v2.4.1.9

Aggregate Purchase Cost Allocations for Acquisitions of DSI Renal Inc (Detail) (USD $) In Thousands, unless otherwise specified | Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012
--- | --- | --- | ---
Business Acquisition [Line Items] |  |  |
Goodwill | $ 9,415,295us-gaap_Goodwill | $ 9,212,974us-gaap_Goodwill | $ 8,952,750us-gaap_Goodwill
Other dialysis acquisitions |  |  |
Business Acquisition [Line Items] |  |  |
Current assets | 915us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssets / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 7,215us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssets / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 18,708us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssets / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Property and equipment | 5,999us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 23,760us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 41,741us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Amortizable intangible and other long-term assets | 95,293dva_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAmortizableIntangibleAndOtherLongtermAssets / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 80,646dva_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAmortizableIntangibleAndOtherLongtermAssets / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 90,296dva_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAmortizableIntangibleAndOtherLongtermAssets / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Goodwill | 221,514us-gaap_Goodwill / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 271,267us-gaap_Goodwill / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | 554,685us-gaap_Goodwill / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Long-term deferred income taxes |  | (5,666)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedDeferredTaxLiabilitiesNoncurrent / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | (1,838)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedDeferredTaxLiabilitiesNoncurrent / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Noncontrolling interests assumed | (25,963)us-gaap_BusinessCombinationAcquisitionOfLessThan100PercentNoncontrollingInterestFairValue / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | (22,880)us-gaap_BusinessCombinationAcquisitionOfLessThan100PercentNoncontrollingInterestFairValue / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | (21,962)us-gaap_BusinessCombinationAcquisitionOfLessThan100PercentNoncontrollingInterestFairValue / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Liabilities assumed | (1,883)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | (19,265)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | (27,211)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Aggregate purchase cost | $ 295,875us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | $ 335,077us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember | $ 654,419us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember

X
- Definition Business combination recognized identifiable assets acquired and liabilities assumed amortizable intangible and other long term assets. + References No definition available. + Details
Name: | dva_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAmortizableIntangibleAndOtherLongtermAssets
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Details
Name: | us-gaap_BusinessAcquisitionLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition This element represents the fair value of the noncontrolling interest in the acquiree at the acquisition date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (e)(1) -URI http://asc.fasb.org/extlink&oid=39739317&loc=d3e4845-128472 + Details
Name: | us-gaap_BusinessCombinationAcquisitionOfLessThan100PercentNoncontrollingInterestFairValue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of assets that are expected to be realized or consumed within one year or the normal operating cycle, if longer, acquired at the acquisition date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=39739317&loc=d3e4845-128472 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssets
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of deferred tax liability attributable to taxable temporary differences due after one year or the normal operating cycle, if longer, assumed at the acquisition date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=39739317&loc=d3e4845-128472 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedDeferredTaxLiabilitiesNoncurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of liabilities assumed at the acquisition date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=39739317&loc=d3e4845-128472 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount recognized as of the acquisition date for the identifiable assets acquired in excess of (less than) the aggregate liabilities assumed. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=39739317&loc=d3e4845-128472 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 55 -Paragraph 37 -URI http://asc.fasb.org/extlink&oid=35744172&loc=d3e2207-128464 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The amount of property, plant, and equipment recognized as of the acquisition date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=39739317&loc=d3e4845-128472 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 55 -Paragraph 37 -URI http://asc.fasb.org/extlink&oid=35744172&loc=d3e2207-128464 + Details
Name: | us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- 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
Name: | us-gaap_Goodwill
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |