Acquisitions - Assets acquired and liabilities assumed (Details) - USD ($) $ in Thousands	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Business Acquisition [Line Items]
Goodwill	$ 7,375,216	$ 7,112,560	$ 7,076,610
Series of individually immaterial business acquisitions
Business Acquisition [Line Items]
Cash and Cash Equivalents	83,119	1,254	1,963
Other current assets	249,738	6,128	6,389
Property and equipment	94,951	4,130	7,481
Other long-term assets	97,591	785	1,066
Indefinite-lived licenses	22,725	15,789	19,610
Goodwill	349,069	25,723	49,047
Liabilities Assumed	(201,704)	(6,179)	(6,081)
Noncontrolling interests assumed	(133,648)	(181)	(867)
Aggregate purchase price	561,841	$ 47,449	$ 78,608
DaVita Care Pte. Ltd.
Business Acquisition [Line Items]
Cash and Cash Equivalents	34,818
Other current assets	44,810
Property and equipment	22,651
Other long-term assets	37,682
Indefinite-lived licenses	15,114
Goodwill	127,207
Liabilities Assumed	(54,708)
Noncontrolling interests assumed	(112,830)
Aggregate purchase price	$ 114,744