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Shareholder's equity Effects of Changes in DaVita Inc's Ownership Interest (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017 | Nov. 04, 2019 | Jul. 17, 2019
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Net (loss) income attributable to DaVita Inc. | $ 244,871 | $ 143,270 | $ 273,551 | $ 149,289 | $ (149,772) | $ (136,796) | $ 267,276 | $ 178,686 | $ 810,981 | $ 159,394 | $ 663,618 |  |
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |
Stock Repurchase Program, Authorized Amount |  |  |  |  |  |  |  |  |  |  |  | $ 2,000,000 | $ 2,000,000
Additional paid-in capital |  |  |  |  |  |  |  |  |  |  |  |  |
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |
Increase (Decrease) In Paid-In Capital for Sales of Noncontrolling Interests |  |  |  |  |  |  |  |  | 0 | 79 | (114) |  |
Partial purchases |  |  |  |  |  |  |  |  | (37,145) | (17,897) | (2,752) |  |
Noncontrolling Interest, Period Increase (Decrease) |  |  |  |  |  |  |  |  | (37,145) | (17,818) | (2,866) |  |
Stock Repurchase Program, Authorized Amount | $ 773,836 |  |  |  | $ 141,576 |  |  |  | $ 773,836 | $ 141,576 | $ 660,752 |  |

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