v2.4.1.9

Amortizable Intangible Liabilities (Detail) (USD $) In Thousands, unless otherwise specified | Dec. 31, 2014 | Dec. 31, 2013
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Goodwill And Intangible Assets Disclosure [Abstract] |  |
Alliance and product supply agreement commitment (See Note 18) | $ 68,200dva_AllianceAndProductSupplyAgreementGross | $ 68,200dva_AllianceAndProductSupplyAgreementGross
Less accumulated amortization | (64,203)dva_AmortizedIntangibleLiabilitiesAccumulatedAmortization | (58,873)dva_AmortizedIntangibleLiabilitiesAccumulatedAmortization
Net Alliance and product supply agreement | 3,997dva_ProductSupplyAgreement | 9,327dva_ProductSupplyAgreement
Lease agreements (net of accumulated amortization of $4,785 and $2,628) | 10,407dva_IntangibleLeaseLiabilities | 12,563dva_IntangibleLeaseLiabilities
Finite Lived Intangible Liabilities Net, Total | $ 14,404dva_FiniteLivedIntangibleLiabilitiesNet | $ 21,890dva_FiniteLivedIntangibleLiabilitiesNet

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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 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

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- 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

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- 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

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- Definition Product supply agreement. + References No definition available. + Details
Name: | dva_ProductSupplyAgreement
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Details
Name: | us-gaap_GoodwillAndIntangibleAssetsDisclosureAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration