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Acquisitions and Divestitures - Pro Forma Summary of Results of Operation (Details) - USD ($) $ / shares in Units, $ in Thousands | 12 Months Ended
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Dec. 31, 2018 | Dec. 31, 2017
Business Combinations [Abstract] |  |
Pro forma net revenues | $ 11,508,555 | $ 11,176,736
Pro forma net income attributable to DaVita Inc. | $ 634,326 | $ 922,718
Pro forma basic net income per share attributable to DaVita Inc. (USD per share) | $ 3.71 | $ 4.89
Pro forma diluted net income per share attributable to DaVita Inc. (USD per share) | $ 3.68 | $ 4.82

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