XML 70 R57.htm IDEA: XBRL DOCUMENT
v3.20.2

Long-term debt - Additional Information (Detail) - USD ($) |  |  |  |  |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | --- | --- | --- | --- | ---
Aug. 21, 2020 | Aug. 11, 2020 | Jul. 15, 2020 | Jun. 09, 2020 | Feb. 13, 2020 | Sep. 30, 2020 | Sep. 30, 2020 | Sep. 30, 2019 | Dec. 31, 2019
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt prepayment, refinancing and redemption charges |  |  |  |  |  |  | $ 86,957,000 | $ 33,402,000 |
Weighted average effective interest rate at quarter end |  |  |  |  |  | 3.11% | 3.11% |  |
Weighted average effective interest rate during quarter |  |  |  |  |  | 3.31% | 3.76% |  |
Percentage of debt instruments bearing fixed interest rate |  |  |  |  |  | 45.00% | 45.00% |  |
Letters of credit outstanding |  |  |  |  |  | $ 64,634,000 | $ 64,634,000 |  |
Senior Notes Four Point Six Two Five Percent Due Twenty Thirty |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | Jun. 01, 2030 |  |
Senior Notes |  |  |  | $ 1,750,000,000 |  | 1,750,000,000 | $ 1,750,000,000 |  | $ 0
Debt Instrument, Date of First Required Payment |  |  |  | Dec. 01, 2020 |  |  |  |  |
Debt Instrument, Redemption Price, Percentage of Principal Amount Redeemed |  |  |  | 40.00% |  |  |  |  |
Debt Instrument, Redemption Price, Percentage |  |  |  | 104.625% |  |  |  |  |
Debt Instrument related fees, discounts, and other professional expenses |  |  |  | $ 20,386,000 |  |  |  |  |
Weighted average effective interest rate during quarter |  |  |  | 4.625% |  |  | 4.625% |  |
Senior Notes Five Point One Two Five Percent Due Twenty Twenty Four |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | Jul. 15, 2024 |  |
Senior Notes |  |  |  |  |  | 0 | $ 0 |  | 1,750,000,000
Debt Instrument Redeemed Outstanding Principal Amount |  |  | $ 1,750,000,000 |  |  |  |  |  |
Debt Refinancing Call Premium Redemption Charge Incurred Upon Redemption Of Senior Notes |  |  | 29,890,000 |  |  |  |  |  |
Write off of Deferred Debt Issuance Cost |  |  | $ 9,764,000 |  |  |  |  |  |
Senior Notes Three Point Seven Five Percent Due Twenty Thirty One |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | Feb. 15, 2031 |  |
Senior Notes |  | $ 1,500,000,000 |  |  |  | 1,500,000,000 | $ 1,500,000,000 |  | 0
Debt Instrument, Redemption Price, Percentage of Principal Amount Redeemed |  | 40.00% |  |  |  |  |  |  |
Debt Instrument, Redemption Price, Percentage |  | 103.75% |  |  |  |  |  |  |
Debt Instrument related fees, discounts, and other professional expenses |  | $ 17,793,000 |  |  |  |  |  |  |
Weighted average effective interest rate during quarter |  | 3.75% |  |  |  |  | 3.75% |  |
Senior Notes Five Point Zero Percent Due Twenty Twenty Five |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | May 01, 2025 |  |
Senior Notes |  |  |  |  |  | 0 | $ 0 |  | $ 1,500,000,000
Debt Instrument Redeemed Outstanding Principal Amount | $ 1,500,000,000 |  |  |  |  |  |  |  |
Debt Refinancing Call Premium Redemption Charge Incurred Upon Redemption Of Senior Notes | 37,500,000 |  |  |  |  |  |  |  |
Write off of Deferred Debt Issuance Cost | $ 8,866,000 |  |  |  |  |  |  |  |
Revolving line of credit |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | Aug. 12, 2024 |  |
Maximum borrowing capacity on the revolving credit facilities |  |  |  |  |  | 1,000,000,000 | $ 1,000,000,000 |  |
Letter of Credit |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Letters of credit outstanding |  |  |  |  |  | 0 | $ 0 |  |
Term Loan B-1 |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument Agreement Date |  |  |  |  | Feb. 13, 2020 |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  | Aug. 12, 2026 |  | Aug. 12, 2026 |  |
Additional Debt Principal Amount Due To New Agreement |  |  |  |  | $ 0 |  |  |  |
Debt prepayment, refinancing and redemption charges |  |  |  |  |  |  | $ 2,948,000 |  |
Noncash Financing Outflows Related To Extinguishment Of Long Term Debt |  |  |  |  |  |  | 55,895,000 |  |
Debt Instrument, Periodic Payment, Principal |  |  |  |  |  |  | $ 20,573,000 |  |
Term Loan B-1 | London Interbank Offered Rate (LIBOR) |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
LIBOR plus interest rate margin |  |  |  |  | 1.75% |  |  |  |
Term Loan B |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | Aug. 12, 2026 |  |
Cash outflows from extinguishment of secured debt |  |  |  |  |  |  | $ 68,842,000 |  |
Cash inflows from reborrowing of secured debt |  |  |  |  |  |  | $ 68,842,000 |  |
Term Loan A |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  |  |  |  | Aug. 12, 2024 |  |
Debt Instrument, Periodic Payment, Principal |  |  |  |  |  |  | $ 32,813,000 |  |
Long-term Line of Credit |  |  |  |  |  | $ 928,802,000 | $ 928,802,000 |  |
Senior Secured Credit Facilities |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Weighted average effective interest rate at quarter end |  |  |  |  |  | 2.11% | 2.11% |  |
2015 Interest Rate Cap Agreements Effective June 29, 2018 |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Derivative, Maturity Date |  |  |  |  |  |  | Jun. 30, 2020 |  |
Derivative, effective date |  |  |  |  |  |  | Jun. 29, 2018 |  |
2019 Interest Rate Cap Agreements Effective June 30, 2020 |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |
Derivative, Maturity Date |  |  |  |  |  |  | Jun. 30, 2024 |  |
Derivative, effective date |  |  |  |  |  |  | Jun. 30, 2020 |  |

