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Amortizable Intangible Liabilities (Detail) - USD ($) $ in Thousands	Dec. 31, 2016	Dec. 31, 2015
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

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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

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No definition available.

+ Details

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

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- References

No definition available.

+ Details

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