XML 87 R71.htm IDEA: XBRL DOCUMENT
v3.5.0.2

Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income Before Income Taxes (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2016 | Sep. 30, 2015 | Sep. 30, 2016 | Sep. 30, 2015
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | $ 2,629,661 | $ 2,414,034 | $ 7,678,053 | $ 7,049,428
Less: Provision for uncollectible accounts |  | (115,555) | (109,452) | (336,188) | (314,581)
Net patient service revenues |  | 2,514,106 | 2,304,582 | 7,341,865 | 6,734,847
Other revenues |  | 347,180 | 294,236 | 1,033,335 | 869,849
Total net operating revenues |  | 3,730,576 | 3,525,665 | 11,029,363 | 10,248,248
Capitated revenues |  | 869,290 | 926,847 | 2,654,163 | 2,643,552
Operating income (loss) |  | 819,156 | 509,368 | 1,513,115 | 925,760
Corporate administrative support | [1] | (28,028) | (4,975) | (40,366) | (14,534)
Debt expense |  | (104,581) | (103,481) | (310,359) | (305,121)
Debt redemption and refinancing charges |  |  |  |  | (48,072)
Other income, net |  | 1,876 | 2,484 | 8,067 | 4,262
Income before income taxes |  | 716,451 | 408,371 | 1,210,823 | 576,829
Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net operating revenues |  | 3,763,333 | 3,546,764 | 11,117,560 | 10,305,501
Operating income (loss) |  | 847,184 | 514,343 | 1,553,481 | 940,294
Operating Segments | U.S. Dialysis And Related Lab Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | 2,428,858 | 2,300,959 | 7,123,873 | 6,718,329
Less: Provision for uncollectible accounts |  | (109,299) | (103,543) | (320,565) | (302,324)
Net patient service revenues |  | 2,319,559 | 2,197,416 | 6,803,308 | 6,416,005
Other revenues | [2] | 3,912 | 3,490 | 12,134 | 10,214
Total net operating revenues |  | 2,323,471 | 2,200,906 | 6,815,442 | 6,426,219
Operating income (loss) |  | 452,187 | 461,899 | 1,341,432 | 795,255
Operating Segments | U.S. Dialysis And Related Lab Services | External Sources |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | 2,412,818 | 2,287,329 | 7,079,054 | 6,679,251
Operating Segments | U.S. Dialysis And Related Lab Services | Intersubsegment Eliminations |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | 16,040 | 13,630 | 44,819 | 39,078
Operating Segments | DaVita Medical Group (DMG) |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net patient service revenues |  | 153,089 | 78,938 | 417,634 | 241,385
Other revenues | [3] | 28,728 | 15,536 | 72,354 | 66,124
Total net operating revenues |  | 1,028,137 | 1,001,036 | 3,076,560 | 2,895,150
Capitated revenues |  | 846,245 | 906,478 | 2,586,383 | 2,587,545
Operating income (loss) |  | 33,094 | 82,562 | (126,110) | 215,192
Operating Segments | DaVita Medical Group (DMG) | Intersubsegment Eliminations |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Other revenues |  | 75 | 84 | 189 | 96
Operating Segments | Other Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net patient service revenues |  | 57,498 | 41,858 | 165,742 | 116,535
Other revenues |  | 314,540 | 275,210 | 948,847 | 793,511
Total net operating revenues |  | 411,725 | 344,822 | 1,225,558 | 984,132
Capitated revenues |  | 23,045 | 20,369 | 67,780 | 56,007
Operating income (loss) |  | 361,903 | (30,118) | 338,159 | (70,153)
Operating Segments | Other Segments | Intersubsegment Eliminations |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net operating revenues |  | 16,642 | 7,385 | 43,189 | 18,079
Intersegment Elimination |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net operating revenues |  | $ (32,757) | $ (21,099) | $ (88,197) | $ (57,253)
[1] | Corporate administrative support costs also include $27,040 of an adjustment to reduce a receivable associated with the DMG acquisition escrow provision relating to an income tax item.
[2] | Includes management fees for providing management and administrative services to dialysis centers that are wholly-owned by third parties and legal entities in which the Company owns a noncontrolling equity investment.
[3] | Includes medical consulting service fees and management fees for providing management and administrative services to unconsolidated joint ventures, as well as revenue related to the maintenance of existing physician networks.

X
- Definition Debt redemption and refinancing charges. + References No definition available. + Details
Name: | dva_DebtRedemptionAndRefinancingCharges
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of general and administrative support costs, such as labor, benefits and stock-based compensation costs. + References No definition available. + Details
Name: | dva_SegmentReportingInformationCorporateExpenses
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of revenue recognized based on fees charged on a per capita basis. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=68054470&loc=d3e8200-115640 + Details
Name: | us-gaap_HealthCareOrganizationCapitationRevenue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of health care revenue classified as other. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1(e)) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
Name: | us-gaap_HealthCareOrganizationOtherRevenue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of revenue recognized for providing services to patients, net of provisions for contractual allowances and discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68054470&loc=d3e8184-115640 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=68054470&loc=d3e8195-115640 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=68054470&loc=SL9156442-115640 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=68052803&loc=SL9156464-115641 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=68054470&loc=SL9156442-115640 + Details
Name: | us-gaap_HealthCareOrganizationPatientServiceRevenue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of patient service revenue, net of contractual allowances and discounts, less the related provision for bad debts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=68054470&loc=SL9156442-115640 + Details
Name: | us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of the provision for bad debts related to patient service revenue. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=68054470&loc=SL9156442-115640 + Details
Name: | us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of revenues recognized by the entity from providing services to in-patients, outpatients, residents in facilities owned or operated by the entity, from insurance premiums, or from goods provided or services performed. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
Name: | us-gaap_HealthCareOrganizationRevenue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of income (loss) from continuing operations before deduction of income tax expense (benefit) and income (loss) attributable to noncontrolling interest, and addition of income (loss) from equity method investments. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(h)(1)(i)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 + Details
Name: | us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Interest and debt related expenses associated with nonoperating financing activities of the entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6450988&loc=d3e26243-108391 + Details
Name: | us-gaap_InterestAndDebtExpense
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The net result for the period of deducting operating expenses from operating revenues. + References No definition available. + Details
Name: | us-gaap_OperatingIncomeLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of income (expense) related to nonoperating activities, classified as other. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.9) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
Name: | us-gaap_OtherNonoperatingIncomeExpense
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_SegmentReportingInformationLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_ConsolidationItemsAxis=us-gaap_OperatingSegmentsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=dva_USDialysisAndRelatedLabServicesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_SubsegmentsConsolidationItemsAxis=dva_ExternalSourcesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_SubsegmentsConsolidationItemsAxis=us-gaap_IntersubsegmentEliminationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=dva_DaVitaMedicalGroupMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=us-gaap_AllOtherSegmentsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ConsolidationItemsAxis=us-gaap_IntersegmentEliminationMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |