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Consolidating Financial Statements - Consolidating Statements of Comprehensive Income (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Condensed Financial Statements, Captions [Line Items]      
Net income $ 333,040 $ 830,555 $ 1,033,082
Other comprehensive income (loss) (39,791) 102,876 (29,627)
Total comprehensive income 293,249 933,431 1,003,455
Less: Comprehensive income attributable to noncontrolling interests (173,646) (166,935) (153,398)
Comprehensive income attributable to DaVita Inc. 119,603 766,496 850,057
Reportable Legal Entites | DaVita Inc.      
Condensed Financial Statements, Captions [Line Items]      
Net income 159,394 663,618 879,874
Other comprehensive income (loss) 6,153 3,106 (290)
Total comprehensive income 165,547 666,724 879,584
Less: Comprehensive income attributable to noncontrolling interests 0 0 0
Comprehensive income attributable to DaVita Inc. 165,547 666,724 879,584
Reportable Legal Entites | Guarantor Subsidiaries      
Condensed Financial Statements, Captions [Line Items]      
Net income 103,196 478,192 693,720
Other comprehensive income (loss) 0 0 0
Total comprehensive income 103,196 478,192 693,720
Less: Comprehensive income attributable to noncontrolling interests 0 0 0
Comprehensive income attributable to DaVita Inc. 103,196 478,192 693,720
Reportable Legal Entites | Non- Guarantor Subsidiaries      
Condensed Financial Statements, Captions [Line Items]      
Net income 517,671 241,312 820,486
Other comprehensive income (loss) (45,944) 99,770 (29,337)
Total comprehensive income 471,727 341,082 791,149
Less: Comprehensive income attributable to noncontrolling interests 0 0 0
Comprehensive income attributable to DaVita Inc. 471,727 341,082 791,149
Consolidating Adjustments      
Condensed Financial Statements, Captions [Line Items]      
Net income (447,221) (552,567) (1,360,998)
Other comprehensive income (loss) 0 0 0
Total comprehensive income (447,221) (552,567) (1,360,998)
Less: Comprehensive income attributable to noncontrolling interests (173,646) (166,935) (153,398)
Comprehensive income attributable to DaVita Inc. $ (620,867) $ (719,502) $ (1,514,396)