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Reconciliation of Changes in Contingent Earn-Out Obligations (Detail) $ in Thousands	3 Months Ended
	Mar. 31, 2016 USD ($)
Business Combinations [Abstract]
Beginning balance	$ 34,135
Remeasurement of fair value for contingent earn-out obligations	(373)
Payments on contingent earn-out obligations	(859)
Ending balance	$ 32,903

X

- Definition

Fair values as of the balance sheet date of contingent earn-out considerations if certain performance targets are met.

+ References

No definition available.

+ Details

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Namespace Prefix:	dva_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- Definition

Business combination contingent consideration acquisitions earnouts payments.

+ References

No definition available.

+ Details

Name:	dva_BusinessCombinationContingentConsiderationAcquisitionsEarnoutsPayments
Namespace Prefix:	dva_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

Business combination contingent consideration acquisitions, fair value remeasurement (gain) loss.

+ References

No definition available.

+ Details

Name:	dva_BusinessCombinationContingentConsiderationAcquisitionsFairValueRemeasurementGainLoss
Namespace Prefix:	dva_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_BusinessCombinationsAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration