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Amortizable Intangible Liabilities (Detail) - USD ($) $ in Thousands | Dec. 31, 2016 | Dec. 31, 2015
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Goodwill And Intangible Assets Disclosure [Abstract] |  |
Lease agreements (net of accumulated amortization of $8,485 and $6,936) | $ 7,420 | $ 8,969
Finite Lived Intangible Liabilities Net, Total | $ 7,420 | $ 8,969

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- Definition Finite Lived Intangible Liabilities Net + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Definition Intangible Lease Liabilities + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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