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Amortizable Intangible Liabilities (Detail) - USD ($) $ in Thousands | Dec. 31, 2015 | Dec. 31, 2014
--- | --- | ---
Goodwill And Intangible Assets Disclosure [Abstract] |  |
Alliance and product supply agreement | $ 68,200 | $ 68,200
Less accumulated amortization | (68,200) | (64,203)
Net Alliance and product supply agreement |  | 3,997
Lease agreements (net of accumulated amortization of $6,936 and $4,785) | 8,969 | 10,407
Finite Lived Intangible Liabilities Net, Total | $ 8,969 | $ 14,404

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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

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

X
- 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

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