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Amortizable Intangible Liabilities (Parenthetical) (Detail) - USD ($) $ in Thousands	Dec. 31, 2016	Dec. 31, 2015
Goodwill And Intangible Assets Disclosure [Abstract]
Lease agreements, accumulated amortization	$ 8,485	$ 6,936

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- Definition

Intangible Lease Liabilities Accumulated Amortization

+ References

No definition available.

+ Details

Name:	dva_IntangibleLeaseLiabilitiesAccumulatedAmortization
Namespace Prefix:	dva_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
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