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Acquisitions and Divestitures - Reconciliation of Changes in Contingent Earn-Out Obligations (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2019 | Dec. 31, 2018
Business Combinations [Abstract] |  |
Beginning balance | $ 2,608 | $ 6,388
Contingent earn-out obligations associated with acquisitions | 23,536 | 1,246
Remeasurement of fair value | (784) | (4,729)
Payments of contingent earn-out obligations | (774) | (297)
Ending balance | $ 24,586 | $ 2,608

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- Definition Business Combination Contingent Consideration Acquisitions + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
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- Definition Business Combination Contingent Consideration Acquisitions Earnouts Payments + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
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- Definition Business Combination Contingent Consideration Acquisitions Fair Value Remeasurement Gain Loss + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
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- Definition For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c)(3) -URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479 + Details
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Namespace Prefix: | us-gaap_
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Balance Type: | credit
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- References No definition available. + Details
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Balance Type: | na
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