XML 35 R23.htm IDEA: XBRL DOCUMENT
v3.21.1

Revenue Recognition Segment revenue by major payor (Tables) | 3 Months Ended
--- | ---
Mar. 31, 2021
Revenues by major payor [Abstract] |
Disaggregation of Revenue [Table Text Block] | The following table summarizes the Company's segment revenues by primary payor source:
| Three months ended March 31, 2021 |  | Three months ended March 31, 2020
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated |  | U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Dialysis patient service revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage(1) | $ | 1,480,297 |  |  | $ |  | $ | 1,480,297 |  |  | $ | 1,531,033 |  |  | $ |  | $ | 1,531,033 |
Medicaid and Managed Medicaid | 187,243 |  |  |  |  | 187,243 |  |  | 171,467 |  |  |  |  | 171,467 |
Other government(1) | 80,184 |  |  | 106,830 |  |  | 187,014 |  |  | 83,099 |  |  | 94,574 |  |  | 177,673 |
Commercial | 835,479 |  |  | 51,498 |  |  | 886,977 |  |  | 825,582 |  |  | 39,467 |  |  | 865,049 |
Other revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage |  |  | 85,595 |  |  | 85,595 |  |  |  |  | 98,478 |  |  | 98,478 |
Medicaid and Managed Medicaid |  |  | 300 |  |  | 300 |  |  |  |  | 366 |  |  | 366 |
Commercial |  |  | 6,034 |  |  | 6,034 |  |  |  |  | 10,521 |  |  | 10,521 |
Other(2) | 6,675 |  |  | 11,162 |  |  | 17,837 |  |  | 5,442 |  |  | 17,602 |  |  | 23,044 |
Eliminations of intersegment revenues | (27,003) |  |  | (4,293) |  |  | (31,296) |  |  | (32,242) |  |  | (4,152) |  |  | (36,394) |
Total | $ | 2,562,875 |  |  | $ | 257,126 |  |  | $ | 2,820,001 |  |  | $ | 2,584,381 |  |  | $ | 256,856 |  |  | $ | 2,841,237 |

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 disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130545-203045 + Details
Name: | us-gaap_DisaggregationOfRevenueTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration