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

X

- 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