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Condensed consolidating financial statements
9 Months Ended
Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Condensed consolidating financial statements
Condensed 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 condensed consolidated financial statements are fully interdependent and integrated. Revenues and operating expenses of the separate legal entities include intercompany charges for management and other administrative services. The Company’s senior notes are guaranteed by a substantial majority of its domestic subsidiaries as measured by revenue, income and assets. The subsidiary guarantors have guaranteed the senior notes on a joint and several basis. However, a subsidiary guarantor will be released from its obligations under its guarantee of the senior notes and the indentures governing the senior notes if, in general, there is a sale or other disposition of all or substantially all of the assets of such subsidiary guarantor, including by merger or consolidation, or a sale or other disposition of all of the equity interests in such subsidiary guarantor held by the Company and its restricted subsidiaries, as defined in the indentures; such subsidiary guarantor is designated by the Company as an unrestricted subsidiary, as defined in the indentures, or otherwise ceases to be a restricted subsidiary of the Company, in each case in accordance with the indentures; or such subsidiary guarantor no longer guarantees any other indebtedness, as defined in the indentures, of the Company or any of its restricted subsidiaries, except for guarantees that are contemporaneously released. The senior notes are not guaranteed by certain of the Company’s domestic subsidiaries, any of the Company’s foreign subsidiaries, or any entities that do not constitute subsidiaries within the meaning of the indentures, such as corporations in which the Company holds capital stock with less than a majority of the voting power, joint ventures and partnerships in which the Company holds less than a majority of the equity or voting interests, non-owned entities and third parties.
Condensed Consolidating Statements of Operations
 
 
 
DaVita Inc.
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the three months ended September 30, 2018
 
 
 
 
 
Patient services revenues
 
$

 
$
1,810,009

 
$
914,623

 
$
(53,931
)
 
$
2,670,701

Provision for uncollectible accounts
 

 
(8,899
)
 
(3,078
)
 

 
(11,977
)
Net patient service revenues
 

 
1,801,110

 
911,545

 
(53,931
)
 
2,658,724

Other revenues
 
207,968

 
192,467

 
36,508

 
(248,337
)
 
188,606

Total net revenues
 
207,968

 
1,993,577

 
948,053

 
(302,268
)
 
2,847,330

Operating expenses and charges
 
205,324

 
1,817,851

 
837,385

 
(302,268
)
 
2,558,292

Operating income
 
2,644

 
175,726

 
110,668

 

 
289,038

Debt expense
 
(127,353
)
 
(52,011
)
 
(8,812
)
 
62,249

 
(125,927
)
Other income, net
 
106,148

 
2,339

 
5,982

 
(110,462
)
 
4,007

Income tax (benefit) expense
 
(3,536
)
 
47,977

 
7,606

 

 
52,047

Equity earnings in subsidiaries
 
(121,771
)
 
46,972

 

 
74,799

 

Net (loss) income from continuing operations
 
(136,796
)
 
125,049

 
100,232

 
26,586

 
115,071

Net loss from discontinued operations, net of tax
 

 
(246,820
)
 
(13,132
)
 
48,213

 
(211,739
)
Net (loss) income
 
(136,796
)
 
(121,771
)
 
87,100

 
74,799

 
(96,668
)
Less: Net income attributable to noncontrolling interests
 

 

 

 
(40,128
)
 
(40,128
)
Net (loss) income attributable to DaVita Inc.
 
$
(136,796
)
 
$
(121,771
)
 
$
87,100

 
$
34,671

 
$
(136,796
)

 
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the three months ended September 30, 2017
 
DaVita Inc.
 
 
 
 
Patient service revenues
 
$

 
$
1,710,708

 
$
914,753

 
$
(63,918
)
 
$
2,561,543

Provision for uncollectible accounts
 

 
(82,807
)
 
(42,649
)
 
6,135

 
(119,321
)
Net patient service revenues
 

 
1,627,901

 
872,104

 
(57,783
)
 
2,442,222

Other revenues
 
189,275

 
302,193

 
11,483

 
(180,102
)
 
322,849

Total net revenues
 
189,275

 
1,930,094

 
883,587

 
(237,885
)
 
2,765,071

Operating expenses
 
128,488

 
1,718,444

 
760,730

 
(237,885
)
 
2,369,777

Operating income
 
60,787

 
211,650

 
122,857

 

 
395,294

Debt expense
 
(108,453
)
 
(48,622
)
 
(13,017
)
 
60,786

 
(109,306
)
Other income
 
104,250

 
819

 
5,941

 
(107,614
)
 
3,396

Income tax expense (benefit)
 
21,199

 
82,780

 
(13,433
)
 

 
90,546

Equity earnings in subsidiaries
 
(249,861
)
 
89,048

 

 
160,813

 

Net (loss) income from continuing operations
 
(214,476
)
 
170,115

 
129,214

 
113,985

 
198,838

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

 
(419,976
)
 
2,276

 
46,828

 
(370,872
)
Net (loss) income
 
(214,476
)
 
(249,861
)
 
131,490

 
160,813

 
(172,034
)
Less: Net income attributable to noncontrolling interests
 

 

 

 
(42,442
)
 
(42,442
)
Net (loss) income attributable to DaVita Inc.
 
$
(214,476
)
 
$
(249,861
)
 
$
131,490

 
$
118,371

 
$
(214,476
)


 
 
DaVita Inc.
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the nine months ended September 30, 2018
 
 
 
 
 
Patient service revenues
 
$

 
$
5,431,742

 
$
2,699,670

 
$
(151,234
)
 
$
7,980,178

Provision for uncollectible accounts
 

 
(26,430
)
 
(9,408
)
 

 
(35,838
)
Net patient service revenues
 

 
5,405,312

 
2,690,262

 
(151,234
)
 
7,944,340

Other revenues
 
608,850

 
611,693

 
150,578

 
(731,734
)
 
639,387

Total net revenues
 
608,850

 
6,017,005

 
2,840,840

 
(882,968
)
 
8,583,727

Operating expenses
 
484,329

 
5,459,322

 
2,385,128

 
(882,968
)
 
7,445,811

Operating income
 
124,521

 
557,683

 
455,712

 

 
1,137,916

Debt expense
 
(362,501
)
 
(156,571
)
 
(25,461
)
 
185,398

 
(359,135
)
Other income
 
315,573

 
7,718

 
16,126

 
(328,834
)
 
10,583

Income tax expense
 
24,108

 
136,939

 
45,605

 

 
206,652

Equity earnings in subsidiaries
 
255,681

 
305,823

 

 
(561,504
)
 

Net income from continuing operations
 
309,166

 
577,714

 
400,772

 
(704,940
)
 
582,712

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

 
(322,033
)
 
30,768

 
143,436

 
(147,829
)
Net income
 
309,166

 
255,681

 
431,540

 
(561,504
)
 
434,883

Less: Net income attributable to noncontrolling interests
 

 

 

 
(125,717
)
 
(125,717
)
Net income attributable to DaVita Inc.
 
$
309,166

 
$
255,681

 
$
431,540

 
$
(687,221
)
 
$
309,166


 
 
DaVita Inc.
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the nine months ended September 30, 2017
 
 
 
 
 
Patient service revenues
 
$

 
$
4,895,864

 
$
2,723,764

 
$
(140,690
)
 
$
7,478,938

Provision for uncollectible accounts
 

 
(216,705
)
 
(125,409
)
 
6,135

 
(335,979
)
Net patient service revenues
 

 
4,679,159

 
2,598,355

 
(134,555
)
 
7,142,959

Other revenues
 
604,246

 
913,130

 
43,408

 
(608,022
)
 
952,762

Total net revenues
 
604,246

 
5,592,289

 
2,641,763

 
(742,577
)
 
8,095,721

Operating expenses
 
398,502

 
4,609,747

 
2,167,631

 
(742,577
)
 
6,433,303

Operating income
 
205,744

 
982,542

 
474,132

 

 
1,662,418

Debt expense
 
(317,276
)
 
(144,382
)
 
(38,287
)
 
178,308

 
(321,637
)
Other income
 
306,886

 
4,991

 
15,524

 
(315,221
)
 
12,180

Income tax expense
 
75,680

 
389,945

 
8,501

 

 
474,126

Equity earnings in subsidiaries
 
240,548

 
337,213

 

 
(577,761
)
 

Net income from continuing operations
 
360,222

 
790,419

 
442,868

 
(714,674
)
 
878,835

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

 
(549,871
)
 
23,999

 
136,913

 
(388,959
)
Net income
 
360,222

 
240,548

 
466,867

 
(577,761
)
 
489,876

Less: Net income attributable to noncontrolling interests
 

 

 

 
(129,654
)
 
(129,654
)
Net income attributable to DaVita Inc.
 
$
360,222

 
$
240,548

 
$
466,867

 
$
(707,415
)
 
$
360,222




Condensed Consolidating Statements of Comprehensive Income
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the three months ended September 30, 2018
 
DaVita Inc.
 
 
 
 
Net (loss) income
 
$
(136,796
)
 
$
(121,771
)
 
$
87,100

 
$
74,799

 
$
(96,668
)
Other comprehensive income (loss)
 
1,643

 

 
(8,827
)
 

 
(7,184
)
Total comprehensive (loss) income
 
(135,153
)
 
(121,771
)
 
78,273

 
74,799

 
(103,852
)
Less: Comprehensive income attributable to noncontrolling interest
 

 

 

 
(40,128
)
 
(40,128
)
Comprehensive (loss) income attributable to DaVita Inc.
 
$
(135,153
)
 
$
(121,771
)
 
$
78,273

 
$
34,671

 
$
(143,980
)
 
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the three months ended September 30, 2017
 
DaVita Inc.
 
 
 
 
Net (loss) income
 
$
(214,476
)
 
$
(249,861
)
 
$
131,490

 
$
160,813

 
$
(172,034
)
Other comprehensive income
 
1,641

 

 
29,143

 

 
30,784

Total comprehensive (loss) income
 
(212,835
)
 
(249,861
)
 
160,633

 
160,813

 
(141,250
)
Less: Comprehensive income attributable to noncontrolling interest
 

 

 

 
(42,442
)
 
(42,442
)
Comprehensive (loss) income attributable to DaVita Inc.
 
$
(212,835
)
 
$
(249,861
)
 
$
160,633

 
$
118,371

 
$
(183,692
)
 
 

 
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the nine months ended September 30, 2018
 
DaVita Inc.
 
 
 
 
Net income
 
$
309,166

 
$
255,681

 
$
431,540

 
$
(561,504
)
 
$
434,883

Other comprehensive income (loss)
 
5,499

 

 
(39,475
)
 

 
(33,976
)
Total comprehensive income
 
314,665

 
255,681

 
392,065

 
(561,504
)
 
400,907

Less: Comprehensive income attributable to noncontrolling interest
 

 

 

 
(125,717
)
 
(125,717
)
Comprehensive income attributable to DaVita Inc.
 
$
314,665

 
$
255,681

 
$
392,065

 
$
(687,221
)
 
$
275,190



 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the nine months ended September 30, 2017
 
DaVita Inc.
 
 
 
 
Net income
 
$
360,222

 
$
240,548

 
$
466,867

 
$
(577,761
)
 
$
489,876

Other comprehensive income
 
1,571

 

 
91,546

 

 
93,117

Total comprehensive income
 
361,793

 
240,548

 
558,413

 
(577,761
)
 
582,993

Less: Comprehensive income attributable to noncontrolling interest
 

 

 

 
(129,652
)
 
(129,652
)
Comprehensive income attributable to DaVita Inc.
 
$
361,793

 
$
240,548

 
$
558,413

 
$
(707,413
)
 
$
453,341



Condensed Consolidating Balance Sheets
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
As of September 30, 2018
 
DaVita Inc.
 
 
 
 
Cash and cash equivalents
 
$
296,697

 
$

 
$
151,518

 
$

 
$
448,215

Restricted cash and equivalents
 
1,004

 
11,985

 
78,951

 

 
91,940

Accounts receivable, net
 

 
1,241,147

 
605,939

 

 
1,847,086

Other current assets
 
37,185

 
467,669

 
89,620

 

 
594,474

Current assets held for sale, net
 

 
4,999,748

 
948,038

 

 
5,947,786

Total current assets
 
334,886

 
6,720,549

 
1,874,066

 

 
8,929,501

Property and equipment, net
 
466,162

 
1,563,552

 
1,245,922

 

 
3,275,636

Intangible assets, net
 
176

 
43,704

 
53,729

 

 
97,609

Investments in subsidiaries
 
10,071,347

 
3,164,083

 

 
(13,235,430
)
 

Intercompany receivables
 
3,496,240

 

 
1,478,557

 
(4,974,797
)
 

Other long-term assets and investments
 
54,853

 
86,821

 
210,710

 

 
352,384

Goodwill
 

 
4,778,542

 
1,924,117

 

 
6,702,659

Total assets
 
$
14,423,664

 
$
16,357,251

 
$
6,787,101

 
$
(18,210,227
)
 
$
19,357,789

Current liabilities
 
$
1,815,234

 
$
1,149,518

 
$
470,731

 
$

 
$
3,435,483

Current liabilities held for sale
 

 
892,548

 
527,073

 

 
1,419,621

Intercompany payables
 

 
3,485,322

 
1,489,475

 
(4,974,797
)
 

Long-term debt and other long-term liabilities
 
8,186,683

 
758,516

 
463,812

 

 
9,409,011

Noncontrolling interests subject to put provisions
 
597,098

 

 

 
467,314

 
1,064,412

Total DaVita Inc. shareholders' equity
 
3,824,649

 
10,071,347

 
3,164,083

 
(13,235,430
)
 
3,824,649

Noncontrolling interests not subject to put
provisions
 

 

 
671,927

 
(467,314
)
 
204,613

Total equity
 
3,824,649

 
10,071,347

 
3,836,010

 
(13,702,744
)
 
4,029,262

Total liabilities and equity
 
$
14,423,664

 
$
16,357,251

 
$
6,787,101

 
$
(18,210,227
)
 
$
19,357,789


 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
As of December 31, 2017
 
DaVita Inc.
 
 
 
 
Cash and cash equivalents
 
$
149,305

 
$

 
$
358,929

 
$

 
$
508,234

Restricted cash and equivalents
 
1,002

 
9,384

 
300

 

 
10,686

Accounts receivable, net
 

 
1,208,715

 
506,035

 

 
1,714,750

Other current assets
 
67,025

 
595,066

 
86,955

 

 
749,046

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

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

 
 
Condensed Consolidating Statements of Cash Flows
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the nine months ended September 30, 2018
 
DaVita Inc.
 
 
 
 
Cash flows from operating activities:
 
 
 
 
 
 
 
 
 
 
Net income
 
$
309,166

 
$
255,681

 
$
431,540

 
$
(561,504
)
 
$
434,883

Changes in operating assets and liabilities and non-cash
items included in net income
 
(235,558
)
 
469,008

 
152,411

 
561,504

 
947,365

Net cash provided by operating activities
 
73,608

 
724,689

 
583,951

 

 
1,382,248

Cash flows from investing activities:
 
 

 
 

 
 

 
 

 
 

Additions of property and equipment
 
(124,585
)
 
(385,765
)
 
(195,309
)
 

 
(705,659
)
Acquisitions
 

 
(18,549
)
 
(94,977
)
 

 
(113,526
)
Proceeds from asset and business sales
 

 
47,025

 
88,243

 

 
135,268

Proceeds (purchases) from investment sales and other items, net
 
32,345

 
(9,746
)
 
(1
)
 

 
22,598

Net cash used in investing activities
 
(92,240
)
 
(367,035
)
 
(202,044
)
 

 
(661,319
)
Cash flows from financing activities:
 
 

 
 

 
 

 
 

 
 

Long-term debt and related financing costs, net
 
866,537

 
(9,135
)
 
(11,566
)
 

 
845,836

Intercompany borrowing (payments)
 
454,410

 
(217,518
)
 
(236,892
)
 

 

Other items
 
(1,154,921
)
 
(94,281
)
 
(19,973
)
 

 
(1,269,175
)
Net cash provided by (used in) financing activities
 
166,026

 
(320,934
)
 
(268,431
)
 

 
(423,339
)
Effect of exchange rate changes on cash, cash
equivalents and restricted cash
 

 

 
(5,790
)
 

 
(5,790
)
Net increase in cash, cash equivalents and
restricted cash
 
147,394

 
36,720

 
107,686

 

 
291,800

Less: Net increase in cash, cash equivalents and restricted cash from discontinued operations
 

 
34,119

 
236,446

 

 
270,565

Net increase (decrease) in cash, cash equivalents and restricted cash from continuing operations
 
147,394

 
2,601

 
(128,760
)
 

 
21,235

Cash, cash equivalents and restricted cash of continuing
operations at beginning of the year
 
150,307

 
9,384

 
359,229

 

 
518,920

Cash, cash equivalents and restricted cash of continuing
operations at end of the period
 
$
297,701

 
$
11,985

 
$
230,469

 
$

 
$
540,155


 
 
 
 
 
Guarantor
subsidiaries
 
Non-
Guarantor
subsidiaries
 
Consolidating
adjustments
 
Consolidated
total
For the nine months ended September 30, 2017
 
DaVita Inc.
 
 
 
 
Cash flows from operating activities:
 
 
 
 
 
 
 
 
 
 
Net income
 
$
360,222

 
$
240,548

 
$
466,867

 
$
(577,761
)
 
$
489,876

Changes in operating assets and liabilities and non-cash
items included in net income
 
(282,651
)
 
585,836

 
197,328

 
577,761

 
1,078,274

Net cash provided by operating activities
 
77,571

 
826,384

 
664,195

 

 
1,568,150

Cash flows from investing activities:
 
 

 
 

 
 

 
 

 
 

Additions of property and equipment
 
(94,385
)
 
(305,261
)
 
(240,183
)
 

 
(639,829
)
Acquisitions
 

 
(627,324
)
 
(99,214
)
 

 
(726,538
)
Proceeds from asset and business sales
 

 
90,533

 
1,996

 

 
92,529

Proceeds (purchases) from investment sales and other items, net
 
123,894

 
(4,788
)
 
49,183

 

 
168,289

Net cash provided by (used in) investing activities
 
29,509

 
(846,840
)
 
(288,218
)
 

 
(1,105,549
)
Cash flows from financing activities:
 
 

 
 

 
 

 
 

 
 

Long-term debt and related financing costs, net
 
(92,721
)
 
(10,394
)
 
(5,348
)
 

 
(108,463
)
Intercompany borrowing (payments)
 
188,977

 
(7,968
)
 
(181,009
)
 

 

Other items
 
(305,630
)
 
(1,432
)
 
(114,307
)
 

 
(421,369
)
Net cash used in financing activities
 
(209,374
)
 
(19,794
)
 
(300,664
)
 

 
(529,832
)
Effect of exchange rate changes on cash, cash
equivalents and restricted cash
 

 

 
5,449

 

 
5,449

Net decrease in cash, cash equivalents and restricted cash
 
(102,294
)
 
(40,250
)
 
80,762

 

 
(61,782
)
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations
 

 
(41,934
)
 
124,628

 

 
82,694

Net increase (decrease) in cash, cash equivalents and restricted cash from continuing operations
 
(102,294
)
 
1,684

 
(43,866
)
 

 
(144,476
)
Cash, cash equivalents and restricted cash of continuing
operations at beginning of the year
 
549,921

 
8,687

 
124,855

 

 
683,463

Cash, cash equivalents and restricted cash of continuing
operations at end of the period
 
$
447,627

 
$
10,371

 
$
80,989

 
$

 
$
538,987