DVA Stock Cash Flow Statements

DaVita Quarterly Cash Flow Statements Chart

Quarterly

Annual

Stock-Based Compensation

Operating Cash Flow

Investing Cash Flow

Financing Cash Flow

DaVita Quarterly Cash Flow Statements Table

Quarterly

Annual

Unit: USD	2025-06-30	2025-03-31	2024-09-30	2024-06-30	2024-03-31	2023-09-30	2023-06-30	2023-03-31	2022-09-30	2022-06-30	2022-03-31	2021-09-30	2021-06-30	2021-03-31	2020-09-30	2020-06-30	2020-03-31	2019-09-30	2019-06-30	2019-03-31	2018-12-31	2018-09-30	2018-06-30	2018-03-31	2017-12-31	2017-09-30	2017-06-30	2017-03-31	2016-12-31	2016-09-30	2016-06-30	2016-03-31	2015-12-31	2015-09-30	2015-06-30	2015-03-31	2014-12-31	2014-09-30	2014-06-30	2014-03-31	2013-12-31	2013-09-30	2013-06-30	2013-03-31	2012-12-31	2012-09-30	2012-06-30	2012-03-31	2011-12-31	2011-09-30	2011-06-30	2011-03-31	2010-12-31	2010-09-30	2010-06-30	2010-03-31	2009-12-31	2009-09-30	2009-06-30	2009-03-31

cash flows from operating activities:
net income	507,436,000	232,216,000	901,492,000	605,732,000	305,980,000	726,406,000	417,045,000	170,668,000	655,028,000	490,334,000	205,718,000	962,330,000	642,576,000	291,545,000	760,307,000	542,767,000	287,895,000	718,332,000	516,644,000	189,487,000	-101,843,000	-96,668,000	306,322,000	225,229,000	340,679,000	-172,034,000	161,625,000	500,285,000	188,270,000	612,150,000	94,503,000	138,159,000	34,474,000	261,307,000	207,777,000	-76,148,000	250,388,000	219,784,000	181,421,000	211,737,000	244,273,000	169,836,000	283,358,000	59,734,000	183,800,000	172,550,000	120,004,000	164,883,000	176,132,000	161,846,000	120,665,000	114,752,000		142,881,000	123,893,000	125,000,000		126,270,000
adjustments to reconcile net income to net cash from operating activities:
depreciation and amortization	351,155,000	176,451,000	549,758,000	362,744,000	187,083,000	550,166,000	361,743,000	178,071,000	538,534,000	344,120,000	172,944,000	505,852,000	335,390,000	165,701,000	468,949,000	312,055,000	154,679,000	456,685,000	300,770,000	148,528,000	155,157,000	146,000,000	147,079,000	142,799,000	183,958,000	203,283,000	200,038,000	190,206,000	188,777,000	181,739,000	180,381,000	169,355,000	163,330,000	162,062,000	158,843,000	153,789,000	153,600,000	148,865,000	145,905,000	142,565,000	138,732,000	133,005,000	130,626,000	125,756,000	109,540,000	80,586,000	77,807,000	75,975,000	72,987,000	67,821,000	64,470,000	62,037,000	60,071,000	58,486,000	58,353,000	57,468,000	56,865,000	56,813,000	58,185,000	57,123,000
loss on extinguishment of debt			12,527,000	2,445,000		7,132,000
stock-based compensation expense	62,567,000	29,759,000	75,392,000	48,832,000	24,542,000	82,313,000	55,197,000	25,373,000	77,904,000	50,109,000	24,904,000	75,898,000	51,717,000	23,595,000	67,217,000	42,125,000	19,870,000	47,811,000	29,045,000	12,110,000	13,456,000	39,744,000	10,176,000	9,685,000	6,614,000	10,974,000	7,903,000	9,601,000	8,521,000	6,100,000	10,620,000	13,097,000	13,870,000	14,495,000	15,537,000	12,762,000	12,420,000	14,624,000	14,625,000	15,074,000	12,903,000	14,829,000	16,245,000	16,021,000	10,527,000	10,513,000	11,794,000	12,550,000	12,326,000	13,334,000	13,342,000	9,716,000	12,059,000	11,093,000	12,166,000	10,233,000	10,572,000	11,438,000	11,403,000	11,009,000
deferred income taxes	-9,838,000	4,335,000	-53,713,000	-28,643,000	-3,318,000	-17,767,000	-16,178,000	-3,621,000	-35,637,000	9,069,000	-41,000	56,724,000	40,685,000	18,688,000	191,783,000	132,101,000	103,301,000	72,590,000	60,706,000	41,372,000	73,604,000	143,174,000	13,265,000	43,617,000	-262,436,000	-173,719,000	20,847,000	20,091,000	3,232,000	28,826,000	-27,567,000	47,519,000	63,738,000	-6,412,000	208,358,000	-203,940,000	213,122,000	-15,993,000	4,924,000	8,902,000	26,705,000	49,954,000	9,292,000	-111,331,000	45,139,000	24,157,000	-12,196,000	-13,335,000	15,061,000	14,152,000	6,004,000	18,221,000	13,900,000	72,196,000	-7,386,000	-3,311,000	5,452,000	15,411,000	13,576,000	16,430,000
equity investment loss	47,730,000	20,262,000	91,100,000	54,748,000	18,531,000		14,571,000	3,044,000									-9,482,000	5,131,000																																										18,000
gain on changes in ownership interests
other non-cash losses	6,948,000	7,137,000	24,159,000
changes in operating assets and liabilities, net of effect of acquisitions and divestitures:
accounts receivable	-288,447,000	-155,276,000	-175,643,000	-193,093,000	-561,281,000	118,148,000	141,503,000	81,850,000	-135,632,000	-132,043,000	-66,270,000	-205,792,000	-117,171,000	-224,274,000	-12,405,000	15,194,000	-32,966,000	-182,684,000	-288,437,000	-132,292,000	-6,554,000	27,124,000	-38,045,000	-63,701,000	-10,281,000	-32,816,000	-129,376,000	16,168,000	-66,580,000	18,345,000	-25,908,000	-78,097,000	-24,719,000	-35,198,000	8,793,000	-151,743,000	-57,286,000	81,689,000	-10,514,000	-54,565,000	-80,496,000	38,685,000	74,510,000	-92,339,000	3,676,000	1,945,000	18,412,000	-71,706,000	-27,365,000	21,592,000	-62,614,000	-20,461,000	33,699,000	-12,044,000	33,130,000	594,000	35,922,000	-14,162,000	-40,316,000	-13,757,000
inventories	-9,592,000	-14,772,000	20,495,000	22,422,000	1,929,000		-116,000	2,758,000	347,000	-1,927,000	849,000	-2,490,000	-3,270,000	-5,303,000	-8,445,000	-696,000	1,835,000	9,519,000	11,542,000	3,324,000	-14,850,000	16,723,000	14,011,000	57,621,000	-32,897,000	45,339,000	-22,158,000	-8,909,000	35,965,000	-3,832,000	-4,289,000	-4,924,000	-12,457,000	-13,076,000	-13,587,000	-9,193,000	-21,200,000	-14,467,000	1,549,000	-12,280,000	-3,477,000	-6,418,000	-1,238,000	2,162,000	2,094,000	245,000	-3,138,000	4,851,000	-1,497,000	2,398,000	1,940,000	7,429,000	-6,933,000	1,036,000	187,000	1,818,000	-743,000	-3,186,000	5,989,000	13,055,000
other current assets	-70,945,000	-41,087,000	72,477,000	-13,898,000	-13,044,000	32,132,000
other long-term assets	2,981,000	13,026,000	-12,858,000	-3,367,000	1,922,000	1,101,000	-607,000	-615,000	-49,326,000	-49,093,000	3,520,000	-19,663,000	-13,706,000	-6,521,000	-1,853,000	1,950,000	2,673,000	2,324,000	-410,000	-1,997,000	1,355,000	-1,312,000	1,400,000	2,054,000	1,886,000	-1,707,000	-9,814,000	-2,310,000	4,812,000	31,512,000	534,000	-965,000	1,783,000	1,562,000	225,000	153,000	294,000	464,000	740,000	1,418,000	-130,000	19,081,000	8,645,000	-9,865,000	-5,204,000	-1,057,000	744,000	3,742,000	-369,000	244,000	1,174,000	990,000	714,000	774,000	195,000	-782,000	1,647,000	2,317,000	1,902,000	1,422,000
accounts payable	35,612,000	46,195,000	-43,414,000	-38,998,000	-14,162,000	-33,837,000	-40,615,000	-20,535,000	38,870,000	24,517,000	21,402,000	-47,412,000	-47,390,000	-75,504,000	445,000	-15,858,000	-24,045,000	-106,662,000	-68,887,000	-38,537,000	-23,159,000	-48,028,000	98,058,000	-62,830,000	8,281,000	74,492,000	-29,683,000	-26,214,000	57,404,000	-68,316,000	15,027,000	7,782,000	19,525,000	-39,350,000	61,756,000	-10,933,000	-5,288,000	48,354,000	-3,464,000	-42,558,000	88,247,000	23,313,000	-10,998,000	-83,896,000	59,078,000	-26,378,000	28,802,000	-20,624,000	27,748,000	15,216,000	14,871,000	26,565,000	-91,122,000	33,095,000	60,455,000	1,800,000	-45,884,000	-7,035,000	13,451,000	-65,411,000
accrued compensation and benefits	-125,365,000	-128,194,000	27,314,000	-122,817,000	-135,041,000	65,279,000	-68,800,000	-74,144,000	35,491,000	-102,513,000	-95,927,000	-7,176,000	-90,381,000	-126,330,000	-12,124,000	-19,325,000	-96,428,000	-57,930,000	-88,473,000	-173,583,000	43,940,000	16,407,000	86,368,000	-62,550,000	-18,176,000	3,664,000	-902,000	-62,825,000	-11,017,000	38,191,000	74,007,000	-32,909,000	-68,131,000	149,397,000	-56,954,000	30,638,000	-50,309,000	127,658,000	-3,658,000	23,570,000	-76,509,000	129,156,000	-10,489,000	-3,790,000	-94,625,000	89,892,000	-18,414,000	41,623,000	-44,557,000	53,623,000	36,466,000	31,542,000	-32,913,000	7,006,000	48,146,000	17,349,000	-29,871,000	-16,344,000	58,480,000	-21,403,000
other current liabilities	-3,586,000	-39,394,000	35,646,000	1,219,000	27,237,000	10,822,000	17,242,000	-6,486,000	87,248,000	42,517,000	26,912,000	-87,842,000	25,090,000	26,970,000	123,833,000	146,490,000	3,982,000	140,046,000	151,780,000	17,236,000	-203,086,000	-12,697,000	8,942,000	49,379,000	-37,537,000	25,454,000	23,624,000	-9,633,000	56,945,000	6,724,000	57,152,000	55,673,000	16,799,000	-81,062,000	116,961,000	60,772,000	10,658,000	40,962,000	11,355,000	20,615,000	-12,686,000	8,598,000	3,628,000	79,277,000	-76,140,000	21,874,000	47,887,000	17,462,000	-43,246,000	16,983,000	-35,199,000	9,483,000	6,861,000	-92,178,000	18,936,000	-45,063,000	24,840,000	-26,024,000	11,757,000	-54,116,000
income taxes	9,462,000	39,829,000	-7,528,000	-8,097,000	60,557,000	-1,878,000	5,200,000	39,251,000	-37,770,000	-63,638,000	52,473,000	22,609,000	10,753,000	62,719,000	-100,160,000	-4,800,000	-32,616,000	57,279,000	57,551,000	32,502,000	-45,384,000	-2,607,000	-6,416,000	30,772,000	-74,845,000	-100,968,000	-134,853,000	258,490,000	-2,934,000	-56,808,000	49,572,000	72,400,000	-11,107,000	144,742,000	-216,430,000	106,970,000	-132,758,000	69,397,000	-90,019,000	92,905,000	48,711,000	-6,030,000	-102,583,000	93,401,000	-60,840,000	-20,039,000	-92,141,000	43,072,000	-11,036,000	53,655,000	4,921,000	29,878,000	9,966,000	-50,600,000	-52,720,000	47,617,000	-10,648,000	19,691,000	-4,804,000	40,339,000
other long-term liabilities	-11,873,000	-10,478,000	-7,646,000	-6,642,000	-8,263,000	-7,945,000	-8,675,000	-5,516,000	-13,219,000	-6,557,000	-11,701,000	-8,748,000	-13,232,000	-11,793,000	-19,547,000	-13,269,000	709,000	-27,542,000	-18,121,000	-465,000	-6,577,000	1,722,000	-7,237,000	11,061,000	-7,491,000	-872,000	5,041,000	14,479,000	42,643,000	19,405,000	-50,739,000	19,208,000	28,581,000	7,685,000	-11,307,000	8,395,000	22,187,000	-6,063,000	-34,370,000	16,663,000	14,388,000	15,044,000	-11,116,000	47,829,000	13,965,000	-3,417,000	3,949,000	4,532,000	-3,441,000	10,362,000	3,029,000	1,111,000	2,432,000	1,353,000	640,000	315,000	-1,660,000	3,317,000	-4,435,000	-8,584,000
net cash from operating activities	504,245,000	180,009,000	1,474,411,000	664,010,000	-134,836,000	1,573,826,000	912,664,000	462,557,000	1,220,848,000	510,316,000	322,195,000	1,400,988,000	834,036,000	154,304,000	1,494,230,000	1,011,503,000	360,381,000	1,391,825,000	751,115,000	141,304,000	389,392,000	457,673,000	562,036,000	362,539,000	342,910,000	553,095,000	146,270,000	865,174,000	482,182,000	535,623,000	516,637,000	429,002,000	436,673,000	678,996,000	31,442,000	410,089,000	-69,991,000	847,900,000	262,391,000	419,107,000	354,187,000	733,128,000	306,819,000	379,207,000	200,235,000	366,634,000	202,105,000	331,874,000	150,659,000	495,194,000	204,410,000	329,783,000	120,551,000	161,366,000	295,919,000	261,847,000	152,591,000	167,487,000	212,383,000	134,249,000
cash flows from investing activities:
additions of property and equipment	-264,349,000	-143,258,000	-384,786,000	-245,740,000	-121,015,000	-409,011,000	-272,204,000	-147,705,000	-409,391,000	-265,461,000	-123,108,000	-451,909,000	-294,438,000	-144,913,000	-449,896,000	-291,667,000	-154,942,000	-547,183,000	-373,918,000	-198,878,000	-281,479,000	-231,682,000	-241,534,000	-232,443,000	-265,421,000	-240,889,000	-184,405,000	-214,535,000	-253,852,000	-216,616,000	-185,440,000	-173,187,000	-245,785,000	-171,340,000	-169,452,000	-121,421,000	-197,823,000	-164,914,000	-152,031,000	-126,562,000	-218,070,000	-141,131,000	-141,672,000	-116,724,000	-171,197,000	-128,441,000	-138,049,000	-112,459,000	-148,277,000	-96,950,000	-87,399,000	-67,530,000	-104,226,000	-70,025,000	-56,766,000	-42,585,000	-68,952,000	-67,448,000	-65,002,000	-73,203,000
acquisitions	-10,596,000	-10,243,000	-161,210,000	-157,783,000	-105,163,000	-7,990,000	-2,575,000		-43,811,000	-9,491,000	-5,166,000	-45,143,000	-23,890,000	-3,668,000	-112,597,000	-44,267,000	-34,107,000	-77,348,000	-65,970,000	-11,274,000	-69,630,000	-24,061,000	-72,883,000	-16,582,000	-77,341,000	-106,699,000	-542,603,000	-77,236,000	-66,525,000	-24,017,000	-68,160,000	-405,154,000	-5,760,000	-45,650,000	-4,409,000	-40,650,000	-53,977,000	-119,675,000	-30,585,000	-67,857,000	-75,592,000	-82,690,000	-60,614,000	-91,498,000	-3,874,963,000	-72,340,000	-214,075,000	-132,699,000	-150,318,000	-775,928,000	-69,673,000	-81,523,000	-50,859,000	-45,942,000	-90,632,000	-1,069,000	-23,616,000	-20,687,000	-3,486,000	-39,828,000
proceeds from asset and business sales	22,400,000	10,674,000	17,937,000	12,779,000	7,040,000	24,907,000	21,198,000	13,474,000	116,088,000	114,829,000	11,353,000	46,578,000	29,774,000	16,337,000	83,339,000	70,615,000	31,518,000	3,863,619,000	3,851,381,000	13,903,000	14,937,000	19,027,000	97,706,000	18,535,000	-193,000	22,293,000	23,624,000	46,612,000	45,734,000	1,598,000	12,736,000	4,657,000	12,850,000	3,450,000	850,000	2,565,000		3,405,000	159,000	56,000		-2,081,000	2,006,000	62,357,000
purchase of debt investments held-to-maturity	-27,475,000	-26,894,000	-15,319,000	-309,000	-309,000	-30,419,000	-30,419,000	-25,000,000	-94,602,000	-89,530,000	-5,070,000	-13,274,000	-7,923,000	-5,349,000	-147,829,000	-142,483,000	-5,049,000
purchase of other debt and equity investments	-3,002,000	-2,471,000	-8,784,000	-3,411,000	-2,975,000	-6,693,000	-6,366,000	-4,643,000	-3,322,000	-3,010,000	-2,726,000	-2,609,000	-2,164,000	-1,779,000	-3,388,000	-3,034,000	-2,633,000	-5,160,000	-4,812,000	-3,290,000
proceeds from debt investments held-to-maturity	48,014,000	3,080,000	22,092,000	7,082,000	300,000	94,414,000	94,414,000	50,258,000	40,660,000	8,415,000	5,070,000	13,274,000	7,923,000	5,349,000	148,341,000	7,621,000	5,049,000
proceeds from sale of other debt and equity investments	6,379,000	5,662,000	4,558,000	4,564,000	4,547,000	3,930,000	3,873,000	3,856,000	3,763,000	3,775,000	3,773,000	11,976,000	11,908,000	11,879,000	3,434,000	3,438,000	3,268,000	5,893,000	5,893,000	3,302,000
purchase of equity method investments	-2,144,000		-4,497,000	-700,000	-460,000	-276,006,000	-273,336,000	-7,904,000	-28,176,000	-23,806,000	-2,962,000	-7,925,000	-6,029,000	-3,200,000	-9,613,000	-8,101,000	-6,174,000
distributions from equity method investments	1,470,000	1,312,000	6,554,000	6,554,000	2,829,000	3,364,000	1,758,000	1,120,000	2,490,000	1,047,000	470,000	1,592,000	1,140,000	978,000	902,000	739,000	445,000
net cash from investing activities	-229,303,000	-162,138,000	-523,455,000	-376,964,000	-215,206,000	-603,504,000	-463,657,000	-116,544,000	-417,083,000	-263,232,000	-118,366,000	-448,185,000	-283,699,000	-124,366,000	-487,307,000	-407,139,000	-162,625,000	3,134,025,000	3,402,692,000	-200,358,000	-344,324,000	-237,255,000	-223,936,000	-200,128,000	-259,498,000	-255,585,000	-601,636,000	-250,012,000	55,574,000	-499,013,000	-203,918,000	-554,311,000	268,600,000	-203,047,000	-695,050,000	-252,287,000	-446,544,000	-388,330,000	-247,062,000	-195,793,000	-299,796,000	-229,199,000	-201,876,000	-146,011,000	-4,045,693,000	-199,546,000	-353,521,000	-233,690,000	-266,221,000	-824,451,000	-163,168,000	-145,388,000	-151,320,000	-115,510,000	-146,240,000	-23,563,000	-97,312,000	-88,376,000	-61,709,000	-98,663,000
cash flows from financing activities:
borrowings	4,189,716,000	633,189,000	6,623,634,000	3,275,533,000	1,290,255,000	2,468,335,000	2,136,873,000	611,829,000	1,705,913,000	1,182,911,000	354,285,000	1,613,036,000	1,611,086,000	1,606,969,000	3,826,484,000	2,324,300,000	570,779,000	38,519,991,000	32,367,300,000	17,133,464,000	18,260,471,000	13,546,148,000	14,821,233,000	13,306,898,000	12,831,139,000	12,631,266,000	12,726,540,000	12,803,015,000	12,889,188,000	12,967,350,000	13,036,399,000	13,098,553,000	13,170,596,000	13,226,406,000	14,791,219,000	13,353,767,000	13,419,216,000	13,482,549,000	16,957,280,000	16,179,463,000	16,344,214,000	16,496,316,000	16,648,057,000	16,797,510,000	16,256,070,000	9,774,701,000	8,582,801,000	8,634,603,000	8,889,054,000	8,336,471,000	8,186,455,000	10,983,125,000	10,072,739,000	5,046,861,000	4,812,658,000	4,877,000,000	4,842,950,000	4,810,323,000	6,494,779,000	2,619,540,000
payments on long-term debt	-3,373,300,000	-345,965,000	-5,437,907,000	-2,661,145,000	-554,544,000	-2,992,248,000	-2,347,120,000	-880,552,000	-1,557,358,000	-841,687,000	-398,990,000	-812,659,000	-754,407,000	-698,298,000	-3,927,411,000	-635,695,000																												-16,860,949,000	-13,486,220,000	-8,545,304,000	-8,596,502,000	-8,658,001,000	-8,899,071,000	-8,149,151,000	-8,200,727,000	-11,000,635,000	-9,127,748,000	-5,068,442,000	-5,036,271,000	-4,902,041,000	-4,867,157,000	-4,824,716,000	-6,506,212,000	-2,630,739,000
deferred and debt related financing costs	-25,133,000	-6,411,000	-46,011,000	-19,993,000	-99,000	-53,466,000	-45,009,000
purchase of treasury stock from related party	-200,261,000	-31,684,000
other purchases of treasury stock	-793,834,000	-510,161,000
distributions to noncontrolling interests	-151,087,000	-93,022,000	-229,236,000	-107,210,000	-77,348,000	-203,381,000	-124,178,000	-54,837,000	-188,592,000	-118,315,000	-65,452,000	-177,146,000	-99,362,000	-53,867,000	-179,098,000	-118,553,000	-58,131,000	-157,170,000	-95,714,000	-44,230,000	-56,768,000	-45,667,000	-48,539,000	-45,467,000	-46,004,000	-49,388,000	-72,759,000	-43,316,000	-47,329,000	-50,919,000	-43,744,000	-50,409,000	-48,697,000	-46,898,000	-37,541,000	-41,499,000	-44,196,000	-39,325,000	-32,671,000	-33,147,000	-39,590,000	-34,530,000	-30,280,000	-34,926,000	-31,526,000	-31,500,000	-24,073,000	-26,405,000	-33,245,000	-20,985,000	-24,236,000	-22,187,000	-22,479,000	-23,811,000	-18,643,000	-18,658,000	-20,860,000	-16,993,000	-16,328,000	-13,567,000
net proceeds from issuance of common stock under employee stock plans	8,913,000	4,937,000
payment of tax withholdings on net share settlements of equity awards	-30,477,000	-30,214,000
contributions from noncontrolling interests	2,578,000	2,169,000	10,623,000	7,621,000	3,725,000	11,579,000	6,946,000	4,725,000	11,382,000	9,116,000	4,929,000	28,295,000	15,925,000	10,689,000	32,854,000	20,582,000	9,387,000	44,095,000	31,281,000	18,947,000	9,132,000	11,610,000	19,560,000	12,009,000	23,396,000	11,284,000	21,883,000	17,989,000	12,066,000	22,407,000	2,927,000	10,190,000	26,432,000	10,172,000	2,142,000	15,898,000	26,572,000	9,818,000	14,640,000	13,625,000	6,955,000	9,909,000	5,875,000	14,257,000	18,027,000	8,784,000	6,933,000	3,651,000	6,231,000	8,289,000	2,531,000	3,959,000	4,145,000	1,957,000	1,795,000	1,613,000	1,954,000	4,613,000	2,044,000	4,460,000
proceeds from sales of additional noncontrolling interests	169,000		860,000	860,000		50,962,000	50,962,000	50,832,000	3,673,000	3,673,000	3,673,000										0	0										3,557,000					0	2,844,000	172,000	761,000	2,212,000	180,000	1,729,000	4,174,000	-180,000	1,702,000	42,000	100,000	7,012,000	608,000	1,282,000	785,000	205,000	360,000	2,737,000	108,000	1,642,000	2,258,000	2,394,000	3,081,000
purchases of noncontrolling interests	-5,378,000	-5,378,000	-40,751,000	-40,751,000	-5,221,000	-7,875,000	-7,610,000		-20,770,000	-15,365,000	-3,283,000	-11,658,000	-4,493,000	-1,095,000	-6,782,000	-6,782,000	-700,000	-10,988,000	-11,040,000	-8,480,000	-8,094,000	-6,765,000	-11,023,000	-2,200,000
net cash from financing activities	-378,094,000	-382,540,000	-251,834,000	-243,976,000	319,319,000	-767,249,000	-372,748,000	-275,912,000	-890,228,000	-444,965,000	-341,571,000	-308,603,000	155,548,000	537,278,000	-1,381,698,000	1,239,573,000	96,992,000	-4,003,764,000	-1,310,553,000	324,951,000	-202,015,000	-117,430,000	-83,362,000	-222,547,000	-236,425,000	-164,654,000	-306,241,000	-58,937,000	-544,005,000	-404,422,000	-70,457,000	-333,097,000	-252,849,000	-361,214,000	585,961,000	-110,868,000	-45,970,000	-355,657,000	298,773,000	-62,125,000	-78,768,000	-150,474,000	-186,357,000	-67,392,000	3,997,841,000	-58,490,000	-24,310,000	-42,657,000	-31,892,000	140,638,000	-317,427,000	-38,502,000	356,321,000	-86,007,000	-330,872,000	-21,834,000	-97,500,000	-41,544,000	-12,244,000	-40,784,000
effect of exchange rate changes on cash, cash equivalents and restricted cash	20,286,000	9,417,000	-5,112,000	-4,458,000	-3,130,000	3,063,000	6,922,000	2,307,000	-6,283,000	-1,342,000	3,363,000	-7,381,000	-1,197,000	-7,966,000	-16,606,000	-16,936,000	-14,978,000	-4,178,000	-77,000	-921,000	2,440,000	-2,317,000	-10,141,000	6,668,000
net increase in cash, cash equivalents and restricted cash	-82,866,000		694,010,000	38,612,000	-33,853,000	206,136,000	83,181,000	72,408,000	-92,746,000	-199,223,000	-134,379,000	636,819,000	704,688,000	559,250,000	-391,381,000	1,827,001,000	279,770,000	517,908,000	2,843,177,000	264,976,000	-154,507,000	100,671,000	244,597,000	-53,468,000
