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Assets, Liabilities and Temporary Equity Measured at Fair Value on Recurring Basis (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Assets    
Funds on deposit with third parties $ 81,276us-gaap_DepositAssets $ 79,317us-gaap_DepositAssets
Liabilities    
Contingent earn-out obligations 39,129dva_BusinessAcquisitionContingentEarnOutFairValueDisclosure 28,058dva_BusinessAcquisitionContingentEarnOutFairValueDisclosure
Fair Value, Measurements, Recurring    
Assets    
Available for sale securities 28,123us-gaap_AvailableForSaleSecurities
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
19,421us-gaap_AvailableForSaleSecurities
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Funds on deposit with third parties 81,276us-gaap_DepositAssets
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
79,317us-gaap_DepositAssets
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Liabilities    
Interest rate swap agreements 1,457us-gaap_DerivativeLiabilities
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
12,069us-gaap_DerivativeLiabilities
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Contingent earn-out obligations 39,129dva_BusinessAcquisitionContingentEarnOutFairValueDisclosure
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
28,058dva_BusinessAcquisitionContingentEarnOutFairValueDisclosure
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Temporary equity    
Noncontrolling interests subject to put provisions 829,965us-gaap_RedeemableNoncontrollingInterestEquityFairValue
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
697,300us-gaap_RedeemableNoncontrollingInterestEquityFairValue
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Level 1    
Assets    
Available for sale securities 28,123us-gaap_AvailableForSaleSecurities
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel1Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
19,421us-gaap_AvailableForSaleSecurities
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel1Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Funds on deposit with third parties 81,276us-gaap_DepositAssets
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel1Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
79,317us-gaap_DepositAssets
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel1Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Level 2    
Liabilities    
Interest rate swap agreements 1,457us-gaap_DerivativeLiabilities
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel2Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
12,069us-gaap_DerivativeLiabilities
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel2Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Level 3    
Liabilities    
Contingent earn-out obligations 39,129dva_BusinessAcquisitionContingentEarnOutFairValueDisclosure
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel3Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
28,058dva_BusinessAcquisitionContingentEarnOutFairValueDisclosure
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel3Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Temporary equity    
Noncontrolling interests subject to put provisions 829,965us-gaap_RedeemableNoncontrollingInterestEquityFairValue
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel3Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
697,300us-gaap_RedeemableNoncontrollingInterestEquityFairValue
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel3Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Interest rate cap agreements    
Assets    
Interest rate derivative agreements 13,934us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateCapMember
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
7,567us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateCapMember
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Interest rate cap agreements | Level 2    
Assets    
Interest rate derivative agreements 13,934us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateCapMember
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel2Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
7,567us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateCapMember
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel2Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Interest rate swap agreements    
Assets    
Interest rate derivative agreements 3,281us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateSwapMember
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
10,004us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateSwapMember
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
Fair Value, Measurements, Recurring | Interest rate swap agreements | Level 2    
Assets    
Interest rate derivative agreements $ 3,281us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateSwapMember
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel2Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember
$ 10,004us-gaap_DerivativeAssets
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateSwapMember
/ us-gaap_FairValueByFairValueHierarchyLevelAxis
= us-gaap_FairValueInputsLevel2Member
/ us-gaap_FairValueByMeasurementFrequencyAxis
= us-gaap_FairValueMeasurementsRecurringMember