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Acquisitions and Divestitures (Tables) | 12 Months Ended
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Dec. 31, 2024
Business Combinations [Abstract] |
Schedule of Components of Routine Acquisitions | During 2024, 2023 and 2022, the Company acquired other dialysis and related businesses for consideration paid in cash. As part of these other international and routine transactions in 2024, the Company acquired a controlling interest in a previously nonconsolidated U.S. dialysis partnership for which it recognized a non-cash gain of $35,147 on its prior investment upon consolidation. The Company estimated the fair value of its previously held equity interest in this business using appraisals developed with independent third party valuation firms. Aggregate consideration – DVC and all other acquisitions Aggregate consideration for both the DaVita Care Pte. Ltd. acquisition and all other international and routine acquisitions described above has been as follows:
| Year ended December 31,
| 2024 |  | 2023 |  | 2022
Cash paid | $ | 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 |  |  | — |  |  | — |
Aggregate consideration | $ | 561,841 |  |  | $ | 47,449 |  |  | $ | 78,608 |
Number of dialysis centers acquired — U.S. | 12 |  | — |  | 5
Number of dialysis centers acquired — International | 198 |  | 12 |  | 11
Aggregate Purchase Cost Allocations for Acquisitions | The following table summarizes the assets acquired and liabilities assumed in these transactions and recognized at their acquisition dates at estimated fair values, as well as the estimated fair value of noncontrolling interests assumed in these transactions:
| Year ended December 31,
| 2024 |  | 2023 |  | 2022
Cash | $ | 83,119 |  |  | $ | 1,254 |  |  | $ | 1,963 |
Other current assets | 249,738 |  |  | 6,128 |  |  | 6,389 |
Property and equipment | 94,951 |  |  | 4,130 |  |  | 7,481 |
Right-of-use lease assets and other long-term assets | 97,591 |  |  | 785 |  |  | 1,066 |
Indefinite-lived licenses | 22,725 |  |  | 15,789 |  |  | 19,610 |
Goodwill | 349,069 |  |  | 25,723 |  |  | 49,047 |
Liabilities assumed | (201,704) |  |  | (6,179) |  |  | (6,081) |
Noncontrolling interests assumed | (133,648) |  |  | (181) |  |  | (867) |
| $ | 561,841 |  |  | $ | 47,449 |  |  | $ | 78,608 |
Schedule of other information related to acquired intangibles and goodwill | The amount of goodwill related to these acquisitions recognized or adjusted in 2024, 2023 and 2022 that is deductible for local tax purposes was $54,810, $17,836 and $49,047, respectively.
Pro Forma Summary of Results of Operations | The following summary, prepared on a pro forma basis, combines the results of operations as if all acquisitions in 2024 and 2023 had been consummated as of the beginning of 2023, including the impact of certain adjustments such as amortization of intangibles, interest expense on acquisition financing and income tax effects.
| Year ended December 31,
| 2024 |  | 2023
| (unaudited)
Pro forma total revenues | $ | 13,073,083 |  |  | $ | 12,625,223 |
Pro forma net income attributable to DaVita Inc. | $ | 952,836 |  |  | $ | 732,265 |
Pro forma basic net income per share attributable to DaVita Inc. | $ | 11.21 |  |  | $ | 8.07 |
Pro forma diluted net income per share attributable to DaVita Inc. | $ | 10.92 |  |  | $ | 7.86 |

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- Definition Tabular disclosure of pro forma results of operations for a material business acquisition or series of individually immaterial business acquisitions that are material in the aggregate. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (h)(2) -SubTopic 10 -Topic 805 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479328/805-10-50-2 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (h)(3) -SubTopic 10 -Topic 805 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479328/805-10-50-2 + Details
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- Definition Tabular disclosure of acquisition of assets or a business through noncash (or part noncash) transactions. Noncash is defined as information about all investing and financing activities of an enterprise during a period that affect recognized assets or liabilities but that do not result in cash receipts or cash payments in the period. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. Disclosure may include the equity interest acquired, value of assets acquired, value of liabilities acquired, net monetary assets acquired, number of shares, warrants or options issued as consideration for a business or asset acquired and other information necessary to a fair presentation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482913/230-10-50-4 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482913/230-10-50-3 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482913/230-10-50-5 + Details
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- Definition Tabular disclosure of the amounts recognized as of the acquisition date for each major class of assets acquired and liabilities assumed. May include but not limited to the following: (a) acquired receivables; (b) contingencies recognized at the acquisition date; and (c) the fair value of noncontrolling interests in the acquiree. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 805 -SubTopic 20 -Name Accounting Standards Codification -Paragraph 1 -Section 50 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479907/805-20-50-1 + Details
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