XML 50 R37.htm IDEA: XBRL DOCUMENT
v3.19.2

Goodwill (Tables) | 6 Months Ended
--- | ---
Jun. 30, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Changes in Goodwill by Reportable Segments [Text Block] | Changes in goodwill by reportable segment were as follows:
| U.S. dialysis and related lab services |  | Other-ancillary services and strategic initiatives |  | Consolidated total
Balance at December 31, 2017 | $ | 6,144,761 |  |  | $ | 465,518 |  |  | $ | 6,610,279 |
Acquisitions | 130,574 |  |  | 147,774 |  |  | 278,348 |
Divestitures | (331 | ) |  | (15,166 | ) |  | (15,497 | )
Impairment charges | — |  |  | (3,106 | ) |  | (3,106 | )
Foreign currency and other adjustments | — |  |  | (28,064 | ) |  | (28,064 | )
Balance at December 31, 2018 | $ | 6,275,004 |  |  | $ | 566,956 |  |  | $ | 6,841,960 |
Acquisitions | 15,714 |  |  | 50,900 |  |  | 66,614 |
Impairment charges | — |  |  | (41,037 | ) |  | (41,037 | )
Foreign currency and other adjustments | — |  |  | (2,151 | ) |  | (2,151 | )
Balance at June 30, 2019 | $ | 6,290,718 |  |  | $ | 574,668 |  |  | $ | 6,865,386 |
Balance at June 30, 2019: |  |  |  |  |
Goodwill | $ | 6,290,718 |  |  | $ | 643,266 |  |  | $ | 6,933,984 |
Accumulated impairment charges | — |  |  | (68,598 | ) |  | (68,598 | )
| $ | 6,290,718 |  |  | $ | 574,668 |  |  | $ | 6,865,386 |
Schedule Of Reporting Units Goodwill Balances [Text Block] |
Reporting unit |  | Goodwill balance as of June 30, 2019 |  | Carrying amount coverage(1) |  | Sensitivities
Operating income(2) |  | Discount rate(3)
Brazil Kidney Care |  | $ | 69,887 |  |  | 4.4% |  | (2.8)% |  | (7.0)%
Germany Kidney Care |  | $ | 380,340 |  |  | —% |  | (1.4)% |  | (9.3)%
(1) | Excess of estimated fair value of the reporting unit over its carrying amount as of the latest assessment date.
(2) | Potential impact on estimated fair value of a sustained, long-term reduction of 3% in operating income as of the latest assessment date.
(3) Potential impact on estimated fair value of an increase in discount rates of 100 basis points as of the latest assessment date.

X
- Definition Schedule of reporting units goodwill balances. + References No definition available. + Details
Name: | dva_ScheduleOfReportingUnitsGoodwillBalancesTextBlock
Namespace Prefix: | dva_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration

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

X
- Definition Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13854-109267 + Details
Name: | us-gaap_ScheduleOfGoodwillTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration