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Consolidating Statements of Cash Flows (Detail) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities:      
Net income $ 863,330us-gaap_ProfitLoss $ 757,201us-gaap_ProfitLoss $ 641,237us-gaap_ProfitLoss
Changes in operating assets and liabilities and non cash items included in net income 596,077us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities 1,016,140us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities 459,611us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities 1,459,407us-gaap_NetCashProvidedByUsedInOperatingActivities 1,773,341us-gaap_NetCashProvidedByUsedInOperatingActivities 1,100,848us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:      
Additions of property and equipment, net (641,330)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (617,597)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (550,146)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisitions (272,094)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates (310,394)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates (4,294,077)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
Proceeds from asset sales 8,791us-gaap_ProceedsFromSaleOfProductiveAssets 62,258us-gaap_ProceedsFromSaleOfProductiveAssets 3,559us-gaap_ProceedsFromSaleOfProductiveAssets
Purchase of investments and other items (373,096)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther (11,149)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther 8,214dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
Net cash used in investing activities (1,277,729)us-gaap_NetCashProvidedByUsedInInvestingActivities (876,882)us-gaap_NetCashProvidedByUsedInInvestingActivities (4,832,450)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:      
Long-term debt and related financing costs, net (7,989)dva_ProceedsFromRepaymentsOfLongTermDebt (438,007)dva_ProceedsFromRepaymentsOfLongTermDebt 3,904,893dva_ProceedsFromRepaymentsOfLongTermDebt
Other items (156,990)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities (44,984)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities (32,509)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash (used in) provided by financing activities (164,979)us-gaap_NetCashProvidedByUsedInFinancingActivities (482,991)us-gaap_NetCashProvidedByUsedInFinancingActivities 3,872,384us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash 2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents 18,992us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 412,501us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 139,996us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year 946,249us-gaap_CashAndCashEquivalentsAtCarryingValue 533,748us-gaap_CashAndCashEquivalentsAtCarryingValue 393,752us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the year 965,241us-gaap_CashAndCashEquivalentsAtCarryingValue 946,249us-gaap_CashAndCashEquivalentsAtCarryingValue 533,748us-gaap_CashAndCashEquivalentsAtCarryingValue
DaVita HealthCare Partners Inc.      
Cash flows from operating activities:      
Net income 723,114us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
633,446us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
536,017us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Changes in operating assets and liabilities and non cash items included in net income (597,992)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(443,071)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(383,619)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Net cash provided by operating activities 125,122us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
190,375us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
152,398us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Cash flows from investing activities:      
Additions of property and equipment, net (51,374)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(55,252)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(72,125)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Acquisitions     (3,645,760)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Proceeds from asset sales   60,650us-gaap_ProceedsFromSaleOfProductiveAssets
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
 
Purchase of investments and other items (333,803)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(4,944)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
2,841dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Net cash used in investing activities (385,177)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
454us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(3,715,044)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Cash flows from financing activities:      
Long-term debt and related financing costs, net 4,513dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(421,739)dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
3,909,760dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Intercompany borrowing 410,437us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
585,441us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(586,050)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Other items (58,207)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
52,620us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
68,697us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Net cash (used in) provided by financing activities 356,743us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
216,322us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
3,392,407us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Net increase (decrease) in cash and cash equivalents 96,688us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
407,151us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
(170,239)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Cash and cash equivalents at beginning of the year 602,188us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
195,037us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
365,276us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Cash and cash equivalents at end of the year 698,876us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
602,188us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
195,037us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= dva_DavitaHealthCarePartnersIncMember
Guarantor Subsidiaries      
Cash flows from operating activities:      
Net income 647,085us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
522,778us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
487,077us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Changes in operating assets and liabilities and non cash items included in net income 120,772us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
652,374us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
15,693us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Net cash provided by operating activities 767,857us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,175,152us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
502,770us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Cash flows from investing activities:      
Additions of property and equipment, net (312,191)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(337,042)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(305,885)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Acquisitions (228,569)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(156,830)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(564,499)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Proceeds from asset sales 8,791us-gaap_ProceedsFromSaleOfProductiveAssets
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,608us-gaap_ProceedsFromSaleOfProductiveAssets
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
3,559us-gaap_ProceedsFromSaleOfProductiveAssets
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Purchase of investments and other items (316)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(3,502)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(1,761)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Net cash used in investing activities (532,285)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(495,766)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(868,586)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Cash flows from financing activities:      
Long-term debt and related financing costs, net (12,545)dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(11,061)dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(23,805)dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Intercompany borrowing (306,011)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(664,154)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
580,825us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Other items (14,099)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
4,726us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(25,097)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Net cash (used in) provided by financing activities (332,655)us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
(670,489)us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
531,923us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Net increase (decrease) in cash and cash equivalents (97,083)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
8,897us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
166,107us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Cash and cash equivalents at beginning of the year 175,004us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
166,107us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
 
Cash and cash equivalents at end of the year 77,921us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
175,004us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
166,107us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Non-Guarantor Subsidiaries      
Cash flows from operating activities:      
Net income 475,907us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
397,259us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
323,195us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Changes in operating assets and liabilities and non cash items included in net income 90,521us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
10,555us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
122,485us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Net cash provided by operating activities 566,428us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
407,814us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
445,680us-gaap_NetCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Cash flows from investing activities:      
Additions of property and equipment, net (277,765)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(225,303)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(172,136)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Acquisitions (43,525)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(153,564)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(83,818)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Purchase of investments and other items (38,977)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(2,703)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
7,134dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Net cash used in investing activities (360,267)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(381,570)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(248,820)us-gaap_NetCashProvidedByUsedInInvestingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Cash flows from financing activities:      
Long-term debt and related financing costs, net 43dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(5,207)dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
18,938dva_ProceedsFromRepaymentsOfLongTermDebt
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Intercompany borrowing (104,426)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
78,713us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
5,225us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Other items (84,684)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(102,330)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(76,109)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Net cash (used in) provided by financing activities (189,067)us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(28,824)us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(51,946)us-gaap_NetCashProvidedByUsedInFinancingActivities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Effect of exchange rate changes on cash 2,293us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(967)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(786)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Net increase (decrease) in cash and cash equivalents 19,387us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
(3,547)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
144,128us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Cash and cash equivalents at beginning of the year 169,057us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
172,604us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
28,476us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Cash and cash equivalents at end of the year 188,444us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
169,057us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
172,604us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Consolidating Adjustments      
Cash flows from operating activities:      
Net income (982,776)us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= dva_ConsolidatingAdjustmentsMember
(796,282)us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= dva_ConsolidatingAdjustmentsMember
(705,052)us-gaap_ProfitLoss
/ dei_LegalEntityAxis
= dva_ConsolidatingAdjustmentsMember
Changes in operating assets and liabilities and non cash items included in net income $ 982,776us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_ConsolidatingAdjustmentsMember
$ 796,282us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_ConsolidatingAdjustmentsMember
$ 705,052us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
/ dei_LegalEntityAxis
= dva_ConsolidatingAdjustmentsMember