XML 30 R14.htm IDEA: XBRL DOCUMENT
v3.5.0.2

Health care costs payable | 9 Months Ended
--- | ---
Sep. 30, 2016
Health Care Organizations [Abstract] |
Health care costs payable |
7. | Health care costs payable
The following table includes estimates for the cost of professional medical services provided by non-employed physicians and other providers, as well as inpatient and other ancillary costs for all markets other than California. The Company does not include inpatient and other ancillary costs for contracts held by its California licensed health plan and for contracts held by its California medical group entities; only professional medical services are included as state regulation does not allow those medical group entities to assume risk for inpatient services. Health care costs payable are included in medical payables in the condensed consolidated balance sheet. The following table shows the components of changes in health care costs payable for the nine months ended September 30, 2016:
|  | Nine months ended |
|  | September 30, 2016 |
Health care costs payable, beginning of the period |  | $ | 212,641 |
Add: Components of incurred health care costs |  |  |  |
Current year |  |  | 1,261,046 |
Prior years |  |  | 2,142 |
Total incurred health care costs |  |  | 1,263,188 |
Less: Claims paid |  |  |  |
Current year |  |  | 1,061,880 |
Prior years |  |  | 199,015 |
Total claims paid |  |  | 1,260,895 |
Health care costs payable, end of the period |  | $ | 214,934 |
The Company’s prior year estimates of health care costs payable increased by $2,142 resulting from certain medical claims being settled for amounts more than originally estimated. When significant increases (decreases) in prior-year health care cost estimates occur that the Company believes significantly impacts its current year operating results, the Company discloses that amount as unfavorable (favorable) development of prior-year’s health care cost estimates. Actual claim payments for prior year services have not been materially different from the Company’s year-end estimates.

X
- Definition The entire disclosure for heath care costs payable, which includes estimates for the cost of professional medical services provided by non-employed physicians and other providers, as well as inpatient and other ancillary costs for all markets, other than California, where state regulation allows for the assumption of global risk. Health care costs payable are included in medical payables. + References No definition available. + Details
Name: | dva_HealthCareCostsPayableTextBlock
Namespace Prefix: | dva_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | us-gaap_HealthCareOrganizationsAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration