About Davita Inc.

DaVita gives life in the form of dialysis treatments to patients suffering from end-stage renal disease (ESRD, chronic kidney failure). Through its Kidney Care division, the firm is one of the US' largest providers of dialysis, providing administrative services to more than 2,380 outpatient centers across the US; it serves some 189,000 patients. The company also offers home-based dialysis services, as well as inpatient dialysis in about 900 hospitals. It operates two clinical laboratories that specialize in routine testing of dialysis patients and serve the company's network of clinics.

Operations

DaVita operates through two divisions -- Kidney Care (dialysis and related lab and support services) and DaVita Medical Group (DMG, formerly known as HealthCare Partners or HCP).

Dialysis and lab services account for around 60% of the company's revenues. DaVita and its main competitor, Fresenius Medical Care, together control nearly three-fourths of the US dialysis clinic market. (DaVita controls about 35% of the market while Fresenius controls another 45%. Fresenius actually manufactures dialysis supplies, and DaVita is a customer.)

A portion of DaVita's dialysis and lab-related revenues comes from administering specialty pharmaceuticals to patients receiving dialysis. The pharmaceuticals include vitamin D, iron supplements, and EPO -- a genetically engineered protein that stimulates the production of red blood cells. EPO is used during dialysis to treat anemia (a common complication). Amgen is the only company manufacturing EPO and, to buffer against price fluctuations or shortages, DaVita has a multi-year agreement with Amgen to secure its supply of EPO at discounted pricing.

DMG is a patient- and physician-focused integrated health care delivery and management company. DMG has roughly 750,000 members under its care in Southern California, Central and South Florida, southern Nevada, central New Mexico, and central Arizona through capitation contracts. Sales from the DMG business accounts for about 30% of revenues. In late 2017, the company announced plans to sell DMG to health insurer UnitedHealth for $4.9 billion.

Geographic Reach

California, Florida, and Texas are home to about 30% of all DaVita dialysis centers, though the firm has locations in more than 45 US states and Washington, DC. The DMG unit operates and manages medical groups and physician practice networks in California, Colorado, Florida, Georgia, Nevada, New Mexico, and Washington.

While its international operations (150 outpatient dialysis centers in more than 10 countries) are still a tiny fraction of its total business, the company is involved in a long-term strategy to expand into overseas markets for growth through acquisitions and partnerships. The company has established a presence in select international markets, including Europe, Latin America, the Middle East, and the Asia/Pacific region. Colombia, Germany, India, and Malaysia together account for more than 70% of DaVita's outpatient dialysis centers outside of the US.

Sales and Marketing

Almost 90% of DaVita's dialysis patients are covered by government-based health plans, including Medicare and Medicaid agencies and the VA, making DaVita particularly vulnerable to changes in government reimbursement rates (which are regularly under threat of being lowered by state and federal governments facing budget pressures). Government plan reimbursements account for about 65% of the company's annual revenues; the balance of the income comes from commercial insurance payers (including hospital dialysis services) as their primary payor.

DMG provides medical services through a network of about 700 primary care physicians as well as several thousand specialists in some 200 hospitals. Its teammates, employed clinicians, and affiliated clinicians provided care for some 1.7 million patients.

One commercial payor, Humana, accounts for roughly 10% of DaVita's total consolidated net revenues each year.

Financial Performance

DaVita has achieved unprecedented growth the last few years, with revenues peaking at a record-setting $14.8 billion in 2016. The most recent growth was fueled by increased treatment volume, primarily from non-acquired growth at existing and new dialysis centers, cost control initiatives, and payor mix improvements within its dialysis business.

In addition to the historic revenue growth, DaVita's profits more than tripled from $270 million in 2015 to $880 million in 2016, another company milestone. This was attributed to the increase in revenues and the absence of debt refinancing and redemption charges it incurred the previous year.

Strategy

While DaVita has primarily grown through acquisitions over the years, it also expands its operations through joint ventures and partnerships. In 2015 it formed a joint venture to operate kidney care specialty hospitals in Shadong Province, China. Also that year, it entered the Brazilian market and it opened an outpatient vascular access center in Saudi Arabia.

In late 2017, DaVita announced plans to sell its DMG segment to UnitedHealth for $4.9 billion. The company will focus on its core kidney care business, but is also exploring options to enter other areas of health care.

Mergers and Acquisitions

Historically, DaVita has grown its network of facilities through acquisition of outpatient dialysis centers.

In 2017 it bought Colorado-based Renal Ventures for $415 million. Renal Ventures operates 36 dialysis clinics in six states; it also has units that operate infusion and vascular centers. Also that year, the company acquired Nevada-based WellHealth Quality Care, operator of about a dozen centers specializing in such areas as anesthesiology and obstetrics/gynecology.

During 2016, DaVita achieved a net increase of 99 US dialysis centers and 36 international dialysis centers.

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Davita Inc.

2000 16th St
Denver, CO 80202-5117
Phone: 1 (303) 405-2100

Stats

  • Employer Type: Public
  • Stock Symbol: DVA
  • Stock Exchange: NYSE
  • Chairman and CEO: Kent J. Thiry
  • Chief Compliance Officer: Jeanine M. Jiganti
  • Chairman and CEO: Kent J. Thiry
  • 2017 Employees: 74,500

Major Office Locations

  • Denver, CO
  • Tacoma, WA

Other Locations

  • Abbeville, AL
  • Bessemer, AL
  • Birmingham, AL
  • Carrollton, AL
  • Demopolis, AL
  • Fayette, AL
  • Florence, AL
  • Gulf Shores, AL
  • Montgomery, AL
  • Prattville, AL
  • Russellville, AL
  • Sheffield, AL
  • Sylacauga, AL
  • Talladega, AL
  • Tuscaloosa, AL
  • Wetumpka, AL
  • Batesville, AR
  • Bentonville, AR
  • Camden, AR
  • Conway, AR
  • Fayetteville, AR
  • Forrest City, AR
  • Hope, AR
  • Hot Springs, AR
  • Jacksonville, AR
  • Little Rock, AR
  • Magnolia, AR
  • Mountain Home, AR
  • Newport, AR
  • North Little Rock, AR
  • Osceola, AR
  • Rockport, AR
  • Siloam Springs, AR
  • Texarkana, AR
  • Warren, AR
  • Chandler, AZ
  • Fountain Hills, AZ
  • Gilbert, AZ
  • Glendale, AZ
  • Mesa, AZ
  • Nogales, AZ
  • Payson, AZ
  • Phoenix, AZ
  • Scottsdale, AZ
  • Sells, AZ
  • Sierra Vista, AZ
  • Sun City, AZ
  • Tempe, AZ
  • Tucson, AZ
  • Wickenburg, AZ
  • Yuma, AZ
  • Alhambra, CA
  • Anaheim, CA
  • Antioch, CA
  • Apple Valley, CA
  • Arcadia, CA
  • Arvin, CA
  • Atwater, CA
  • Bakersfield, CA
  • Bellflower, CA
  • Benicia, CA
  • Beverly Hills, CA
  • Brea, CA
  • Burlingame, CA
  • Camarillo, CA
  • Cameron Park, CA
  • Carmichael, CA
  • Carson, CA
  • Ceres, CA
  • Cerritos, CA
  • Chico, CA
  • Citrus Heights, CA
  • Clearlake, CA
  • Coalinga, CA
  • Compton, CA
  • Concord, CA
  • Corona, CA
  • Costa Mesa, CA
  • Cudahy, CA
  • Daly City, CA
  • Diamond Bar, CA
  • Dinuba, CA
  • Dixon, CA
  • Downey, CA
  • Duarte, CA
  • El Cerrito, CA
  • El Monte, CA
  • El Segundo, CA
  • Elk Grove, CA
  • Encinitas, CA
  • Encino, CA
  • Escondido, CA
  • Exeter, CA
  • Fairfield, CA
  • Fontana, CA
  • Foster City, CA
