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Amortizable Intangible Liabilities (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Goodwill And Intangible Assets Disclosure [Abstract]    
Alliance and product supply agreement commitment (See Note 18) $ 68,200dva_AllianceAndProductSupplyAgreementGross $ 68,200dva_AllianceAndProductSupplyAgreementGross
Less accumulated amortization (64,203)dva_AmortizedIntangibleLiabilitiesAccumulatedAmortization (58,873)dva_AmortizedIntangibleLiabilitiesAccumulatedAmortization
Net Alliance and product supply agreement 3,997dva_ProductSupplyAgreement 9,327dva_ProductSupplyAgreement
Lease agreements (net of accumulated amortization of $4,785 and $2,628) 10,407dva_IntangibleLeaseLiabilities 12,563dva_IntangibleLeaseLiabilities
Finite Lived Intangible Liabilities Net, Total $ 14,404dva_FiniteLivedIntangibleLiabilitiesNet $ 21,890dva_FiniteLivedIntangibleLiabilitiesNet