|
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 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 |
| Capitated revenues |
850,515us-gaap_HealthCareOrganizationCapitationRevenue |
787,565us-gaap_HealthCareOrganizationCapitationRevenue |
| Other revenues |
264,799us-gaap_HealthCareOrganizationOtherRevenue |
224,310us-gaap_HealthCareOrganizationOtherRevenue |
| Total net revenues |
3,287,965us-gaap_HealthCareOrganizationRevenue |
3,042,776us-gaap_HealthCareOrganizationRevenue |
| Operating expenses |
3,352,121us-gaap_CostsAndExpenses |
2,601,551us-gaap_CostsAndExpenses |
| Operating (loss) income |
(64,156)us-gaap_OperatingIncomeLoss |
441,225us-gaap_OperatingIncomeLoss |
| Debt expense |
(97,392)us-gaap_InterestAndDebtExpense |
(106,335)us-gaap_InterestAndDebtExpense |
| Other (loss) income |
(533)us-gaap_OtherNonoperatingIncomeExpense |
1,698us-gaap_OtherNonoperatingIncomeExpense |
| Income tax (benefit) expense |
(85,933)us-gaap_IncomeTaxExpenseBenefit |
124,851us-gaap_IncomeTaxExpenseBenefit |
| Net (loss) income |
(76,148)us-gaap_ProfitLoss |
211,737us-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 |
183,289us-gaap_NetIncomeLoss |
| DaVita HealthCare Partners Inc. |
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
| Other revenues |
168,265us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
163,043us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Total net revenues |
168,265us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
163,043us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Operating expenses |
123,769us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
112,297us-gaap_CostsAndExpenses / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Operating (loss) income |
44,496us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
50,746us-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 |
91,023us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
99,943us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Income tax (benefit) expense |
17,514us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
18,389us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Equity (loss) earnings in subsidiaries |
(133,144)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
156,272dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net (loss) income |
(110,617)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
183,289us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Net (loss) income |
(110,617)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
183,289us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_DavitaHealthCarePartnersIncMember |
| Guarantor Subsidiaries |
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
| Patient service revenues |
1,581,959us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,513,748us-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 |
1,517,882us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,463,842us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Capitated revenues |
447,338us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
697,081us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Other revenues |
411,028us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
393,304us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Total net revenues |
2,376,248us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
2,554,227us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Operating expenses |
2,597,953us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
2,259,571us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Operating (loss) income |
(221,705)us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
294,656us-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 |
53us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
1,556us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Income tax (benefit) expense |
(129,235)us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
104,030us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Equity (loss) earnings in subsidiaries |
45,056dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
55,527dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net (loss) income |
(133,144)us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
156,272us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Net (loss) income |
(133,144)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
156,272us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_GuarantorSubsidiariesMember |
| Non-Guarantor Subsidiaries |
|
|
| Condensed Financial Statements, Captions [Line Items] |
|
|
| Patient service revenues |
723,843us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
598,887us-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 |
688,756us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
565,596us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Capitated revenues |
403,124us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
366,129us-gaap_HealthCareOrganizationCapitationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Other revenues |
6,312us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
32,291us-gaap_HealthCareOrganizationOtherRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Total net revenues |
1,098,192us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
964,016us-gaap_HealthCareOrganizationRevenue / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Operating expenses |
985,139us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
868,193us-gaap_CostsAndExpenses / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Operating (loss) income |
113,053us-gaap_OperatingIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
95,823us-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 |
1,546us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
323us-gaap_OtherNonoperatingIncomeExpense / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Income tax (benefit) expense |
25,788us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
2,432us-gaap_IncomeTaxExpenseBenefit / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net (loss) income |
79,525us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
83,975us-gaap_ProfitLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
| Net (loss) income |
79,525us-gaap_NetIncomeLoss / dei_LegalEntityAxis = us-gaap_NonGuarantorSubsidiariesMember |
83,975us-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 |
1,463us-gaap_HealthCareOrganizationPatientServiceRevenue / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Net patient service revenues |
(33,987)us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
1,463us-gaap_HealthCareOrganizationPatientServiceRevenueLessProvisionForBadDebts / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Capitated revenues |
53us-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 |
93,155us-gaap_InterestAndDebtExpense / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
100,124us-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 |
88,088dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
(211,799)dva_EquityInEarningsOfConsolidatedAffiliates / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
| Net (loss) income |
88,088us-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 |
$ 53,619us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |
$ (240,247)us-gaap_NetIncomeLoss / dei_LegalEntityAxis = dva_ConsolidatingAdjustmentsMember |