v2.4.1.9

Amortizable Intangible Assets (Detail) (USD $) In Thousands, unless otherwise specified | Dec. 31, 2014 | Dec. 31, 2013
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Finite Lived Intangible Assets [Line Items] |  |
Customer relationships | $ 1,575,865us-gaap_FiniteLivedCustomerRelationshipsGross | $ 1,503,426us-gaap_FiniteLivedCustomerRelationshipsGross
Trade names | 171,168us-gaap_FiniteLivedTradeNamesGross | 170,994us-gaap_FiniteLivedTradeNamesGross
Provider network and practice management tools | 183,688dva_ProviderNetworkAndPracticeManagementToolsGross | 184,558dva_ProviderNetworkAndPracticeManagementToolsGross
Noncompetition and other agreements | 506,867us-gaap_FiniteLivedNoncompeteAgreementsGross | 495,475us-gaap_FiniteLivedNoncompeteAgreementsGross
Deferred debt financing costs | 101,001us-gaap_DeferredFinanceCostsGross | 121,872us-gaap_DeferredFinanceCostsGross
Indefinite-lived assets | 24,818us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill | 22,932us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
Intangible Assets, Gross (Excluding Goodwill), Total | 2,571,389us-gaap_IntangibleAssetsGrossExcludingGoodwill | 2,508,146us-gaap_IntangibleAssetsGrossExcludingGoodwill
Less accumulated amortization | (621,891)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization | (483,773)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Total intangible assets | 1,949,498us-gaap_IntangibleAssetsNetExcludingGoodwill | 2,024,373us-gaap_IntangibleAssetsNetExcludingGoodwill
Lease Agreements |  |
Finite Lived Intangible Assets [Line Items] |  |
Lease agreements | $ 7,982us-gaap_OtherFiniteLivedIntangibleAssetsGross / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_LeaseAgreementsMember | $ 8,889us-gaap_OtherFiniteLivedIntangibleAssetsGross / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_LeaseAgreementsMember

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- Definition Amount before accumulated amortization of capitalized costs for our provider's base, physicians and physician groups relationships and software developed. + References No definition available. + Details
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- Definition For an unclassified balance sheet, the amount as of the balance sheet date of capitalized costs associated with the issuance of debt instruments (for example, legal, accounting, underwriting, printing, and registration costs) that will be charged against earnings over the life of the debt instruments to which such costs pertain. Such amount is before the consideration of accumulated amortization. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28555-108399 + Details
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- Definition Gross carrying amount before accumulated amortization as of the balance sheet date to an asset acquired in a business combination representing a favorable existing relationship with customers having a finite beneficial life. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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- Definition Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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- Definition Gross carrying amount before accumulated amortization as of the balance sheet date of payments made to third parties in exchange for their agreement not to engage in specified competitive practices in specified geographic territories for a specified period of time. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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- Definition Gross carrying amount before accumulated amortization as of the balance sheet date of the rights acquired through registration of a trade name to gain or protect exclusive use thereof for a reasonably expected period of economic benefit. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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- Definition Amount of assets, excluding financial assets and goodwill, lacking physical substance and having a projected indefinite period of benefit. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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- Definition Amount before accumulated amortization of intangible assets, excluding goodwill. + References No definition available. + Details
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- Definition Sum of the carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6388964&loc=d3e16212-109274 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph ((a)(1),(b)) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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- Definition Gross carrying amount before accumulated amortization as of the balance sheet date of intangible assets not otherwise specified in the taxonomy having a reasonably expected period of economic benefit. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275 + Details
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