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Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries (Tables)
 9 Months Ended
Sep. 30, 2018
Noncontrolling Interest [Abstract]  
Effects of Changes in DaVita Inc's Ownership Interest on Company's Equity
The effects of changes in DaVita Inc.’s ownership interests in consolidated subsidiaries on the Company’s equity were as follows: 
 
Three months ended
September 30,
 
Nine months ended
September 30,
 
2018
 
2017
 
2018
 
2017
Net (loss) income attributable to DaVita Inc.
$
(136,796
)
 
$
(214,476
)
 
$
309,166

 
$
360,222

Changes in paid-in capital for:
 
 
 
 
 
 
 
Sales of noncontrolling interests
—

 
—

 
79

 
—

Purchases of noncontrolling interests
(5,285
)
 
—

 
(17,482
)
 
195

Net transfers to noncontrolling interests
(5,285
)
 
—

 
(17,403
)
 
195

Net (loss) income attributable to DaVita Inc., net of transfers to noncontrolling interests
$
(142,081
)
 
$
(214,476
)
 
$
291,763

 
$
360,417