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Consolidating Financial Statements - Consolidating Balance Sheets (Details) - USD ($)
$ in Thousands
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Condensed Balance Sheet Statements, Captions [Line Items]      
Cash and cash equivalents $ 1,102,372 $ 323,038  
Restricted cash and equivalents 106,346 92,382  
Accounts receivable, net 1,795,598 1,858,608  
Other current assets 685,854 760,566  
Current assets held for sale, net 0 5,389,565  
Total current assets 3,690,170 8,424,159  
Property and equipment, net 3,473,384 3,393,669  
Operating lease right-of-use assets 2,830,047 0  
Intangible assets, net 135,684 118,846  
Investments in and advances to affiliates, net 0 0  
Other long-term assets and investments 394,474 331,618  
Goodwill 6,787,635 6,841,960 $ 6,610,279
Total assets 17,311,394 19,110,252  
Current liabilities 2,372,098 3,647,402  
Current liabilities held for sale 0 1,243,759  
Total current liabilities 2,372,098 4,891,161  
Intercompany payables 0 0  
Long-term operating lease liabilities 2,723,800 0  
Long-term debt and other long-term liabilities 8,715,878 9,186,052  
Noncontrolling interests subject to put provisions 1,180,376 1,124,641  
Total DaVita Inc. shareholders' equity 2,133,409 3,703,442  
Noncontrolling interests not subject to put provisions 185,833 204,956  
Total equity 2,319,242 3,908,398  
Total liabilities and equity 17,311,394 19,110,252  
Reportable Legal Entites | DaVita Inc.      
Condensed Balance Sheet Statements, Captions [Line Items]      
Cash and cash equivalents 758,241 60,653  
Restricted cash and equivalents 14,499 1,005  
Accounts receivable, net 0 0  
Other current assets 76,787 37,185  
Current assets held for sale, net   0  
Total current assets 849,527 98,843  
Property and equipment, net 543,932 491,462  
Operating lease right-of-use assets 109,415    
Intangible assets, net 362 153  
Investments in and advances to affiliates, net 10,813,991 13,522,198  
Other long-term assets and investments 102,779 53,385  
Goodwill 0 0  
Total assets 12,420,006 14,166,041  
Current liabilities 379,286 1,945,943  
Current liabilities held for sale   0  
Total current liabilities   1,945,943  
Intercompany payables 1,381,863 0  
Long-term operating lease liabilities 136,123    
Long-term debt and other long-term liabilities 7,741,725 7,918,581  
Noncontrolling interests subject to put provisions 647,600 598,075  
Total DaVita Inc. shareholders' equity 2,133,409 3,703,442  
Noncontrolling interests not subject to put provisions 0 0  
Total equity 2,133,409 3,703,442  
Total liabilities and equity 12,420,006 14,166,041  
Reportable Legal Entites | Guarantor Subsidiaries      
Condensed Balance Sheet Statements, Captions [Line Items]      
Cash and cash equivalents 532 1,232  
Restricted cash and equivalents 0 12,048  
Accounts receivable, net 1,189,301 1,204,122  
Other current assets 548,553 565,974  
Current assets held for sale, net   0  
Total current assets 1,738,386 1,783,376  
Property and equipment, net 1,589,417 1,584,321  
Operating lease right-of-use assets 1,656,145    
Intangible assets, net 31,569 42,896  
Investments in and advances to affiliates, net 7,611,402 6,196,801  
Other long-term assets and investments 133,698 90,037  
Goodwill 4,812,972 4,806,939  
Total assets 17,573,589 14,504,370  
Current liabilities 1,327,378 1,217,526  
Current liabilities held for sale   0  
Total current liabilities   1,217,526  
Intercompany payables 3,051,208 2,498,545  
Long-term operating lease liabilities 1,567,776    
Long-term debt and other long-term liabilities 674,558 687,443  
Noncontrolling interests subject to put provisions 0 0  
Total DaVita Inc. shareholders' equity 10,952,669 10,100,856  
Noncontrolling interests not subject to put provisions 0 0  
Total equity 10,952,669 10,100,856  
Total liabilities and equity 17,573,589 14,504,370  
Reportable Legal Entites | Non- Guarantor Subsidiaries      
Condensed Balance Sheet Statements, Captions [Line Items]      
Cash and cash equivalents 343,599 261,153  
Restricted cash and equivalents 91,847 79,329  
Accounts receivable, net 606,297 654,486  
Other current assets 102,410 157,407  
Current assets held for sale, net   5,389,565  
Total current assets 1,144,153 6,541,940  
Property and equipment, net 1,344,543 1,317,886  
Operating lease right-of-use assets 1,084,552    
Intangible assets, net 103,753 75,797  
Investments in and advances to affiliates, net 3,051,208 2,498,545  
Other long-term assets and investments 176,315 188,196  
Goodwill 1,974,663 2,035,021  
Total assets 8,879,187 12,657,385  
Current liabilities 666,470 483,933  
Current liabilities held for sale   1,243,759  
Total current liabilities   1,727,692  
Intercompany payables 2,615,151 6,161,292  
Long-term operating lease liabilities 1,039,145    
Long-term debt and other long-term liabilities 364,102 580,028  
Noncontrolling interests subject to put provisions 0 0  
Total DaVita Inc. shareholders' equity 3,475,710 3,456,851  
Noncontrolling interests not subject to put provisions 718,609 731,522  
Total equity 4,194,319 4,188,373  
Total liabilities and equity 8,879,187 12,657,385  
Consolidating Adjustments      
Condensed Balance Sheet Statements, Captions [Line Items]      
Cash and cash equivalents 0 0  
Restricted cash and equivalents 0 0  
Accounts receivable, net 0 0  
Other current assets (41,896) 0  
Current assets held for sale, net   0  
Total current assets (41,896) 0  
Property and equipment, net (4,508) 0  
Operating lease right-of-use assets (20,065)    
Intangible assets, net 0 0  
Investments in and advances to affiliates, net (21,476,601) (22,217,544)  
Other long-term assets and investments (18,318) 0  
Goodwill 0 0  
Total assets (21,561,388) (22,217,544)  
Current liabilities (1,036) 0  
Current liabilities held for sale   0  
Total current liabilities   0  
Intercompany payables (7,048,222) (8,659,837)  
Long-term operating lease liabilities (19,244)    
Long-term debt and other long-term liabilities (64,507) 0  
Noncontrolling interests subject to put provisions 532,776 526,566  
Total DaVita Inc. shareholders' equity (14,428,379) (13,557,707)  
Noncontrolling interests not subject to put provisions (532,776) (526,566)  
Total equity (14,961,155) (14,084,273)  
Total liabilities and equity $ (21,561,388) $ (22,217,544)