v2.4.1.9

Supplemental Data - Condensed Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2015		Mar. 31, 2014
Cash flows from operating activities:
Net (loss) income	$ (76,148)us-gaap_ProfitLoss		$ 211,737us-gaap_ProfitLoss
Changes in operating and intercompany assets and liabilities and non-cash items included in net income	486,237us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities		207,370us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities	410,089us-gaap_NetCashProvidedByUsedInOperatingActivities		419,107us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:
Additions of property and equipment	(121,421)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment		(126,562)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisitions	(40,650)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates		(67,857)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
Proceeds from discontinued operations	2,565us-gaap_ProceedsFromDivestitureOfBusinesses
Investments and other items	(92,781)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther		(1,430)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
Net cash used in investing activities	(252,287)us-gaap_NetCashProvidedByUsedInInvestingActivities		(195,793)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:
Long-term debt	(28,439)dva_ProceedsFromRepaymentsOfLongTermDebt		(65,153)dva_ProceedsFromRepaymentsOfLongTermDebt
Other items	(82,429)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities		3,028us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash used in financing activities	(110,868)us-gaap_NetCashProvidedByUsedInFinancingActivities		(62,125)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash	(904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents		631us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase in cash and cash equivalents	46,030us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease		161,820us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year	965,241us-gaap_CashAndCashEquivalentsAtCarryingValue		946,249us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the period	1,011,271us-gaap_CashAndCashEquivalentsAtCarryingValue		1,108,069us-gaap_CashAndCashEquivalentsAtCarryingValue
Physician Groups
Cash flows from operating activities:
Net (loss) income	3,386us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Changes in operating and intercompany assets and liabilities and non-cash items included in net income	(16,884)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net cash provided by operating activities	(13,498)us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash flows from investing activities:
Additions of property and equipment	164us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Investments and other items	(457)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net cash used in investing activities	(293)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash flows from financing activities:
Intercompany	2,759us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net cash used in financing activities	2,759us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Net increase in cash and cash equivalents	(11,032)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash and cash equivalents at beginning of the year	112,448us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Cash and cash equivalents at end of the period	101,416us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember
Unrestricted Subsidiaries
Cash flows from operating activities:
Net (loss) income	142us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember
Changes in operating and intercompany assets and liabilities and non-cash items included in net income	(142)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember
Company and Restricted Subsidiaries
Cash flows from operating activities:
Net (loss) income	(79,676)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Changes in operating and intercompany assets and liabilities and non-cash items included in net income	503,263us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net cash provided by operating activities	423,587us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash flows from investing activities:
Additions of property and equipment	(121,585)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Acquisitions	(40,650)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Proceeds from discontinued operations	2,565us-gaap_ProceedsFromDivestitureOfBusinesses / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Investments and other items	(92,324)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net cash used in investing activities	(251,994)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash flows from financing activities:
Long-term debt	(28,439)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Intercompany	(2,759)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Other items	(82,429)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net cash used in financing activities	(113,627)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Effect of exchange rate changes on cash	(904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Net increase in cash and cash equivalents	57,062us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash and cash equivalents at beginning of the year	852,793us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
Cash and cash equivalents at end of the period	$ 909,855us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember	[1]
[1] After the elimination of the unrestricted subsidiaries and the physician groups

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