  • Fountain Valley, CA
  • Fremont, CA
  • Fresno, CA
  • Fullerton, CA
  • Gardena, CA
  • Glendale, CA
  • Grass Valley, CA
  • Hanford, CA
  • Hawaiian Gardens, CA
  • Hawthorne, CA
  • Hayward, CA
  • Hemet, CA
  • Huntington Beach, CA
  • Huntington Park, CA
  • Inglewood, CA
  • Irvine, CA
  • La Palma, CA
  • La Verne, CA
  • Laguna Hills, CA
  • Lake Elsinore, CA
  • Lakeport, CA
  • Lakewood, CA
  • Lancaster, CA
  • Livermore, CA
  • Lodi, CA
  • Long Beach, CA
  • Los Alamitos, CA
  • Los Angeles, CA
  • Los Gatos, CA
  • Lynwood, CA
  • Madera, CA
  • Manteca, CA
  • Marina, CA
  • Marysville, CA
  • Merced, CA
  • Mission Hills, CA
  • Mission Viejo, CA
  • Modesto, CA
  • Montclair, CA
  • Montebello, CA
  • Monterey Park, CA
  • Moorpark, CA
  • Moreno Valley, CA
  • Mountain View, CA
  • Murrieta, CA
  • Napa, CA
  • Norco, CA
  • North Hollywood, CA
  • Norwalk, CA
  • Oakland, CA
  • Oceanside, CA
  • Ontario, CA
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  • Palm Springs, CA
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  • Union City, CA
  • Vacaville, CA
  • Valencia, CA
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  • Visalia, CA
  • Walnut Creek, CA
  • West Covina, CA
  • West Hills, CA
  • West Sacramento, CA
  • Whittier, CA
  • Yuba City, CA
  • Yucaipa, CA
  • Alamosa, CO
  • Antioch, CO
  • Arvada, CO
  • Aurora, CO
  • Boulder, CO
  • Brighton, CO
  • Castle Rock, CO
  • Colorado Springs, CO
  • Commerce City, CO
  • Cortez, CO
  • Englewood, CO
  • Fairfax, CO
  • Fort Collins, CO
  • Fountain, CO
  • Garland, CO
  • Grand Junction, CO
  • Highlands Ranch, CO
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  • Lodi, CO
  • Longmont, CO
  • Loveland, CO
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  • Monument, CO
  • Norwalk, CO
  • Somerset, CO
  • Sterling, CO
  • Thornton, CO
  • Westlake Village, CO
  • Westminster, CO
  • Woodland Park, CO
  • Bloomfield, CT
  • Bridgeport, CT
  • Danbury, CT
  • Fairfield, CT
  • Farmington, CT
  • Hamden, CT
  • Hartford, CT
  • New Haven, CT
  • New London, CT
  • North Windham, CT
  • Norwalk, CT
  • Rocky Hill, CT
  • Shelton, CT
  • Stamford, CT
  • Torrington, CT
  • Vernon, CT
  • Waterbury, CT
  • Washington, DC
  • Apopka, FL
  • Arcadia, FL
  • Ave Maria, FL
  • Boca Raton, FL
  • Bonita Springs, FL
  • Bradenton, FL
  • Brandon, FL
  • Cape Coral, FL
  • Casselberry, FL
  • Citra, FL
  • Clearwater, FL
  • Clermont, FL
  • Coral Gables, FL
  • Coral Springs, FL
  • Crestview, FL
  • Cutler Bay, FL
  • Davenport, FL
  • Davie, FL
  • Deerfield Beach, FL
  • Deland, FL
  • Doral, FL
  • Dunedin, FL
  • Fort Lauderdale, FL
  • Gainesville, FL
  • Hialeah, FL
  • Hollywood, FL
  • Homestead, FL
  • Hudson, FL
  • Jacksonville, FL
  • Kissimmee, FL
  • Lake Mary, FL
  • Lake Wales, FL
  • Lakeland, FL
  • Largo, FL
  • Leesburg, FL
  • Lehigh Acres, FL
  • Lynn Haven, FL
  • Melbourne, FL
  • Miami, FL
  • Miami Gardens, FL
  • Miami Lakes, FL
  • Middleburg, FL
  • Miramar, FL
  • New Port Richey, FL
  • North Fort Myers, FL
  • North Miami, FL
  • North Port, FL
  • Oakland Park, FL
  • Ocala, FL
  • Ocoee, FL
  • Oldsmar, FL
  • Orlando, FL
  • Palatka, FL
  • Palm Beach Gardens, FL
  • Palm Coast, FL
  • Palm Harbor, FL
  • Panama City, FL
  • Panama City Beach, FL
  • Pembroke Pines, FL
  • Pensacola, FL
  • Pinellas Park, FL
  • Plant City, FL
  • Plantation, FL
  • Pompano Beach, FL
  • Port Charlotte, FL
  • Port Richey, FL
  • Port Saint Joe, FL
  • Punta Gorda, FL
  • Quincy, FL
  • Riverview, FL
  • Ruskin, FL
  • Saint Augustine, FL
  • Saint Cloud, FL
  • Saint Petersburg, FL
  • Sanford, FL
  • Sebastian, FL
  • Seffner, FL
  • Spring Hill, FL
  • Tallahassee, FL
  • Tamarac, FL
  • Tampa, FL
  • Temple Terrace, FL
  • Titusville, FL
  • Venice, FL
  • West Palm Beach, FL
  • Weston, FL
  • Winter Garden, FL
  • Winter Haven, FL
  • Winter Park, FL
  • Zephyrhills, FL
  • Albany, GA
  • Americus, GA
  • Athens, GA
  • Atlanta, GA
  • Augusta, GA
  • Austell, GA
  • Baxley, GA
  • Brunswick, GA
  • Canton, GA
  • Carrollton, GA
  • College Park, GA
  • Columbus, GA
  • Cordele, GA
  • Cumming, GA
  • Dallas, GA
  • Darien, GA
  • Decatur, GA
  • Douglas, GA
  • Douglasville, GA
  • Dublin, GA
  • Duluth, GA
  • Ellijay, GA
  • Evans, GA
  • Fayetteville, GA
  • Forest Park, GA
  • Fort Valley, GA
  • Gainesville, GA
  • Greensboro, GA
  • Griffin, GA
  • Hartwell, GA
  • Hinesville, GA
  • Jackson, GA
  • Jesup, GA
  • Jonesboro, GA
  • Lagrange, GA
  • Lawrenceville, GA
  • Lithia Springs, GA
  • Lithonia, GA
  • Locust Grove, GA
  • Macon, GA
  • Mcdonough, GA
  • Milledgeville, GA
  • Montezuma, GA
  • Moultrie, GA
  • Newnan, GA
  • Peachtree City, GA
  • Perry, GA
  • Pooler, GA
  • Riverdale, GA
  • Roswell, GA
  • Savannah, GA
  • Snellville, GA
  • Springfield, GA
  • Statesboro, GA
  • Stockbridge, GA
  • Stone Mountain, GA
  • Thomson, GA
  • Tifton, GA
  • Tucker, GA
  • Union City, GA
  • Vidalia, GA
  • Warm Springs, GA
  • Warner Robins, GA
  • Washington, GA
  • Watkinsville, GA
  • Wrightsville, GA
  • Atlantic, IA
  • Cedar Rapids, IA
  • Council Bluffs, IA
  • Des Moines, IA
  • Fort Dodge, IA
  • Harlan, IA
  • Independence, IA
  • Iowa Falls, IA
  • Marshalltown, IA
  • Newton, IA
  • Ottumwa, IA
  • Pella, IA
  • Perry, IA
  • Shenandoah, IA
  • Waterloo, IA
  • Waverly, IA
  • West Des Moines, IA
  • West Union, IA
  • Blackfoot, ID
  • Boise, ID
  • Burley, ID
  • Caldwell, ID
  • Fruitland, ID
  • Meridian, ID
  • Nampa, ID
  • Pocatello, ID
  • Twin Falls, ID
  • Alton, IL
  • Belleville, IL
  • Benton, IL
  • Bourbonnais, IL
  • Carpentersville, IL
  • Centralia, IL
  • Champaign, IL
  • Charleston, IL
  • Chicago, IL
  • Chicago Heights, IL
  • Coal City, IL
  • Collinsville, IL
  • Crystal Lake, IL
  • Danville, IL
  • Decatur, IL
  • Dekalb, IL
  • Dixon, IL
  • Downers Grove, IL
  • Edwardsville, IL
  • Effingham, IL
  • Elgin, IL
  • Fairfield, IL
  • Freeport, IL
  • Granite City, IL
  • Harvey, IL
  • Hillsboro, IL
  • Huntley, IL
  • Jacksonville, IL
  • Jerseyville, IL
  • Joliet, IL
  • Lake Barrington, IL
  • Lake Villa, IL
  • Lemont, IL
  • Lincoln, IL
  • Litchfield, IL
  • Marengo, IL
  • Marion, IL
  • Maryville, IL
  • Matteson, IL
  • Morris, IL
  • New Lenox, IL
  • Niles, IL
  • Oak Lawn, IL
  • Olney, IL
  • Orland Park, IL
  • Pittsfield, IL
  • Quincy, IL
  • Red Bud, IL
  • Robinson, IL
  • Rockford, IL
  • Rushville, IL
  • Salem, IL
  • Sauget, IL
  • Schaumburg, IL
  • Shiloh, IL
  • Springfield, IL
  • Sterling, IL
  • Sycamore, IL
  • Taylorville, IL
  • Vandalia, IL
  • Vernon Hills, IL
  • Batesville, IN
  • Bloomington, IN
  • Brazil, IN
  • Brownsburg, IN
  • Carmel, IN
  • Chesterton, IN
  • Corydon, IN
  • East Chicago, IN
  • Elkhart, IN
  • Evansville, IN
  • Fort Wayne, IN
  • Franklin, IN
  • Gary, IN
  • Greensburg, IN
  • Greenwood, IN
  • Hammond, IN
  • Indianapolis, IN
  • Jeffersonville, IN
  • Kendallville, IN
  • Madison, IN
  • Merrillville, IN
  • Michigan City, IN
  • Muncie, IN
  • Munster, IN
  • New Albany, IN
  • Newburgh, IN
  • North Vernon, IN
  • Paoli, IN
  • Portage, IN
  • Princeton, IN
  • Rushville, IN
  • Saint John, IN
  • South Bend, IN
  • Tell City, IN
  • Valparaiso, IN
  • Vincennes, IN
  • Washington, IN
  • Derby, KS
  • Emporia, KS
  • Garden City, KS
  • Independence, KS
  • Kansas City, KS
  • Lawrence, KS
  • Lenexa, KS
  • Maize, KS
  • Newton, KS
  • Olathe, KS
  • Ottawa, KS
  • Parsons, KS
  • Pittsburg, KS
  • Pratt, KS
  • Sabetha, KS
  • Topeka, KS
  • Wichita, KS
  • Winfield, KS
  • Bardstown, KY
  • Bowling Green, KY
  • Brooks, KY
  • Campbellsville, KY
  • Cold Spring, KY
  • Covington, KY
  • Crestview Hills, KY
  • Elizabethtown, KY
  • Florence, KY
  • Hagerhill, KY
  • Henderson, KY
  • Hi Hat, KY
  • Hopkinsville, KY
  • La Grange, KY
  • Leitchfield, KY
  • Lexington, KY
  • Louisa, KY
  • Louisville, KY
  • Madisonville, KY
  • Maysville, KY
  • Owensboro, KY
  • Paris, KY
  • Pikeville, KY
  • Shelbyville, KY
  • South Williamson, KY
  • Southgate, KY
  • Versailles, KY
  • Walton, KY
  • Baton Rouge, LA
  • Covington, LA
  • Deridder, LA
  • Donaldsonville, LA
  • Houma, LA
  • Kenner, LA
  • La Place, LA
  • Lafayette, LA
  • Lake Charles, LA
  • Luling, LA
  • Metairie, LA
  • New Orleans, LA
  • Prairieville, LA
  • Shreveport, LA
  • Slidell, LA
  • Sulphur, LA
  • Walker, LA
  • Westwego, LA
  • Boston, MA
  • Brookline, MA
  • Burlington, MA
  • Cambridge, MA
  • Chelmsford, MA
  • Dartmouth, MA
  • Fitchburg, MA
  • Medford, MA
  • Needham, MA
  • Salem, MA
  • Woburn, MA
  • Worcester, MA
  • Aberdeen, MD
  • Baltimore, MD
  • Bel Air, MD
  • Beltsville, MD
  • Berlin, MD
  • Bowie, MD
  • Brandywine, MD
  • Chestertown, MD
  • Easton, MD
