v2.4.0.8

Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2013
Changes in Value of Goodwill | Changes in the value of goodwill by reportable segments were as follows:
|  | Year ended December 31, 2013 |
|  | U.S. dialysis and related lab services |  |  | HCP |  |  | Other ancillary services and strategic initiatives |  |  | Consolidated total |
Balance at January 1, 2013 |  | $ | 5,309,152 |  |  | $ | 3,506,571 |  |  | $ | 137,027 |  |  | $ | 8,952,750 |
Acquisitions |  |  | 163,037 |  |  |  | 17,833 |  |  |  | 90,397 |  |  |  | 271,267 |
Divestitures |  |  | (2,728 | ) |  |  | — |  |  |  | — |  |  |  | (2,728 | )
Other adjustments |  |  | 12 |  |  |  | (8,242 | ) |  |  | (85 | ) |  |  | (8,315 | )
Balance at December 31, 2013 |  | $ | 5,469,473 |  |  | $ | 3,516,162 |  |  | $ | 227,339 |  |  | $ | 9,212,974 |
|  | Year ended December 31, 2012 |
|  | U.S. dialysis and related lab services |  |  | HCP |  |  | Other ancillary services and strategic initiatives |  |  | Consolidated total |
Balance at January 1, 2012 |  | $ | 4,865,864 |  |  | $ | — |  |  | $ | 81,112 |  |  | $ | 4,946,976 |
Acquisitions |  |  | 443,997 |  |  |  | 3,518,790 |  |  |  | 88,611 |  |  |  | 4,051,398 |
Divestitures |  |  | (709 | ) |  |  | — |  |  |  | — |  |  |  | (709 | )
Held for sale |  |  | — |  |  |  | — |  |  |  | (31,853 | ) |  |  | (31,853 | )
Other adjustments |  |  | — |  |  |  | — |  |  |  | (843 | ) |  |  | (843 | )
Balance at December 31, 2012 as previously reported |  | $ | 5,309,152 |  |  | $ | 3,518,790 |  |  | $ | 137,027 |  |  | $ | 8,964,969 |
HCP purchase accounting adjustments |  |  | — |  |  |  | (12,219 | ) |  |  | — |  |  |  | (12,219 | )
Balance at December 31, 2012 as adjusted |  | $ | 5,309,152 |  |  | $ | 3,506,571 |  |  | $ | 137,027 |  |  | $ | 8,952,750 |

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- Definition Table showing changes in goodwill related to acquisitions, divestitures, impairment charges and other adjustments. + References No definition available. + Details
Name: | dva_ChangesInGoodwillTableTextBlock
Namespace Prefix: | dva_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration