v2.4.1.9

Condensed Consolidating Statements of Income (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
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Mar. 31, 2015 | Mar. 31, 2014
Condensed Financial Statements, Captions [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
Capitated revenues | 850,515 us-gaap_HealthCareOrganizationCapitationRevenue | 787,565 us-gaap_HealthCareOrganizationCapitationRevenue
Other revenues | 264,799 us-gaap_HealthCareOrganizationOtherRevenue | 224,310 us-gaap_HealthCareOrganizationOtherRevenue
Total net revenues | 3,287,965 us-gaap_HealthCareOrganizationRevenue | 3,042,776 us-gaap_HealthCareOrganizationRevenue
Operating expenses | 3,352,121 us-gaap_CostsAndExpenses | 2,601,551 us-gaap_CostsAndExpenses
Operating (loss) income | (64,156)us-gaap_OperatingIncomeLoss | 441,225 us-gaap_OperatingIncomeLoss
Debt expense | (97,392)us-gaap_InterestAndDebtExpense | (106,335)us-gaap_InterestAndDebtExpense
Other (loss) income | (533)us-gaap_OtherNonoperatingIncomeExpense | 1,698 us-gaap_OtherNonoperatingIncomeExpense
Income tax (benefit) expense | (85,933)us-gaap_IncomeTaxExpenseBenefit | 124,851 us-gaap_IncomeTaxExpenseBenefit
Net (loss) income | (76,148)us-gaap_ProfitLoss | 211,737 us-gaap_ProfitLoss
Less: Net income attributable to noncontrolling interests | (34,469)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest | (28,448)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest
Net (loss) income | (110,617)us-gaap_NetIncomeLoss | 183,289 us-gaap_NetIncomeLoss
DaVita HealthCare Partners Inc. |  |
Condensed Financial Statements, Captions [Line Items] |  |
Other revenues | 168,265 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 163,043 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Total net revenues | 168,265 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 163,043 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Operating expenses | 123,769 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 112,297 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Operating (loss) income | 44,496 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 50,746 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Debt expense | (95,478)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | (105,283)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Other (loss) income | 91,023 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 99,943 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Income tax (benefit) expense | 17,514 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 18,389 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Equity (loss) earnings in subsidiaries | (133,144)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 156,272 dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Net (loss) income | (110,617)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 183,289 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Net (loss) income | (110,617)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember | 183,289 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember
Guarantor Subsidiaries |  |
Condensed Financial Statements, Captions [Line Items] |  |
Patient service revenues | 1,581,959 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 1,513,748 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Less: Provision for uncollectible accounts | (64,077)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (49,906)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net patient service revenues | 1,517,882 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 1,463,842 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Capitated revenues | 447,338 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 697,081 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Other revenues | 411,028 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 393,304 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Total net revenues | 2,376,248 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 2,554,227 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Operating expenses | 2,597,953 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 2,259,571 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Operating (loss) income | (221,705)us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 294,656 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Debt expense | (85,783)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | (91,437)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Other (loss) income | 53 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 1,556 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Income tax (benefit) expense | (129,235)us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 104,030 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Equity (loss) earnings in subsidiaries | 45,056 dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 55,527 dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net (loss) income | (133,144)us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 156,272 us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Net (loss) income | (133,144)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember | 156,272 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember
Non-Guarantor Subsidiaries |  |
Condensed Financial Statements, Captions [Line Items] |  |
Patient service revenues | 723,843 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 598,887 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Less: Provision for uncollectible accounts | (35,087)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (33,291)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net patient service revenues | 688,756 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 565,596 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Capitated revenues | 403,124 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 366,129 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Other revenues | 6,312 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 32,291 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Total net revenues | 1,098,192 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 964,016 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Operating expenses | 985,139 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 868,193 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Operating (loss) income | 113,053 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 95,823 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Debt expense | (9,286)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | (9,739)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Other (loss) income | 1,546 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 323 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Income tax (benefit) expense | 25,788 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 2,432 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net (loss) income | 79,525 us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 83,975 us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Net (loss) income | 79,525 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember | 83,975 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember
Consolidating Adjustments |  |
Condensed Financial Statements, Captions [Line Items] |  |
Patient service revenues | (33,987)us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | 1,463 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Net patient service revenues | (33,987)us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | 1,463 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Capitated revenues | 53 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (275,645)us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Other revenues | (320,806)us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (364,328)us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Total net revenues | (354,740)us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (638,510)us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Operating expenses | (354,740)us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (638,510)us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Debt expense | 93,155 us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | 100,124 us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Other (loss) income | (93,155)us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (100,124)us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Equity (loss) earnings in subsidiaries | 88,088 dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (211,799)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Net (loss) income | 88,088 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (211,799)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Less: Net income attributable to noncontrolling interests | (34,469)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | (28,448)us-gaap_NetIncomeLossAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember
Net (loss) income | $ 53,619 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember | $ (240,247)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember

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