XML 43 R28.htm IDEA: XBRL DOCUMENT
v3.24.1.u1

Revenue Recognition Segment revenue by major payor (Tables) | 3 Months Ended
--- | ---
Mar. 31, 2024
Revenues by major payor [Abstract] |
Disaggregation of Revenue [Table Text Block] | The following tables summarize the Company's segment revenues by primary payor source:
| Three months ended March 31, 2024 |  | Three months ended March 31, 2023
| U.S. dialysis |  | Other — Ancillary services |  | Consolidated |  | U.S. dialysis |  | Other — Ancillary services |  | Consolidated
Dialysis patient service revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage | $ | 1,531,497 |  |  | $ |  | $ | 1,531,497 |  |  | $ | 1,482,767 |  |  | $ |  | $ | 1,482,767 |
Medicaid and Managed Medicaid | 210,123 |  |  |  |  | 210,123 |  |  | 205,776 |  |  |  |  | 205,776 |
Other government | 82,587 |  |  | 145,785 |  |  | 228,372 |  |  | 82,044 |  |  | 121,585 |  |  | 203,629 |
Commercial | 925,831 |  |  | 70,172 |  |  | 996,003 |  |  | 835,393 |  |  | 54,516 |  |  | 889,909 |
Other revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage |  |  | 103,110 |  |  | 103,110 |  |  |  |  | 93,238 |  |  | 93,238 |
Medicaid and Managed Medicaid |  |  | 395 |  |  | 395 |  |  |  |  | 570 |  |  | 570 |
Commercial |  |  | 6,940 |  |  | 6,940 |  |  |  |  | 1,206 |  |  | 1,206 |
Other(1) | 6,122 |  |  | 15,203 |  |  | 21,325 |  |  | 6,180 |  |  | 12,839 |  |  | 19,019 |
Eliminations of intersegment revenues | (24,463) |  |  | (2,747) |  |  | (27,210) |  |  | (22,047) |  |  | (1,368) |  |  | (23,415) |
Total | $ | 2,731,697 |  |  | $ | 338,858 |  |  | $ | 3,070,555 |  |  | $ | 2,590,113 |  |  | $ | 282,586 |  |  | $ | 2,872,699 |
(1) Consists primarily of management service fees in the Company's U.S. dialysis business and research fees, management fees, and other non-patient service revenues in the Other - ancillary services businesses.

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 -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479806/606-10-50-5 + Details
Name: | us-gaap_DisaggregationOfRevenueTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration