XML 94 R78.htm IDEA: XBRL DOCUMENT
v3.5.0.2

Condensed Consolidating Statements of Income (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2016 | Sep. 30, 2015 | Sep. 30, 2016 | Sep. 30, 2015
Condensed Income Statements Captions [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
Capitated revenues | 869,290 | 926,847 | 2,654,163 | 2,643,552
Other revenues | 347,180 | 294,236 | 1,033,335 | 869,849
Total net revenues | 3,730,576 | 3,525,665 | 11,029,363 | 10,248,248
Operating expenses and charges | 2,911,420 | 3,016,297 | 9,516,248 | 9,322,488
Operating income | 819,156 | 509,368 | 1,513,115 | 925,760
Debt (expense) and refinancing charges | (104,581) |  | (310,359) |
Other income, net | 1,876 | 2,484 | 8,067 | 4,262
Income tax (benefit) expense | 104,301 | 147,064 | 366,011 | 183,893
Net income | 612,150 | 261,307 | 844,812 | 392,936
Less: Net income attributable to noncontrolling interests | (40,818) | (45,435) | (122,664) | (117,204)
Net income attributable to DaVita Inc. | 571,332 | 215,872 | 722,148 | 275,732
Debt expense, including debt redemption charges |  | (103,481) |  | (353,193)
Consolidation, Eliminations |  |  |  |
Condensed Income Statements Captions [Line Items] |  |  |  |
Patient service revenues | (42,890) | (37,939) | (123,100) | (107,155)
Net patient service revenues | (42,890) | (37,939) | (123,100) | (107,155)
Capitated revenues | (40) | (115) | (251) | (148)
Other revenues | (400,687) | (378,606) | (1,183,281) | (1,054,371)
Total net revenues | (443,617) | (416,660) | (1,306,632) | (1,161,674)
Operating expenses and charges | (443,617) | (416,660) | (1,306,632) | (1,161,674)
Debt (expense) and refinancing charges | 103,432 |  | 308,800 |
Other income, net | (103,432) | (91,458) | (308,800) | (278,997)
Equity (loss) earnings in subsidiaries | (840,027) | (284,725) | (1,155,137) | (444,255)
Net income | (840,027) | (284,725) | (1,155,137) | (444,255)
Less: Net income attributable to noncontrolling interests | (40,818) | (45,435) | (122,664) | (117,204)
Net income attributable to DaVita Inc. | (880,845) | (330,160) | (1,277,801) | (561,459)
Debt expense, including debt redemption charges |  | 91,458 |  | 278,997
DaVita Inc. | Reportable Legal Entities |  |  |  |
Condensed Income Statements Captions [Line Items] |  |  |  |
Other revenues | 191,815 | 184,561 | 575,700 | 542,412
Total net revenues | 191,815 | 184,561 | 575,700 | 542,412
Operating expenses and charges | 143,784 | 110,935 | 400,129 | 363,347
Operating income | 48,031 | 73,626 | 175,571 | 179,065
Debt (expense) and refinancing charges | (101,895) |  | (305,097) |
Other income, net | 99,446 | 89,824 | 296,660 | 271,847
Income tax (benefit) expense | (20,898) | 25,368 | 56,190 | 41,215
Equity (loss) earnings in subsidiaries | 504,852 | 179,926 | 611,204 | 213,754
Net income | 571,332 | 215,872 | 722,148 | 275,732
Net income attributable to DaVita Inc. | 571,332 | 215,872 | 722,148 | 275,732
Debt expense, including debt redemption charges |  | (102,136) |  | (347,719)
Guarantor Subsidiaries | Reportable Legal Entities |  |  |  |
Condensed Income Statements Captions [Line Items] |  |  |  |
Patient service revenues | 1,726,892 | 1,656,648 | 5,044,565 | 4,901,959
Less: Provision for uncollectible accounts | (73,833) | (78,494) | (207,144) | (212,816)
Net patient service revenues | 1,653,059 | 1,578,154 | 4,837,421 | 4,689,143
Capitated revenues | 462,436 | 453,766 | 1,391,010 | 1,340,838
Other revenues | 509,867 | 480,412 | 1,518,407 | 1,360,261
Total net revenues | 2,625,362 | 2,512,332 | 7,746,838 | 7,390,242
Operating expenses and charges | 2,388,114 | 2,244,237 | 7,275,863 | 7,042,896
Operating income | 237,248 | 268,095 | 470,975 | 347,346
Debt (expense) and refinancing charges | (91,716) |  | (275,148) |
Other income, net | 2,659 | 2,379 | 12,416 | 6,780
Income tax (benefit) expense | (21,486) | 112,310 | 140,972 | 116,934
Equity (loss) earnings in subsidiaries | 335,175 | 104,799 | 543,933 | 230,501
Net income | 504,852 | 179,926 | 611,204 | 213,754
Net income attributable to DaVita Inc. | 504,852 | 179,926 | 611,204 | 213,754
Debt expense, including debt redemption charges |  | (83,037) |  | (253,939)
Non-Guarantor Subsidiaries | Reportable Legal Entities |  |  |  |
Condensed Income Statements Captions [Line Items] |  |  |  |
Patient service revenues | 945,659 | 795,325 | 2,756,588 | 2,254,624
Less: Provision for uncollectible accounts | (41,722) | (30,958) | (129,044) | (101,765)
Net patient service revenues | 903,937 | 764,367 | 2,627,544 | 2,152,859
Capitated revenues | 406,894 | 473,196 | 1,263,404 | 1,302,862
Other revenues | 46,185 | 7,869 | 122,509 | 21,547
Total net revenues | 1,357,016 | 1,245,432 | 4,013,457 | 3,477,268
Operating expenses and charges | 823,139 | 1,077,785 | 3,146,888 | 3,077,919
Operating income | 533,877 | 167,647 | 866,569 | 399,349
Debt (expense) and refinancing charges | (14,402) |  | (38,914) |
Other income, net | 3,203 | 1,739 | 7,791 | 4,632
Income tax (benefit) expense | 146,685 | 9,386 | 168,849 | 25,744
Net income | 375,993 | 150,234 | 666,597 | 347,705
Net income attributable to DaVita Inc. | $ 375,993 | 150,234 | $ 666,597 | 347,705
Debt expense, including debt redemption charges |  | $ (9,766) |  | $ (30,532)

