v2.4.1.9

Summary of Segment Net Revenues, Segment Operating Income Loss and Reconciliation of Segment Income to Consolidated Income from Continuing Operations Before Income Taxes (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
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Dec. 31, 2014 | Sep. 30, 2014 | Jun. 30, 2014 | Mar. 31, 2014 | Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Patient service revenues | $ 3,328,017us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 3,251,824us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 3,172,489us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 3,042,776us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 3,063,209us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 2,999,586us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 2,871,673us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 2,829,582us-gaap_HealthCareOrganizationPatientServiceRevenue | $ 8,868,338us-gaap_HealthCareOrganizationPatientServiceRevenue |  | $ 8,307,195us-gaap_HealthCareOrganizationPatientServiceRevenue |  | $ 7,351,902us-gaap_HealthCareOrganizationPatientServiceRevenue |
Net patient service revenues |  |  |  |  |  |  |  |  | 8,501,454us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |  | 8,013,649us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |  | 7,116,684us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
Other revenues |  |  |  |  |  |  |  |  | 1,032,364us-gaap_HealthCareOrganizationOtherRevenue |  | 763,086us-gaap_HealthCareOrganizationOtherRevenue |  | 588,260us-gaap_HealthCareOrganizationOtherRevenue |
Total net operating revenues |  |  |  |  |  |  |  |  | 12,795,106us-gaap_HealthCareOrganizationRevenue |  | 11,764,050us-gaap_HealthCareOrganizationRevenue |  | 8,186,280us-gaap_HealthCareOrganizationRevenue |
Capitated revenues |  |  |  |  |  |  |  |  | 3,261,288us-gaap_HealthCareOrganizationCapitationRevenue |  | 2,987,315us-gaap_HealthCareOrganizationCapitationRevenue |  | 481,336us-gaap_HealthCareOrganizationCapitationRevenue |
Operating income | 452,085us-gaap_OperatingIncomeLoss | 437,536us-gaap_OperatingIncomeLoss | 484,295us-gaap_OperatingIncomeLoss | 441,225us-gaap_OperatingIncomeLoss | 484,179us-gaap_OperatingIncomeLoss | 377,074us-gaap_OperatingIncomeLoss | 522,020us-gaap_OperatingIncomeLoss | 166,861us-gaap_OperatingIncomeLoss | 1,815,141us-gaap_OperatingIncomeLoss |  | 1,550,134us-gaap_OperatingIncomeLoss |  | 1,297,084us-gaap_OperatingIncomeLoss |
Contingent earn-out obligation adjustment |  |  |  |  |  |  |  |  |  |  | 56,977us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 |  |  |
Corporate support costs |  |  |  |  |  |  |  |  | (13,012)dva_SegmentReportingInformationCorporateExpenses | [1] | (53,699)dva_SegmentReportingInformationCorporateExpenses | [1] | (46,481)dva_SegmentReportingInformationCorporateExpenses | [1]
Transaction expenses |  |  |  |  |  |  |  |  |  |  |  |  | (30,753)dva_SegmentReportingInformationAcquisitionsRelatedTransactionExpenses |
Operating income | 452,085us-gaap_OperatingIncomeLoss | 437,536us-gaap_OperatingIncomeLoss | 484,295us-gaap_OperatingIncomeLoss | 441,225us-gaap_OperatingIncomeLoss | 484,179us-gaap_OperatingIncomeLoss | 377,074us-gaap_OperatingIncomeLoss | 522,020us-gaap_OperatingIncomeLoss | 166,861us-gaap_OperatingIncomeLoss | 1,815,141us-gaap_OperatingIncomeLoss |  | 1,550,134us-gaap_OperatingIncomeLoss |  | 1,297,084us-gaap_OperatingIncomeLoss |
Debt expense |  |  |  |  |  |  |  |  | (410,294)us-gaap_InterestAndDebtExpense |  | (429,943)us-gaap_InterestAndDebtExpense |  | (288,554)us-gaap_InterestAndDebtExpense |
Debt refinancing charges |  |  |  |  |  |  |  |  | (97,548)dva_DebtRefinancingCharge |  |  |  | (10,963)dva_DebtRefinancingCharge |
Other income, net |  |  |  |  |  |  |  |  | 2,374us-gaap_OtherNonoperatingIncomeExpense |  | 4,787us-gaap_OtherNonoperatingIncomeExpense |  | 3,737us-gaap_OtherNonoperatingIncomeExpense |
Consolidated income from continuing operations before income taxes | 354,365us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 336,412us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 282,308us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 336,588us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 380,020us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 270,766us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 412,550us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 61,642us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments | 1,309,673us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |  | 1,124,978us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |  | 1,001,304us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
Operating Segments |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total net operating revenues |  |  |  |  |  |  |  |  | 12,852,469us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |  | 11,812,296us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |  | 8,214,547us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
Operating income |  |  |  |  |  |  |  |  | 1,828,153us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember | [2] | 1,546,856us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember | [2] | 1,374,318us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember | [2]
Operating income |  |  |  |  |  |  |  |  | 1,828,153us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember | [2] | 1,546,856us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember | [2] | 1,374,318us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember | [2]
Operating Segments | U.S. dialysis and related lab services |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Patient service revenues |  |  |  |  |  |  |  |  | 8,550,201us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 8,032,772us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 7,316,818us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Less: Provision for uncollectible accounts |  |  |  |  |  |  |  |  | (353,028)dva_ProvisionForDoubtfulAccountsOnPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | (281,146)dva_ProvisionForDoubtfulAccountsOnPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | (233,580)dva_ProvisionForDoubtfulAccountsOnPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Net patient service revenues |  |  |  |  |  |  |  |  | 8,197,173us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 7,751,626us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 7,083,238us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Other revenues |  |  |  |  |  |  |  |  | 13,498us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [3] | 12,600us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [3] | 11,447us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [3]
Total net operating revenues |  |  |  |  |  |  |  |  | 8,210,671us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 7,764,226us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 7,094,685us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Operating income |  |  |  |  |  |  |  |  | 1,637,626us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [2] | 1,200,198us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [2] | 1,372,265us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [2]
Operating income |  |  |  |  |  |  |  |  | 1,637,626us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [2] | 1,200,198us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [2] | 1,372,265us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [2]
Operating Segments | U.S. dialysis and related lab services | External Sources |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Patient service revenues |  |  |  |  |  |  |  |  | 8,513,089us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |  | 7,998,692us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |  | 7,299,032us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |
Operating Segments | U.S. dialysis and related lab services | Intersegment Revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Patient service revenues |  |  |  |  |  |  |  |  | 37,112us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 34,080us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 17,786us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
Operating Segments | HealthCare Partners (HCP) |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net patient service revenues |  |  |  |  |  |  |  |  | 219,306us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 220,251us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 34,407us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Other revenues |  |  |  |  |  |  |  |  | 91,374us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [4] | 55,723us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [4] | 23,552us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [4]
Total net operating revenues |  |  |  |  |  |  |  |  | 3,502,299us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 3,196,188us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 477,390us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Capitated revenues |  |  |  |  |  |  |  |  | 3,190,903us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 2,919,964us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 419,431us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Operating income |  |  |  |  |  |  |  |  | 214,983us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2] | 385,253us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2] | 66,930us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2]
Operating income |  |  |  |  |  |  |  |  | 214,983us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2] | 385,253us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2] | 66,930us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2]
Operating Segments | HealthCare Partners (HCP) | Intersegment Revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other revenues |  |  |  |  |  |  |  |  | 716us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 250us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  |  |
Operating Segments | Other-Ancillary services and strategic initiatives |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net patient service revenues |  |  |  |  |  |  |  |  | 122,087us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 75,852us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 16,824us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Other revenues |  |  |  |  |  |  |  |  | 927,492us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 694,763us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 553,261us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Total net operating revenues |  |  |  |  |  |  |  |  | 1,139,499us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 851,882us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 642,472us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Capitated revenues |  |  |  |  |  |  |  |  | 70,385us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 67,351us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 61,906us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Operating income |  |  |  |  |  |  |  |  | (24,456)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | [2] | (38,595)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | [2] | (64,877)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | [2]
Operating income |  |  |  |  |  |  |  |  | (24,456)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | [2] | (38,595)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | [2] | (64,877)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | [2]
Operating Segments | Other-Ancillary services and strategic initiatives | Intersegment Revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total net operating revenues |  |  |  |  |  |  |  |  | 19,535us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 13,916us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 10,481us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
Intersegment Elimination |  |  |  |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total net operating revenues |  |  |  |  |  |  |  |  | $ (57,363)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |  | $ (48,246)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |  | $ (28,267)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |
[1] | Corporate support costs in 2013 also include $7,721 of an adjustment to reduce a tax asset associated with the HCP acquisition escrow provisions.
[2] | Certain costs previously reported in the ancillary services and strategic initiatives have been reclassified to U.S. dialysis and related lab services to conform to the current year presentation.
[3] | Includes management fees for providing management and administrative services to dialysis centers in which the Company owns a minority equity investment or which are wholly-owned by third parties.
[4] | Other revenues primarily relate to providing medical consulting services.

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