v2.4.1.9
Reconciliations between our Effective Tax Rate from Continuing Operations and U.S Federal Income Tax Rate (Detail)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Income Tax Disclosure [Abstract]      
Federal income tax rate 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
State income taxes, net of federal benefit 3.50%us-gaap_EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes 3.80%us-gaap_EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes 4.00%us-gaap_EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
International rate differential (0.20%)us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential 0.10%us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential  
Changes in deferred tax valuation allowances 0.60%us-gaap_EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance 0.30%us-gaap_EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance  
Contingent earn-out adjustments   (2.60%)dva_EffectiveIncomeTaxRateReconciliationContingentEarnOutAdjustments  
Other (0.80%)us-gaap_EffectiveIncomeTaxRateReconciliationOtherAdjustments 1.40%us-gaap_EffectiveIncomeTaxRateReconciliationOtherAdjustments 1.10%us-gaap_EffectiveIncomeTaxRateReconciliationOtherAdjustments
Impact of noncontrolling interests primarily attributable to non-tax paying entities (4.00%)us-gaap_EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense (4.10%)us-gaap_EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense (4.20%)us-gaap_EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
Effective tax rate 34.10%us-gaap_EffectiveIncomeTaxRateContinuingOperations 33.90%us-gaap_EffectiveIncomeTaxRateContinuingOperations 35.90%us-gaap_EffectiveIncomeTaxRateContinuingOperations