493,175

 
6,907,469

 
2,195,955

 
(918,842
)
 
8,677,757

Operating income
274,616

 
864,658

 
890,436

 

 
2,029,710

Debt expense
(407,925
)
 
(191,083
)
 
(40,434
)
 
225,326

 
(414,116
)
Other income, net
396,797

 
3,726

 
7,694

 
(400,706
)
 
7,511

Income tax expense
77,334

 
238,446

 
115,981

 

 
431,761

Equity earnings in subsidiaries
693,720

 
667,278

 

 
(1,360,998
)
 

Net income from continuing operations
879,874

 
1,106,133

 
741,715

 
(1,536,378
)
 
1,191,344

Net (loss) income from discontinued operations, net
of tax

 
(412,413
)
 
78,771

 
175,380

 
(158,262
)
Net income
879,874

 
693,720

 
820,486

 
(1,360,998
)
 
1,033,082

Less: Net income attributable to noncontrolling
interests

 

 

 
(153,208
)
 
(153,208
)
Net income attributable to DaVita Inc.
$
879,874

 
$
693,720

 
$
820,486

 
$
(1,514,206
)
 
$
879,874

 
Consolidating Statements of Income - (continued)
 
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-
Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
For twelve months ended December 31, 2015
 

 
 

 
 

 
 

 
 

Dialysis and related lab patient service revenues
$

 
$
6,471,702

 
$
2,814,909

 
$
(131,164
)
 
$
9,155,447

Less: Provision for uncollectible accounts

 
(281,976
)
 
(130,929
)
 

 
(412,905
)
Net dialysis and related lab patient service
revenues

 
6,189,726

 
2,683,980

 
(131,164
)
 
8,742,542

Other revenues
727,887

 
1,208,607

 
24,013

 
(720,804
)
 
1,239,703

Total net revenues
727,887

 
7,398,333

 
2,707,993

 
(851,968
)
 
9,982,245

Operating expenses and charges
488,595

 
6,925,234

 
2,283,618

 
(851,968
)
 
8,845,479

Operating income
239,292

 
473,099

 
424,375

 

 
1,136,766

Debt (expense) and refinancing charges
(449,598
)
 
(178,389
)
 
(32,450
)
 
203,985

 
(456,452
)
Other income, net
365,752

 
1,261

 
6,921

 
(365,861
)
 
8,073

Income tax expense (benefit)
60,671

 
163,401

 
(16,562
)
 

 
207,510

Equity earnings in subsidiaries
174,957

 
322,022

 

 
(496,979
)
 

Net income from continuing operations
269,732

 
454,592

 
415,408

 
(658,855
)
 
480,877

Net (loss) income from discontinued operations,
net of tax

 
(279,635
)
 
64,292

 
161,876

 
(53,467
)
Net income
269,732

 
174,957

 
479,700

 
(496,979
)
 
427,410

Less: Net income attributable to noncontrolling
interests

 

 

 
(157,678
)
 
(157,678
)
Net income attributable to DaVita Inc.
$
269,732

 
$
174,957

 
$
479,700

 
$
(654,657
)
 
$
269,732


 
Consolidating Statements of Comprehensive Income
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-
Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
For the year ended December 31, 2017
 

 
 

 
 

 
 

 
 

Net income
$
663,618

 
$
478,192

 
$
241,312

 
$
(552,567
)
 
$
830,555

Other comprehensive income
3,106

 

 
99,770

 

 
102,876

Total comprehensive income
666,724

 
478,192

 
341,082

 
(552,567
)
 
933,431

Less: Comprehensive income attributable to
noncontrolling interest

 

 

 
(166,935
)
 
(166,935
)
Comprehensive income attributable to DaVita Inc.
$
666,724

 
$
478,192

 
$
341,082

 
$
(719,502
)
 
$
766,496

 
 
 
 
 
 
 
 
 
 
For the year ended December 31, 2016
 

 
 

 
 

 
 

 
 

Net income
$
879,874

 
$
693,720

 
$
820,486

 
$
(1,360,998
)
 
$
1,033,082

Other comprehensive loss
(290
)
 

 
(29,337
)
 

 
(29,627
)
Total comprehensive income
879,584

 
693,720

 
791,149

 
(1,360,998
)
 
