v2.4.1.9
CONSOLIDATED STATEMENTS OF EQUITY (USD $)
In Thousands, except Share data, unless otherwise specified
Total
Non- controlling Interests subject to put Provisions
Common stock
Additional paid-in capital
Retained earnings
Treasury stock
Accumulated other comprehensive income (loss)
Total
Non-controlling interests not subject to put provisions
Beginning Balance at Dec. 31, 2011   $ 478,216us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
$ 270us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
$ 596,165us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
$ 3,195,818us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
$ (1,631,694)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
$ (19,484)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
$ 2,141,075us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
$ 127,050us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Beginning Balance (in shares) at Dec. 31, 2011     269,725,000us-gaap_CommonStockSharesOutstanding
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
    (82,442,000)us-gaap_CommonStockSharesOutstanding
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Comprehensive income:                  
Net income 641,237us-gaap_ProfitLoss 66,456us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
    536,017us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
    536,017us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
38,764us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Other comprehensive income 4,187us-gaap_OtherComprehensiveIncomeLossNetOfTax           4,187us-gaap_OtherComprehensiveIncomeLossNetOfTax
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
4,187us-gaap_OtherComprehensiveIncomeLossNetOfTax
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock purchase shares issued       4,311us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
  4,011us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
  8,322us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock purchase shares issued (in shares)           203,000us-gaap_StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Stock unit shares issued       (8,303)us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
  8,303us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Stock unit shares issued (in shares)           419,000us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Stock-settled SAR shares issued       (83,558)us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
  85,733us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
  2,175us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock-settled SAR shares issued (in shares)           4,332,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Stock-based compensation expense       45,384us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      45,384us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Excess tax benefits from stock awards exercised       62,036us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      62,036us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Issuance of common stock associated with the HCP acquisition       684,161us-gaap_StockIssuedDuringPeriodValueAcquisitions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
  371,311us-gaap_StockIssuedDuringPeriodValueAcquisitions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
  1,055,472us-gaap_StockIssuedDuringPeriodValueAcquisitions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Issuance of common stock associated with the HCP acquisition (in shares)           18,760,000us-gaap_StockIssuedDuringPeriodSharesAcquisitions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Assumption of noncontrolling interests associated with the HCP acquisition                 29,850us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Distributions to noncontrolling interests   (70,133)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            (43,371)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Contributions from noncontrolling interests   26,371dva_NoncontrollingInterestIncreaseFromContributions
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            11,024dva_NoncontrollingInterestIncreaseFromContributions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Sales and assumptions of additional noncontrolling interests   20,124us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  1,064us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      1,064us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
2,432us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Purchases from noncontrolling interests   (5,229)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (20,694)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (20,694)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
(838)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Changes in fair value of noncontrolling interests   71,901us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (71,901)us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (71,901)us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Held for sale reclassification   (7,014)dva_HeldForSaleReclassificationPurchaseAccountingAdjustments
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
             
Purchase accounting adjustment                 (11,123)dva_MinorityInterestDecreaseFromPurchaseAccountingAdjustments
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Ending Balance at Dec. 31, 2012   580,692us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
270us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
1,208,665us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
3,731,835us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
(1,162,336)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
(15,297)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
3,763,137us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
153,788us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Ending Balance (in shares) at Dec. 31, 2012     269,725,000us-gaap_CommonStockSharesOutstanding
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
    (58,728,000)us-gaap_CommonStockSharesOutstanding
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Comprehensive income:                  
Net income 757,201us-gaap_ProfitLoss 78,215us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
    633,446us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
    633,446us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
45,540us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Other comprehensive income 12,652us-gaap_OtherComprehensiveIncomeLossNetOfTax           12,652us-gaap_OtherComprehensiveIncomeLossNetOfTax
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
12,652us-gaap_OtherComprehensiveIncomeLossNetOfTax
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock purchase shares issued       12,817us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      12,817us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock purchase shares issued (in shares)     238,000us-gaap_StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
           
Stock unit shares issued       (3,286)us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
  3,247us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
  (39)us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock unit shares issued (in shares)     7,000us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
    164,000us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Stock-settled SAR shares issued       (29,025)us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
  28,561us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
  (464)us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock-settled SAR shares issued (in shares)     313,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
    1,444,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Stock-based compensation expense       59,998us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      59,998us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Excess tax benefits from stock awards exercised       36,197us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      36,197us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Distributions to noncontrolling interests   (80,353)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            (58,973)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Contributions from noncontrolling interests   22,053dva_NoncontrollingInterestIncreaseFromContributions
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            14,943dva_NoncontrollingInterestIncreaseFromContributions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Sales and assumptions of additional noncontrolling interests   23,642us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (1,442)us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (1,442)us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
10,770us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Purchases from noncontrolling interests   (512)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (3,119)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (3,119)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
(147)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Expiration of put option and other reclassification   (7,141)dva_ExpirationOfPutOptionsAndOtherReclassification
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            7,141dva_ExpirationOfPutOptionsAndOtherReclassification
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Changes in fair value of noncontrolling interests   80,704us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (80,704)us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (80,704)us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Treasury stock retirement     (57)dva_TreasuryStockRetiredWeightedAverageCostMethodAmount
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
(129,179)dva_TreasuryStockRetiredWeightedAverageCostMethodAmount
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
(1,001,292)dva_TreasuryStockRetiredWeightedAverageCostMethodAmount
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
1,130,528dva_TreasuryStockRetiredWeightedAverageCostMethodAmount
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Treasury stock retirement (Shares)     (57,120,000)us-gaap_TreasuryStockSharesRetired
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
    57,120,000us-gaap_TreasuryStockSharesRetired
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_TreasuryStockMember
     
Ending Balance at Dec. 31, 2013 4,605,541us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest 697,300us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
213us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
1,070,922us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
3,363,989us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
  (2,645)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
4,432,479us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
173,062us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Ending Balance (in shares) at Dec. 31, 2013 213,163,248us-gaap_CommonStockSharesOutstanding   213,163,000us-gaap_CommonStockSharesOutstanding
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
           
Comprehensive income:                  
Net income 863,330us-gaap_ProfitLoss 88,425us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
    723,114us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
    723,114us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
51,791us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Other comprehensive income (22,372)us-gaap_OtherComprehensiveIncomeLossNetOfTax           (22,372)us-gaap_OtherComprehensiveIncomeLossNetOfTax
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
(22,372)us-gaap_OtherComprehensiveIncomeLossNetOfTax
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock purchase shares issued       19,010us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      19,010us-gaap_StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock purchase shares issued (in shares)     298,000us-gaap_StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
           
Stock unit shares issued     1us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
(28)us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (27)us-gaap_StockIssuedDuringPeriodValueShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Stock unit shares issued (in shares)     304,000us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
           
Stock-settled SAR shares issued     2us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
(2)us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
         
Stock-settled SAR shares issued (in shares)     1,876,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
           
Stock-based compensation expense       54,969us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      54,969us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Excess tax benefits from stock awards exercised       45,271us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      45,271us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Distributions to noncontrolling interests   (93,884)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            (55,455)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Contributions from noncontrolling interests   41,876dva_NoncontrollingInterestIncreaseFromContributions
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
            22,779dva_NoncontrollingInterestIncreaseFromContributions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Sales and assumptions of additional noncontrolling interests   25,220us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  355us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      355us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
4,165us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Purchases from noncontrolling interests   (6,111)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (5,357)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (5,357)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
(6,544)us-gaap_MinorityInterestDecreaseFromRedemptions
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Changes in fair value of noncontrolling interests   77,139us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
  (77,139)us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      (77,139)us-gaap_MinorityInterestChangeInRedemptionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Other reclassification       210us-gaap_AdjustmentsToAdditionalPaidInCapitalOther
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
      210us-gaap_AdjustmentsToAdditionalPaidInCapitalOther
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
 
Ending Balance at Dec. 31, 2014 $ 5,360,311us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest $ 829,965us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= dva_TemporaryEquityRedeemableNoncontrollingInterestsMember
$ 216us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember
$ 1,108,211us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AdditionalPaidInCapitalMember
$ 4,087,103us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
  $ (25,017)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_AccumulatedOtherComprehensiveIncomeMember
$ 5,170,513us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_ParentMember
$ 189,798us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_NoncontrollingInterestMember
Ending Balance (in shares) at Dec. 31, 2014 215,640,968us-gaap_CommonStockSharesOutstanding   215,641,000us-gaap_CommonStockSharesOutstanding
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockMember