v2.4.1.9

Components of Changes in Health Care Costs Payable (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended |
--- | --- | ---
Mar. 31, 2015 | Dec. 31, 2014
Medical Expense And Medical Claims Payable [Line Items] |  |
Health care costs payable, beginning of the period |  | $ 314,347 dva_MedicalExpensePayable
Less: Claims paid |  |
Health care costs payable, end of the period | 304,205 dva_MedicalExpensePayable | 314,347 dva_MedicalExpensePayable
Healthcare Cost |  |
Medical Expense And Medical Claims Payable [Line Items] |  |
Health care costs payable, beginning of the period | 214,405 dva_MedicalExpensePayable / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Add: Components of incurred health care costs |  |
Current year | 388,041 dva_MedicalExpensePayableIncurredRelatedToCurrentYear / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Prior years | (1,111)dva_NetMedicalExpensePayableIncurredInPriorYears / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Total incurred health care costs | 386,930 dva_MedicalExpensePayableIncurred / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Less: Claims paid |  |
Current year | 244,136 us-gaap_LiabilityForUnpaidClaimsAndClaimsAdjustmentExpenseClaimsPaidCurrentYear1 / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Prior years | 173,378 us-gaap_LiabilityForUnpaidClaimsAndClaimsAdjustmentExpenseClaimsPaidPriorYears1 / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Total claims paid | 417,514 us-gaap_PaymentsForLossesAndLossAdjustmentExpense / dva_TypeOfCostAxis = dva_HealthcareCostMember |
Health care costs payable, end of the period | $ 183,821 dva_MedicalExpensePayable / dva_TypeOfCostAxis = dva_HealthcareCostMember |

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- Definition Carrying amount as of balance sheet date of health care costs payable representing estimated costs of professional medical services provided by non-employed physicians and other providers, as well as inpatient and other ancillary costs for all markets, other than California where state regulation allows for assumption of global risk. + References No definition available. + Details
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- Definition Medical expense payable incurred. + References No definition available. + Details
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- Definition Medical expense payable incurred related to current year. + References No definition available. + Details
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- Definition Net medical expense payable incurred in prior years. + References No definition available. + Details
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- Definition Amount of payments to settle claims incurred in the current period and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6482485&loc=d3e14764-158437 + Details
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- Definition Amount of payments to settle claims incurred in prior periods and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6482485&loc=d3e14764-158437 + Details
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- Definition Amount of payments to settle insured claims and pay costs incurred in the claims settlement process. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3536-108585 + Details
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