XML 44 R32.htm IDEA: XBRL DOCUMENT
v3.25.2

Segment reporting (Tables) | 6 Months Ended
--- | ---
Jun. 30, 2025
Segment Reporting [Abstract] |
Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income Before Income Taxes | The following is a summary of segment revenues, segment operating margin, and a reconciliation of segment operating margin to consolidated income before income taxes:
| Three months ended June 30, |  | Six months ended June 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Segment revenues: |  |  |  |  |  |  |
U.S. dialysis |  |  |  |  |  |  |
Patient service revenues: |  |  |  |  |  |  |
External sources | $ | 2,890,709 |  |  | $ | 2,822,187 |  |  | $ | 5,696,136 |  |  | $ | 5,547,761 |
Intersegment revenues | 16,716 |  |  | 12,925 |  |  | 28,450 |  |  | 37,389 |
U.S. dialysis patient service revenues | 2,907,425 |  |  | 2,835,112 |  |  | 5,724,586 |  |  | 5,585,150 |
Other revenues |  |  |  |  |  |  |
External sources | 5,966 |  |  | 5,898 |  |  | 11,974 |  |  | 12,021 |
Total U.S. dialysis revenues | 2,913,391 |  |  | 2,841,010 |  |  | 5,736,560 |  |  | 5,597,171 |
Other—Ancillary services |  |  |  |  |  |  |
Patient service revenues | 316,162 |  |  | 238,915 |  |  | 613,728 |  |  | 454,873 |
Other external sources | 166,689 |  |  | 119,722 |  |  | 281,217 |  |  | 242,622 |
Intersegment revenues | 2,836 |  |  | 3,823 |  |  | 5,565 |  |  | 6,570 |
Total ancillary services | 485,687 |  |  | 362,460 |  |  | 900,510 |  |  | 704,065 |
Total net segment revenues | 3,399,078 |  |  | 3,203,470 |  |  | 6,637,070 |  |  | 6,301,236 |
Elimination of intersegment revenues | (19,552) |  |  | (16,748) |  |  | (34,015) |  |  | (43,959) |
Consolidated revenues | $ | 3,379,526 |  |  | $ | 3,186,722 |  |  | $ | 6,603,055 |  |  | $ | 6,257,277 |
Significant segment expenses: |  |  |  |  |  |  |
U.S. dialysis |  |  |  |  |  |  |
Patient care costs | $ | 1,928,462 |  |  | $ | 1,854,541 |  |  | $ | 3,841,890 |  |  | $ | 3,679,120 |
General and administrative | 312,089 |  |  | 281,795 |  |  | 594,768 |  |  | 556,357 |
Depreciation and amortization | 156,782 |  |  | 160,410 |  |  | 313,681 |  |  | 333,262 |
Other segment items(1) | (6,786) |  |  | (5,922) |  |  | (12,396) |  |  | (47,491) |
U.S. dialysis segment expenses | 2,390,547 |  |  | 2,290,824 |  |  | 4,737,943 |  |  | 4,521,248 |
Other - Ancillary services expenses | 428,973 |  |  | 381,052 |  |  | 846,604 |  |  | 734,159 |
Segment operating margin: |  |  |  |  |  |  |
U.S. dialysis | 522,844 |  |  | 550,186 |  |  | 998,617 |  |  | 1,075,923 |
Other—Ancillary services(2) | 56,714 |  |  | (18,592) |  |  | 53,906 |  |  | (30,094) |
Total segment operating margin | 579,558 |  |  | 531,594 |  |  | 1,052,523 |  |  | 1,045,829 |
Reconciliation of segment operating income to consolidated income before income taxes: |  |  |  |  |  |  |
Corporate administrative support | (41,717) |  |  | (25,196) |  |  | (75,745) |  |  | (55,586) |
Consolidated operating income | 537,841 |  |  | 506,398 |  |  | 976,778 |  |  | 990,243 |
Debt expense | (146,062) |  |  | (97,747) |  |  | (281,117) |  |  | (197,165) |
Debt prepayment, extinguishment and modification costs | — |  |  | (9,732) |  |  | — |  |  | (9,732) |
Other loss, net | (22,851) |  |  | (27,479) |  |  | (40,400) |  |  | (40,120) |
Income from continuing operations before income taxes | $ | 368,928 |  |  | $ | 371,440 |  |  | $ | 655,261 |  |  | $ | 743,226 |
Summary of Expenditures for Property and Equipment by Reportable Segment | Expenditures for property and equipment by reportable segment were as follows:
|  |  | Six months ended June 30,
|  |  |  |  | 2025 |  | 2024
U.S. dialysis |  |  |  |  | $ | 216,902 |  |  | $ | 211,171 |
Other—Ancillary services |  |  |  |  | 47,447 |  |  | 34,569 |
|  |  |  |  | $ | 264,349 |  |  | $ | 245,740 |

X
- Definition Reconciliation of capital expenditures for property and equipment from segment to consolidated. + References No definition available. + Details
Name: | dva_ReconciliationOfCapitalExpendituresForPropertyAndEquipmentFromSegmentToConsolidatedTableTextBlock
Namespace Prefix: | dva_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
Name: | us-gaap_ReconciliationOfOperatingProfitLossFromSegmentsToConsolidatedTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

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