  • Elkton, MD
  • Forest Hill, MD
  • Forestville, MD
  • Gaithersburg, MD
  • Germantown, MD
  • Hagerstown, MD
  • Halethorpe, MD
  • Hyattsville, MD
  • Lanham, MD
  • Laurel, MD
  • Mount Airy, MD
  • Owings Mills, MD
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  • Queenstown, MD
  • Towson, MD
  • Upper Marlboro, MD
  • Wheaton, MD
  • White Plains, MD
  • Windsor Mill, MD
  • Bangor, ME
  • Ellsworth, ME
  • Lincoln, ME
  • Allen Park, MI
  • Alma, MI
  • Alpena, MI
  • Ann Arbor, MI
  • Battle Creek, MI
  • Bay City, MI
  • Brighton, MI
  • Burton, MI
  • Cass City, MI
  • Chelsea, MI
  • Clarkston, MI
  • Commerce Township, MI
  • Davison, MI
  • Dearborn, MI
  • Detroit, MI
  • East Lansing, MI
  • Fenton, MI
  • Flint, MI
  • Flushing, MI
  • Fremont, MI
  • Gaylord, MI
  • Gladwin, MI
  • Grand Blanc, MI
  • Grand Haven, MI
  • Grand Rapids, MI
  • Greenville, MI
  • Ionia, MI
  • Jackson, MI
  • Kalamazoo, MI
  • Ludington, MI
  • Midland, MI
  • Monroe, MI
  • Mount Morris, MI
  • Mount Pleasant, MI
  • Muskegon, MI
  • Norton Shores, MI
  • Novi, MI
  • Oak Park, MI
  • Pontiac, MI
  • Rochester Hills, MI
  • Rogers City, MI
  • Romulus, MI
  • Saginaw, MI
  • Southfield, MI
  • Warren, MI
  • West Bloomfield, MI
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  • Burnsville, MN
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  • Coon Rapids, MN
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  • Eden Prairie, MN
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  • Fridley, MN
  • Hastings, MN
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  • Sikeston, MO
  • Springfield, MO
  • Washington, MO
  • Jackson, MS
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  • Asheville, NC
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  • Charlotte, NC
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  • Graham, NC
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  • Henderson, NC
  • Hendersonville, NC
  • Jacksonville, NC
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  • Kenansville, NC
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  • Bound Brook, NJ
  • Brick, NJ
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  • Hillsborough, NJ
  • Hillside, NJ
  • Jackson, NJ
  • Jersey City, NJ
  • Lawrenceville, NJ
  • Lumberton, NJ
  • Lyndhurst, NJ
  • Maywood, NJ
  • Monroe Township, NJ
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  • Mountainside, NJ
  • Neptune, NJ
  • New Brunswick, NJ
  • Newark, NJ
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  • Paterson, NJ
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  • Perth Amboy, NJ
  • Plainfield, NJ
  • Princeton Junction, NJ
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  • New Martinsville, WV
  • Parkersburg, WV
  • Point Pleasant, WV
  • South Charleston, WV
  • Vienna, WV
  • Wayne, WV
  • Wheeling, WV
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