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Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries (Tables)
 3 Months Ended
Mar. 31, 2019
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 consolidated equity were as follows: 
 
Three months ended
March 31,
 
2019
 
2018
Net income attributable to DaVita Inc.
$
149,289

 
$
178,686

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

 
76

Purchases of noncontrolling interests
(2,206
)
 
(1,994
)
Net transfers to noncontrolling interests
(2,206
)
 
(1,918
)
Net income attributable to DaVita Inc., net of transfers to noncontrolling interests
$
147,083

 
$
176,768