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Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands |  | 9 Months Ended
--- | --- | ---
Oct. 22, 2019 | Sep. 30, 2023
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 |  | $ 9,279

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

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- 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

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