cash, cash equivalents and restricted cash at beginning of the year	879,825,000	879,825,000	464,634,000	464,634,000	464,634,000	338,989,000	338,989,000	338,989,000	554,960,000	554,960,000	554,960,000
cash, cash equivalents and restricted cash at end of the period	796,959,000	524,573,000	1,158,644,000	503,246,000	430,781,000	545,125,000	422,170,000	411,397,000	462,214,000	355,737,000	420,581,000
balance at march 31, 2025	1,666,521,000	1,666,521,000
comprehensive income:
other comprehensive income
stock award plan
stock-settled stock-based compensation expense
changes in noncontrolling interest from:
distributions	-35,266,000	-61,321,000	-79,621,000	-20,153,000	-52,928,000	-52,382,000	-45,724,000	-35,550,000	-48,275,000	-34,378,000	-42,881,000	-49,766,000	-29,983,000	-34,259,000	-38,154,000	-39,569,000	-37,566,000	-37,868,000	-32,670,000	-26,166,000
contributions	409,000	1,951,000	2,420,000	3,001,000	3,127,000	4,493,000	1,861,000	3,748,000	1,996,000	4,107,000	3,197,000	9,041,000	3,094,000	7,695,000	10,348,000	8,812,000	5,283,000	8,946,000	9,353,000	9,508,000
acquisitions and divestitures	191,000	4,354,000								-29,000	2,421,000	5,903,000				-3,214,000		-91,000	111,000	688,000
fair value remeasurements	-25,259,000	-13,311,000	78,955,000	65,923,000	11,023,000	25,171,000	19,024,000	45,031,000	-7,779,000	-9,604,000	-34,835,000	-8,654,000	59,299,000	10,297,000	48,949,000	19,583,000	48,022,000	100,553,000	28,265,000	15,004,000
purchase of treasury stock			-1,020,550,000	-612,614,000	-250,961,000				-802,228,000	-617,432,000	-236,232,000	-882,411,000	-560,507,000	-316,250,000	-1,025,878,000	-321,798,000	-321,798,000	-1,837,022,000	-73,078,000		0	-356,332,000	-514,802,000	-290,377,000	-481,538,000	-89,737,000			-476,924,000	-345,972,000	0	-274,926,000	-165,825,000	-299,997,000	-14,050,000	-70,063,000													0	-32,755,000			-469,827,000	-48,621,000			-92,272,000	-29,207,000	0	-32,016,000
share purchase obligation
balance at june 30, 2025	1,660,990,000
net decrease in cash, cash equivalents and restricted cash		-355,252,000
balance at december 31, 2024		1,695,483,000
partial purchases		-5,865,000		-35,272,000	-1,227,000		-700,000		-215,000	-10,596,000	-822,000		-351,000	-201,000		-6,418,000	-255,000	8,000	-281,000
impairment charges																		124,892,000	41,037,000	41,037,000	41,537,000	6,093,000
other non-cash losses and (gains)				16,570,000
other									-782,000	-7,000	464,000
cash, cash equivalents and restricted cash at end of the year
balance at december 31, 2021											1,434,832,000
stock purchase plan
stock award plans
retirement of treasury stock
balance at december 31, 2022								1,348,908,000
balance at december 31, 2023					1,499,288,000
gain on changes in ownership interest			-35,147,000	-35,147,000	-35,147,000
net payments related to stock purchases and awards			-112,496,000	-86,277,000	-86,488,000	-41,155,000	-43,612,000	-7,902,000	-42,248,000	-47,866,000	-501,000	-59,849,000	-43,605,000
balance at june 30, 2024			1,574,840,000	1,574,840,000
other comprehensive loss
balance at september 30, 2024			1,633,011,000
balance at march 31, 2024				1,503,474,000	1,503,474,000
other non-cash charges					7,639,000	1,633,000	-5,160,000	5,864,000	16,035,000	-32,858,000	4,714,000	13,418,000	1,274,000	3,979,000	-7,980,000	-5,885,000	5,055,000	24,291,000	25,857,000	1,720,000	-82,482,000	120,519,000	34,378,000	9,959,000	25,216,000	13,094,000	19,148,000	9,467,000	-16,501,000	-13,957,000	11,613,000	11,507,000
balance at december 31, 2020														1,330,028,000
deferred taxes from partnership buyouts
equity investment loss (income)						40,121,000				90,000	664,000
balance at june 30, 2023						1,423,549,000	1,423,549,000
balance at september 30, 2023						1,445,403,000
debt prepayment and refinancing charges							7,132,000
other receivables and prepaid and other current assets							33,182,000	66,595,000	43,392,000	-61,811,000	-17,966,000	144,967,000	14,465,000	13,756,000
balance at march 31, 2023							1,398,829,000	1,398,829,000
deferred financing and debt redemption costs								-7,000							-105,705,000	-20,375,000														0
debt prepayment, refinancing and redemption charges															86,957,000			33,402,000
equity investment income									-417,000				-2,764,000	-2,924,000	3,026,000	-6,494,000			2,631,000	-337,000			-3,998,000	3,564,000	9,854,000	9,704,000	7,944,000	1,423,000	941,000	2,550,000	9,037,000	5,238,000	-1,270,000	5,306,000	2,718,000	2,539,000	4,118,000	3,750,000	2,444,000	-187,000	1,798,000	1,570,000	1,990,000	-2,486,000	3,374,000	149,000	-622,000	483,000	116,000	-234,000	-948,000	1,420,000	-250,000	-267,000			862,000
loss on sales of business interests															16,252,000	16,252,000
balance at december 31, 2019																	1,180,376,000
balance at june 30, 2022									1,385,821,000	1,385,821,000
balance at september 30, 2022									1,370,753,000
balance at march 31, 2022										1,390,757,000	1,390,757,000
proceeds from sales of additional noncontrolling interest												2,880,000
less: net decrease in cash, cash equivalents and restricted cash from discontinued operations
net increase in cash, cash equivalents and restricted cash from continuing operations												636,819,000	704,688,000	559,250,000	-391,381,000	1,827,001,000	279,770,000	941,721,000	3,266,990,000	146,014,000				-71,302,000
cash, cash equivalents and restricted cash of continuing operations at beginning of the year												501,790,000	501,790,000	501,790,000	1,208,718,000	1,208,718,000	1,208,718,000	415,420,000	415,420,000	415,420,000	0	0	0	518,920,000
cash, cash equivalents and restricted cash of continuing operations at end of the year																3,035,719,000	1,488,488,000
balance at december 31, 2018
cumulative effect of change in accounting principle
equity investment (income) loss												-1,687,000																																												-1,334,000
purchase of intangible assets												-745,000																												-11,000		-46,000	130,000	-137,000
deferred financing costs												-9,091,000	-9,089,000	-8,346,000																		-188,000																									0	0
less: net increase in cash, cash equivalents and restricted cash from discontinued operations																		-423,813,000	-423,813,000	118,962,000	-29,772,000	40,664,000	212,067,000	17,834,000
cash, cash equivalents and restricted cash of continuing operations at end of the period												1,138,609,000	1,206,478,000	1,061,040,000	817,337,000			1,357,141,000	3,682,410,000	561,434,000		60,007,000	32,530,000	447,618,000
balance at june 30, 2021												1,426,211,000	1,426,211,000
balance at september 30, 2021												1,423,917,000
debt refinancing charges																884,000	884,000																				0	0
balance at march 31, 2021													1,349,160,000	1,349,160,000
net (payments) receipts related to stock purchases and awards														-2,524,000
valuation adjustment on disposal group
gain on sales of business interests																		23,022,000	23,022,000		-28,152,000	1,506,000
other receivables and other current assets															-62,025,000	-131,988,000	-24,965,000	51,319,000	-5,142,000	1,199,000	237,752,000	90,928,000	-57,565,000	-34,120,000	-69,981,000	65,296,000	-27,958,000	-84,511,000	-52,422,000	105,994,000	-32,284,000	-75,326,000	-22,163,000	105,286,000	-31,743,000	-18,619,000	-69,237,000	103,143,000	-77,840,000	-17,740,000	-72,677,000	29,592,000	-33,068,000	-32,281,000	-13,317,000	3,109,000	5,486,000	56,452,000	-28,040,000	57,946,000	-1,131,000	24,922,000	-61,315,000	-16,457,000	-11,290,000	44,343,000	-32,940,000	-6,190,000	-37,391,000	41,417,000
balance at december 31, 2017
stock award exercises and other share issuances															3,838,000	-2,106,000	2,397,000	7,333,000	2,107,000	1,517,000	4,774,000	5,671,000	4,317,000	-1,185,000	5,471,000	7,618,000	4,833,000	3,330,000	5,028,000	9,050,000	6,298,000	3,167,000	6,353,000	15,122,000	-968,000	5,648,000	4,976,000	7,250,000	3,824,000	3,450,000	3,991,000	3,613,000	2,986,000	5,833,000	-1,748,000	3,550,000	3,182,000	1,663,000	1,430,000	2,476,000	4,000,000	3,410,000	14,344,000	5,303,000	13,040,000	21,073,000	37,599,000	13,618,000	7,589,000	9,102,000
balance at june 30, 2020															1,241,937,000	1,241,937,000
stock unit shares issued
stock appreciation rights shares issued
balance at september 30, 2020															1,303,934,000
balance at march 31, 2020																1,228,036,000	1,228,036,000
payments on long-term debt and other financing costs																	-104,942,000	-40,570,003,000	-33,531,409,000	-16,776,267,000	-18,411,530,000	-13,272,095,000	-14,354,123,000	-13,202,225,000	-12,567,828,000	-12,675,697,000	-12,754,431,000	-12,839,156,000	-12,914,916,000	-13,004,831,000	-13,073,061,000	-13,123,124,000	-13,190,215,000	-13,255,081,000	-14,094,791,000	-13,382,203,000		-13,799,677,000	-16,543,694,000	-16,244,613,000
stock purchase shares issued
stock-settled sar shares issued
purchase of investments held-to-maturity																		-98,322,000	-3,322,000	-209,000	-2,235,000	-2,000	-140,000	-3,586,000	-5,823,000	-4,534,000	-98,962,000	-121,670,000	-156,781,000	-457,446,000	-290,767,000	-228,198,000	-154,279,000	-515,972,000	-748,858,000	-290,774,000	-309,582,000	-41,713,000	-118,822,000	-2,511,000	-5,000	-2,000	-1,028,000	-4,000	-2,161,000	0	-2,045,000	-3,212,000	-7,888,000	-10,056,000	-4,523,000	-15,161,000	-33,075,000	-7,704,000	-3,314,000	-12,522,000	-5,722,000	-1,749,000	-15,187,000	-6,000
proceeds from investments held-to-maturity																					2,234,000	0	1,174,000	31,454,000	93,705,000	78,281,000	204,199,000	116,285,000	496,561,000	198,256,000	292,984,000	252,701,000	667,809,000	534,865,000	229,034,000	205,650,000
purchase of equity investments																		-8,770,000	-6,715,000	-4,067,000	-6,303,000	-2,633,000	-7,765,000	-2,476,000	-1,802,000	-1,820,000	-59,000	-1,135,000	-15,467,000	-2,844,000	-2,935,000	-5,850,000	-4,288,000	-6,073,000	-124,000	-7,426,000																				-350,000
distributions received on equity investments																		1,296,000	155,000	155,000	66,000	571,000	544,000	2,465,000	26,000								72,000				391,000	97,000	191,000	146,000	286,000	95,000	0	116,000	6,000	0	0	2,000	0	0			11,000	0	0	350,000	1,618,000	841,000
balance at december 31, 2016
balance at june 30, 2019																		1,185,733,000	1,185,733,000
balance at september 30, 2019																		1,296,059,000
balance at march 31, 2019																			1,143,044,000
balance at january 1, 2018																				1,011,360,000
balance at march 31, 2018																				1,034,501,000
purchase of investments available for sale																					-2,657,000	-1,596,000	-1,549,000	-2,646,000	-3,235,000	-3,070,000	-4,454,000	-2,358,000		-1,168,000	-3,438,000	-4,435,000		-2,795,000	-2,424,000	-1,448,000		-1,021,000	-4,293,000	-1,824,000		-3,344,000	-2,074,000	-1,212,000		-382,000	-2,581,000	-489,000		-250,000	-1,570,000	-298,000		-210,000	-224,000	-521,000		-308,000	-915,000	-514,000
proceeds from sale of investments available for sale																					743,000	3,121,000	511,000	5,151,000	586,000	773,000	1,024,000	4,025,000		3,299,000	182,000	5,155,000		411,000	333,000	1,217,000		44,000	15,000	1,262,000		0	0	1,091,000		5,000	0	6,791,000		0	0	1,149,000		0	20,000	880,000		0	5,868,000	10,669,000
proceeds from sale of equity investments																													0	0
excess tax benefits from stock award exercises																													-667,000	-1,980,000	-6,221,000	-4,383,000	-8,602,000	-2,642,000	-9,329,000	-7,584,000	-12,606,000	-2,427,000	-11,902,000	-18,336,000	-4,475,000	-3,280,000	-21,485,000	-6,957,000	-22,690,000	-24,505,000	-8,740,000	-6,101,000	-1,194,000	-631,000	-11,813,000	-7,196,000	-4,204,000	-432,000	-269,000	-1,378,000	1,165,000	-524,000	-6,812,000	-779,000
net decrease in cash, cash equivalents and restricted cash from continuing operations
balance at december 31, 2015
excess tax benefits from stock awards exercised
changes in non-controlling interests from:
reclassifications and expirations of puts
(gain) loss on settlements
debt redemption charges																																																						0
settlement receipts
effect of exchange rate changes on cash and cash equivalents																									-5,195,000	1,257,000	1,372,000	2,820,000	5,940,000	-2,108,000	-273,000	717,000	-727,000	-1,051,000	111,000	-904,000	711,000	2,149,000	-1,198,000	631,000	-68,000	-665,000	-353,000	119,000	-829,000	151,000	-119,000	11,000
net increase in cash and cash equivalents																												559,045,000	-309,000			-457,689,000	451,697,000	113,684,000	-77,536,000	46,030,000	-561,794,000	106,062,000	312,904,000	161,820,000	-24,445,000	352,790,000	-81,767,000	165,923,000				55,538,000			-276,185,000	145,893,000	325,552,000	-40,151,000	-181,193,000	216,450,000	-42,221,000	37,567,000	138,430,000	-5,198,000
less: net increase in cash and cash equivalents from discontinued operations
net increase in cash and cash equivalents from continuing operations
cash and cash equivalents of continuing operations at beginning of the year
cash and cash equivalents of continuing operations at end of the year
goodwill and asset impairment charges																										601,040,000	61,117,000	39,366,000
changes in operating assets and liabilities, other than from acquisitions and divestitures:
purchase of noncontrolling interests																										0	-633,000	-799,000		-3,487,000	-1,940,000	-4,300,000		-12,765,000																										-1,424,000
net decrease in cash and cash equivalents																										134,113,000																				108,749,000
cash and cash equivalents at beginning of the year																										0	0	913,187,000	0	0	0	1,499,116,000	0	0	0	965,241,000	0	0	0	946,249,000
cash and cash equivalents at end of the period																										134,113,000	-760,235,000	1,472,232,000		-369,920,000	241,989,000	1,041,427,000		113,684,000	-77,536,000	1,011,271,000
settlement charge and loss contingency accrual																																	0
goodwill and other asset impairment charges
debt redemption and refinancing charges																																	0	0
tax benefits from stock award exercises																													1,385,000	3,354,000	14,990,000	8,668,000	14,680,000	3,029,000	18,674,000	9,366,000	13,592,000	3,417,000	19,132,000	22,978,000	6,028,000	4,346,000	27,156,000	9,368,000	28,712,000	32,669,000	16,693,000	10,890,000	3,103,000	1,331,000	19,897,000	13,868,000	10,951,000	2,859,000	5,023,000	7,873,000	5,807,000	2,460,000	7,813,000	2,161,000
settlement payments																																	0	0
purchase of investments available-for-sale
proceeds from sale of investments available-for-sale
deferred financing and debt redemption and refinancing costs
cash and cash equivalents at end of the year																																					-561,794,000	106,062,000	312,904,000	1,108,069,000
settlement charge
goodwill impairment charges																														0
goodwill impairment charge																																77,000,000																	0	0
adjustments to reconcile net income to cash from operating activities:
goodwill and other intangible asset impairment charges
other non-cash charges and loss on disposal of assets																																		1,865,000	16,853,000	7,865,000										4,341,000
deferred financing costs and debt redemption and refinancing costs																																		-815,000
loss contingency accrual																																				495,000,000
other non-cash charges and losses on disposal of assets
loss contingency reserve																																					-427,356,000				0	97,000,000	0	300,000,000
proceeds from asset sales																																													1,441,000	95,000	1,198,000	825,000	23,560,000	48,669,000	142,000	2,812,000	4,256,000	790,000	1,417,000	16,264,000	1,441,000	472,000	1,585,000	4,199,000
payments on long-term debt, contingent earn-out obligations and other financing costs
purchases from noncontrolling interests																																					-5,807,000	-6,326,000			-3,095,000	0			-12,987,000	-3,974,000	-5,428,000	-4,372,000	-4,499,000	-540,000	-7,894,000	-756,000	-8,812,000	0	-3,095,000	-2,307,000	-191,000	-1,964,000
other non-cash charges (income) and loss on disposal of assets
proceeds from sale of investments held-to-maturity
purchase of intangible assets and equity investment																																						4,710,000
purchase of an equity investment
deferred financing costs and debt redemption costs																																						-15,217,000
other non-cash (income) charges and loss on disposal of assets																																							14,515,000	8,346,000
proceeds from sale of investments held to maturity																																							63,053,000	1,508,000
supplemental cash flow information:
non-cash investing and financing activities:
fixed assets under capital lease obligations																																								11,918,000
proceeds from maturities of investments held-to-maturity																																									0	0			2,155,000	2,793,000	2,031,000	7,551,000	17,948,000	10,064,000	4,520,000	15,163,000	33,016,000	7,667,000	3,259,000	15,990,000	257,000	503,000	15,600,000	20,000
purchase of equity investments and other assets																																													-906,000				2,607,000	0			-273,000	-86,000
payments on long-term debt, contingent obligations and other financing costs
restricted cash
cash and cash equivalents at beginning of period																																										0	0	533,748,000		0	0	393,752,000		0	0	860,117,000		0	0	539,459,000		0	0	410,881,000
cash and cash equivalents at end of period																																										352,790,000	-81,767,000	699,671,000		108,749,000	-175,845,000	449,290,000		-188,619,000	-276,185,000	1,006,010,000		-40,151,000	-181,193,000	755,909,000		37,567,000	138,430,000	405,683,000
payments on long-term debt and other contingent obligations
interest rate cap premiums and other deferred financing costs																																											-468,000	-248,000		-22,187,000	-5,000	3,000	2,000	-4,406,000	-58,000	-13,399,000
other non-cash charges and (gain) loss on disposal of assets																																												-11,396,000
debt refinancing and redemption charges
deferred financing costs and other related financing costs
cash and cash equivalents at beginning of year
cash and cash equivalents at end of year
loss on disposal of assets and other non-cash charges																																																7,125,000	3,931,000	5,556,000			3,935,000	2,565,000
proceeds from the sale of investments available-for-sale
debt refinancing costs including tender and call premiums
debt call premium																																																						0
gain on disposal of assets and other non-cash charges																																																				5,506,000
net income.
other investment activity
(gain) loss on disposal of assets and other non-cash charges																																																								-695,000
valuation gain on alliance and product supply agreement
gain on disposal of assets
non-cash debt expense and non-cash rent charges
loss on disposal of assets																																																										3,013,000	1,184,000	3,629,000
non-cash debt and non-cash rent charges																																																										930,000	3,145,000	3,422,000
purchase of intangible assets and other
net income attributable to davita inc.																																																												96,211,000
net income attributable to noncontrolling interests																																																												12,063,000
minority interests in income of consolidated subsidiaries
distributions to minority interests
gain on disposal of discontinued operations and other dispositions
acquisitions and purchases of other ownership interests
proceeds from discontinued operations and asset sales
purchase of a noncontrolling ownership interest in an unconsolidated joint venture
contributions from minority owners

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