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Selected Quarterly Financial Data (unaudited) (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Selected quarterly financial information:                      
Net revenues $ 2,898,584 $ 2,904,078 $ 2,842,705 $ 2,743,112 $ 2,821,124 $ 2,847,330 $ 2,886,953 $ 2,849,444 $ 11,388,479 $ 11,404,851 $ 10,876,634
Operating income 462,588 378,336 461,886 340,507 387,908 289,038 438,192 410,686 1,643,317 1,525,824 1,812,755
Amounts attributable to DaVita Inc.:                      
Net income from continuing operations 242,242 150,113 194,223 120,254 160,332 73,371 199,603 191,015 706,832 624,321 901,277
Net income (loss) from discontinued operations 2,629 (6,843) 79,328 29,035 (310,104) (210,167) 67,673 (12,329) 104,149 (464,927) (237,659)
Net (loss) income attributable to DaVita Inc. $ 244,871 $ 143,270 $ 273,551 $ 149,289 $ (149,772) $ (136,796) $ 267,276 $ 178,686 $ 810,981 $ 159,394 $ 663,618
Earnings per share attributable to DaVita Inc.:                      
Basic net income from continuing operations per share attributable to DaVita Inc. (in usd per share) $ 1.87 $ 1.00 $ 1.17 $ 0.72 $ 0.97 $ 0.44 $ 1.16 $ 1.07 $ 4.61 $ 3.66 $ 4.78
Basic net loss from discontinued operations per share attributable to DaVita Inc. (in usd per share) 0.02 (0.05) 0.47 0.18 (1.87) (1.26) 0.40 (0.07) 0.68 (2.73) (1.26)
Basic net income per share attributable to DaVita Inc. (in usd per share) 1.89 0.95 1.64 0.90 (0.90) (0.82) 1.56 1.00 5.29 0.93 3.52
Diluted net income from continuing operations per share attributable to DaVita Inc. (in usd per share) 1.86 0.99 1.16 0.72 0.96 0.44 1.15 1.05 4.60 3.62 4.71
Diluted net loss from discontinued operations per share attributable to DaVita Inc. (in usd per share) 0.02 (0.04) 0.48 0.18 (1.86) (1.26) 0.38 (0.07) 0.67 (2.70) (1.24)
Diluted net income per share attributable to DaVita Inc. (in usd per share) $ 1.88 $ 0.95 $ 1.64 $ 0.90 $ (0.90) $ (0.82) $ 1.53 $ 0.98 $ 5.27 $ 0.92 $ 3.47
Footnotes to Selected Quarterly Financial Information:                      
Goodwill impairment charges                 $ 124,892 $ 3,106 $ 36,196
Equity investment (loss) income                 12,679 (4,484) (8,640)
Equity Loss And Asset Impairment           $ 12,088          
Goodwill and Intangible Asset Impairment             $ 14,351   124,892 61,981 981,589
Business combination, equity interest in acquiree, remeasurement gain (loss), net         $ (19,437)            
Share-based Payment Arrangement, Plan Modification, Incremental Cost           23,470       14,704  
APAC JV - Deconsolidated Noncontrolling Entity                      
Footnotes to Selected Quarterly Financial Information:                      
Equity investment (loss) income         $ 1,530       12,679 (4,484) (8,640)
Paladina                      
Footnotes to Selected Quarterly Financial Information:                      
Equity Method Investment, Realized Gain (Loss) on Disposal           1,506 $ (33,957)        
Pharmacy                      
Footnotes to Selected Quarterly Financial Information:                      
Restructuring Charges           $ 11,366          
Other - Ancillary services                      
Selected quarterly financial information:                      
Net revenues                 957,898 1,161,852 $ 1,571,745
Footnotes to Selected Quarterly Financial Information:                      
Goodwill impairment charges   $ 83,855             $ 124,892 $ 3,106  
GERMANY | Kidney Care                      
Footnotes to Selected Quarterly Financial Information:                      
Goodwill impairment charges   $ 78,439   $ 41,037