|
Summary of Segment Net Revenues, Segment Operating Income Loss and Reconciliation of Segment Income to Consolidated Income from Continuing Operations Before Income Taxes (Detail) (USD $) In Thousands, unless otherwise specified
|
3 Months Ended |
12 Months Ended |
|
Dec. 31, 2014
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Sep. 30, 2014
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Jun. 30, 2014
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Mar. 31, 2014
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Dec. 31, 2013
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Sep. 30, 2013
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Jun. 30, 2013
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Mar. 31, 2013
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Dec. 31, 2014
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Dec. 31, 2013
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Dec. 31, 2012
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| Segment Reporting Information [Line Items] |
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|
|
|
| Patient service revenues |
$ 3,328,017us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,251,824us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,172,489us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,042,776us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,063,209us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 2,999,586us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 2,871,673us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 2,829,582us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 8,868,338us-gaap_HealthCareOrganizationPatientServiceRevenue |
|
$ 8,307,195us-gaap_HealthCareOrganizationPatientServiceRevenue |
|
$ 7,351,902us-gaap_HealthCareOrganizationPatientServiceRevenue |
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| Net patient service revenues |
|
|
|
|
|
|
|
|
8,501,454us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
|
8,013,649us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
|
7,116,684us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
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| Other revenues |
|
|
|
|
|
|
|
|
1,032,364us-gaap_HealthCareOrganizationOtherRevenue |
|
763,086us-gaap_HealthCareOrganizationOtherRevenue |
|
588,260us-gaap_HealthCareOrganizationOtherRevenue |
|
| Total net operating revenues |
|
|
|
|
|
|
|
|
12,795,106us-gaap_HealthCareOrganizationRevenue |
|
11,764,050us-gaap_HealthCareOrganizationRevenue |
|
8,186,280us-gaap_HealthCareOrganizationRevenue |
|
| Capitated revenues |
|
|
|
|
|
|
|
|
3,261,288us-gaap_HealthCareOrganizationCapitationRevenue |
|
2,987,315us-gaap_HealthCareOrganizationCapitationRevenue |
|
481,336us-gaap_HealthCareOrganizationCapitationRevenue |
|
| Operating income |
452,085us-gaap_OperatingIncomeLoss |
437,536us-gaap_OperatingIncomeLoss |
484,295us-gaap_OperatingIncomeLoss |
441,225us-gaap_OperatingIncomeLoss |
484,179us-gaap_OperatingIncomeLoss |
377,074us-gaap_OperatingIncomeLoss |
522,020us-gaap_OperatingIncomeLoss |
166,861us-gaap_OperatingIncomeLoss |
1,815,141us-gaap_OperatingIncomeLoss |
|
1,550,134us-gaap_OperatingIncomeLoss |
|
1,297,084us-gaap_OperatingIncomeLoss |
|
| Contingent earn-out obligation adjustment |
|
|
|
|
|
|
|
|
|
|
56,977us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 |
|
|
|
| Corporate support costs |
|
|
|
|
|
|
|
|
(13,012)dva_SegmentReportingInformationCorporateExpenses |
[1] |
(53,699)dva_SegmentReportingInformationCorporateExpenses |
[1] |
(46,481)dva_SegmentReportingInformationCorporateExpenses |
[1] |
| Transaction expenses |
|
|
|
|
|
|
|
|
|
|
|
|
(30,753)dva_SegmentReportingInformationAcquisitionsRelatedTransactionExpenses |
|
| Operating income |
452,085us-gaap_OperatingIncomeLoss |
437,536us-gaap_OperatingIncomeLoss |
484,295us-gaap_OperatingIncomeLoss |
441,225us-gaap_OperatingIncomeLoss |
484,179us-gaap_OperatingIncomeLoss |
377,074us-gaap_OperatingIncomeLoss |
522,020us-gaap_OperatingIncomeLoss |
166,861us-gaap_OperatingIncomeLoss |
1,815,141us-gaap_OperatingIncomeLoss |
|
1,550,134us-gaap_OperatingIncomeLoss |
|
1,297,084us-gaap_OperatingIncomeLoss |
|
| Debt expense |
|
|
|
|
|
|
|
|
(410,294)us-gaap_InterestAndDebtExpense |
|
(429,943)us-gaap_InterestAndDebtExpense |
|
(288,554)us-gaap_InterestAndDebtExpense |
|
| Debt refinancing charges |
|
|
|
|
|
|
|
|
(97,548)dva_DebtRefinancingCharge |
|
|
|
(10,963)dva_DebtRefinancingCharge |
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| Other income, net |
|
|
|
|
|
|
|
|
2,374us-gaap_OtherNonoperatingIncomeExpense |
|
4,787us-gaap_OtherNonoperatingIncomeExpense |
|
3,737us-gaap_OtherNonoperatingIncomeExpense |
|
| Consolidated income from continuing operations before income taxes |
354,365us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
336,412us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
282,308us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
336,588us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
380,020us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
270,766us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
412,550us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
61,642us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
1,309,673us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
|
1,124,978us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
|
1,001,304us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
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| Operating Segments |
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| Segment Reporting Information [Line Items] |
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|
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|
|
|
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| Total net operating revenues |
|
|
|
|
|
|
|
|
12,852,469us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
|
11,812,296us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
|
8,214,547us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
|
| Operating income |
|
|
|
|
|
|
|
|
1,828,153us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
[2] |
1,546,856us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
[2] |
1,374,318us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
[2] |
| Operating income |
|
|
|
|
|
|
|
|
1,828,153us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
[2] |
1,546,856us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
[2] |
1,374,318us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
[2] |
| Operating Segments | U.S. dialysis and related lab services |
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| Segment Reporting Information [Line Items] |
|
|
|
|
|
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|
|
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| Patient service revenues |
|
|
|
|
|
|
|
|
8,550,201us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
8,032,772us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
7,316,818us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
| Less: Provision for uncollectible accounts |
|
|
|
|
|
|
|
|
(353,028)dva_ProvisionForDoubtfulAccountsOnPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
(281,146)dva_ProvisionForDoubtfulAccountsOnPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
(233,580)dva_ProvisionForDoubtfulAccountsOnPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
| Net patient service revenues |
|
|
|
|
|
|
|
|
8,197,173us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
7,751,626us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
7,083,238us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
| Other revenues |
|
|
|
|
|
|
|
|
13,498us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[3] |
12,600us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[3] |
11,447us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[3] |
| Total net operating revenues |
|
|
|
|
|
|
|
|
8,210,671us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
7,764,226us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
7,094,685us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
|
| Operating income |
|
|
|
|
|
|
|
|
1,637,626us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[2] |
1,200,198us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[2] |
1,372,265us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[2] |
| Operating income |
|
|
|
|
|
|
|
|
1,637,626us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[2] |
1,200,198us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[2] |
1,372,265us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
[2] |
| Operating Segments | U.S. dialysis and related lab services | External Sources |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Patient service revenues |
|
|
|
|
|
|
|
|
8,513,089us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |
|
7,998,692us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |
|
7,299,032us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |
|
| Operating Segments | U.S. dialysis and related lab services | Intersegment Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
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| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
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| Patient service revenues |
|
|
|
|
|
|
|
|
37,112us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
34,080us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
17,786us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
| Operating Segments | HealthCare Partners (HCP) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Net patient service revenues |
|
|
|
|
|
|
|
|
219,306us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
220,251us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
34,407us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
| Other revenues |
|
|
|
|
|
|
|
|
91,374us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[4] |
55,723us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[4] |
23,552us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[4] |
| Total net operating revenues |
|
|
|
|
|
|
|
|
3,502,299us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
3,196,188us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
477,390us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
| Capitated revenues |
|
|
|
|
|
|
|
|
3,190,903us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
2,919,964us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
419,431us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
|
| Operating income |
|
|
|
|
|
|
|
|
214,983us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[2] |
385,253us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[2] |
66,930us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[2] |
| Operating income |
|
|
|
|
|
|
|
|
214,983us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[2] |
385,253us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[2] |
66,930us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
[2] |
| Operating Segments | HealthCare Partners (HCP) | Intersegment Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Other revenues |
|
|
|
|
|
|
|
|
716us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
250us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
|
|
| Operating Segments | Other-Ancillary services and strategic initiatives |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Net patient service revenues |
|
|
|
|
|
|
|
|
122,087us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
75,852us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
16,824us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
| Other revenues |
|
|
|
|
|
|
|
|
927,492us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
694,763us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
553,261us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
| Total net operating revenues |
|
|
|
|
|
|
|
|
1,139,499us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
851,882us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
642,472us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
| Capitated revenues |
|
|
|
|
|
|
|
|
70,385us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
67,351us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
61,906us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
|
| Operating income |
|
|
|
|
|
|
|
|
(24,456)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
[2] |
(38,595)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
[2] |
(64,877)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
[2] |
| Operating income |
|
|
|
|
|
|
|
|
(24,456)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
[2] |
(38,595)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
[2] |
(64,877)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
[2] |
| Operating Segments | Other-Ancillary services and strategic initiatives | Intersegment Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Total net operating revenues |
|
|
|
|
|
|
|
|
19,535us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
13,916us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
10,481us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
|
| Intersegment Elimination |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Segment Reporting Information [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Total net operating revenues |
|
|
|
|
|
|
|
|
$ (57,363)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |
|
$ (48,246)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |
|
$ (28,267)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |
|
|
|
|