v2.4.1.9

Supplemental Data - Condensed Consolidating Statements of Income (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
--- | ---
Mar. 31, 2015 | Mar. 31, 2014
Condensed Financial Statements, Captions [Line Items] |  |  |
Patient service operating 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_ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest |  | (28,448)us-gaap_ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
Net (loss) income | (110,617)us-gaap_NetIncomeLoss |  | 183,289 us-gaap_NetIncomeLoss
Physician Groups |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |
Patient service operating revenues | 29,654 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Less: Provision for uncollectible accounts | (289)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net patient service revenues | 29,365 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Capitated revenues | 386,331 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Other revenues | 919 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Total net revenues | 416,615 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Operating expenses | 409,306 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Operating (loss) income | 7,309 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Debt expense | (2,464)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Other (loss) income | 30 us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Income tax (benefit) expense | 1,489 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net (loss) income | 3,386 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net (loss) income | 3,386 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Unrestricted Subsidiaries |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |
Operating expenses | (237)us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Operating (loss) income | 237 us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Income tax (benefit) expense | 95 us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Net (loss) income | 142 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Net (loss) income | 142 us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Company and Restricted Subsidiaries |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |
Patient service operating revenues | 2,242,161 us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Less: Provision for uncollectible accounts | (98,875)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net patient service revenues | 2,143,286 us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Capitated revenues | 464,184 us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Other revenues | 263,880 us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Total net revenues | 2,871,350 us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Operating expenses | 2,943,052 us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Operating (loss) income | (71,702)us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Debt expense | (94,928)us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Other (loss) income | (563)us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Income tax (benefit) expense | (87,517)us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net (loss) income | (79,676)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Less: Net income attributable to noncontrolling interests | (34,469)us-gaap_ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net (loss) income | $ (114,145)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
[1] | After the elimination of the unrestricted subsidiaries and the physician groups

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- Definition Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income (loss) and other comprehensive income (loss), attributable to noncontrolling interests. Excludes changes in equity resulting from investments by owners and distributions to owners. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 21 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4613674-111683 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 20 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4569643-111683 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591552-111686 + Details
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- Definition Total costs of sales and operating expenses for the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 + Details
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- Definition Amount of revenue recognized for providing services to patients, net of provisions for contractual allowances and discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=35755891&loc=SL9156442-115640 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=35755891&loc=d3e8184-115640 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=35755891&loc=d3e8195-115640 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=35755915&loc=SL9156464-115641 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=35755891&loc=SL9156442-115640 + Details
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- Definition Amount of patient service revenue, net of contractual allowances and discounts, less the related provision for bad debts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=35755891&loc=SL9156442-115640 + Details
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- Definition Amount of revenues recognized by the entity from providing services to in-patients, outpatients, residents in facilities owned or operated by the entity, from insurance premiums, or from goods provided or services performed. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 + Details
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