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

Mar. 31, 2015

Mar. 31, 2014

Segment Reporting Information [Line Items]

Patient service revenues

$ 2,271,815us-gaap_HealthCareOrganizationPatientServiceRevenue

$ 2,114,098us-gaap_HealthCareOrganizationPatientServiceRevenue

Less: Provision for uncollectible accounts

(99,164)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts

(83,197)us-gaap_HealthCareOrganizationPatientServiceRevenueProvisionforBadDebts

Net patient service revenues

2,172,651us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts

2,030,901us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts

Other revenues

264,799us-gaap_HealthCareOrganizationOtherRevenue

224,310us-gaap_HealthCareOrganizationOtherRevenue

Total net operating revenues

3,287,965us-gaap_HealthCareOrganizationRevenue

3,042,776us-gaap_HealthCareOrganizationRevenue

Capitated revenues

850,515us-gaap_HealthCareOrganizationCapitationRevenue

787,565us-gaap_HealthCareOrganizationCapitationRevenue

Other external sources

(64,156)us-gaap_OperatingIncomeLoss

441,225us-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

1,698us-gaap_OtherNonoperatingIncomeExpense

Consolidated (loss) income from continuing operations before income taxes

(162,081)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments

336,588us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments

Operating Segments

Segment Reporting Information [Line Items]

Total net operating revenues

3,304,800us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember

3,055,579us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember

Other external sources

(58,023)us-gaap_OperatingIncomeLoss
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember

442,331us-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

2,166,150us-gaap_HealthCareOrganizationPatientServiceRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember

2,036,575us-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

2,068,673us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember

1,955,112us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember

Other revenues

3,184us-gaap_HealthCareOrganizationOtherRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember

^[1]

3,154us-gaap_HealthCareOrganizationOtherRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember

^[1]

Total net operating revenues

2,071,857us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember

1,958,266us-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

386,700us-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

2,154,294us-gaap_HealthCareOrganizationPatientServiceRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember
/ us-gaap_SubsegmentsAxis
= dva_ExternalSourcesMember

2,028,743us-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

11,856us-gaap_HealthCareOrganizationPatientServiceRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_USDialysisAndRelatedLabServicesMember
/ us-gaap_SubsegmentsAxis
= dva_IntersegmentRevenueMember

7,832us-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

80,210us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

56,222us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

Other revenues

15,053us-gaap_HealthCareOrganizationOtherRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

^[2]

12,523us-gaap_HealthCareOrganizationOtherRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

^[2]

Total net operating revenues

927,772us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

840,439us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

Capitated revenues

832,472us-gaap_HealthCareOrganizationCapitationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

771,542us-gaap_HealthCareOrganizationCapitationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

Other external sources

60,294us-gaap_OperatingIncomeLoss
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember

53,953us-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

37us-gaap_HealthCareOrganizationOtherRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
/ us-gaap_SubsegmentsAxis
= dva_IntersegmentRevenueMember

152us-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

35,624us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember

27,399us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember

Total net operating revenues

305,171us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember

256,874us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember

Capitated revenues

18,043us-gaap_HealthCareOrganizationCapitationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember

16,023us-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

1,678us-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

246,562us-gaap_OperatingIncomeLoss
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember
/ us-gaap_SubsegmentsAxis
= dva_ExternalSourcesMember

208,633us-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

4,942us-gaap_HealthCareOrganizationRevenue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_OperatingSegmentsMember
/ us-gaap_StatementBusinessSegmentsAxis
= us-gaap_AllOtherSegmentsMember
/ us-gaap_SubsegmentsAxis
= dva_IntersegmentRevenueMember

4,819us-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.

X

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Amount of revenue recognized based on fees charged on a per capita basis.

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Amount of revenue recognized that is not otherwise disclosed.

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Amount of patient service revenue, net of contractual allowances and discounts, less the related provision for bad debts.

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