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Reconciliation of Changes in Contingent Earn-Out Obligations (Detail) $ in Thousands	9 Months Ended
	Sep. 30, 2016 USD ($)
Business Combinations [Abstract]
Beginning balance	$ 34,135
Remeasurement of fair value for contingent earn-out obligations	(3,739)
Payments on contingent earn-out obligations	(16,198)
Ending balance	$ 14,198

X

- Definition

Business combination contingent consideration acquisitions earnouts payments.

+ References

No definition available.

+ Details

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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

- Definition

For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (c)(3)
-URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- References

No definition available.

+ Details

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