v2.4.1.9
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