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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, 2023
Dec. 31, 2022
Dec. 31, 2021
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]      
Net (loss) income attributable to DaVita Inc. $ 691,535 $ 560,400 $ 978,450
Additional paid-in capital      
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Net [Abstract]      
Purchase of noncontrolling interests (5,375) (6,586) (13,853)
Sale of noncontrolling interest 13,077 939  
Sale of noncontrolling interest     (264)
Noncontrolling Interest, Period Increase (Decrease) 7,702 (5,647) (14,117)
Net Income Attributable To Parent Net Of Transfers To Noncontrolling Interests. $ 699,237 $ 554,753 $ 964,333