Employee Benefit Plans - Additional Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Defined Benefit Plan Disclosure [Line Items]
Employer matching contribution, percent of match	50.00%
Employer matching contribution, percent of employees' gross wages	6.00%
Defined Benefit Plan, Benefit Obligation, Benefits Paid	$ 67,807
Change of Control Protection Program
Defined Benefit Plan Disclosure [Line Items]
Cash bonuses to employees in the event of a change of control	336,530
Nonqualified Deferred Compensation Plan | All Trusts
Defined Benefit Plan Disclosure [Line Items]
Total fair value of assets held in trust	$ 36,124	$ 38,895
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	$ 3,090	4,497	$ 5,344
Non-qualified deferred compensation plan, distributions	$ 4,652	$ 2,789	$ 1,065