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Health Care Costs Payable - Additional Information (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2016 USD ($)
Health Care Organizations [Abstract]
Increase (decrease) in prior year estimates of health care costs payable	$ 6,424

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

X

- References

No definition available.

+ Details

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