v2.4.1.9

Acquisitions and Discontinued Operations - Additional Information (Detail) (USD $) In Thousands, except Share data, unless otherwise specified | 12 Months Ended | 0 Months Ended
--- | --- | ---
Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 12, 2012 | Apr. 03, 2013 | Nov. 01, 2012
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives | 10 years | 14 years | 17 years |  |  |
Goodwill deductible for tax purposes associated with acquisitions | $ 175,247us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount | $ 221,454us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount | $ 491,457us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount |  |  |
Contingent earn-out obligation adjustment |  | (56,977)us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 |  |  |  |
Additional cash consideration in the form of earn-out payments | 15,614us-gaap_BusinessCombinationContingentConsiderationLiability | 6,577us-gaap_BusinessCombinationContingentConsiderationLiability |  |  |  |
Proceeds from sale of discontinued operations |  | 62,258us-gaap_ProceedsFromDivestitureOfBusinesses | 3,559us-gaap_ProceedsFromDivestitureOfBusinesses |  |  |
Gain recorded on account of divestitures |  | 13,375us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax |  |  |  |
Other Accrued Liabilities |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Fair value of contingent earn-out consideration | 15,614us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh / us-gaap_BalanceSheetLocationAxis = dva_OtherAccruedLiabilitiesMember |  |  |  |  |
Other long-term liabilities |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Fair value of contingent earn-out consideration | 23,515us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh / us-gaap_BalanceSheetLocationAxis = us-gaap_OtherNoncurrentLiabilitiesMember |  |  |  |  |
Other companies |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Additional cash consideration in the form of earn-out payments | 134,321us-gaap_BusinessCombinationContingentConsiderationLiability / us-gaap_RelatedPartyTransactionsByRelatedPartyAxis = dva_OtherCompaniesMember |  |  |  |  |
Fair value of contingent earn-out consideration | 39,129us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh / us-gaap_RelatedPartyTransactionsByRelatedPartyAxis = dva_OtherCompaniesMember |  |  |  |  |
Other companies | EBITDA performance targets and quality margins |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Earn out consideration payment period | 2 years |  |  |  |  |
Other companies | Operating income targets |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Earn out consideration payment period | 3 years |  |  |  |  |
Customer relationships |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives | 10 years | 17 years | 18 years |  |  |
Noncompetition agreements |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives | 8 years | 9 years | 8 years |  |  |
HomeChoice Partners |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Proceeds from sale of discontinued operations |  |  |  | 70,000us-gaap_ProceedsFromDivestitureOfBusinesses / dei_LegalEntityAxis = dva_HomeChoicePartnersMember |  |
Performance amounts thresholds measurement period |  |  |  | 2 years |  |
Contingent receivable | 0dva_ContingentReceivableFromSaleOfDiscontinuedOperation / dei_LegalEntityAxis = dva_HomeChoicePartnersMember |  |  |  |  |
Gain recorded on account of divestitures |  | 13,375us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax / dei_LegalEntityAxis = dva_HomeChoicePartnersMember |  |  |  |
HomeChoice Partners | Maximum |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Deferred purchase price obligations | 9,000dva_PotentialProceedsFromDivestitureOfBusinesses / dei_LegalEntityAxis = dva_HomeChoicePartnersMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |  |
Additional consideration if certain performance amounts exceed certain thresholds over the next two years |  |  |  | 20,000dva_DisposalGroupIncludingDiscontinuedOperationsContingentConsiderationPotentialCashProceeds / dei_LegalEntityAxis = dva_HomeChoicePartnersMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |
Approximate percentage of sale proceeds received. |  |  |  | 90.00%dva_ApproximatePercentageOfSaleProceedsReceived / dei_LegalEntityAxis = dva_HomeChoicePartnersMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |
Other dialysis acquisitions |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Cash paid to acquire business | 272,094us-gaap_PaymentsToAcquireBusinessesGross / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 310,394us-gaap_PaymentsToAcquireBusinessesGross / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 648,318us-gaap_PaymentsToAcquireBusinessesGross / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember |  |  |
Other dialysis acquisitions | U.S. dialysis and related lab services |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of businesses acquired | 18us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | 26us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | 93us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  |  |
Other dialysis acquisitions | Foreign Dialysis And Other Medical Businesses |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of businesses acquired | 7us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_ForeignDialysisAndOtherMedicalBusinessesMember | 38us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_ForeignDialysisAndOtherMedicalBusinessesMember | 13us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_ForeignDialysisAndOtherMedicalBusinessesMember |  |  |
Other dialysis acquisitions | HomeChoice Partners | Maximum |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Deferred purchase price obligations | 23,781dva_PotentialProceedsFromDivestitureOfBusinesses / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / dei_LegalEntityAxis = dva_HomeChoicePartnersMember / us-gaap_RangeAxis = us-gaap_MaximumMember | 24,683dva_PotentialProceedsFromDivestitureOfBusinesses / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / dei_LegalEntityAxis = dva_HomeChoicePartnersMember / us-gaap_RangeAxis = us-gaap_MaximumMember | 6,101dva_PotentialProceedsFromDivestitureOfBusinesses / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / dei_LegalEntityAxis = dva_HomeChoicePartnersMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |
HealthCare Partners (HCP) |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Cash paid to acquire business |  |  |  |  |  | 3,645,759us-gaap_PaymentsToAcquireBusinessesGross / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Amortizable intangible assets acquired, weighted-average estimated useful lives |  |  |  |  |  | 17 years 2 months 12 days
Goodwill deductible for tax purposes associated with acquisitions |  |  |  |  |  | 2,426,986us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Total consideration paid |  |  |  |  |  | 4,701,231us-gaap_BusinessCombinationConsiderationTransferred1 / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Common stock share issued to acquire business |  |  |  |  |  | 18,760,624us-gaap_BusinessAcquisitionEquityInterestsIssuedOrIssuableNumberOfSharesIssued / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Approximate value of common stock share issued |  |  |  |  |  | 1,055,472us-gaap_StockIssuedDuringPeriodValueAcquisitions / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Cash paid for post-closing working capital adjustment |  | 5,251us-gaap_PaymentsForPreviousAcquisition / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember |  |  |  |
Additional cash consideration in the form of earn-out payments |  |  |  |  |  | 275,000dva_BusinessAcquisitionsAdditionalPotentialEarnOutCashPayments / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Amortizable intangible assets |  |  |  |  |  | 1,882,818us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember
Goodwill deductible period for tax purpose | 14 years |  |  |  |  |
Contingent consideration payment | 68,750dva_BusinessAcquisitionContingentConsiderationCashPaid / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember |  |  |  | 136,954dva_BusinessAcquisitionContingentConsiderationCashPaid / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember |
Contingent earn-out obligation adjustment | 56,977us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember |  |  |  |  |
HealthCare Partners (HCP) | Customer relationships |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives |  |  |  |  |  | 20 years
Amortizable intangible assets |  |  |  |  |  | 1,453,410us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_CustomerRelationshipsMember
HealthCare Partners (HCP) | Noncompetition agreements |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives |  |  |  |  |  | 5 years 8 months 12 days
Amortizable intangible assets |  |  |  |  |  | 74,650us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_NoncompeteAgreementsMember
HealthCare Partners (HCP) | Trade names |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives |  |  |  |  |  | 10 years 7 months 6 days
Amortizable intangible assets |  |  |  |  |  | 170,494us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_TradeNamesMember
HealthCare Partners (HCP) | Provider network and practice management tools |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Amortizable intangible assets acquired, weighted-average estimated useful lives |  |  |  |  |  | 7 years
Amortizable intangible assets |  |  |  |  |  | $ 184,264us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles / us-gaap_BusinessAcquisitionAxis = dva_HealthcarePartnersMember / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_ComputerSoftwareIntangibleAssetMember

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