v2.4.1.9

Organization and Summary of Significant Accounting Policies - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended |
--- | --- | ---
Dec. 31, 2014 Segment Entity | Dec. 31, 2013
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Number of Operating Segments | 2us-gaap_NumberOfOperatingSegments |
Ownership in joint venture | 50.00%dva_OwnershipInJointVenture |
Other current assets | $ 186,842us-gaap_OtherAssetsCurrent | $ 176,414us-gaap_OtherAssetsCurrent
Number of legal entities that third parties held noncontrolling ownership | 380dva_NumberOfEntitiesThatThirdPartiesHeldNonControllingOwnership |
Interest rate cap agreements |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Interest rate agreements, notional amount | 3,500,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |
Debt instrument, description of variable rate basis | LIBOR |
Derivative, effective date | Sep. 30, 2016 |
Term Loan B | Interest rate cap agreements |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Interest rate agreements, notional amount | 2,735,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |
Alliance and Product Supply Agreement liability |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 10 years |
Funds on Deposit with Third Party |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Other current assets | $ 81,276us-gaap_OtherAssetsCurrent / invest_InvestmentAxis = dva_FundsOnDepositWithThirdPartyMember |
California Medical Group Insurance |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Equity interest owned | 67.00%us-gaap_EquityMethodInvestmentOwnershipPercentage / invest_InvestmentAxis = dva_CaliforniaMedicalGroupInsuranceMember |
Maximum |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Percentage of management fees included in net operating revenues | 1.00%dva_PercentageOfConsolidatedOperatingRevenues / us-gaap_RangeAxis = us-gaap_MaximumMember |
Maximum | Term Loan B | Interest rate cap agreements |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Debt instrument, variable interest rate | 3.50%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |
Maximum | Customer relationships |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 20 years |
Maximum | Trade names |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 15 years |
Maximum | Provider network and practice management tools |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 15 years |
Maximum | Noncompetition and other agreements |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 10 years |
Maximum | Buildings |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Useful lives of the assets | 40 years |
Maximum | Equipment and Information Systems |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Useful lives of the assets | 8 years |
Minimum | Customer relationships |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 10 years |
Minimum | Trade names |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 2 years |
Minimum | Provider network and practice management tools |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 2 years |
Minimum | Noncompetition and other agreements |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Amortization period | 2 years |
Minimum | Buildings |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Useful lives of the assets | 20 years |
Minimum | Equipment and Information Systems |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Useful lives of the assets | 3 years |
Dialysis And Related Lab Services | Maximum |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Percentage of risk on revenue | 1.00%dva_PercentageOfRiskOnRevenue / us-gaap_AdjustmentsForChangeInAccountingPrincipleAxis = dva_DialysisAndRelatedLabServicesMember / us-gaap_RangeAxis = us-gaap_MaximumMember |
UNITED STATES |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Number of dialysis centers that the company operated or provided administrative services | 2,179dva_NumberOfSites / us-gaap_StatementGeographicalAxis = country_US |
Number of states that dialysis centers located | 46us-gaap_NumberOfStatesInWhichEntityOperates / us-gaap_StatementGeographicalAxis = country_US |
Number of patients served | 173,000dva_NumberOfCustomers / us-gaap_StatementGeographicalAxis = country_US |
Outside United States |  |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items] |  |
Number of dialysis centers that the company operated or provided administrative services | 91dva_NumberOfSites / us-gaap_StatementGeographicalAxis = dva_InternationalOperationsMember |

X
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- Definition Number of entities that third parties held non controlling ownership. + References No definition available. + Details
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