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Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands |  | 1 Months Ended | 6 Months Ended
--- | --- | --- | ---
May 25, 2022 | Dec. 31, 2017 | Jun. 30, 2022
Commitments and Contingencies: |  |  |
Corporate Integrity Agreement Period |  |  | 5 years
Corporate Integrity Agreement Expiration Date |  |  | Oct. 22, 2019
Commitments to provide operating capital |  |  |
Commitments and Contingencies: |  |  |
Other potential commitments to provide operating capital to several dialysis centers |  |  | $ 12,425
Agreement with Medtronic |  |  |
Commitments and Contingencies: |  |  |
Business Agreement Date | May 25, 2022 |  |
Other Commitment, to be Paid, Year One | $ 75,000 |  |
Other Noncash Assets Commitment | 25,000 |  |
Additional Cash Commitment | 200,000 |  |
Other Commitment, to be Paid, after Year Five | $ 300,000 |  |
Regulatory and Commercial Milestones Beginning Date | Jan. 01, 2024 |  |
Regulatory and Commercial Milestones Ending Date | Dec. 31, 2028 |  |
US Attorney Prescription Drug Investigation |  |  |
Commitments and Contingencies: |  |  |
Litigation Settlement, Amount Awarded to Other Party |  | $ 63,700 |
Incremental Cash Portion | US Attorney Prescription Drug Investigation |  |  |
Commitments and Contingencies: |  |  |
Litigation Settlement, Amount Awarded to Other Party |  | 41,500 |
Cash Paid For Portion Previously Refunded | US Attorney Prescription Drug Investigation |  |  |
Commitments and Contingencies: |  |  |
Litigation Settlement, Amount Awarded to Other Party |  | $ 22,200 |

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- Definition Additional Cash Commitment + References No definition available. + Details
Name: | dva_AdditionalCashCommitment
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Definition Business Agreement Date, in YYYY-MM-DD formate + References No definition available. + Details
Name: | dva_BusinessAgreementDate
Namespace Prefix: | dva_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

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- Definition Corporate Integrity Agreement Expiration Date, in CCYY-MM-DD format. + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

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- Definition Corporate Integrity Agreement Period, in PnYnMnDn format. + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Other Noncash Assets Commitment + References No definition available. + Details
Name: | dva_OtherNoncashAssetsCommitment
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Definition Regulatory and Commercial Milestones Beginning Date + References No definition available. + Details
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- Definition Regulatory and Commercial Milestones Ending Date + References No definition available. + Details
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- Definition Amount awarded to other party in judgment or settlement of litigation. + References No definition available. + Details
Name: | us-gaap_LitigationSettlementAmountAwardedToOtherParty
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
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
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Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of commitment classified as other to be paid after fifth fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach). + References No definition available. + Details
Name: | us-gaap_OtherCommitmentDueAfterFifthYear
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of commitment classified as other to be paid in next fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach). + References No definition available. + Details
Name: | us-gaap_OtherCommitmentDueInNextTwelveMonths
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- 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
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- Details
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- Details
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Namespace Prefix: |
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Balance Type: |
Period Type: |

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- Details
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Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

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- Details
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- Details
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Period Type: |