Supplemental data (Tables)

12 Months Ended

Dec. 31, 2015

Condensed Financial Statements Captions [Line Items]

	DaVita HealthCare Partners Inc.			Guarantor Subsidiaries			Non- Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
For the year ended December 31, 2015
Patient services revenues	$	—		$	6,576,380		$	3,050,003		$	(146,104	)	$	9,480,279
Less: Provision for uncollectible accounts		—			(285,454	)		(142,406	)		—			(427,860	)
Net patient service revenues		—			6,290,926			2,907,597			(146,104	)		9,052,419
Capitated revenues		—			1,776,311			1,733,027			(243	)		3,509,095
Other revenues		727,887			1,875,133			32,137			(1,414,834	)		1,220,323
Total net revenues		727,887			9,942,370			4,672,761			(1,561,181	)		13,781,837
Operating expenses and charges		488,595			9,563,862			4,119,866			(1,561,181	)		12,611,142
Operating income		239,292			378,508			552,895			—			1,170,695
Debt (expense) and refinancing charges		(449,598	)		(340,176	)		(42,500	)		375,822			(456,452	)
Other income, net		365,752			11,562			7,401			(375,822	)		8,893
Income tax expense		81,221			173,063			41,442			—			295,726
Equity earnings in subsidiaries		195,507			318,676			—			(514,183	)		—
Net income		269,732			195,507			476,354			(514,183	)		427,410
Less: Net income attributable to noncontrolling interests		—			—			—			(157,678	)		(157,678	)
Net income attributable to DaVita HealthCare Partners Inc.	$	269,732		$	195,507		$	476,354		$	(671,861	)	$	269,732

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
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

Consolidating Statements of Comprehensive Income

	DaVita HealthCare Partners Inc.			Guarantor Subsidiaries		Non- Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
For the year ended December 31, 2015
Net income	$	269,732		$	195,507	$	476,354		$	(514,183	)	$	427,410
Other comprehensive loss		(10,920	)		—		(23,889	)		—			(34,809	)
Total comprehensive income		258,812			195,507		452,465			(514,183	)		392,601
Less: Comprehensive income attributable to noncontrolling interest		—			—		—			(157,678	)		(157,678	)
Comprehensive income attributable to DaVita HealthCare Partners Inc.	$	258,812		$	195,507	$	452,465		$	(671,861	)	$	234,923
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

Consolidating Balance Sheets

	DaVita HealthCare Partners Inc.		Guarantor Subsidiaries		Non- Guarantor Subsidiaries		Consolidating Adjustments			Consolidated Total
As of December 31, 2015
Cash and cash equivalents	$	1,186,636	$	109,357	$	203,123	$	—		$	1,499,116
Accounts receivable, net		—		929,390		794,838		—			1,724,228
Other current assets		431,504		769,947		78,485		—			1,279,936
Total current assets		1,618,140		1,808,694		1,076,446		—			4,503,280
Property and equipment, net		268,066		1,575,890		944,784		—			2,788,740
Intangible assets, net		540		1,634,920		51,866		—			1,687,326
Investments in subsidiaries		8,893,079		1,597,185		—		(10,490,264	)		—
Intercompany receivables		3,474,133		—		701,814		(4,175,947	)		—
Other long-term assets and investments		74,458		53,346		113,246		—			241,050
Goodwill		—		7,834,257		1,460,222		—			9,294,479
Total assets	$	14,328,416	$	14,504,292	$	4,348,378	$	(14,666,211	)	$	18,514,875
Current liabilities	$	185,217	$	1,730,123	$	483,798	$	—		$	2,399,138
Intercompany payables		—		2,750,102		1,425,845		(4,175,947	)		—
Long-term debt and other long-term liabilities		8,730,673		1,130,988		305,838		—			10,167,499
Noncontrolling interests subject to put provisions		541,746		—		—		322,320			864,066
Total DaVita HealthCare Partners Inc. shareholders' equity		4,870,780		8,893,079		1,597,185		(10,490,264	)		4,870,780
Noncontrolling interests not subject to put provisions		—		—		535,712		(322,320	)		213,392
Total equity		4,870,780		8,893,079		2,132,897		(10,812,584	)		5,084,172
Total liabilities and equity	$	14,328,416	$	14,504,292	$	4,348,378	$	(14,666,211	)	$	18,514,875
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		362,045		715,012		68,023		—			1,145,080
Total current assets		1,060,921		1,708,784		866,465		—			3,636,170
Property and equipment, net		195,690		1,473,188		800,221		—			2,469,099
Intangible assets, net		682		1,811,250		52,910		—			1,864,842
Investments in subsidiaries		8,868,335		1,561,195		—		(10,429,530	)		—
Intercompany receivables		3,723,453		—		564,241		(4,287,694	)		—
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	$	13,919,390	$	14,573,023	$	3,842,243	$	(14,717,224	)	$	17,617,432
Current liabilities	$	180,977	$	1,493,242	$	414,432	$	—		$	2,088,651
Intercompany payables		—		3,126,261		1,161,433		(4,287,694	)		—
Long-term debt and other long-term liabilities		8,039,579		1,085,185		213,741		—			9,338,505
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	$	13,919,390	$	14,573,023	$	3,842,243	$	(14,717,224	)	$	17,617,432

Consolidating Statements of Cash Flows

	DaVita HealthCare Partners 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		$	195,507		$	476,354		$	(514,183	)	$	427,410
Changes in operating assets and liabilities and non-cash items included in net income		(146,531	)		688,106			74,032			514,183			1,129,790
Net cash provided by operating activities		123,201			883,613			550,386			—			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
Purchase of 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		486,588			(394,735	)		(91,853	)		—			—
Other items		(572,295	)		(66,382	)		(119,991	)		—			(758,668	)
Net cash provided by (used in) financing activities		554,302			(473,070	)		(220,202	)		—			(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
Cash and cash equivalents at beginning of the year		698,876			77,921			188,444			—			965,241
Cash and cash equivalents at the end of the year	$	1,186,636		$	109,357		$	203,123		$	—		$	1,499,116
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 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			(282,461	)		(127,976	)		—			—
Other items		(58,207	)		(14,099	)		(84,684	)		—			(156,990	)
Net cash provided by (used in) financing activities		356,743			(309,105	)		(212,617	)		—			(164,979	)
Effect of exchange rate changes on cash		—			—			2,293			—			2,293
Net increase (decrease) in cash and cash equivalents		96,688			(73,533	)		(4,163	)		—			18,992
Cash and cash equivalents at beginning of the year		602,188			151,454			192,607			—			946,249
Cash and cash equivalents at the end of the year	$	698,876		$	77,921		$	188,444		$	—		$	965,241

Consolidating Statements of Cash Flows

	DaVita HealthCare Partners Inc.			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
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	)		523,440			139,489			796,282			1,016,140
Net cash provided by operating activities		190,375			1,046,218			536,748			—			1,773,341
Cash flows from investing activities:
Additions of property and equipment, net		(55,252	)		(337,919	)		(224,426	)		—			(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			(496,643	)		(380,693	)		—			(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			(557,893	)		(27,548	)		—			—
Other items		52,620			4,726			(102,330	)		—			(44,984	)
Net cash provided by (used in) financing activities		216,322			(564,228	)		(135,085	)		—			(482,991	)
Effect of exchange rate changes on cash		—			—			(967	)		—			(967	)
Net increase (decrease) in cash and cash equivalents		407,151			(14,653	)		20,003			—			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		$	151,454		$	192,607		$	—		$	946,249