X
- Definition Additional Debt Principal Amount Due To New Agreement + References No definition available. + Details
Name: | dva_AdditionalDebtPrincipalAmountDueToNewAgreement
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Debt Instrument Redeemed Outstanding Principal Amount. + References No definition available. + Details
Name: | dva_DebtInstrumentRedeemedOutstandingPrincipalAmount
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Debt refinancing call premium redemption charge incurred upon redemption of senior notes. + References No definition available. + Details
Name: | dva_DebtRefinancingCallPremiumRedemptionChargeIncurredUponRedemptionOfSeniorNotes
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Debt refinancing charges. + References No definition available. + Details
Name: | dva_DebtRefinancingCharges
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Non-cash Financing Outflows Related To Extinguishment Of Long Term Debt. + References No definition available. + Details
Name: | dva_NoncashFinancingOutflowsRelatedToExtinguishmentOfLongTermDebt
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Percentage points added to the reference rate to compute the variable rate on the debt instrument. + References No definition available. + Details
Name: | us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Date the debt agreement requires the first payment to be made, in CCYY-MM-DD format. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=75038535&loc=d3e64711-112823 + Details
Name: | us-gaap_DebtInstrumentDateOfFirstRequiredPayment1
Namespace Prefix: | us-gaap_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of the fee that accompanies borrowing money under the debt instrument. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(b)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_DebtInstrumentFeeAmount
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The average effective interest rate during the reporting period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=119993939&loc=d3e28551-108399 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_DebtInstrumentInterestRateDuringPeriod
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Date the debt instrument was issued, in CCYY-MM-DD format. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_DebtInstrumentIssuanceDate1
Namespace Prefix: | us-gaap_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

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_DebtInstrumentLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Date when the debt instrument is scheduled to be fully repaid, in CCYY-MM-DD format. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(2)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 820 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (bbb)(2) -URI http://asc.fasb.org/extlink&oid=117815213&loc=d3e19207-110258 + Details
Name: | us-gaap_DebtInstrumentMaturityDate
Namespace Prefix: | us-gaap_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of the required periodic payments applied to principal. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_DebtInstrumentPeriodicPaymentPrincipal
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Percentage price of original principal amount of debt at which debt can be redeemed by the issuer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -Subparagraph e -URI http://asc.fasb.org/extlink&oid=75038535&loc=d3e64711-112823 + Details
Name: | us-gaap_DebtInstrumentRedemptionPricePercentage
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Percentage of principal amount of debt redeemed. + References No definition available. + Details
Name: | us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Date the entity entered into the derivative contract, in CCYY-MM-DD format. + References No definition available. + Details
Name: | us-gaap_DerivativeInceptionDates
Namespace Prefix: | us-gaap_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

X
- Definition Date the derivative contract matures, in CCYY-MM-DD format. + References No definition available. + Details
Name: | us-gaap_DerivativeMaturityDates
Namespace Prefix: | us-gaap_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

X
- Definition The total amount of the contingent obligation under letters of credit outstanding as of the reporting date. + References No definition available. + Details
Name: | us-gaap_LettersOfCreditOutstandingAmount
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(16)) -URI http://asc.fasb.org/extlink&oid=120400017&loc=d3e572229-122910 + Details
Name: | us-gaap_LineOfCredit
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The interest rate applicable to the portion of the carrying amount of long-term borrowings outstanding as of the balance sheet date, including current maturities, which accrues interest at a set, unchanging rate. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_LongTermDebtPercentageBearingFixedInterestRate
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Weighted average interest rate of long-term debt outstanding calculated at point in time. + References No definition available. + Details
Name: | us-gaap_LongtermDebtWeightedAverageInterestRate
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition The cash inflow from amounts received from issuance of long-term debt that is wholly or partially secured by collateral. Excludes proceeds from tax exempt secured debt. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3255-108585 + Details
Name: | us-gaap_ProceedsFromIssuanceOfSecuredDebt
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The cash outflow to repay long-term debt that is wholly or partially secured by collateral. Excludes repayments of tax exempt secured debt. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
Name: | us-gaap_RepaymentsOfSecuredDebt
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Including the current and noncurrent portions, carrying value as of the balance sheet date of Notes with the highest claim on the assets of the issuer in case of bankruptcy or liquidation (with maturities initially due after one year or beyond the operating cycle if longer). Senior note holders are paid off in full before any payments are made to junior note holders. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.16(a)) -URI http://asc.fasb.org/extlink&oid=120400017&loc=d3e572229-122910 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03.16) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 + Details
Name: | us-gaap_SeniorNotes
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Write-off of amounts previously capitalized as debt issuance cost in an extinguishment of debt. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.8) -URI http://asc.fasb.org/extlink&oid=120395209&loc=SL114868664-224227 + Details
Name: | us-gaap_WriteOffOfDeferredDebtIssuanceCost
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Details
Name: | us-gaap_DebtInstrumentAxis=dva_SeniorNotesFourPointSixTwoFivePercentDueTwentyThirtyMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentAxis=dva_SeniorNotesFivePointOneTwoFivePercentDueTwentyTwentyFourMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentAxis=dva_SeniorNotesThreePointSevenFivePercentDueTwentyThirtyOneMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentAxis=dva_SeniorNotesFivePointZeroPercentDueTwentyTwentyFiveMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CreditFacilityAxis=us-gaap_RevolvingCreditFacilityMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CreditFacilityAxis=us-gaap_LetterOfCreditMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=dva_TermLoanB1Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_VariableRateAxis=us-gaap_LondonInterbankOfferedRateLIBORMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=dva_TermLoanBMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=dva_TermLoanAMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=dva_SeniorSecuredCreditFacilitiesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DerivativeInstrumentRiskAxis=dva_A2015InterestRateCapAgreementsEffectiveJune292018Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DerivativeInstrumentRiskAxis=dva_A2019InterestRateCapAgreementsEffectiveJune302020Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |