v2.4.1.9
Employee Benefit Plans - Additional Information (Detail) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Nonqualified Deferred Compensation Plan | All Trusts      
Defined Benefit Plan Disclosure [Line Items]      
Total fair value of assets held in trust $ 27,899us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlanByPlanAssetCategoriesAxis
= dva_AllTrustsMember
$ 19,421us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlanByPlanAssetCategoriesAxis
= dva_AllTrustsMember
 
Nonqualified Deferred Compensation Plan | DaVita Voluntary Deferral Plan      
Defined Benefit Plan Disclosure [Line Items]      
Voluntary compensation deferral plan description The Company also maintains a voluntary compensation deferral plan, the DaVita Voluntary Deferral Plan. This plan is non-qualified and permits certain employees whose annualized base salary equals or exceeds a minimum annual threshold amount as set by the Company to elect to defer all or a portion of their annual bonus payment and up to 50% of their base salary into a deferral account maintained by the Company    
Maximum percentage of employees' base salary to be maintained into deferral account 50.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumEmployeeSubscriptionRate
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
   
Non-qualified deferred compensation plan, contributions 3,772us-gaap_DeferredCompensationArrangementWithIndividualEmployerContribution
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
4,089us-gaap_DeferredCompensationArrangementWithIndividualEmployerContribution
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
3,935us-gaap_DeferredCompensationArrangementWithIndividualEmployerContribution
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
Deferred compensation arrangement, timing of payments Deferred amounts are generally paid out in cash at the participant’s election either in the first or second year following retirement or in a specified future period at least three to four years after the deferral election was effective    
Non-qualified deferred compensation plan, distributions 1,111us-gaap_DeferredCompensationArrangementWithIndividualDistributionsPaid
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
4,158us-gaap_DeferredCompensationArrangementWithIndividualDistributionsPaid
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
1,324us-gaap_DeferredCompensationArrangementWithIndividualDistributionsPaid
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
Total fair value of assets held in trust 5,347us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
572us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
 
Nonqualified Deferred Compensation Plan | DaVita Voluntary Deferral Plan | Rabbi Trust      
Defined Benefit Plan Disclosure [Line Items]      
Total fair value of assets held in trust 21,208us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlanByPlanAssetCategoriesAxis
= dva_RabbiTrustMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
17,419us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlanByPlanAssetCategoriesAxis
= dva_RabbiTrustMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_DavitaVoluntaryDeferralPlanMember
 
Nonqualified Deferred Compensation Plan | Executive Retirement Plan      
Defined Benefit Plan Disclosure [Line Items]      
Total fair value of assets held in trust 1,344us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_SupplementalExecutiveRetirementPlanMember
1,430us-gaap_DefinedBenefitPlanFairValueOfPlanAssets
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_SupplementalExecutiveRetirementPlanMember
 
Executive Retirement Plan, distributions 152us-gaap_DefinedBenefitPlanBenefitsPaid
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_SupplementalExecutiveRetirementPlanMember
0us-gaap_DefinedBenefitPlanBenefitsPaid
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_SupplementalExecutiveRetirementPlanMember
226us-gaap_DefinedBenefitPlanBenefitsPaid
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_SupplementalExecutiveRetirementPlanMember
Change of Control Protection Program      
Defined Benefit Plan Disclosure [Line Items]      
Cash bonuses to employees in the event of a change of control 646,000dva_ContingentObligations
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_ChangeOfControlProtectionProgramMember
   
HealthCare Partners (HCP)      
Defined Benefit Plan Disclosure [Line Items]      
Company matching contributions 7,400us-gaap_DefinedContributionPlanCostRecognized
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
   
HealthCare Partners (HCP) | Nonqualified Deferred Compensation Plan | Key Employees      
Defined Benefit Plan Disclosure [Line Items]      
Non-qualified deferred compensation plan, contributions 0us-gaap_DeferredCompensationArrangementWithIndividualEmployerContribution
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_KeyEmployeesMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
4,658us-gaap_DeferredCompensationArrangementWithIndividualEmployerContribution
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_KeyEmployeesMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
 
Cash surrender value of life insurance policies 57,700us-gaap_CashSurrenderValueOfLifeInsurance
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_KeyEmployeesMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
56,300us-gaap_CashSurrenderValueOfLifeInsurance
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_KeyEmployeesMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
 
Deferred compensation liabilities owed to participants $ 60,400us-gaap_DeferredCompensationArrangementWithIndividualRecordedLiability
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_KeyEmployeesMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
$ 62,000us-gaap_DeferredCompensationArrangementWithIndividualRecordedLiability
/ us-gaap_DeferredCompensationArrangementWithIndividualPostretirementBenefitsByTypeOfDeferredCompensationAxis
= dva_NonqualifiedDeferredCompensationPlanMember
/ us-gaap_DefinedBenefitPlansDisclosuresDefinedBenefitPlansAxis
= dva_KeyEmployeesMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
 
HealthCare Partners (HCP) | Minimum      
Defined Benefit Plan Disclosure [Line Items]      
Multiple employer matching contributions rate 0.00%dva_MultiEmployerPlanEmployerContributionPercentage
/ us-gaap_RangeAxis
= us-gaap_MinimumMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember
   
HealthCare Partners (HCP) | Maximum      
Defined Benefit Plan Disclosure [Line Items]      
Multiple employer matching contributions rate 6.00%dva_MultiEmployerPlanEmployerContributionPercentage
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
/ us-gaap_StatementBusinessSegmentsAxis
= dva_HealthcarePartnersMember