1,003,455

Less: Comprehensive income attributable to
noncontrolling interest

 

 

 
(153,398
)
 
(153,398
)
Comprehensive income attributable to DaVita Inc.
$
879,584

 
$
693,720

 
$
791,149

 
$
(1,514,396
)
 
$
850,057

 
 
 
 
 
 
 
 
 
 
For the year ended December 31, 2015
 

 
 

 
 

 
 

 
 

Net income
$
269,732

 
$
174,957

 
$
479,700

 
$
(496,979
)
 
$
427,410

Other comprehensive loss
(10,920
)
 

 
(23,889
)
 

 
(34,809
)
Total comprehensive income
258,812

 
174,957

 
455,811

 
(496,979
)
 
392,601

Less: Comprehensive income attributable to
noncontrolling interest

 

 

 
(157,678
)
 
(157,678
)
Comprehensive income attributable to DaVita Inc.
$
258,812

 
$
174,957

 
$
455,811

 
$
(654,657
)
 
$
234,923


 
Consolidating Balance Sheets
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-
Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
As of December 31, 2017
 

 
 

 
 

 
 

 
 

Cash and cash equivalents
$
149,305

 
$

 
$
358,929

 
$

 
$
508,234

Accounts receivable, net

 
1,208,715

 
506,035

 

 
1,714,750

Other current assets
68,027

 
604,450

 
87,255

 

 
759,732

Current assets held for sale

 
4,992,067

 
769,575

 

 
5,761,642

Total current assets
217,332

 
6,805,232

 
1,721,794

 

 
8,744,358

Property and equipment, net
408,010

 
1,560,390

 
1,180,813

 

 
3,149,213

Intangible assets, net
250

 
50,971

 
62,606

 

 
113,827

Investments in subsidiaries
10,009,874

 
3,085,722

 

 
(13,095,596
)
 

Intercompany receivables
3,677,947

 

 
1,313,213

 
(4,991,160
)
 

Other long-term assets and investments
47,297

 
68,344

 
214,875

 

 
330,516

Goodwill

 
4,732,320

 
1,877,959

 

 
6,610,279

Total assets
$
14,360,710

 
$
16,302,979

 
$
6,371,260

 
$
(18,086,756
)
 
$
18,948,193

Current liabilities
$
238,706

 
$
1,181,139

 
$
436,262

 
$

 
$
1,856,107

Current liabilities held for sale

 
739,294

 
445,776

 

 
1,185,070

Total current liabilities
238,706

 
1,920,433

 
882,038

 

 
3,041,177

Intercompany payables

 
3,690,042

 
1,301,118

 
(4,991,160
)
 

Long-term debt and other long-term liabilities
8,857,373

 
682,630

 
469,587

 

 
10,009,590

Noncontrolling interests subject to put provisions
574,602

 

 

 
436,758

 
1,011,360

Total DaVita Inc. shareholders' equity
4,690,029

 
10,009,874

 
3,085,722

 
(13,095,596
)
 
4,690,029

Noncontrolling interests not subject to put
provisions

 

 
632,795

 
(436,758
)
 
196,037

Total equity
4,690,029

 
10,009,874

 
3,718,517

 
(13,532,354
)
 
4,886,066

Total liabilities and equity
$
14,360,710

 
$
16,302,979

 
$
6,371,260

 
$
(18,086,756
)
 
$
18,948,193


Consolidating Balance Sheets - (continued)
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-
Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
As of December 31, 2016
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
549,921

 
$

 
$
124,855

 
$

 
$
674,776

Accounts receivable, net

 
1,048,580

 
455,370

 

 
1,503,950

Other current assets
277,911

 
462,684

 
114,471

 

 
855,066

Current assets held for sale

 
514,407

 
446,549

 

 
960,956

Total current assets
827,832

 
2,025,671

 
1,141,245

 

 
3,994,748

Property and equipment, net
337,200

 
1,444,248

 
1,082,673

 

 
2,864,121

Intangible assets, net
487

 
42,037

 
30,980

 

 
73,504

Investments in subsidiaries
9,717,728

 
2,021,062

 

 
(11,738,790
)
 

Intercompany receivables
3,250,692

 

 
866,955

 
(4,117,647
)
 

Other long-term assets and investments
39,994

 
73,466

 
442,433

 

 
555,893

Goodwill

 
4,480,344

 
1,535,031

 

 
6,015,375

Long-term assets held for sale

 
5,066,453

 
185,682

 

 
5,252,135

Total assets
$
14,173,933

 
$
15,153,281

 
$
5,284,999

 
$
(15,856,437
)
 
$
18,755,776

Current liabilities
$
303,840

 
$
1,343,748

 
$
256,143

 
$

 
$
1,903,731

Current liabilities held for sale

 
533,250

 
273,983

 

 
807,233

Total current liabilities
303,840

 
1,876,998

 
530,126

 

 
2,710,964

Intercompany payables

 
2,382,428

 
1,735,219

 
(4,117,647
)
 

Long-term debt and other long-term liabilities
8,614,445

 
835,845

 
342,638

 

 
9,792,928

Long-term liabilities held for sale

 
340,282

 
88,603

 

 
428,885

Noncontrolling interests subject to put provisions
607,601

 

 

 
365,657

 
973,258

Total DaVita Inc. shareholders' equity
4,648,047

 
9,717,728

 
2,021,062

 
(11,738,790
)
 
4,648,047

Noncontrolling interests not subject to put
provisions

 

 
567,351

 
(365,657
)
 
201,694

Total equity
4,648,047

 
9,717,728

 
2,588,413

 
(12,104,447
)
 
4,849,741

Total liabilities and equity
$
14,173,933

 
$
15,153,281

 
$
5,284,999

 
$
(15,856,437
)
 
$
18,755,776




 
Consolidating Statements of Cash Flow 
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
For the year ended December 31, 2017
 

 
 

 
 

 
 

 
 

Cash flows from operating activities:
 

 
 

 
 

 
 

 
 

Net income
$
663,618

 
$
478,192

 
$
241,312

 
$
(552,567
)
 
$
830,555

Changes in operating assets and liabilities and
non-cash items included in net income
(534,302
)
 
366,947

 
691,682

 
552,567

 
1,076,894

Net cash provided by operating activities
129,316

 
845,139

 
932,994

 

 
1,907,449

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Additions of property and equipment, net
(155,972
)
 
(490,800
)
 
(258,478
)
 

 
(905,250
)
Acquisitions

 
(693,522
)
 
(110,357
)
 

 
(803,879
)
Proceeds from asset sales, net of cash divested

 
90,340

 
1,996

 

 
92,336

Investments and other items
211,619

 
(9,003
)
 
47,446

 

 
250,062

Net cash provided by (used in) investing
activities
55,647

 
(1,102,985
)
 
(319,393
)
 

 
(1,366,731
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 
 

Long-term debt and related financing costs, net
173,529

 
(12,662
)
 
(6,019
)
 

 
154,848

Intercompany borrowing
22,589

 
218,980

 
(241,569
)
 

 

Other items
(781,697
)
 
(2,493
)
 
(136,915
)
 

 
(921,105
)
Net cash (used in) provided by financing
activities
(585,579
)
 
203,825

 
(384,503
)
 

 
(766,257
)
Effect of exchange rate changes on cash

 

 
254

 

 
254

Net (decrease) increase in cash and cash
equivalents
(400,616
)
 
(54,021
)
 
229,352

 

 
(225,285
)
Less: Net decrease in cash and cash equivalents
from discontinued operations

 
(54,021
)
 
(4,722
)
 

 
(58,743
)
Net (decrease) increase in cash and cash
equivalents from continuing operations
(400,616
)
 

 
234,074

 

 
(166,542
)
Cash and cash equivalents of continuing operations
at beginning of the year
549,921

 

 
124,855

 

 
674,776

Cash and cash equivalents of continuing operations
at end of the year
$
149,305

 
$

 
$
358,929

 
$

 
$
508,234




















Consolidating Statements of Cash Flow - (continued)
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
For the year ended December 31, 2016
 
 
 
 
 
 
 
 
 
Cash flows from operating activities:
 
 
 
 
 
 
 
 
 
Net income
$
879,874

 
$
693,720

 
$
820,486

 
$
(1,360,998
)
 
$
1,033,082

Changes in operating assets and liabilities and
non-cash items included in net income
(612,706
)
 
350,684

 
(168,614
)
 
