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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, 2020 | Dec. 31, 2019
Business Combinations [Abstract] |  |
Beginning balance | $ 24,586 | $ 2,608
Acquisitions | 14,042 | 23,536
Foreign currency translation | (3,688) | (905)
Fair value remeasurements | (2,630) | 121
Payments or other settlements | (2,062) | (774)
Ending balance | $ 30,248 | $ 24,586

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- Definition Business Combination Contingent Consideration Acquisitions, Earn-out Obligations and Assumed Liabilities. + References No definition available. + Details
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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
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- Definition Business Combination Contingent Consideration Acquisitions Fair Value Remeasurement Gain Loss + References No definition available. + Details
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- Definition Foreign Currency Translation Adjustment For Contingent Earn Out Obligations + References No definition available. + Details
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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=120321790&loc=d3e6927-128479 + Details
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- References No definition available. + Details
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