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Selected Quarterly Financial Data (unaudited) (Details) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]                      
Net revenues $ 2,780,913 $ 2,765,071 $ 2,699,399 $ 2,631,251 $ 2,699,419 $ 2,725,407 $ 2,675,474 $ 2,607,167 $ 10,876,634 $ 10,707,467 $ 9,982,245
Operating income 150,337 395,294 391,196 875,928 363,445 813,103 431,129 422,033 1,812,755 2,029,710 1,136,766
Net income from continuing operations, before taxes 46,825 289,384 288,060 775,517 259,669 710,246 331,231 321,959 1,399,786 1,623,105 688,387
Net loss from discontinued operations 143,587 (370,872) (24,520) 6,433 11,772 20,213 (118,443) (71,804) (237,659) (152,499) (53,467)
Net income (loss) attributable to DaVita Inc. $ 303,396 $ (214,476) $ 127,001 $ 447,697 $ 157,726 $ 571,332 $ 53,382 $ 97,434 $ 663,618 $ 879,874 $ 269,732
Basic net income from continuing operations per share attributable to DaVita Inc. (in usd per share) $ 0.86 $ 0.81 $ 0.79 $ 2.29 $ 0.74 $ 2.69 $ 0.84 $ 0.83 $ 4.78 $ 5.12 $ 1.53
Basic net income (loss) from discontinued operations per share attributable to DaVita Inc. (in usd per share) 0.80 (1.95) (0.13) 0.04 0.07 0.11 (0.58) (0.35) (1.26) (0.76) (0.26)
Basic net income (loss) per share attributable to DaVita Inc. (in usd per share) 1.66 (1.14) 0.66 2.33 0.81 2.80 0.26 0.48 3.52 4.36 1.27
Diluted net income from continuing operations per share attributable to DaVita Inc. (in usd per share) 0.85 0.80 0.78 2.26 0.73 2.65 0.82 0.81 4.71 5.04 1.49
Diluted net income (loss) from discontinued operations per share attributable to DaVita Inc. (in usd per share) 0.79 (1.92) (0.13) 0.03 0.07 0.11 (0.56) (0.34) (1.24) (0.75) (0.24)
Diluted net income (loss) per share attributable to DaVita Inc. (in usd per share) $ 1.64 $ (1.12) $ 0.65 $ 2.29 $ 0.80 $ 2.76 $ 0.26 $ 0.47 $ 3.47 $ 4.29 $ 1.25