v2.4.1.9

Summary of Segment Net Revenues, Segment Operating Income Loss and Reconciliation of Segment Income to Consolidated Income from Continuing Operations Before Income Taxes (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
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Mar. 31, 2015 | Mar. 31, 2014
Segment Reporting Information [Line Items] |  |  |  |
Patient service revenues | $ 2,271,815 us-gaap_HealthCareOrganizationPatientServiceRevenue |  | $ 2,114,098 us-gaap_HealthCareOrganizationPatientServiceRevenue |
Less: Provision for uncollectible accounts | (99,164)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts |  | (83,197)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts |
Net patient service revenues | 2,172,651 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |  | 2,030,901 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts |
Other revenues | 264,799 us-gaap_HealthCareOrganizationOtherRevenue |  | 224,310 us-gaap_HealthCareOrganizationOtherRevenue |
Total net operating revenues | 3,287,965 us-gaap_HealthCareOrganizationRevenue |  | 3,042,776 us-gaap_HealthCareOrganizationRevenue |
Capitated revenues | 850,515 us-gaap_HealthCareOrganizationCapitationRevenue |  | 787,565 us-gaap_HealthCareOrganizationCapitationRevenue |
Other external sources | (64,156)us-gaap_OperatingIncomeLoss |  | 441,225 us-gaap_OperatingIncomeLoss |
Corporate support costs | (6,133)dva_SegmentReportingInformationCorporateExpenses |  | (1,106)dva_SegmentReportingInformationCorporateExpenses |
Debt expense | (97,392)us-gaap_InterestAndDebtExpense |  | (106,335)us-gaap_InterestAndDebtExpense |
Other (loss) income | (533)us-gaap_OtherNonoperatingIncomeExpense |  | 1,698 us-gaap_OtherNonoperatingIncomeExpense |
Consolidated (loss) income from continuing operations before income taxes | (162,081)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |  | 336,588 us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments |
Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total net operating revenues | 3,304,800 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |  | 3,055,579 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
Other external sources | (58,023)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |  | 442,331 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember |
Operating Segments | U.S. dialysis and related lab services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Patient service revenues | 2,166,150 us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 2,036,575 us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Less: Provision for uncollectible accounts | (97,477)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | (81,463)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Net patient service revenues | 2,068,673 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 1,955,112 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Other revenues | 3,184 us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [1] | 3,154 us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember | [1]
Total net operating revenues | 2,071,857 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 1,958,266 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Other external sources | (104,489)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |  | 386,700 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember |
Operating Segments | U.S. dialysis and related lab services | External Sources |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Patient service revenues | 2,154,294 us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |  | 2,028,743 us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |
Operating Segments | U.S. dialysis and related lab services | Intersegment Revenue |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Patient service revenues | 11,856 us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 7,832 us-gaap_HealthCareOrganizationPatientServiceRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_USDialysisAndRelatedLabServicesMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
Operating Segments | HealthCare Partners (HCP) |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net patient service revenues | 80,210 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 56,222 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Other revenues | 15,053 us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2] | 12,523 us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember | [2]
Total net operating revenues | 927,772 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 840,439 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Capitated revenues | 832,472 us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 771,542 us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Other external sources | 60,294 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  | 53,953 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |
Operating Segments | HealthCare Partners (HCP) | Intersegment Revenue |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Other revenues | 37 us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 152 us-gaap_HealthCareOrganizationOtherRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
Operating Segments | Other-Ancillary services and strategic initiatives |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net patient service revenues | 35,624 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 27,399 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Total net operating revenues | 305,171 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 256,874 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Capitated revenues | 18,043 us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 16,023 us-gaap_HealthCareOrganizationCapitationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Other external sources | (13,828)us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |  | 1,678 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember |
Operating Segments | Other-Ancillary services and strategic initiatives | External Sources |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Other external sources | 246,562 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |  | 208,633 us-gaap_OperatingIncomeLoss / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_ExternalSourcesMember |
Operating Segments | Other-Ancillary services and strategic initiatives | Intersegment Revenue |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total net operating revenues | 4,942 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |  | 4,819 us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_OperatingSegmentsMember / us-gaap_StatementBusinessSegmentsAxis = us-gaap_AllOtherSegmentsMember / us-gaap_SubsegmentsAxis = dva_IntersegmentRevenueMember |
Intersegment Elimination |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total net operating revenues | $ (16,835)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |  | $ (12,803)us-gaap_HealthCareOrganizationRevenue / us-gaap_ConsolidationItemsAxis = us-gaap_IntersegmentEliminationMember |
[1] | Includes management fees for providing management and administrative services to dialysis centers that are wholly-owned by third parties or centers in which the Company owns a minority equity investment.
[2] | Includes payments received for medical consulting services and management fees for providing management and administrative services to an unconsolidated joint venture that provides medical services in which the Company owns a 50% interest, as well as revenue related to the maintenance of existing physician networks.

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