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Other Liabilities (Detail) (USD $)
In Thousands, unless otherwise specified |
Dec. 31, 2014
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Dec. 31, 2013
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| Other Liabilities Disclosure [Abstract] | ||
| Payor refunds and retractions | $ 125,435us-gaap_CustomerAdvancesAndDepositsCurrent | $ 169,480us-gaap_CustomerAdvancesAndDepositsCurrent |
| Contingent earn-out consideration | 15,614us-gaap_BusinessCombinationContingentConsiderationLiability | 6,577us-gaap_BusinessCombinationContingentConsiderationLiability |
| Insurance and self-insurance accruals | 92,928us-gaap_AccruedInsuranceCurrent | 84,882us-gaap_AccruedInsuranceCurrent |
| Accrued interest | 87,224us-gaap_InterestPayableCurrent | 45,662us-gaap_InterestPayableCurrent |
| Other medical payables | 39,867dva_AccruedMedicalClaimsCurrent | 31,219dva_AccruedMedicalClaimsCurrent |
| Accrued non-income tax liabilities | 25,909us-gaap_AccrualForTaxesOtherThanIncomeTaxesCurrent | 18,366us-gaap_AccrualForTaxesOtherThanIncomeTaxesCurrent |
| Interest rate swap agreements | 1,457us-gaap_InterestRateDerivativeLiabilitiesAtFairValue | 12,069us-gaap_InterestRateDerivativeLiabilitiesAtFairValue |
| Other | 118,145us-gaap_OtherSundryLiabilitiesCurrent | 96,167us-gaap_OtherSundryLiabilitiesCurrent |
| Other liabilities | $ 506,579us-gaap_OtherLiabilitiesCurrent | $ 464,422us-gaap_OtherLiabilitiesCurrent |
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- Definition
Accrued medical claims current. No definition available.
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- Definition
Carrying value as of the balance sheet date of obligations incurred and payable for real and property taxes. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Carrying value as of the balance sheet date of obligations incurred through that date and payable to insurance entities to mitigate potential loss from various risks or to satisfy a promise to provide certain coverage's to employees. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Amount of liability recognized arising from contingent consideration in a business combination. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
The current portion of aggregate prepayments received from customers for goods or services to be provided in the future, as well as the current portion of money or property received from customers that are to be returned upon satisfactory contract completion or as partial prepayment for goods or services to be provided in the future. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Carrying value as of the balance sheet date of [accrued] interest payable on all forms of debt, including trade payables, that has been incurred and is unpaid. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Fair value as of the balance sheet date of interest rate derivative liabilities, which includes all such derivative instruments in hedging and nonhedging relationships that are recognized as liabilities. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition
Aggregate carrying amount of current liabilities (due within one year or within the normal operating cycle if longer) not separately disclosed in the balance sheet. Includes costs that are statutory in nature, are incurred on contractual obligations, or accumulate over time and for which invoices have not yet been received or will not be rendered and of liabilities not separately disclosed. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Details
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- Definition
Obligations not otherwise itemized or categorized in the footnotes to the financial statements that are due within one year or operating cycle, if longer, from the balance sheet date. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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