|
Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified
|
12 Months Ended |
|
Dec. 31, 2014
|
Dec. 31, 2013
|
Dec. 31, 2012
|
| Cash flows from operating activities: |
|
|
|
| Net income |
$ 863,330us-gaap_ProfitLoss |
$ 757,201us-gaap_ProfitLoss |
$ 641,237us-gaap_ProfitLoss |
| Changes in operating assets and liabilities and non cash items included in net income |
596,077us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities |
1,016,140us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities |
459,611us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities |
| Net cash provided by operating activities |
1,459,407us-gaap_NetCashProvidedByUsedInOperatingActivities |
1,773,341us-gaap_NetCashProvidedByUsedInOperatingActivities |
1,100,848us-gaap_NetCashProvidedByUsedInOperatingActivities |
| Cash flows from investing activities: |
|
|
|
| Additions of property and equipment, net |
(641,330)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment |
(617,597)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment |
(550,146)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment |
| Acquisitions |
(272,094)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates |
(310,394)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates |
(4,294,077)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates |
| Proceeds from asset sales |
8,791us-gaap_ProceedsFromSaleOfProductiveAssets |
62,258us-gaap_ProceedsFromSaleOfProductiveAssets |
3,559us-gaap_ProceedsFromSaleOfProductiveAssets |
| Purchase of investments and other items |
(373,096)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther |
(11,149)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther |
8,214dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther |
| Net cash used in investing activities |
(1,277,729)us-gaap_NetCashProvidedByUsedInInvestingActivities |
(876,882)us-gaap_NetCashProvidedByUsedInInvestingActivities |
(4,832,450)us-gaap_NetCashProvidedByUsedInInvestingActivities |
| Cash flows from financing activities: |
|
|
|
| Long-term debt and related financing costs, net |
(7,989)dva_ProceedsFromRepaymentsOfLongTermDebt |
(438,007)dva_ProceedsFromRepaymentsOfLongTermDebt |
3,904,893dva_ProceedsFromRepaymentsOfLongTermDebt |
| Other items |
(156,990)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities |
(44,984)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities |
(32,509)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities |
| Net cash (used in) provided by financing activities |
(164,979)us-gaap_NetCashProvidedByUsedInFinancingActivities |
(482,991)us-gaap_NetCashProvidedByUsedInFinancingActivities |
3,872,384us-gaap_NetCashProvidedByUsedInFinancingActivities |
| Effect of exchange rate changes on cash |
2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents |
(967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents |
(786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents |
| Net increase (decrease) in cash and cash equivalents |
18,992us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease |
412,501us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease |
139,996us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease |
| Cash and cash equivalents at beginning of the year |
946,249us-gaap_CashAndCashEquivalentsAtCarryingValue |
533,748us-gaap_CashAndCashEquivalentsAtCarryingValue |
393,752us-gaap_CashAndCashEquivalentsAtCarryingValue |
| Cash and cash equivalents at end of the year |
965,241us-gaap_CashAndCashEquivalentsAtCarryingValue |
946,249us-gaap_CashAndCashEquivalentsAtCarryingValue |
533,748us-gaap_CashAndCashEquivalentsAtCarryingValue |
| DaVita HealthCare Partners Inc. |
|
|
|
| Cash flows from operating activities: |
|
|
|
| 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 |
| Changes in operating assets and liabilities and non cash items included in net income |
(597,992)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(443,071)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(383,619)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net cash provided by operating activities |
125,122us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
190,375us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
152,398us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Cash flows from investing activities: |
|
|
|
| Additions of property and equipment, net |
(51,374)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(55,252)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(72,125)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Acquisitions |
|
|
(3,645,760)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Proceeds from asset sales |
|
60,650us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
|
| Purchase of investments and other items |
(333,803)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(4,944)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
2,841dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net cash used in investing activities |
(385,177)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
454us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(3,715,044)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Cash flows from financing activities: |
|
|
|
| Long-term debt and related financing costs, net |
4,513dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(421,739)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
3,909,760dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Intercompany borrowing |
410,437us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
585,441us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(586,050)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Other items |
(58,207)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
52,620us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
68,697us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net cash (used in) provided by financing activities |
356,743us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
216,322us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
3,392,407us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net increase (decrease) in cash and cash equivalents |
96,688us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
407,151us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
(170,239)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Cash and cash equivalents at beginning of the year |
602,188us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
195,037us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
365,276us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Cash and cash equivalents at end of the year |
698,876us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
602,188us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
195,037us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Guarantor Subsidiaries |
|
|
|
| Cash flows from operating activities: |
|
|
|
| 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 |
| Changes in operating assets and liabilities and non cash items included in net income |
120,772us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
652,374us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
15,693us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net cash provided by operating activities |
767,857us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,175,152us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
502,770us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Cash flows from investing activities: |
|
|
|
| Additions of property and equipment, net |
(312,191)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(337,042)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(305,885)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Acquisitions |
(228,569)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(156,830)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(564,499)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Proceeds from asset sales |
8,791us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,608us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
3,559us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Purchase of investments and other items |
(316)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(3,502)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(1,761)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net cash used in investing activities |
(532,285)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(495,766)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(868,586)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Cash flows from financing activities: |
|
|
|
| Long-term debt and related financing costs, net |
(12,545)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(11,061)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(23,805)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Intercompany borrowing |
(306,011)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(664,154)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
580,825us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Other items |
(14,099)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
4,726us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(25,097)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net cash (used in) provided by financing activities |
(332,655)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
(670,489)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
531,923us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net increase (decrease) in cash and cash equivalents |
(97,083)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
8,897us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
166,107us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Cash and cash equivalents at beginning of the year |
175,004us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
166,107us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
|
| Cash and cash equivalents at end of the year |
77,921us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
175,004us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
166,107us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Non-Guarantor Subsidiaries |
|
|
|
| Cash flows from operating activities: |
|
|
|
| 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 |
| Changes in operating assets and liabilities and non cash items included in net income |
90,521us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
10,555us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
122,485us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net cash provided by operating activities |
566,428us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
407,814us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
445,680us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Cash flows from investing activities: |
|
|
|
| Additions of property and equipment, net |
(277,765)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(225,303)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(172,136)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Acquisitions |
(43,525)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(153,564)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(83,818)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Purchase of investments and other items |
(38,977)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(2,703)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
7,134dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net cash used in investing activities |
(360,267)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(381,570)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(248,820)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Cash flows from financing activities: |
|
|
|
| Long-term debt and related financing costs, net |
43dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(5,207)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
18,938dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Intercompany borrowing |
(104,426)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
78,713us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
5,225us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Other items |
(84,684)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(102,330)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(76,109)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net cash (used in) provided by financing activities |
(189,067)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(28,824)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(51,946)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Effect of exchange rate changes on cash |
2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net increase (decrease) in cash and cash equivalents |
19,387us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
(3,547)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
144,128us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Cash and cash equivalents at beginning of the year |
169,057us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
172,604us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
28,476us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Cash and cash equivalents at end of the year |
188,444us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
169,057us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
172,604us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Consolidating Adjustments |
|
|
|
| Cash flows from operating activities: |
|
|
|
| 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 |
| Changes in operating assets and liabilities and non cash items included in net income |
$ 982,776us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
$ 796,282us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
$ 705,052us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |