XML 45 R32.htm IDEA: XBRL DOCUMENT
v3.19.1

Revenue Recognition Segment revenue by major payor (Tables) | 3 Months Ended
--- | ---
Mar. 31, 2019
Revenues by major payor [Abstract] |
Schedule of Revenue Sources, Health Care Organization [Table Text Block] | The following table summarizes the Company's segment revenues by primary payor source:
| For the three months ended
| March 31, 2019 |  | March 31, 2018
| U.S. dialysis and related lab services |  | Other - Ancillary services and strategic initiatives |  | Consolidated |  | U.S. dialysis and related lab services |  | Other - Ancillary services and strategic initiatives |  | Consolidated
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage | $ | 1,493,516 |  |  | $ | — |  |  | $ | 1,493,516 |  |  | $ | 1,485,192 |  |  | $ | — |  |  | $ | 1,485,192 |
Medicaid and Managed Medicaid | 154,190 |  |  | — |  |  | 154,190 |  |  | 157,496 |  |  | — |  |  | 157,496 |
Other government | 106,127 |  |  | 84,475 |  |  | 190,602 |  |  | 107,119 |  |  | 82,537 |  |  | 189,656 |
Commercial | 788,413 |  |  | 33,388 |  |  | 821,801 |  |  | 782,979 |  |  | 19,718 |  |  | 802,697 |
Other revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage | — |  |  | 61,700 |  |  | 61,700 |  |  | — |  |  | 142,758 |  |  | 142,758 |
Medicaid and Managed Medicaid | — |  |  | 6 |  |  | 6 |  |  | — |  |  | 15,791 |  |  | 15,791 |
Commercial | — |  |  | 32,619 |  |  | 32,619 |  |  | — |  |  | 40,420 |  |  | 40,420 |
Other(1) | 4,905 |  |  | 17,750 |  |  | 22,655 |  |  | 5,114 |  |  | 38,941 |  |  | 44,055 |
Eliminations of intersegment revenues | (30,641 | ) |  | (3,336 | ) |  | (33,977 | ) |  | (18,422 | ) |  | (10,199 | ) |  | (28,621 | )
Total | $ | 2,516,510 |  |  | $ | 226,602 |  |  | $ | 2,743,112 |  |  | $ | 2,519,478 |  |  | $ | 329,966 |  |  | $ | 2,849,444 |
(1) | Other consists of management fees and revenue from the Company's ancillary services and strategic initiatives.

X
- Definition Revenues by major payor [Abstract] + References No definition available. + Details
Name: | dva_RevenuesbymajorpayorAbstract
Namespace Prefix: | dva_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of patient service revenue (net of contractual allowances and discounts), by major payor source of revenue for health care organizations. + References No definition available. + Details
Name: | us-gaap_ScheduleOfRevenueSourcesHealthCareOrganizationTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration