Shareholder's equity Effects of Changes in DaVita Inc's Ownership Interest (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Net (loss) income attributable to DaVita Inc.	$ 936,342	$ 691,535	$ 560,400
Additional paid-in capital
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net [Abstract]
Purchase of noncontrolling interests	(3,102)	(5,375)	(6,586)
Sale of noncontrolling interest	491	13,077
Sale of noncontrolling interest			939
Noncontrolling Interest, Period Increase (Decrease)	(2,611)	7,702	(5,647)
Net Income Attributable To Parent Net Of Transfers To Noncontrolling Interests.	$ 933,731	$ 699,237	$ 554,753