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Shareholder's equity Effects of Changes in DaVita Inc's Ownership Interest (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]      
Net (loss) income attributable to DaVita Inc. $ 560,400 $ 978,450 $ 773,642
Additional paid-in capital      
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net [Abstract]      
Purchase of noncontrolling interests (6,586) (13,853)  
Purchases of noncontrolling interests     4,364
Sale of noncontrolling interest 939    
Sale of noncontrolling interest   (264) 0
Noncontrolling Interest, Period Increase (Decrease) (5,647) (14,117) 4,364
Net Income Attributable To Parent Net Of Transfers To Noncontrolling Interests. $ 554,753 $ 964,333 $ 778,006