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Healthcare Costs Payable - Additional Information (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2015 | Dec. 31, 2014
Health Care Organizations [Abstract] |  |
Increase in prior year estimates of healthcare costs payable | $ 1,523 | $ 3,429

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- Definition The increase (decrease) in prior year estimates of health care costs payable during the period. + References No definition available. + Details
Name: | dva_IncreaseDecreaseInPriorYearEstimatesOfHealthCareCostsPayable
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

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- References No definition available. + Details
Name: | us-gaap_HealthCareOrganizationsAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration