v2.4.1.9

Acquisitions - Additional Information (Detail) (Dialysis businesses and other businesses, USD $) In Thousands, unless otherwise specified | 3 Months Ended
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Mar. 31, 2015
Business Acquisition [Line Items] |
Cash paid to acquire business | $ 40,650 us-gaap_PaymentsToAcquireBusinessesGross
Deferred purchase price obligations | 394 us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred
Amortizable intangible assets acquired, weighted-average estimated useful lives | 5 years
Goodwill deductible for tax purposes associated with acquisitions | 29,111 us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
Other Accrued Liabilities |
Business Acquisition [Line Items] |
Fair value of contingent earn-out consideration | 15,885 us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh / us-gaap_BalanceSheetLocationAxis = dva_OtherAccruedLiabilitiesMember / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Other long-term liabilities |
Business Acquisition [Line Items] |
Fair value of contingent earn-out consideration | 22,540 us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh / us-gaap_BalanceSheetLocationAxis = us-gaap_OtherNoncurrentLiabilitiesMember / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Other companies |
Business Acquisition [Line Items] |
Additional cash consideration in the form of earn-out payments | 134,321 us-gaap_BusinessCombinationContingentConsiderationLiability / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_RelatedPartyTransactionsByRelatedPartyAxis = dva_OtherCompaniesMember
Fair value of contingent earn-out consideration | $ 38,425 us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_RelatedPartyTransactionsByRelatedPartyAxis = dva_OtherCompaniesMember
Other companies | EBITDA performance targets and quality margins |
Business Acquisition [Line Items] |
Earn out consideration payment period | 2 years
Other companies | Operating income targets |
Business Acquisition [Line Items] |
Earn out consideration payment period | 3 years
Non-Compete Agreements |
Business Acquisition [Line Items] |
Amortizable intangible assets acquired, weighted-average estimated useful lives | 6 years
Assembled Work Forces |
Business Acquisition [Line Items] |
Amortizable intangible assets acquired, weighted-average estimated useful lives | 5 years
Trade Names |
Business Acquisition [Line Items] |
Amortizable intangible assets acquired, weighted-average estimated useful lives | 3 years
U.S. dialysis and related lab services |
Business Acquisition [Line Items] |
Number of businesses acquired | 1 us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember
Vascular Access Center And Other Medical Business |
Business Acquisition [Line Items] |
Number of businesses acquired | 2 us-gaap_NumberOfBusinessesAcquired / us-gaap_BusinessAcquisitionAxis = us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember / us-gaap_StatementBusinessSegmentsAxis = dva_VascularAccessCenterAndOtherMedicalBusinessMember

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- Definition Business acquisition contingent consideration revenue earn-out period. + References No definition available. + Details
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- Definition Weighted average amortization period of finite-lived intangible assets acquired either individually or as part of a group of assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (a)(3) -URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16265-109275 + Details
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- Details
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- Definition The amount of goodwill arising from a business combination that is expected to be deductible for tax purposes. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479 + Details
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Balance Type: | debit
Period Type: | instant

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- Definition Amount of liabilities incurred by the acquirer as part of consideration transferred in a business combination. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6405-128476 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6578-128477 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6613-128477 + Details
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- Definition For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c)(3) -URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479 + Details
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- Definition Amount of liability recognized arising from contingent consideration in a business combination. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6408-128476 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 35 -Paragraph 1 -Subparagraph b -URI http://asc.fasb.org/extlink&oid=6911338&loc=d3e6819-128478 + Details
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- Definition The number of businesses acquired by the entity during the period. + References No definition available. + Details
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- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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