v2.4.0.8

Amortizable Intangible Liabilities (Detail) (USD $) In Thousands, unless otherwise specified | Dec. 31, 2013 | Dec. 31, 2012
--- | --- | ---
Finite-Lived Intangible Liabilities [Line Items] |  |
Alliance and product supply agreement commitment (See Note 18) | $ 68,200 | $ 68,200
Less accumulated amortization | (58,873) | (53,543)
Net Alliance and product supply agreement | 9,327 | 14,657
Lease agreements (net of accumulated amortization of $2,628 and $606) | 12,563 | 14,585
Finite Lived Intangible Liabilities Net, Total | $ 21,890 | $ 29,242

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- Definition Alliance and Product Supply Agreement, Gross + References No definition available. + Details
Name: | dva_AllianceAndProductSupplyAgreementGross
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Definition Amortizable intangible liability relating to a supply contract that resulted in higher costs for most of the products covered by the Supply Agreement than would be otherwise available to the Company. + References No definition available. + Details
Name: | dva_AllianceAndProductSupplyAgreementNet
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Definition Amortized Intangible Liabilities Accumulated Amortization + References No definition available. + Details
Name: | dva_AmortizedIntangibleLiabilitiesAccumulatedAmortization
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Details
Name: | dva_FinitelivedIntangibleLiabilitiesLineItems
Namespace Prefix: | dva_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Finite Lived Intangible Liabilities Net + References No definition available. + Details
Name: | dva_FiniteLivedIntangibleLiabilitiesNet
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Intangible Lease Liabilities + References No definition available. + Details
Name: | dva_IntangibleLeaseLiabilities
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant