v2.4.1.9

Supplemental Data - Condensed Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
--- | ---
Mar. 31, 2015 | Mar. 31, 2014
Cash flows from operating activities: |  |  |
Net (loss) income | $ (76,148)us-gaap_ProfitLoss |  | $ 211,737 us-gaap_ProfitLoss
Changes in operating and intercompany assets and liabilities and non-cash items included in net income | 486,237 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities |  | 207,370 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities | 410,089 us-gaap_NetCashProvidedByUsedInOperatingActivities |  | 419,107 us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities: |  |  |
Additions of property and equipment | (121,421)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment |  | (126,562)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisitions | (40,650)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates |  | (67,857)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
Proceeds from discontinued operations | 2,565 us-gaap_ProceedsFromDivestitureOfBusinesses |  |
Investments and other items | (92,781)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther |  | (1,430)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
Net cash used in investing activities | (252,287)us-gaap_NetCashProvidedByUsedInInvestingActivities |  | (195,793)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities: |  |  |
Long-term debt | (28,439)dva_ProceedsFromRepaymentsOfLongTermDebt |  | (65,153)dva_ProceedsFromRepaymentsOfLongTermDebt
Other items | (82,429)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities |  | 3,028 us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash used in financing activities | (110,868)us-gaap_NetCashProvidedByUsedInFinancingActivities |  | (62,125)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash | (904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents |  | 631 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase in cash and cash equivalents | 46,030 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease |  | 161,820 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of the year | 965,241 us-gaap_CashAndCashEquivalentsAtCarryingValue |  | 946,249 us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of the period | 1,011,271 us-gaap_CashAndCashEquivalentsAtCarryingValue |  | 1,108,069 us-gaap_CashAndCashEquivalentsAtCarryingValue
Physician Groups |  |  |
Cash flows from operating activities: |  |  |
Net (loss) income | 3,386 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Changes in operating and intercompany assets and liabilities and non-cash items included in net income | (16,884)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net cash provided by operating activities | (13,498)us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Cash flows from investing activities: |  |  |
Additions of property and equipment | 164 us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Investments and other items | (457)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net cash used in investing activities | (293)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Cash flows from financing activities: |  |  |
Intercompany | 2,759 us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net cash used in financing activities | 2,759 us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Net increase in cash and cash equivalents | (11,032)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Cash and cash equivalents at beginning of the year | 112,448 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Cash and cash equivalents at end of the period | 101,416 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_PhysicianGroupOrganizationMember |  |
Unrestricted Subsidiaries |  |  |
Cash flows from operating activities: |  |  |
Net (loss) income | 142 us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Changes in operating and intercompany assets and liabilities and non-cash items included in net income | (142)us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_UnrestrictedSubsidiariesMember |  |
Company and Restricted Subsidiaries |  |  |
Cash flows from operating activities: |  |  |
Net (loss) income | (79,676)us-gaap_ProfitLoss / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Changes in operating and intercompany assets and liabilities and non-cash items included in net income | 503,263 us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net cash provided by operating activities | 423,587 us-gaap_NetCashProvidedByUsedInOperatingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Cash flows from investing activities: |  |  |
Additions of property and equipment | (121,585)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Acquisitions | (40,650)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Proceeds from discontinued operations | 2,565 us-gaap_ProceedsFromDivestitureOfBusinesses / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Investments and other items | (92,324)dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net cash used in investing activities | (251,994)us-gaap_NetCashProvidedByUsedInInvestingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Cash flows from financing activities: |  |  |
Long-term debt | (28,439)dva_ProceedsFromRepaymentsOfLongTermDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Intercompany | (2,759)us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Other items | (82,429)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net cash used in financing activities | (113,627)us-gaap_NetCashProvidedByUsedInFinancingActivities / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Effect of exchange rate changes on cash | (904)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Net increase in cash and cash equivalents | 57,062 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Cash and cash equivalents at beginning of the year | 852,793 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
Cash and cash equivalents at end of the period | $ 909,855 us-gaap_CashAndCashEquivalentsAtCarryingValue / dei_LegalEntityAxis = dva_ParentCompanyAndRestrictedSubsidiariesMember | [1] |
[1] | After the elimination of the unrestricted subsidiaries and the physician groups

X
- Definition Payments for proceeds from sale of investments in securities and other. + References No definition available. + Details
Name: | dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Cash inflow and outflow from debt having maturity due after one year. + References No definition available. + Details
Name: | dva_ProceedsFromRepaymentsOfLongTermDebt
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The sum of adjustments which are added to or deducted from net income or loss, including the portion attributable to noncontrolling interest, to reflect cash provided by or used in operating activities, in accordance with the indirect cash flow method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 + Details
Name: | us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Excludes cash and cash equivalents within disposal group and discontinued operation. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Cash -URI http://asc.fasb.org/extlink&oid=6506951 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Cash Equivalents -URI http://asc.fasb.org/extlink&oid=6507016 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 1 -Article 5 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.1) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section 45 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=28358313&loc=d3e6676-107765 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3044-108585 + Details
Name: | us-gaap_CashAndCashEquivalentsAtCarryingValue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of increase (decrease) in cash and cash equivalents. Cash and cash equivalents are the amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Includes effect from exchange rate changes. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3521-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 830 -SubTopic 230 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6450594&loc=d3e33268-110906 + Details
Name: | us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of increase (decrease) from the effect of exchange rate changes on cash and cash equivalent balances held in foreign currencies. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 830 -SubTopic 230 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6450594&loc=d3e33268-110906 + Details
Name: | us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of cash inflow (outflow) from financing activities, including discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3521-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3574-108585 + Details
Name: | us-gaap_NetCashProvidedByUsedInFinancingActivities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Details
Name: | us-gaap_NetCashProvidedByUsedInFinancingActivitiesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3521-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3574-108585 + Details
Name: | us-gaap_NetCashProvidedByUsedInInvestingActivities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Details
Name: | us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3521-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3536-108585 + Details
Name: | us-gaap_NetCashProvidedByUsedInOperatingActivities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The cash outflow associated with the acquisition of a controlling interest in another entity or an entity that is related to it but not strictly controlled (for example, an unconsolidated subsidiary, affiliate, joint venture or equity method investment). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
Name: | us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
Name: | us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition The cash inflow associated with the amount received from the sale of a portion of the company's business, for example a segment, division, branch or other business, during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 + Details
Name: | us-gaap_ProceedsFromDivestitureOfBusinesses
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The net cash inflow or outflow from other financing activities. This element is used when there is not a more specific and appropriate element in the taxonomy. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3095-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3098-108585 + Details
Name: | us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of cash inflow (outflow) from long-term debt by a related party. Related parties, include, but are not limited to, affiliates, owners or officers and their immediate families, and pension trusts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
Name: | us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591552-111686 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4569616-111683 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a),(c) -URI http://asc.fasb.org/extlink&oid=18733093&loc=SL4573702-111684 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591551-111686 + Details
Name: | us-gaap_ProfitLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Details
Name: | dei_LegalEntityAxis=dva_ParentCompanyAndRestrictedSubsidiariesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | dei_LegalEntityAxis=dva_PhysicianGroupOrganizationMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | dei_LegalEntityAxis=dva_UnrestrictedSubsidiariesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |