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v3.10.0.1

Noncontrolling interests subject to put provisions and other commitments - additional information (Detail) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2018 USD ($)
Minimum |
Other Commitments [Line Items] |
Scheduled dissolution term of joint ventures | 10 years
Maximum |
Other Commitments [Line Items] |
Scheduled dissolution term of joint ventures | 50 years
Commitments to provide operating capital |
Other Commitments [Line Items] |
Other potential commitments to provide operating capital to several dialysis centers | $ 5,264

X
- Definition Dissolution term of joint ventures. + References No definition available. + Details
Name: | dva_DissolutionTermOfJointVentures
Namespace Prefix: | dva_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Minimum amount of other commitment not otherwise specified in the taxonomy. Excludes commitments explicitly modeled in the taxonomy, including but not limited to, long-term and short-term purchase commitments, recorded and unrecorded purchase obligations, supply commitments, registration payment arrangements, leases, debt, product warranties, guarantees, environmental remediation obligations, and pensions. + References No definition available. + Details
Name: | us-gaap_OtherCommitment
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_OtherCommitmentsLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | srt_RangeAxis=srt_MinimumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MaximumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_OtherCommitmentsAxis=dva_CommitmentsToProvideOperatingCapitalMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |