DaVita HealthCare Partners Inc. provides various health care services to patient populations throughout the United States and internationally. Divisions The company operates two major divisions, Kidney Care and HealthCare Partners (HCP). Kidney Care division This division includes the company’s U.S. dialysis and related lab services, ancillary services, and strategic initiatives, including its international operations. The company’s U.S. dialysis and related lab services business provides kidney dialysis services in the U.S. for patients suffering from chronic kidney failure, also known as end stage renal disease (ESRD). U.S. Dialysis and Related Lab Services Business As of December 31, 2015, the company provided dialysis and administrative services in the U.S. through a network of 2,251 outpatient dialysis centers in 46 states and the District of Columbia, serving a total of approximately 180,000 patients. The company also provides acute inpatient dialysis services in approximately 900 hospitals and related laboratory services throughout the U.S. Dialysis and Related Lab Services Outpatient Hemodialysis Services: The company operates or provides administrative services through a network of outpatient dialysis centers in the U.S. that are designed specifically for outpatient hemodialysis. As a condition of the company’s enrollment in Medicare for the provision of dialysis services, the company contracts with a nephrologist or a group of associated nephrologists to provide medical director services at each of its dialysis centers. In addition, other nephrologists might apply for practice privileges to treat their patients at its centers. Hospital Inpatient Hemodialysis Services: As of December 31, 2015, the company provided hospital inpatient hemodialysis services, excluding physician services, to patients in approximately 900 hospitals throughout the U.S. The company renders these services based on a contracted per-treatment fee that is individually negotiated with each hospital. When a hospital requests the company’s services, it typically administers the dialysis treatment at the patient’s bedside or in a dedicated treatment room in the hospital, as needed. Home-based Hemodialysis Services: Many of the company’s outpatient dialysis centers offer certain support services for dialysis patients who prefer and are able to perform either home-based hemodialysis or peritoneal dialysis in their homes. Home-based hemodialysis support services consist of providing equipment and supplies, training, patient monitoring, on-call support services and follow-up assistance. Registered nurses train patients and their families or other caregivers to perform either home-based hemodialysis or peritoneal dialysis. ESRD Laboratory Services: The company owns two separately incorporated, licensed, clinical laboratories, which specialize in ESRD patient testing. These specialized laboratories provide routine laboratory tests for dialysis and other physician-prescribed laboratory tests for ESRD patients and are an integral component of overall dialysis services that the company provides. The company’s laboratories provide these tests primarily for its network of ESRD patients throughout the U.S. These tests are performed to monitor a patient’s ESRD condition, including the adequacy of dialysis, as well as other medical conditions of the patient. The company’s laboratories utilize information systems, which provide information to certain members of the dialysis centers’ staff and medical directors regarding critical outcome indicators. Management Services: The company operates or provides management and administrative services pursuant to management and administrative services agreements to 31 outpatient dialysis centers located in the U.S. in which the company either owns a minority equity investment or are wholly-owned by third parties. Government Regulation The company’s dialysis centers are certified by the Centers for Medicare and Medicaid Services (CMS), as is required for the receipt of Medicare payments. The Health Insurance Portability and Accountability Act of 1996 and its implementing privac
davita healthcare partners i
2000 16th Street
Denver, CO 80202
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