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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Statement of Comprehensive Income [Abstract]      
Net income $ 830,555 $ 1,033,082 $ 427,410
Unrealized losses on interest rate cap and swap agreements:      
Unrealized losses on interest rate cap and swap agreements (5,437) (3,670) (12,241)
Reclassifications of net cap and swap agreements realized losses into net income 5,058 2,566 3,111
Unrealized gains (losses) on investments:      
Unrealized gains (losses) on investments 3,705 1,427 (1,413)
Reclassification of net investment realized losses (gains) into net income (220) (423) (377)
Foreign currency translation adjustments:      
Foreign currency translation adjustments 99,770 (39,614) (23,889)
Reclassification of foreign currency translation into net income 0 10,087 0
Other comprehensive income (loss) 102,876 (29,627) (34,809)
Total comprehensive income 933,431 1,003,455 392,601
Less: Comprehensive income attributable to noncontrolling interests (166,935) (153,398) (157,678)
Comprehensive income attributable to DaVita Inc. $ 766,496 $ 850,057 $ 234,923