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Acquisitions - Components of Routine Acquisitions (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 USD ($) Clinic | Dec. 31, 2023 USD ($) Clinic | Dec. 31, 2022 USD ($) Clinic
Business Acquisition [Line Items] |  |  |
Gain on changes in ownership interest | $ 109,466 | $ 0 | $ 0
Series of individually immaterial business acquisitions |  |  |
Business Acquisition [Line Items] |  |  |
Cash paid to acquire business | 329,187 | 27,648 | 59,271
Contingent purchase price and liabilities assumed | 50,384 | 19,801 | 19,337
Fair Value of Previously Held Equity Interests | 182,270 | 0 | 0
Aggregate purchase cost recognized | 561,841 | $ 47,449 | $ 78,608
Series of individually immaterial business acquisitions | Non-Cash Gain |  |  |
Business Acquisition [Line Items] |  |  |
Gain on changes in ownership interest | $ 35,147 |  |
Series of individually immaterial business acquisitions | U.S. dialysis |  |  |
Business Acquisition [Line Items] |  |  |
Number of businesses acquired | Clinic | 12 | 0 | 5
Series of individually immaterial business acquisitions | Foreign Dialysis Centers |  |  |
Business Acquisition [Line Items] |  |  |
Number of businesses acquired | Clinic | 198 | 12 | 11
DaVita Care Pte. Ltd. |  |  |
Business Acquisition [Line Items] |  |  |
Fair Value of Previously Held Equity Interests | $ 114,744 |  |
Aggregate purchase cost recognized | 114,744 |  |
DaVita Care Pte. Ltd. | Non-Cash Gain |  |  |
Business Acquisition [Line Items] |  |  |
Gain on changes in ownership interest | $ 59,067 |  |

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