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, 2015
Patient services revenues	$	9,480,279		$	133,036		$	—		$	9,347,243
Less: Provision for uncollectible accounts		(427,860	)		(7,937	)		—			(419,923	)
Net patient service revenues		9,052,419			125,099			—			8,927,320
Capitated revenues		3,509,095			1,649,176			—			1,859,919
Other revenues		1,220,323			7,849			—			1,212,474
Total net revenues		13,781,837			1,782,124			—			11,999,713
Operating expenses and charges		12,611,142			1,700,384			(13	)		10,910,771
Operating income		1,170,695			81,740			13			1,088,942
Debt (expense) and refinancing charges		(456,452	)		(9,986	)		—			(446,466	)
Other income, net		8,893			434			—			8,459
Income tax expense		295,726			20,491			5			275,230
Net income		427,410			51,697			8			375,705
Less: Net income attributable to noncontrolling interests		(157,678	)		—			—			(157,678	)
Net income attributable to DaVita HealthCare Partners Inc.	$	269,732		$	51,697		$	8		$	218,027

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, 2015
Net income (losses)	$	427,410		$	51,697	$	8	$	375,705
Other comprehensive losses		(34,809	)		—		—		(34,809	)
Total comprehensive income (losses)		392,601			51,697		8		340,896
Less: Comprehensive income attributable to noncontrolling interest		(157,678	)		—		—		(157,678	)
Comprehensive income (losses) attributable to DaVita HealthCare Partners Inc.	$	234,923		$	51,697	$	8	$	183,218

Consolidating Balance Sheets

Condensed Consolidating Balance Sheets

	Consolidated Total		Physician Groups		Unrestricted Subsidiaries		Company and Restricted Subsidiaries⁽¹⁾
As of December 31, 2015
Cash and cash equivalents	$	1,499,116	$	88,245	$	—	$	1,410,871
Accounts receivable, net		1,724,228		357,126		—		1,367,102
Other current assets		1,279,936		15,714		—		1,264,222
Total current assets		4,503,280		461,085		—		4,042,195
Property and equipment, net		2,788,740		1,836		—		2,786,904
Amortizable intangibles, net		1,687,326		5,937		—		1,681,389
Other long-term assets		241,050		73,794		2,824		164,432
Goodwill		9,294,479		15,967		—		9,278,512
Total assets	$	18,514,875	$	558,619	$	2,824	$	17,953,432
Current liabilities	$	2,399,138	$	234,182	$	—	$	2,164,956
Payables to parent		—		206,429		2,824		(209,253	)
Long-term debt and other long-term liabilities		10,167,499		49,782		—		10,117,717
Noncontrolling interests subject to put provisions		864,066		—		—		864,066
Total DaVita HealthCare Partners Inc. shareholders'’ equity		4,870,780		68,226		—		4,802,554
Noncontrolling interests not subject to put provisions		213,392		—		—		213,392
Shareholders' equity		5,084,172		68,226		—		5,015,946
Total liabilities and shareholder's equity	$	18,514,875	$	558,619	$	2,824	$	17,953,432

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, 2015
Cash flows from operating activities:
Net income	$	427,410		$	51,697		$	8		$	375,705
Changes in operating and intercompany assets and liabilities and non-cash items included in net income		1,129,790			(101,217	)		(8	)		1,231,015
Net cash provided by operating activities		1,557,200			(49,520	)		—			1,606,720
Cash flows from investing activities:
Additions of property and equipment		(707,998	)		(355	)		—			(707,643	)
Acquisitions and divestitures, net		(96,469	)		—			—			(96,469	)
Proceeds from asset sales		19,715			—			—			19,715
Investments and other items		(97,032	)		(3,124	)		—			(93,908	)
Net cash used in investing activities		(881,784	)		(3,479	)		—			(878,305	)
Cash flows from financing activities:
Long-term debt and related financing costs, net		619,698			—			—			619,698
Intercompany		—			28,796			—			(28,796	)
Other items		(758,668	)		—			—			(758,668	)
Net cash used in financing activities		(138,970	)		28,796			—			(167,766	)
Effect of exchange rate changes on cash		(2,571	)		—			—			(2,571	)
Net increase (decrease) in cash		533,875			(24,203	)		—			558,078
Cash at beginning of the year		965,241			112,448			—			852,793
Cash at the end of the year	$	1,499,116		$	88,245		$	—		$	1,410,871