v2.4.1.9

Changes in Goodwill by Reportable Segments (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended
--- | ---
Dec. 31, 2014 | Dec. 31, 2013
Goodwill [Line Items] |  |
Beginning balance | $ 9,212,974us-gaap_Goodwill | $ 8,952,750us-gaap_Goodwill
Acquisitions | 221,514us-gaap_GoodwillAcquiredDuringPeriod | 271,267us-gaap_GoodwillAcquiredDuringPeriod
Divestitures | (1,851)us-gaap_GoodwillWrittenOffRelatedToSaleOfBusinessUnit | (2,728)us-gaap_GoodwillWrittenOffRelatedToSaleOfBusinessUnit
Other adjustments |  | (8,315)us-gaap_GoodwillOtherChanges
Foreign currency and other adjustments | (17,342)us-gaap_GoodwillTranslationAdjustments |
Ending balance | 9,415,295us-gaap_Goodwill | 9,212,974us-gaap_Goodwill
U.S. dialysis and related lab services |  |
Goodwill [Line Items] |  |
Beginning balance | 5,469,473us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | 5,309,152us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember
Acquisitions | 143,021us-gaap_GoodwillAcquiredDuringPeriod / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | 163,037us-gaap_GoodwillAcquiredDuringPeriod / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember
Divestitures | (1,851)us-gaap_GoodwillWrittenOffRelatedToSaleOfBusinessUnit / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | (2,728)us-gaap_GoodwillWrittenOffRelatedToSaleOfBusinessUnit / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember
Other adjustments |  | 12us-gaap_GoodwillOtherChanges / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember
Foreign currency and other adjustments |  |
Ending balance | 5,610,643us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | 5,469,473us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember
HealthCare Partners (HCP) |  |
Goodwill [Line Items] |  |
Beginning balance | 3,516,162us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | 3,506,571us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember
Acquisitions | 48,649us-gaap_GoodwillAcquiredDuringPeriod / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | 17,833us-gaap_GoodwillAcquiredDuringPeriod / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember
Divestitures |  |
Other adjustments |  | (8,242)us-gaap_GoodwillOtherChanges / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember
Foreign currency and other adjustments | (2,277)us-gaap_GoodwillTranslationAdjustments / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Ending balance | 3,562,534us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | 3,516,162us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember
Other-Ancillary services and strategic initiatives |  |
Goodwill [Line Items] |  |
Beginning balance | 227,339us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | 137,027us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember
Acquisitions | 29,844us-gaap_GoodwillAcquiredDuringPeriod / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | 90,397us-gaap_GoodwillAcquiredDuringPeriod / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember
Divestitures |  |
Other adjustments |  | (85)us-gaap_GoodwillOtherChanges / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember
Foreign currency and other adjustments | (15,065)us-gaap_GoodwillTranslationAdjustments / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Ending balance | $ 242,118us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember | $ 227,339us-gaap_Goodwill / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember

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- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=35741047&loc=d3e13816-109267 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6388280&loc=d3e13770-109266 + Details
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