v2.4.1.9

Supplemental Data - Condensed Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2014		Dec. 31, 2013		Dec. 31, 2012
Cash flows from operating activities:
Net income	$ 863,330us-gaap_ProfitLoss		$ 757,201us-gaap_ProfitLoss		$ 641,237us-gaap_ProfitLoss
Changes in operating and intercompany assets and liabilities and non cash items included in net income	596,077us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities		1,016,140us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities		459,611us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities	1,459,407us-gaap_NetCashProvidedByUsedInOperatingActivities		1,773,341us-gaap_NetCashProvidedByUsedInOperatingActivities		1,100,848us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:
Additions of property and equipment	(641,330)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment		(617,597)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment		(550,146)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisitions and divestitures, net	(272,094)us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates		(310,394)us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates		(4,294,077)us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates
Proceeds from asset sales	8,791us-gaap_ProceedsFromSaleOfProductiveAssets		62,258us-gaap_ProceedsFromSaleOfProductiveAssets		3,559us-gaap_ProceedsFromSaleOfProductiveAssets
Investments and other items	(373,096)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther		(11,149)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther		8,214dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
Net cash used in investing activities	(1,277,729)us-gaap_NetCashProvidedByUsedInInvestingActivities		(876,882)us-gaap_NetCashProvidedByUsedInInvestingActivities		(4,832,450)us-gaap_NetCashProvidedByUsedInInvestingActivities
Proceeds from discontinued operations			62,258us-gaap_ProceedsFromDivestitureOfBusinesses		3,559us-gaap_ProceedsFromDivestitureOfBusinesses
Cash flows from financing activities:
Long-term debt and related financing costs, net	(7,989)dva_ProceedsFromRepaymentsOfLongTermDebt		(438,007)dva_ProceedsFromRepaymentsOfLongTermDebt		3,904,893dva_ProceedsFromRepaymentsOfLongTermDebt
Other items	(156,990)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities		(44,984)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities		(32,509)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash (used in) provided by financing activities	(164,979)us-gaap_NetCashProvidedByUsedInFinancingActivities		(482,991)us-gaap_NetCashProvidedByUsedInFinancingActivities		3,872,384us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash	2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents		(967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents		(786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase in cash and cash equivalents	18,992us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease		412,501us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease		139,996us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year	946,249us-gaap_CashAndCashEquivalentsAtCarryingValue		533,748us-gaap_CashAndCashEquivalentsAtCarryingValue		393,752us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the year	965,241us-gaap_CashAndCashEquivalentsAtCarryingValue		946,249us-gaap_CashAndCashEquivalentsAtCarryingValue		533,748us-gaap_CashAndCashEquivalentsAtCarryingValue
Physician Groups
Cash flows from operating activities:
Net income	17,257us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		4,481us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(1,092)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Changes in operating and intercompany assets and liabilities and non cash items included in net income	1,048us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		4,343us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(26,549)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net cash provided by operating activities	18,305us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		8,824us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(27,641)us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash flows from investing activities:
Additions of property and equipment	2,058us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(2,262)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(4,794)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Investments and other items	(16,745)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net cash used in investing activities	(14,687)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(2,262)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(4,794)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash flows from financing activities:
Intercompany borrowing	(18,479)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(11,615)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		164,797us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net cash (used in) provided by financing activities	(18,479)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(11,615)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		164,797us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net increase in cash and cash equivalents	(14,861)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		(5,053)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		132,362us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash and cash equivalents at beginning of the year	127,309us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		132,362us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash and cash equivalents at end of the year	112,448us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		127,309us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember		132,362us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Unrestricted Subsidiaries
Cash flows from operating activities:
Net income	(308)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember		(274)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember		823us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember
Changes in operating and intercompany assets and liabilities and non cash items included in net income	308us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember		274us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember		(823)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember
Company and Restricted Subsidiaries
Cash flows from operating activities:
Net income	846,381us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	752,994us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	641,506us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Changes in operating and intercompany assets and liabilities and non cash items included in net income	594,721us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	1,011,523us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	486,983us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net cash provided by operating activities	1,441,102us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	1,764,517us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	1,128,489us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash flows from investing activities:
Additions of property and equipment	(643,388)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(615,335)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(545,352)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Acquisitions and divestitures, net	(272,094)us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(310,394)us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(4,294,077)us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Proceeds from asset sales	8,791us-gaap_ProceedsFromSaleOfProductiveAssets / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Investments and other items	(356,351)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(11,149)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	8,214dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net cash used in investing activities	(1,263,042)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(874,620)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(4,827,656)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Proceeds from discontinued operations			62,258us-gaap_ProceedsFromDivestitureOfBusinesses / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	3,559us-gaap_ProceedsFromDivestitureOfBusinesses / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash flows from financing activities:
Long-term debt and related financing costs, net	(7,989)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(438,007)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	3,904,893dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Intercompany borrowing	18,479us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	11,615us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(164,797)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Other items	(156,990)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(44,984)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(32,509)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net cash (used in) provided by financing activities	(146,500)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(471,376)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	3,707,587us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Effect of exchange rate changes on cash	2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	(786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net increase in cash and cash equivalents	33,853us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	417,554us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	7,634us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash and cash equivalents at beginning of the year	818,940us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	401,386us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	393,752us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash and cash equivalents at end of the year	$ 852,793us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	$ 818,940us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]	$ 401,386us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
[1] After the elimination of the unrestricted subsidiaries and the physician groups

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Payments for Proceeds from sale of investments in securities and other

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The sum of adjustments which are added to or deducted from net income or loss, including the portion attributable to noncontrolling interest, to reflect cash provided by or used in operating activities, in accordance with the indirect cash flow method.

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