1,360,998

 
930,362

Net cash provided by operating activities
267,168

 
1,044,404

 
651,872

 

 
1,963,444

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Additions of property and equipment, net
(139,303
)
 
(382,305
)
 
(307,487
)
 

 
(829,095
)
Acquisitions

 
(472,413
)
 
(91,443
)
 

 
(563,856
)
Proceeds from asset and business sales, net of cash
divested

 
70,342

 
(5,617
)
 

 
64,725

Investments and other items
153,031

 
(29,038
)
 
2,565

 

 
126,558

Net cash provided by (used in) investing
activities
13,728

 
(813,414
)
 
(401,982
)
 

 
(1,201,668
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 
 

Long-term debt and related financing costs, net
(92,460
)
 
(27,830
)
 
(4,152
)
 

 
(124,442
)
Intercompany borrowing
236,052

 
(231,800
)
 
(4,252
)
 

 

Other items
(1,061,203
)
 
(21,525
)
 
(144,811
)
 

 
(1,227,539
)
Net cash used in financing activities
(917,611
)
 
(281,155
)
 
(153,215
)
 

 
(1,351,981
)
Effect of exchange rate changes on cash

 

 
4,276

 

 
4,276

Net (decrease) increase in cash and cash
equivalents
(636,715
)
 
(50,165
)
 
100,951

 

 
(585,929
)
Less: Net (decrease) increase in cash and cash
equivalents from discontinued operations

 
(50,165
)
 
34,377

 

 
(15,788
)
Net (decrease) increase in cash and cash
equivalents from continuing operations
(636,715
)
 

 
66,574

 

 
(570,141
)
Cash and cash equivalents of continuing operations
at beginning of the year
1,186,636

 

 
58,281

 

 
1,244,917

Cash and cash equivalents of continuing operations
at end of the year
$
549,921

 
$

 
$
124,855

 
$

 
$
674,776

Consolidating Statements of Cash Flow - (continued)
 
DaVita Inc.
 
Guarantor
Subsidiaries
 
Non-Guarantor
Subsidiaries
 
Consolidating
Adjustments
 
Consolidated
Total
For the year ended December 31, 2015
 

 
 

 
 

 
 

 
 

Cash flows from operating activities:
 

 
 

 
 

 
 

 
 

Net income
$
269,732

 
$
174,957

 
$
479,700

 
$
(496,979
)
 
$
427,410

Changes in operating assets and liabilities and
non-cash items included in net income
(125,981
)
 
684,760

 
74,032

 
496,979

 
1,129,790

Net cash provided by operating activities
143,751

 
859,717

 
553,732

 

 
1,557,200

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Additions of property and equipment, net
(115,269
)
 
(319,695
)
 
(273,034
)
 

 
(707,998
)
Acquisitions

 
(76,983
)
 
(19,486
)
 

 
(96,469
)
Proceeds from asset sales

 
19,715

 

 

 
19,715

Investments and other items
(74,474
)
 
(2,144
)
 
(20,414
)
 

 
(97,032
)
Net cash used in investing activities
(189,743
)
 
(379,107
)
 
(312,934
)
 

 
(881,784
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 
 

Long-term debt and related financing costs, net
640,009

 
(11,953
)
 
(8,358
)
 

 
619,698

Intercompany borrowing
466,038

 
(370,839
)
 
(95,199
)
 

 

Other items
(572,295
)
 
(66,382
)
 
(119,991
)
 

 
(758,668
)
Net cash provided by (used in) financing
activities
533,752

 
(449,174
)
 
(223,548
)
 

 
(138,970
)
Effect of exchange rate changes on cash

 

 
(2,571
)
 

 
(2,571
)
Net increase in cash and cash equivalents
487,760

 
31,436

 
14,679

 

 
533,875

Less: Net increase (decrease) in cash and cash
equivalents from discontinued operations

 
31,436

 
(5,581
)
 

 
25,855

Net increase in cash and cash equivalents from
continuing operations
487,760

 

 
20,260

 

 
508,020

Cash and cash equivalents of continuing operations
at beginning of the year
698,876

 

 
38,021

 

 
736,897

Cash and cash equivalents of continuing operations
at end of the year
$
1,186,636

 
$

 
$
58,281

 
$

 
$
1,244,917