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Employee Benefit Plans - Additional Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Jan. 01, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Nonqualified Deferred Compensation Plan | All Trusts        
Defined Benefit Plan Disclosure [Line Items]        
Total fair value of assets held in trust   $ 38,895 $ 31,197  
Nonqualified Deferred Compensation Plan | DaVita Voluntary Deferral Plan        
Defined Benefit Plan Disclosure [Line Items]        
Maximum percentage of employees' base salary to be maintained into deferral account   50.00%    
Non-qualified deferred compensation plan, contributions   $ 4,497 5,344 $ 4,234
Non-qualified deferred compensation plan, distributions   1,731 916 1,270
Nonqualified Deferred Compensation Plan | DaVita Voluntary Deferral Plan | Rabbi Trust        
Defined Benefit Plan Disclosure [Line Items]        
Total fair value of assets held in trust   38,816 30,192  
Nonqualified Deferred Compensation Plan | Executive Retirement Plan        
Defined Benefit Plan Disclosure [Line Items]        
Total fair value of assets held in trust   79 1,005  
Executive Retirement Plan, distributions   1,058 $ 149 $ 25
Change of Control Protection Program        
Defined Benefit Plan Disclosure [Line Items]        
Cash bonuses to employees in the event of a change of control   $ 520,778    
Subsequent Event        
Defined Benefit Plan Disclosure [Line Items]        
Employer matching contribution, percent of match 50.00%      
Employer matching contribution, percent of employees' gross wages 6.00%