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