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Contingencies - Additional Information (Details) - US Attorney Prescription Drug Investigation $ in Thousands | 1 Months Ended
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Dec. 31, 2017 USD ($)
Other Commitments [Line Items] |
Litigation settlement amount awarded to other party | $ 63,700
Incremental Cash Portion |
Other Commitments [Line Items] |
Litigation settlement amount awarded to other party | 41,500
Cash Paid For Portion Previously Refunded |
Other Commitments [Line Items] |
Litigation settlement amount awarded to other party | $ 22,200

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- Definition Amount awarded to other party in judgment or settlement of litigation. + References No definition available. + Details
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Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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

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- Details
Name: | srt_LitigationCaseAxis=dva_USAttorneyPrescriptionDrugInvestigationMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_TransactionTypeAxis=dva_IncrementalCashPortionMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

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