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CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited) - USD ($)
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Income Statement [Abstract]    
Dialysis and related lab patient service revenues $ 2,591,074,000 $ 2,422,786,000
Provision for uncollectible accounts 25,545,000 (107,058,000)
Net dialysis and related lab patient service revenues 2,616,619,000 2,315,728,000
Other revenues 232,825,000 315,523,000
Total revenues 2,849,444,000 2,631,251,000
Operating expenses and charges:    
Patient care costs and other costs 2,035,585,000 1,852,045,000
General and administrative 266,529,000 262,895,000
Depreciation and amortization 142,799,000 132,884,000
Equity investment income (155,000) (677,000)
Provision for uncollectible accounts (6,000,000) 1,910,000
Investment and other asset impairments 0 15,168,000
Goodwill impairment charges 0 24,198,000
Gain on changes in ownership interests 0 (6,273,000)
Gain on settlement, net 0 (526,827,000)
Total operating expenses and charges 2,438,758,000 1,755,323,000
Operating income 410,686,000 875,928,000
Debt expense (113,516,000) (104,397,000)
Other income, net 4,582,000 3,986,000
Income from continuing operations before income taxes 301,752,000 775,517,000
Income tax expense 70,737,000 281,665,000
Net income from continuing operations 231,015,000 493,852,000
Net (loss) income from discontinued operations, net of tax (5,786,000) 6,433,000
Net income 225,229,000 500,285,000
Less: Net income attributable to noncontrolling interests (46,543,000) (52,588,000)
Net income attributable to DaVita Inc. $ 178,686,000 $ 447,697,000
Earnings per share:    
Basic net income from continuing operations per share attributable to DaVita Inc. $ 1.07 $ 2.29
Basic net income per share attributable to DaVita Inc. 1.00 2.33
Diluted net income from continuing operations per share attributable to DaVita Inc. 1.05 2.26
Diluted net income per share attributable to DaVita Inc. $ 0.98 $ 2.29
Weighted average shares for earnings per share:    
Basic (in shares) 178,957,865 192,376,735
Diluted (in shares) 181,834,547 195,281,014
Net income from continuing operations $ 191,015,000 $ 440,905,000
Net (loss) income from discontinued operations (12,329,000) 6,792,000
Net income attributable to DaVita Inc. $ 178,686,000 $ 447,697,000