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Earnings Per Share - Reconciliations of Numerators and Denominators Used to Calculate Basic and Diluted Net Income Per Share (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
Numerators:                      
Net income from continuing operations                 $ 901,277 $ 1,032,373 $ 323,199
Net loss from discontinued operations attributable to DaVita Inc. $ 143,587 $ (370,872) $ (24,520) $ 6,433 $ 11,772 $ 20,213 $ (118,443) $ (71,804) (237,659) (152,499) (53,467)
Net income 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
Weighted average shares outstanding during the period (in shares)                 190,820,000 203,835,000 214,062,000
Contingently returnable shares held in escrow for the DaVita HealthCare Partners merger (in shares)                 (2,194,000) (2,194,000) (2,194,000)
Weighted average shares for basic earnings per share calculation (in shares)                 188,625,559 201,641,173 211,867,714
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 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 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:                      
Weighted average shares outstanding during the period (in shares)                 190,820,000 203,835,000 214,062,000
Assumed incremental shares from stock plans (in shares)                 529,000 1,070,000 2,190,000
Weighted average shares for diluted earnings per share calculation (in shares)                 191,348,533 204,904,656 216,251,807
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 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 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
Anti-dilutive stock-settled awards excluded from calculation (in shares)                 4,350,000 2,523,000 1,365,000