<?xml version="1.0" encoding="us-ascii"?>
<!-- RRD ActiveDisclosure(SM) XBRL Schema Document - http://www.financial.rrd.com/ -->
<!-- Creation Date      : 2015-02-26T14:16:47.4543320+00:00 -->
<!-- Version            : 2.0.3.5 -->
<!-- Package ID         : 112CFA26F873DFD462487E29B127571D-0000927066-001412 -->
<!-- Copyright (c) 2015 R. R. Donnelley & Sons Company. All Rights Reserved. -->
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        <link:definition>100070 - Statement - CONSOLIDATED STATEMENTS OF EQUITY</link:definition>
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        <link:definition>100100 - Disclosure - Accounts receivable</link:definition>
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        <link:usedOn>link:presentationLink</link:usedOn>
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        <link:definition>100110 - Disclosure - Other receivables</link:definition>
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        <link:usedOn>link:presentationLink</link:usedOn>
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        <link:definition>100120 - Disclosure - Other current assets</link:definition>
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        <link:definition>100130 - Disclosure - Property and equipment</link:definition>
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        <link:definition>100150 - Disclosure - Equity investments and other investments</link:definition>
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        <link:definition>100160 - Disclosure - Investments in debt and equity securities</link:definition>
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        <link:definition>100170 - Disclosure - Goodwill</link:definition>
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        <link:definition>100180 - Disclosure - Other liabilities</link:definition>
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        <link:definition>100190 - Disclosure - Medical payables</link:definition>
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        <link:definition>100200 - Disclosure - Income taxes</link:definition>
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        <link:definition>100210 - Disclosure - Long-term debt</link:definition>
        <link:usedOn>link:calculationLink</link:usedOn>
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        <link:definition>100220 - Disclosure - Leases</link:definition>
        <link:usedOn>link:calculationLink</link:usedOn>
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        <link:definition>100230 - Disclosure - Employee benefit plans</link:definition>
        <link:usedOn>link:calculationLink</link:usedOn>
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        <link:definition>100240 - Disclosure - Contingencies</link:definition>
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        <link:definition>100250 - Disclosure - Noncontrolling interests subject to put provisions and other commitments</link:definition>
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        <link:definition>100260 - Disclosure - Long-term incentive compensation and shareholders&apos; equity</link:definition>
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        <link:definition>100270 - Disclosure - Other comprehensive income (loss)</link:definition>
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        <link:definition>100280 - Disclosure - Acquisitions and discontinued operations</link:definition>
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        <link:definition>100290 - Disclosure - Variable interest entities</link:definition>
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        <link:definition>100310 - Disclosure - Fair values of financial instruments</link:definition>
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        <link:definition>100340 - Disclosure - Selected quarterly financial data (unaudited)</link:definition>
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        <link:definition>100350 - Disclosure - Consolidating financial statements</link:definition>
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        <link:definition>100360 - Disclosure - Supplemental data</link:definition>
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        <link:definition>100370 - Disclosure - SCHEDULE II-VALUATION AND QUALIFYING ACCOUNTS</link:definition>
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        <link:definition>100380 - Disclosure - Organization and summary of significant accounting policies (Policies)</link:definition>
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        <link:definition>100390 - Disclosure - Earnings per share (Tables)</link:definition>
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        <link:definition>100400 - Disclosure - Other receivables (Tables)</link:definition>
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        <link:definition>100410 - Disclosure - Other current assets (Tables)</link:definition>
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        <link:definition>100420 - Disclosure - Property and equipment (Tables)</link:definition>
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        <link:usedOn>link:presentationLink</link:usedOn>
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  <element id="dva_DebtExpenseIncludingDebtRefinancingCharges" name="DebtExpenseIncludingDebtRefinancingCharges" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="false" xbrli:balance="debit" />
  <element id="dva_EquityInEarningsOfConsolidatedAffiliates" name="EquityInEarningsOfConsolidatedAffiliates" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="false" xbrli:balance="credit" />
  <element id="dva_DavitaHealthCarePartnersIncMember" name="DavitaHealthCarePartnersIncMember" type="nonnum:domainItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="true" />
  <element id="dva_ConsolidatingAdjustmentsMember" name="ConsolidatingAdjustmentsMember" type="nonnum:domainItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="true" />
  <element id="dva_InvestmentsAndOtherCurrentAssets" name="InvestmentsAndOtherCurrentAssets" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" xbrli:periodType="instant" nillable="true" abstract="false" xbrli:balance="debit" />
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  <element id="dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther" name="PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="false" xbrli:balance="credit" />
  <element id="dva_ProceedsFromRepaymentsOfLongTermDebt" name="ProceedsFromRepaymentsOfLongTermDebt" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="false" xbrli:balance="debit" />
  <element id="dva_PhysicianGroupOrganizationMember" name="PhysicianGroupOrganizationMember" type="nonnum:domainItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="true" />
  <element id="dva_UnrestrictedSubsidiariesMember" name="UnrestrictedSubsidiariesMember" type="nonnum:domainItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="true" />
  <element id="dva_ParentCompanyAndRestrictedSubsidiariesMember" name="ParentCompanyAndRestrictedSubsidiariesMember" type="nonnum:domainItemType" substitutionGroup="xbrli:item" xbrli:periodType="duration" nillable="true" abstract="true" />
</schema>