Acquisitions - Components of Routine Acquisitions (Details) $ in Thousands	12 Months Ended
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

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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