|
Consolidating Statements of Income (Detail) (USD $) In Thousands, unless otherwise specified
|
3 Months Ended |
12 Months Ended |
|
Dec. 31, 2014
|
Sep. 30, 2014
|
Jun. 30, 2014
|
Mar. 31, 2014
|
Dec. 31, 2013
|
Sep. 30, 2013
|
Jun. 30, 2013
|
Mar. 31, 2013
|
Dec. 31, 2014
|
Dec. 31, 2013
|
Dec. 31, 2012
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
| Patient service revenues |
$ 3,328,017us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,251,824us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,172,489us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,042,776us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 3,063,209us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 2,999,586us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 2,871,673us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 2,829,582us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 8,868,338us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 8,307,195us-gaap_HealthCareOrganizationPatientServiceRevenue |
$ 7,351,902us-gaap_HealthCareOrganizationPatientServiceRevenue |
| Less: Provision for uncollectible accounts |
|
|
|
|
|
|
|
|
(366,884)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts |
(293,546)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts |
(235,218)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts |
| Net patient service revenues |
|
|
|
|
|
|
|
|
8,501,454us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
8,013,649us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
7,116,684us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
| Capitated revenues |
|
|
|
|
|
|
|
|
3,261,288us-gaap_HealthCareOrganizationCapitationRevenue |
2,987,315us-gaap_HealthCareOrganizationCapitationRevenue |
481,336us-gaap_HealthCareOrganizationCapitationRevenue |
| Other revenues |
|
|
|
|
|
|
|
|
1,032,364us-gaap_HealthCareOrganizationOtherRevenue |
763,086us-gaap_HealthCareOrganizationOtherRevenue |
588,260us-gaap_HealthCareOrganizationOtherRevenue |
| Total net revenues |
|
|
|
|
|
|
|
|
12,795,106us-gaap_HealthCareOrganizationRevenue |
11,764,050us-gaap_HealthCareOrganizationRevenue |
8,186,280us-gaap_HealthCareOrganizationRevenue |
| Operating expenses and charges |
|
|
|
|
|
|
|
|
10,979,965us-gaap_CostsAndExpenses |
10,213,916us-gaap_CostsAndExpenses |
6,889,196us-gaap_CostsAndExpenses |
| Operating income |
452,085us-gaap_OperatingIncomeLoss |
437,536us-gaap_OperatingIncomeLoss |
484,295us-gaap_OperatingIncomeLoss |
441,225us-gaap_OperatingIncomeLoss |
484,179us-gaap_OperatingIncomeLoss |
377,074us-gaap_OperatingIncomeLoss |
522,020us-gaap_OperatingIncomeLoss |
166,861us-gaap_OperatingIncomeLoss |
1,815,141us-gaap_OperatingIncomeLoss |
1,550,134us-gaap_OperatingIncomeLoss |
1,297,084us-gaap_OperatingIncomeLoss |
| Debt (expense) and refinancing charges |
|
|
|
|
|
|
|
|
(507,842)dva_DebtExpenseIncludingDebtRefinancingCharges |
(429,943)dva_DebtExpenseIncludingDebtRefinancingCharges |
(299,517)dva_DebtExpenseIncludingDebtRefinancingCharges |
| Other income, net |
|
|
|
|
|
|
|
|
2,374us-gaap_OtherNonoperatingIncomeExpense |
4,787us-gaap_OtherNonoperatingIncomeExpense |
3,737us-gaap_OtherNonoperatingIncomeExpense |
| Income tax expense |
|
|
|
|
|
|
|
|
446,343us-gaap_IncomeTaxExpenseBenefit |
381,013us-gaap_IncomeTaxExpenseBenefit |
359,845us-gaap_IncomeTaxExpenseBenefit |
| Income from continuing operations |
|
|
|
|
|
|
|
|
863,330us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest |
743,965us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest |
641,459us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest |
| Discontinued operations |
|
|
|
|
|
|
|
13,236us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax |
|
13,236us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax |
(222)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax |
| Net income |
|
|
|
|
|
|
|
|
863,330us-gaap_ProfitLoss |
757,201us-gaap_ProfitLoss |
641,237us-gaap_ProfitLoss |
| Less: Net income attributable to noncontrolling interests |
|
|
|
|
|
|
|
|
(140,216)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest |
(123,755)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest |
(105,220)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest |
| Net income attributable to DaVita HealthCare Partners Inc. |
208,020us-gaap_NetIncomeLoss |
184,122us-gaap_NetIncomeLoss |
147,683us-gaap_NetIncomeLoss |
183,289us-gaap_NetIncomeLoss |
212,278us-gaap_NetIncomeLoss |
136,628us-gaap_NetIncomeLoss |
254,376us-gaap_NetIncomeLoss |
30,164us-gaap_NetIncomeLoss |
723,114us-gaap_NetIncomeLoss |
633,446us-gaap_NetIncomeLoss |
536,017us-gaap_NetIncomeLoss |
| DaVita HealthCare Partners Inc. |
|
|
|
|
|
|
|
|
|
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
| Other revenues |
|
|
|
|
|
|
|
|
684,066us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
616,155us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
514,190us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Total net revenues |
|
|
|
|
|
|
|
|
684,066us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
616,155us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
514,190us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Operating expenses and charges |
|
|
|
|
|
|
|
|
443,951us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
434,776us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
365,680us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Operating income |
|
|
|
|
|
|
|
|
240,115us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
181,379us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
148,510us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Debt (expense) and refinancing charges |
|
|
|
|
|
|
|
|
(502,762)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(427,141)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(331,944)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Other income, net |
|
|
|
|
|
|
|
|
385,532us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
402,910us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
265,508us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Income tax expense |
|
|
|
|
|
|
|
|
46,856us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
59,716us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
32,912us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Equity earnings in subsidiaries |
|
|
|
|
|
|
|
|
647,085dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
536,014dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
486,855dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Income from continuing operations |
|
|
|
|
|
|
|
|
|
633,446us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
536,017us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net income |
|
|
|
|
|
|
|
|
723,114us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
633,446us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
536,017us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net income attributable to DaVita HealthCare Partners Inc. |
|
|
|
|
|
|
|
|
723,114us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
633,446us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
536,017us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Guarantor Subsidiaries |
|
|
|
|
|
|
|
|
|
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
| Patient service revenues |
|
|
|
|
|
|
|
|
6,246,683us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
5,989,658us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
5,417,800us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Less: Provision for uncollectible accounts |
|
|
|
|
|
|
|
|
(238,600)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(177,415)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(124,592)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net patient service revenues |
|
|
|
|
|
|
|
|
6,008,083us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
5,812,243us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
5,293,208us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Capitated revenues |
|
|
|
|
|
|
|
|
1,689,634us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,427,321us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
232,744us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Other revenues |
|
|
|
|
|
|
|
|
1,639,828us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,534,310us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
745,920us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Total net revenues |
|
|
|
|
|
|
|
|
9,337,545us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
8,773,874us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
6,271,872us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Operating expenses and charges |
|
|
|
|
|
|
|
|
8,276,991us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
7,843,476us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
5,479,531us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Operating income |
|
|
|
|
|
|
|
|
1,060,554us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
930,398us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
792,341us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Debt (expense) and refinancing charges |
|
|
|
|
|
|
|
|
(363,623)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(366,188)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(207,499)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Other income, net |
|
|
|
|
|
|
|
|
11,731us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,903us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
4,305us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Income tax expense |
|
|
|
|
|
|
|
|
397,268us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
303,603us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
320,267us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Equity earnings in subsidiaries |
|
|
|
|
|
|
|
|
335,691dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
260,268dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
218,197dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Income from continuing operations |
|
|
|
|
|
|
|
|
|
522,778us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
487,077us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net income |
|
|
|
|
|
|
|
|
647,085us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
522,778us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
487,077us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net income attributable to DaVita HealthCare Partners Inc. |
|
|
|
|
|
|
|
|
647,085us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
522,778us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
487,077us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Non-Guarantor Subsidiaries |
|
|
|
|
|
|
|
|
|
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
| Patient service revenues |
|
|
|
|
|
|
|
|
2,739,996us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
2,420,975us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
2,005,424us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Less: Provision for uncollectible accounts |
|
|
|
|
|
|
|
|
(128,284)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(116,131)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(110,626)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net patient service revenues |
|
|
|
|
|
|
|
|
2,611,712us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
2,304,844us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
1,894,798us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Capitated revenues |
|
|
|
|
|
|
|
|
1,579,804us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
1,560,244us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
248,592us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Other revenues |
|
|
|
|
|
|
|
|
24,155us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
17,867us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
10,190us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Total net revenues |
|
|
|
|
|
|
|
|
4,215,671us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
3,882,955us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
2,153,580us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Operating expenses and charges |
|
|
|
|
|
|
|
|
3,701,199us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
3,444,598us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
1,797,347us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Operating income |
|
|
|
|
|
|
|
|
514,472us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
438,357us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
356,233us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Debt (expense) and refinancing charges |
|
|
|
|
|
|
|
|
(43,449)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(39,413)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(27,193)dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Other income, net |
|
|
|
|
|
|
|
|
7,103us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
2,773us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
1,043us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Income tax expense |
|
|
|
|
|
|
|
|
2,219us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
17,694us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
6,666us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Income from continuing operations |
|
|
|
|
|
|
|
|
|
384,023us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
323,417us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Discontinued operations |
|
|
|
|
|
|
|
|
|
13,236us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(222)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net income |
|
|
|
|
|
|
|
|
475,907us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
397,259us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
323,195us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net income attributable to DaVita HealthCare Partners Inc. |
|
|
|
|
|
|
|
|
475,907us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
397,259us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
323,195us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Consolidating Adjustments |
|
|
|
|
|
|
|
|
|
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
|
|
|
|
|
|
|
|
|
| Patient service revenues |
|
|
|
|
|
|
|
|
(118,341)us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(103,438)us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(71,322)us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Net patient service revenues |
|
|
|
|
|
|
|
|
(118,341)us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(103,438)us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(71,322)us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Capitated revenues |
|
|
|
|
|
|
|
|
(8,150)us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(250)us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
|
| Other revenues |
|
|
|
|
|
|
|
|
(1,315,685)us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(1,405,246)us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(682,040)us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Total net revenues |
|
|
|
|
|
|
|
|
(1,442,176)us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(1,508,934)us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(753,362)us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Operating expenses and charges |
|
|
|
|
|
|
|
|
(1,442,176)us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(1,508,934)us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(753,362)us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Debt (expense) and refinancing charges |
|
|
|
|
|
|
|
|
401,992dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
402,799dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
267,119dva_DebtExpenseIncludingDebtRefinancingCharges / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Other income, net |
|
|
|
|
|
|
|
|
(401,992)us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(402,799)us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(267,119)us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Equity earnings in subsidiaries |
|
|
|
|
|
|
|
|
(982,776)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(796,282)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(705,052)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Income from continuing operations |
|
|
|
|
|
|
|
|
|
(796,282)us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(705,052)us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Net income |
|
|
|
|
|
|
|
|
(982,776)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(796,282)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(705,052)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Less: Net income attributable to noncontrolling interests |
|
|
|
|
|
|
|
|
(140,216)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(123,755)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(105,220)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Net income attributable to DaVita HealthCare Partners Inc. |
|
|
|
|
|
|
|
|
$ (1,122,992)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
$ (920,037)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
$ (810,272)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |