XML 39 R27.htm IDEA: XBRL DOCUMENT
v3.24.3

Revenue Recognition Segment revenue by major payor (Tables) | 9 Months Ended
--- | ---
Sep. 30, 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 September 30, 2024 |  | Three months ended September 30, 2023
| U.S. dialysis |  | Other — Ancillary services |  | Consolidated |  | U.S. dialysis |  | Other — Ancillary services |  | Consolidated
Dialysis patient service revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage | $ | 1,641,645 |  |  | $ |  | $ | 1,641,645 |  |  | $ | 1,515,860 |  |  | $ |  | $ | 1,515,860 |
Medicaid and Managed Medicaid | 216,664 |  |  |  |  | 216,664 |  |  | 207,327 |  |  |  |  | 207,327 |
Other government | 86,680 |  |  | 196,257 |  |  | 282,937 |  |  | 90,549 |  |  | 128,980 |  |  | 219,529 |
Commercial | 954,807 |  |  | 58,648 |  |  | 1,013,455 |  |  | 965,331 |  |  | 68,192 |  |  | 1,033,523 |
Other revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage |  |  | 104,217 |  |  | 104,217 |  |  |  |  | 137,149 |  |  | 137,149 |
Medicaid and Managed Medicaid |  |  | (25) |  |  | (25) |  |  |  |  | 331 |  |  | 331 |
Commercial |  |  | 3,735 |  |  | 3,735 |  |  |  |  | 16,063 |  |  | 16,063 |
Other(1) | 6,204 |  |  | 13,496 |  |  | 19,700 |  |  | 6,239 |  |  | 11,832 |  |  | 18,071 |
Eliminations of intersegment revenues | (16,140) |  |  | (2,598) |  |  | (18,738) |  |  | (24,289) |  |  | (2,232) |  |  | (26,521) |
Total | $ | 2,889,860 |  |  | $ | 373,730 |  |  | $ | 3,263,590 |  |  | $ | 2,761,017 |  |  | $ | 360,315 |  |  | $ | 3,121,332 |
| Nine months ended September 30, 2024 |  | Nine months ended September 30, 2023
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated |  | U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Dialysis patient service revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage | $ | 4,760,340 |  |  | $ |  | $ | 4,760,340 |  |  | $ | 4,538,264 |  |  | $ |  | $ | 4,538,264 |
Medicaid and Managed Medicaid | 641,738 |  |  |  |  | 641,738 |  |  | 629,118 |  |  |  |  | 629,118 |
Other government | 249,605 |  |  | 518,565 |  |  | 768,170 |  |  | 265,119 |  |  | 376,530 |  |  | 641,649 |
Commercial | 2,833,263 |  |  | 191,212 |  |  | 3,024,475 |  |  | 2,676,758 |  |  | 183,578 |  |  | 2,860,336 |
Other revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage |  |  | 304,760 |  |  | 304,760 |  |  |  |  | 317,624 |  |  | 317,624 |
Medicaid and Managed Medicaid |  |  | 816 |  |  | 816 |  |  |  |  | 1,296 |  |  | 1,296 |
Commercial |  |  | 20,875 |  |  | 20,875 |  |  |  |  | 20,888 |  |  | 20,888 |
Other(1) | 18,224 |  |  | 44,165 |  |  | 62,389 |  |  | 18,822 |  |  | 38,108 |  |  | 56,930 |
Eliminations of intersegment revenues | (53,528) |  |  | (9,168) |  |  | (62,696) |  |  | (66,698) |  |  | (5,007) |  |  | (71,705) |
Total | $ | 8,449,642 |  |  | $ | 1,071,225 |  |  | $ | 9,520,867 |  |  | $ | 8,061,383 |  |  | $ | 933,017 |  |  | $ | 8,994,400 |
(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