v2.4.1.9
Aggregate Purchase Cost Allocations for Acquisitions of HCP (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Nov. 01, 2012
Business Acquisition [Line Items]        
Goodwill $ 9,415,295us-gaap_Goodwill $ 9,212,974us-gaap_Goodwill $ 8,952,750us-gaap_Goodwill  
HealthCare Partners (HCP)        
Business Acquisition [Line Items]        
Current assets, net of cash acquired       321,235us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssets
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Property and equipment       102,382us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Intangible assets       1,882,818us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Other long-term assets       100,143us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedOtherNoncurrentAssets
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Goodwill       3,496,713us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Current liabilities assumed       (559,180)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentLiabilities
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Other long-term liabilities       (169,015)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNoncurrentLiabilitiesOther
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Long-term deferred income taxes       (184,015)us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedDeferredTaxAssetsNoncurrent
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Noncontrolling interests       (29,850)us-gaap_BusinessCombinationAcquisitionOfLessThan100PercentNoncontrollingInterestFairValue
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember
Aggregate purchase cost       $ 4,961,231us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
/ us-gaap_BusinessAcquisitionAxis
= dva_HealthcarePartnersMember