v2.4.1.9
Summary of Weighted Average Valuation Inputs (Detail) (Stock Options And Stock Appreciation Rights)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Stock Options And Stock Appreciation Rights
     
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Expected term 4 years 2 months 12 days 4 years 1 month 6 days 3 years 8 months 12 days
Expected volatility 25.80%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
27.20%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
28.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
Expected dividend yield 0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
Risk-free interest rate 1.50%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
0.70%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember
0.60%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= dva_StockOptionProgramAndStockAppreciationRightProgramMember