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Long-term Incentive Compensation and Shareholders’ Equity - Effects of Changes in DaVita Inc's Ownership Interest on Company's Equity (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
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Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net income attributable to DaVita Inc. | $ (149,772) | $ (136,796) | $ 267,276 | $ 178,686 | $ 303,396 | $ (214,476) | $ 127,001 | $ 447,697 | $ 159,394 | $ 663,618 | $ 879,874
Changes in paid-in-capital for: |  |  |  |  |  |  |  |  |  |  |
Net income attributable to DaVita Inc. net of transfers in noncontrolling interests |  |  |  |  |  |  |  |  | 141,576 | 660,752 | 866,769
Additional paid-in capital |  |  |  |  |  |  |  |  |  |  |
Changes in paid-in-capital for: |  |  |  |  |  |  |  |  |  |  |
Sales of noncontrolling interest |  |  |  |  |  |  |  |  | 79 | (114) | 0
Purchase of noncontrolling interests |  |  |  |  |  |  |  |  | (17,897) | (2,752) | (13,105)
Net transfer in noncontrolling interests |  |  |  |  |  |  |  |  | $ (17,818) | $ (2,866) | $ (13,105)

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