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Amortizable Intangible Assets (Detail) (USD $)
In Thousands, unless otherwise specified |
Dec. 31, 2014
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Dec. 31, 2013
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| Finite Lived Intangible Assets [Line Items] | ||
| Customer relationships | $ 1,575,865us-gaap_FiniteLivedCustomerRelationshipsGross | $ 1,503,426us-gaap_FiniteLivedCustomerRelationshipsGross |
| Trade names | 171,168us-gaap_FiniteLivedTradeNamesGross | 170,994us-gaap_FiniteLivedTradeNamesGross |
| Provider network and practice management tools | 183,688dva_ProviderNetworkAndPracticeManagementToolsGross | 184,558dva_ProviderNetworkAndPracticeManagementToolsGross |
| Noncompetition and other agreements | 506,867us-gaap_FiniteLivedNoncompeteAgreementsGross | 495,475us-gaap_FiniteLivedNoncompeteAgreementsGross |
| Deferred debt financing costs | 101,001us-gaap_DeferredFinanceCostsGross | 121,872us-gaap_DeferredFinanceCostsGross |
| Indefinite-lived assets | 24,818us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill | 22,932us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill |
| Intangible Assets, Gross (Excluding Goodwill), Total | 2,571,389us-gaap_IntangibleAssetsGrossExcludingGoodwill | 2,508,146us-gaap_IntangibleAssetsGrossExcludingGoodwill |
| Less accumulated amortization | (621,891)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization | (483,773)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization |
| Total intangible assets | 1,949,498us-gaap_IntangibleAssetsNetExcludingGoodwill | 2,024,373us-gaap_IntangibleAssetsNetExcludingGoodwill |
| Lease Agreements | ||
| Finite Lived Intangible Assets [Line Items] | ||
| Lease agreements | $ 7,982us-gaap_OtherFiniteLivedIntangibleAssetsGross / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_LeaseAgreementsMember |
$ 8,889us-gaap_OtherFiniteLivedIntangibleAssetsGross / us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis = us-gaap_LeaseAgreementsMember |
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- Definition
Amount before accumulated amortization of capitalized costs for our provider's base, physicians and physician groups relationships and software developed. No definition available.
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- Definition
For an unclassified balance sheet, the amount as of the balance sheet date of capitalized costs associated with the issuance of debt instruments (for example, legal, accounting, underwriting, printing, and registration costs) that will be charged against earnings over the life of the debt instruments to which such costs pertain. Such amount is before the consideration of accumulated amortization. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Gross carrying amount before accumulated amortization as of the balance sheet date to an asset acquired in a business combination representing a favorable existing relationship with customers having a finite beneficial life. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Details
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- Definition
Gross carrying amount before accumulated amortization as of the balance sheet date of payments made to third parties in exchange for their agreement not to engage in specified competitive practices in specified geographic territories for a specified period of time. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Gross carrying amount before accumulated amortization as of the balance sheet date of the rights acquired through registration of a trade name to gain or protect exclusive use thereof for a reasonably expected period of economic benefit. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Amount of assets, excluding financial assets and goodwill, lacking physical substance and having a projected indefinite period of benefit. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Amount before accumulated amortization of intangible assets, excluding goodwill. No definition available.
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- Definition
Sum of the carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Gross carrying amount before accumulated amortization as of the balance sheet date of intangible assets not otherwise specified in the taxonomy having a reasonably expected period of economic benefit. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Details
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