v2.4.1.9

Condensed Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
--- | ---
Mar. 31, 2015 | Mar. 31, 2014
Cash flows from operating activities: |  |
Net (loss) income | $ (76,148)us-gaap_ProfitLoss | $ 211,737 us-gaap_ProfitLoss
Changes in operating assets and liabilities and non-cash items included in net income | 486,237 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities | 207,370 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities | 410,089 us-gaap_NetCashProvidedByUsedInOperatingActivities | 419,107 us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities: |  |
Additions of property and equipment | (121,421)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (126,562)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisitions | (40,650)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates | (67,857)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
Proceeds from asset and business sales | 2,565 us-gaap_ProceedsFromSaleOfProductiveAssets | 56 us-gaap_ProceedsFromSaleOfProductiveAssets
Purchases/proceeds from investment sales and other items | (92,781)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther | (1,430)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
Net cash used in investing activities | (252,287)us-gaap_NetCashProvidedByUsedInInvestingActivities | (195,793)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities: |  |
Long-term debt and related financing costs, net | (28,439)dva_ProceedsFromRepaymentsOfLongTermDebt | (65,153)dva_ProceedsFromRepaymentsOfLongTermDebt
Other items | (82,429)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities | 3,028 us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash used in financing activities | (110,868)us-gaap_NetCashProvidedByUsedInFinancingActivities | (62,125)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash | (904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | 631 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents | 46,030 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | 161,820 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year | 965,241 us-gaap_CashAndCashEquivalentsAtCarryingValue | 946,249 us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the period | 1,011,271 us-gaap_CashAndCashEquivalentsAtCarryingValue | 1,108,069 us-gaap_CashAndCashEquivalentsAtCarryingValue
DaVita HealthCare Partners Inc. |  |
Cash flows from operating activities: |  |
Net (loss) income | (110,617)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 183,289 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Changes in operating assets and liabilities and non-cash items included in net income | 154,352 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | (28,933)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Net cash provided by operating activities | 43,735 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 154,356 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Cash flows from investing activities: |  |
Additions of property and equipment | (6,230)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | (11,100)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Purchases/proceeds from investment sales and other items | (84,640)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | (776)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Net cash used in investing activities | (90,870)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | (11,876)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Cash flows from financing activities: |  |
Long-term debt and related financing costs, net | (21,250)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | (62,853)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Intercompany borrowing | 180,207 us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 90,289 us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Other items | (56,828)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 21,786 us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Net cash used in financing activities | 102,129 us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 49,222 us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Net increase (decrease) in cash and cash equivalents | 54,994 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 191,702 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Cash and cash equivalents at beginning of the year | 698,876 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 602,188 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Cash and cash equivalents at end of the period | 753,870 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 793,890 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Guarantor Subsidiaries |  |
Cash flows from operating activities: |  |
Net (loss) income | (133,144)us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 156,272 us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Changes in operating assets and liabilities and non-cash items included in net income | 410,880 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (2,155)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net cash provided by operating activities | 277,736 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 154,117 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Cash flows from investing activities: |  |
Additions of property and equipment | (48,802)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (60,113)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Acquisitions | (40,018)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (67,857)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Proceeds from asset and business sales | 2,565 us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 56 us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Purchases/proceeds from investment sales and other items | (537)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 135 dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net cash used in investing activities | (86,792)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (127,779)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Cash flows from financing activities: |  |
Long-term debt and related financing costs, net | (3,620)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (1,579)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Intercompany borrowing | (202,804)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (57,572)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Other items |  | 764 us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net cash used in financing activities | (206,424)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (58,387)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net increase (decrease) in cash and cash equivalents | (15,480)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (32,049)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Cash and cash equivalents at beginning of the year | 77,921 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 175,004 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Cash and cash equivalents at end of the period | 62,441 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 142,955 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Non-Guarantor Subsidiaries |  |
Cash flows from operating activities: |  |
Net (loss) income | 79,525 us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 83,975 us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Changes in operating assets and liabilities and non-cash items included in net income | 9,093 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 26,659 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net cash provided by operating activities | 88,618 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 110,634 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Cash flows from investing activities: |  |
Additions of property and equipment | (66,389)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (55,349)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Acquisitions | (632)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
Purchases/proceeds from investment sales and other items | (7,604)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (789)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net cash used in investing activities | (74,625)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (56,138)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Cash flows from financing activities: |  |
Long-term debt and related financing costs, net | (3,569)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (721)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Intercompany borrowing | 22,597 us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (32,717)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Other items | (25,601)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (19,522)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net cash used in financing activities | (6,573)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (52,960)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Effect of exchange rate changes on cash | (904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 631 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net increase (decrease) in cash and cash equivalents | 6,516 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 2,167 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Cash and cash equivalents at beginning of the year | 188,444 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 169,057 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Cash and cash equivalents at end of the period | 194,960 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 171,224 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Consolidating Adjustments |  |
Cash flows from operating activities: |  |
Net (loss) income | 88,088 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (211,799)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Changes in operating assets and liabilities and non-cash items included in net income | $ (88,088)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | $ 211,799 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember

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