X
- Definition Debt expense including debt redemption charges. + References No definition available. + Details
Name: | dva_DebtExpenseIncludingDebtRedemptionCharges
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Debt expense including debt refinancing charges. + References No definition available. + Details
Name: | dva_DebtExpenseIncludingDebtRefinancingCharges
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Equity in earnings (loss) of consolidated affiliates. + References No definition available. + Details
Name: | dva_EquityInEarningsLossOfConsolidatedAffiliates
Namespace Prefix: | dva_
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_CondensedIncomeStatementsCaptionsLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Total costs of sales and operating expenses for the period. + 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) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
Name: | us-gaap_CostsAndExpenses
Namespace Prefix: | us-gaap_
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 current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 9 -Subparagraph (a),(b) -URI http://asc.fasb.org/extlink&oid=65882285&loc=d3e32639-109319 Reference 2: 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)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Income Tax Expense (or Benefit) -URI http://asc.fasb.org/extlink&oid=6515339 + Details
Name: | us-gaap_IncomeTaxExpenseBenefit
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The portion of profit or loss for the period, net of income taxes, which is attributable to the parent. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Net Income -URI http://asc.fasb.org/extlink&oid=51831255 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3602-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 260 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6371337&loc=d3e3550-109257 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-04(22)) -URI http://asc.fasb.org/extlink&oid=6879574&loc=d3e536633-122882 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04(18)) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Other Comprehensive Income -URI http://asc.fasb.org/extlink&oid=51831270 Reference 7: 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(20)) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
Name: | us-gaap_NetIncomeLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount of Net Income (Loss) attributable to noncontrolling interest. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=65897068&loc=SL4591551-111686 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=64809438&loc=SL4573702-111684 + Details
Name: | us-gaap_NetIncomeLossAttributableToNoncontrollingInterest
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 The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=65897068&loc=SL4591552-111686 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=68079674&loc=SL4569616-111683 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (c)(1) -URI http://asc.fasb.org/extlink&oid=64809438&loc=SL4573702-111684 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=65897068&loc=SL4591551-111686 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=64809438&loc=SL4573702-111684 + Details
Name: | us-gaap_ProfitLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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

X
- Details
Name: | dei_LegalEntityAxis=us-gaap_ParentCompanyMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

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

X
- Details
Name: | dei_LegalEntityAxis=us-gaap_GuarantorSubsidiariesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | dei_LegalEntityAxis=us-gaap_NonGuarantorSubsidiariesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |