v2.4.1.9

Noncontrolling Interests Subject to Put Provisions and Other Commitments - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended | 1 Months Ended | 12 Months Ended | 1 Months Ended
--- | --- | --- | --- | ---
Dec. 31, 2014 | Nov. 30, 2011 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2012
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Other potential commitments to provide operating capital to several dialysis centers | $ 1,000us-gaap_OtherCommitment |  |  |  |
Schedule of Joint ventures to dissolve | Certain consolidated joint ventures are contractually scheduled to dissolve after terms ranging from ten to fifty years. |  |  |  |
HealthCare Partners (HCP) |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Required minimum cash balance | 65,400dva_MinimumCashRequirement / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  |  |  |
Epogen |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Long term purchase commitment, period |  | 7 years |  |  |
Long term purchase commitment, expiration date | Dec. 31, 2013 | Dec. 31, 2018 |  |  |
Long term purchase commitment, origination date | Jan. 01, 2013 |  |  |  |
Dialysis Equipment, Parts and Supplies |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Long-term purchase commitment, time period | In January 2010, the Company entered into an agreement with Fresenius which committed the Company to purchase a certain amount of dialysis equipment, parts and supplies from Fresenius through 2013. However, this agreement has been extended through 2015. |  |  |  |
Long term purchase commitment, expiration year | 2013 |  |  |  |
Purchase commitment, purchase during the period | 154,266dva_PurchaseCommitmentPayments / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_DialysisEquipmentPartsAndSuppliesMember |  | 144,030dva_PurchaseCommitmentPayments / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_DialysisEquipmentPartsAndSuppliesMember | 138,450dva_PurchaseCommitmentPayments / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_DialysisEquipmentPartsAndSuppliesMember |
Dialysis Equipment, Parts and Supplies | Extended Expiration |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Long term purchase commitment, expiration year | 2015 |  |  |  |
Hemodialysis Products, Supplies and Equipment |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Long-term purchase commitment, time period | The Product Supply Agreement committed the Company to purchase a significant majority of its hemodialysis products, supplies and equipment at fixed prices through 2015. |  |  |  |
Long term purchase commitment, expiration year | 2015 |  |  |  |
Purchase commitment, purchase during the period | $ 112,645dva_PurchaseCommitmentPayments / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_HemodialysisProductsSuppliesAndEquipmentMember |  | $ 124,555dva_PurchaseCommitmentPayments / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_HemodialysisProductsSuppliesAndEquipmentMember | $ 147,639dva_PurchaseCommitmentPayments / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_HemodialysisProductsSuppliesAndEquipmentMember |
Minimum |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Scheduled dissolution term of joint ventures | 10 years |  |  |  |
Minimum | Epogen |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Long-term purchase commitment, percentage of quantity required |  | 90.00%dva_LongTermPurchaseCommitmentPercentageOfQuantityRequired / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_EpogenMember / us-gaap_RangeAxis = us-gaap_MinimumMember |  |  | 90.00%dva_LongTermPurchaseCommitmentPercentageOfQuantityRequired / us-gaap_LongTermPurchaseCommitmentByCategoryOfItemPurchasedAxis = dva_EpogenMember / us-gaap_RangeAxis = us-gaap_MinimumMember
Maximum |  |  |  |  |
Commitments And Contingencies Disclosure [Line Items] |  |  |  |  |
Scheduled dissolution term of joint ventures | 50 years |  |  |  |

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- Definition Purchase commitment payments. + References No definition available. + Details
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- Definition Describes the terms of a significant arrangement with a supplier (excluding an unconditional purchase obligation) to acquire goods or services over a period of time beyond one year or the normal operating cycle, if longer, which may include identification of the goods or services to be purchased, pricing, effects on pricing of failing to reach minimum quantities required to be purchased, cancellation rights, and termination provisions. + References No definition available. + Details
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- Definition Period covered by the long-term purchase commitment, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
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- Definition Minimum amount of other commitment not otherwise specified in the taxonomy. Excludes commitments explicitly modeled in the taxonomy, including but not limited to, long-term and short-term purchase commitments, recorded and unrecorded purchase obligations, supply commitments, registration payment arrangements, leases, debt, product warranties, guarantees, environmental remediation obligations, and pensions. + References No definition available. + Details
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- Definition Describes the nature of an unconditional purchase obligation that is not recognized as a liability on the balance sheet. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 440 -SubTopic 10 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=6394976&loc=d3e25336-109308 + Details
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