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DaVita Inc
(NYSE:DVA) 

DVA stock logo

DaVita Inc. provides kidney dialysis services for patients suffering from chronic kidney failure or end stage renal disease (ESRD). The company operates kidney dialysis centers and provides related lab services in outpatient dialysis centers. It also provides outpatient, hospital inpatient, and home...

Founded: 1994
Full Time Employees: 65,000
CEO: Javier J. Rodriguez  
Sector: Healthcare
Industry: Medical Care Facilities

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Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 
                                                                          
      dialysis patient service revenues
    3,272,797,000 3,399,232,000 3,298,090,000 3,206,871,000 3,102,993,000 3,119,180,000 3,138,561,000 3,061,102,000 2,760,034,000 2,972,272,000 2,951,950,000 2,890,685,000 2,760,034,000 2,803,590,000 2,846,494,000 2,810,099,000 2,716,281,000 2,843,031,000 2,837,940,000 2,817,957,000 2,714,587,000 2,773,123,000 2,781,650,000 2,758,197,000 2,713,281,000                                              
      other revenues
    142,751,000 220,555,000 122,137,000 172,655,000 120,536,000 175,503,000 125,029,000 125,620,000 112,665,000 173,475,000 169,382,000 109,684,000 112,665,000 113,298,000 102,200,000 116,658,000 101,274,000 100,936,000 100,379,000 98,553,000 105,414,000 132,199,000 142,416,000 121,782,000 127,956,000 132,575,000 126,886,000 118,889,000 113,423,000 105,070,000 188,606,000 217,956,000 232,825,000 405,124,000 283,969,000 288,417,000 290,852,000 290,283,000 347,180,000 360,599,000 325,556,000 350,474,000 294,236,000 310,814,000 264,799,000 274,415,000 259,716,000 273,923,000 224,310,000 220,696,000 200,100,000 202,856,000 173,695,000 133,799,000 184,406,000 174,897,000 155,943,000              
      total revenues
    3,415,548,000 3,619,787,000 3,420,227,000 3,379,526,000 3,223,529,000 3,294,683,000 3,263,590,000 3,186,722,000 2,872,699,000 3,145,747,000 3,121,332,000 3,000,369,000 2,872,699,000 2,916,888,000 2,948,694,000 2,926,757,000 2,817,555,000 2,943,967,000 2,938,319,000 2,916,510,000 2,820,001,000 2,905,322,000 2,924,066,000 2,879,979,000 2,841,237,000 2,898,584,000 2,904,078,000 2,842,705,000 2,743,112,000 2,821,124,000 2,847,330,000 2,886,953,000 2,849,444,000                                      
      yoy
    5.96% 9.87% 4.80% 6.05% 12.21% 4.73% 4.56% 6.21% 0.00% 7.85% 5.85% 2.52% 1.96% -0.92% 0.35% 0.35% -0.09% 1.33% 0.49% 1.27% -0.75% 0.23% 0.69% 1.31% 3.58% 2.75% 1.99% -1.53% -3.73%                                          
      qoq
    -5.64% 5.83% 1.20% 4.84% -2.16% 0.95% 2.41% 10.93% -8.68% 0.78% 4.03% 4.44% -1.51% -1.08% 0.75% 3.88% -4.29% 0.19% 0.75% 3.42% -2.94% -0.64% 1.53% 1.36% -1.98% -0.19% 2.16% 3.63% -2.77% -0.92% -1.37% 1.32%                                       
      operating expenses:
                                                                          
      patient care costs
    2,342,257,000 2,409,517,000 2,332,759,000 2,261,540,000 2,239,660,000 2,225,371,000 2,151,875,000 2,142,299,000 2,058,189,000 2,138,369,000 2,067,315,000 2,055,844,000 2,058,189,000 2,088,681,000 2,085,555,000 2,016,788,000 2,018,529,000 2,060,218,000 2,008,589,000 1,965,277,000 1,938,330,000 2,056,881,000 1,971,719,000 1,984,564,000 1,975,449,000 2,000,625,000 1,991,172,000 1,957,753,000 1,964,935,000                        1,953,929,000 1,662,529,000 1,340,918,000 1,312,247,000 1,263,159,000 1,213,912,000 1,189,638,000 1,165,220,000 1,115,996,000 1,135,012,000 1,146,382,000 1,110,552,000 1,082,789,000 1,095,046,000 1,095,857,000 1,051,879,000 1,005,886,000  
      general and administrative
    421,914,000 472,362,000 414,373,000 412,805,000 374,090,000 414,482,000 393,534,000 367,845,000 331,614,000 401,471,000 376,883,000 364,016,000 331,614,000 379,711,000 365,447,000 315,219,000 294,820,000 322,723,000 293,095,000 298,091,000 281,426,000 304,519,000 363,280,000 316,209,000 263,576,000 278,425,000 298,736,000 275,338,000 250,813,000 268,532,000 336,299,000 264,094,000 266,529,000 -110,087,000 400,018,000 382,315,000 391,780,000 412,484,000 406,890,000 386,895,000 386,429,000 404,817,000 353,492,000 352,025,000 341,801,000 355,987,000 322,822,000 298,636,000 284,061,000 318,827,000 305,138,000 268,110,000 291,372,000 271,367,000 201,198,000 214,621,000 207,389,000 193,210,000 182,638,000 163,793,000 151,602,000 157,578,000 148,041,000 136,104,000 137,277,000 137,161,000 134,931,000 132,166,000 127,273,000  
      depreciation and amortization
    177,829,000 186,703,000 177,490,000 174,704,000 176,451,000 174,102,000 187,014,000 175,661,000 178,071,000 195,277,000 188,423,000 183,672,000 178,071,000 194,068,000 194,414,000 171,176,000 172,944,000 174,763,000 170,462,000 169,689,000 165,701,000 161,486,000 156,894,000 157,376,000 154,679,000 158,467,000 155,915,000 152,242,000 148,528,000 155,157,000 146,000,000 147,079,000 142,799,000 -33,616,000 203,283,000 200,038,000 190,206,000 188,777,000 181,739,000 180,381,000 169,355,000 163,330,000 162,062,000 158,843,000 153,789,000 153,253,000 149,196,000 145,907,000 142,579,000 139,474,000 132,765,000 130,589,000 125,909,000 107,601,000 80,586,000 77,807,000 75,975,000 72,987,000 67,558,000 64,470,000 62,037,000 60,071,000 58,486,000 58,353,000 57,468,000 56,865,000 56,813,000 58,185,000 57,123,000  
      equity investment income
    -8,344,000 -9,865,000 -10,162,000 -7,364,000 -5,609,000 -10,315,000 -3,711,000 -5,481,000 -6,820,000 -5,362,000 -7,228,000 -8,454,000 -6,820,000 -1,824,000 -8,509,000 -9,141,000 -7,046,000 -3,152,000 -8,704,000 -7,023,000 -8,058,000 -6,920,250 -5,496,000 -4,342,000 -17,843,000   -4,514,000 -2,708,000    -155,000    -3,935,000 -7,925,000 -4,237,000  -1,387,000 -7,601,000 -2,783,000 -5,033,000 -2,908,000 -4,542,000 -5,225,000 -6,095,000 -7,372,000 -8,319,000 -9,223,000 -7,649,000 -9,367,000 -8,063,000 -3,064,000 -2,618,000 -2,632,000 -2,221,000 -2,619,000 -2,417,000 -1,519,000 -2,031,000 -1,789,000 -2,834,000  -1,376,000 -708,000    
      total operating expenses
    2,933,656,000 3,058,717,000 2,914,460,000 2,841,685,000 2,784,592,000 2,729,321,000 2,728,712,000 2,680,324,000 2,561,054,000 2,755,838,000 2,625,393,000 2,595,078,000 2,561,054,000 2,660,636,000 2,636,907,000 2,494,042,000 2,479,247,000 2,554,552,000 2,463,442,000 2,426,034,000 2,377,399,000                                                  
      operating income
    481,892,000 561,070,000 505,767,000 537,841,000 438,937,000 565,362,000 534,878,000 506,398,000 311,645,000 389,909,000 495,939,000 405,291,000 311,645,000 256,252,000 311,787,000 432,715,000 338,308,000 389,415,000 474,877,000 490,476,000 442,602,000 381,671,000 437,669,000 409,920,000 465,376,000 462,588,000 378,336,000 461,886,000 340,507,000 387,908,000 289,038,000 438,192,000 410,686,000 738,726,000 -192,523,000 378,316,000 888,236,000 381,428,000 819,156,000 329,070,000 364,889,000 244,935,000 509,368,000 480,548,000 -64,156,000 452,085,000 437,536,000 484,295,000 441,225,000 484,179,000 377,074,000 522,020,000 166,861,000 387,623,000 340,859,000 247,882,000 320,720,000 330,112,000 318,712,000 247,046,000 235,553,000 255,405,000 256,591,000 242,365,000 242,666,000 238,712,000 245,001,000 235,954,000 220,604,000  
      yoy
    9.79% -0.76% -5.44% 6.21% 40.85% 45.00% 7.85% 24.95% 0.00% 52.16% 59.06% -6.34% -7.88% -34.20% -34.34% -11.78% -23.56% 2.03% 8.50% 19.65% -4.89% -17.49% 15.68% -11.25% 36.67% 19.25% 30.89% 5.41% -17.09% -47.49% -250.13% 15.83% -53.76% 93.67% -123.50% 14.97% 143.43% 55.73% 60.82% -31.52% -668.75% -45.82% 16.42% -0.77% -114.54% -6.63% 16.03% -7.23% 164.43% 24.91% 10.62% 110.59% -47.97% 17.42% 6.95% 0.34% 36.16% 29.25% 24.21% 1.93% -2.93% 6.99% 4.73% 2.72% 10.00%      
      qoq
    -14.11% 10.93% -5.96% 22.53% -22.36% 5.70% 5.62% 62.49% -20.07% -21.38% 22.37% 30.05% 21.62% -17.81% -27.95% 27.91% -13.12% -18.00% -3.18% 10.82% 15.96% -12.79% 6.77% -11.92% 0.60% 22.27% -18.09% 35.65% -12.22% 34.21% -34.04% 6.70% -44.41% -483.71% -150.89% -57.41% 132.87% -53.44% 148.93% -9.82% 48.97% -51.91% 6.00% -849.03% -114.19% 3.33% -9.66% 9.76% -8.87% 28.40% -27.77% 212.85% -56.95% 13.72% 37.51% -22.71% -2.85% 3.58% 29.01% 4.88% -7.77% -0.46% 5.87% -0.12% 1.66% -2.57% 3.83% 6.96%   
      operating margin %
    14.11% 15.50% 14.79% 15.91% 13.62% 17.16% 16.39% 15.89% 10.85% 12.39% 15.89% 13.51% 10.85% 8.79% 10.57% 14.78% 12.01% 13.23% 16.16% 16.82% 15.70% 13.14% 14.97% 14.23% 16.38% 15.96% 13.03% 16.25% 12.41% 13.75% 10.15% 15.18% 14.41% Infinity% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity%  
      debt expense
    -145,131,000 -148,252,000 -150,557,000 -146,062,000 -135,055,000 -138,721,000 -134,583,000 -97,747,000 -100,774,000 -96,190,000 -98,080,000 -103,507,000 -100,774,000 -100,962,000 -99,680,000 -82,586,000 -73,791,000 -72,087,000 -72,829,000 -73,324,000 -67,014,000 -60,469,000 -73,658,000 -81,381,000 -88,603,000 -92,050,000 -88,589,000 -131,666,000 -131,519,000 -128,300,000 -125,927,000 -119,692,000 -113,516,000 -108,620,000 -109,623,000 -107,962,000 -104,429,000 -104,023,000 -104,581,000 -102,894,000 -102,884,000 -103,259,000 -103,481,000 -104,248,000 -97,392,000 -97,949,000 -99,878,000 -106,132,000 -106,335,000 -107,609,000 -108,421,000 -108,096,000 -105,817,000 -95,970,000 -70,494,000 -60,709,000 -61,381,000 -61,750,000 -60,848,000 -59,897,000 -58,595,000 -53,879,000 -39,490,000 -43,655,000 -44,583,000 -44,831,000 -45,535,000 -47,088,000 -48,301,000  
      other income
    4,473,000       -27,479,000 3,752,000   1,373,000 3,752,000 -7,797,000 -4,898,000 -1,284,000 -1,786,000 -2,388,000 -7,590,000 15,188,000 1,168,000 6,169,000 5,395,000 9,545,000 -4,350,000 11,485,000 5,280,000 5,643,000 6,940,000 -494,000 4,007,000 1,994,000 4,582,000 3,799,000 4,370,000 5,253,000 4,243,000 667,000 1,876,000 3,215,000 2,976,000 4,631,000 2,484,000 2,311,000 -533,000 229,000 -1,246,000 1,693,000 1,698,000 3,450,000 2,113,000 -1,374,000 598,000 1,039,000 819,000 840,000 1,039,000 787,000 798,000 556,000 841,000 1,091,000 759,000 739,000 831,000 682,000 999,000 1,273,000 754,000  
      income before income taxes
    341,234,000 241,016,000 308,803,000 368,928,000 286,333,000 279,165,000 373,434,000 371,440,000 214,623,000 222,006,750 378,209,000 295,195,000 214,623,000 204,696,250 207,209,000 348,845,000 262,731,000                 191,470,250 -297,776,000 275,607,000 788,050,000 278,072,000 716,451,000 229,391,000 264,981,000 144,207,250 408,371,000 330,539,000 -162,081,000               187,705,000 177,799,000 132,362,000 217,860,000 195,322,000 198,914,000 194,563,000 200,465,000 190,139,000 173,057,000  
      income tax expense
    66,199,000 76,728,000 68,554,000 93,708,000 54,117,000 64,488,000 77,674,000 71,688,000 43,955,000 58,495,000 68,848,000 48,818,000 43,955,000 34,330,000 42,515,000 64,229,000 57,013,000 65,508,000 74,704,000 81,309,000 85,211,000 73,368,000 65,792,000 83,212,000 91,560,000 81,690,000 65,254,000 75,938,000 56,746,000 51,748,000 52,047,000 83,868,000 70,737,000 47,854,000 -125,742,000 113,982,000 287,765,000 89,802,000 104,301,000 134,888,000  111,833,000 147,064,000 122,762,000  103,977,000 116,628,000 100,887,000 124,851,000 135,747,000 100,930,000 129,192,000 15,144,000 97,707,000 98,634,000 68,009,000 95,495,000 91,710,000 94,204,000 67,040,000 63,047,000 39,917,000 74,979,000 71,429,000 73,914,000 68,980,000 74,195,000 70,507,000 64,783,000  
      net income
    275,035,000 331,031,000 240,249,000 275,220,000 232,216,000 349,245,000 295,760,000 299,752,000 170,668,000 230,572,000 309,361,000 246,377,000 170,668,000 126,615,000 164,694,000 284,616,000 205,718,000 249,432,000 319,754,000 351,031,000 291,545,000 234,370,000 217,540,000 254,872,000 287,895,000 302,962,000 201,688,000 327,157,000 189,487,000   306,322,000 225,229,000 340,679,000 -172,034,000 161,625,000 500,285,000 188,270,000 612,150,000 94,503,000 138,159,000 34,474,000 261,307,000 207,777,000 -76,148,000 250,388,000 219,784,000 181,421,000 211,737,000 244,273,000 169,836,000 283,358,000 59,734,000 183,800,000 172,550,000 95,337 140,120 573,065,122 135,361 120,665,000 114,752,000 92,445,000 142,881,000 123,893,000 125,000,000 125,583,000 126,270,000 119,632,000 108,274,000  
      yoy
    18.44% -5.22% -18.77% -8.18% 36.06% 51.47% -4.40% 21.66% 0.00% 82.10% 87.84% -13.44% -17.04% -49.24% -48.49% -18.92% -29.44% 6.43% 46.99% 37.73% 1.27% -22.64% 7.86% -22.09% 51.93%   6.80% -15.87%   89.53% -54.98% 80.95% -128.10% 71.03% 262.11% 446.12% 134.26% -54.52% -281.43% -86.23% 18.89% 14.53% -135.96% 2.50% 29.41% -35.97% 254.47% 32.90% -1.57% 297117.24% 42530.60% -67.93% 127373.94% -99.92% -99.88% 519.90% -99.91% -2.61% -8.20% -26.39% 13.16% 3.56% 15.45%      
      qoq
    -16.92% 37.79% -12.71% 18.52% -33.51% 18.08% -1.33% 75.63% -25.98% -25.47% 25.56% 44.36% 34.79% -23.12% -42.13% 38.35% -17.53% -21.99% -8.91% 20.40% 24.40% 7.74% -14.65% -11.47% -4.97% 50.21% -38.35% 72.65%    36.00% -33.89% -298.03% -206.44% -67.69% 165.73% -69.24% 547.76% -31.60% 300.76% -86.81% 25.76% -372.86% -130.41% 13.92% 21.15% -14.32% -13.32% 43.83% -40.06% 374.37% -67.50% 6.52% 180889.54% -31.96% -99.98% 423260.59% -99.89% 5.15% 24.13% -35.30% 15.33% -0.89% -0.46% -0.54% 5.55% 10.49%   
      net income margin %
    8.05% 9.15% 7.02% 8.14% 7.20% 10.60% 9.06% 9.41% 5.94% 7.33% 9.91% 8.21% 5.94% 4.34% 5.59% 9.72% 7.30% 8.47% 10.88% 12.04% 10.34% 8.07% 7.44% 8.85% 10.13% 10.45% 6.94% 11.51% 6.91% 0% 0% 10.61% 7.90% Infinity% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity%  
      less: net income attributable to noncontrolling interests
    -77,505,000 -96,814,000 -89,917,000 -75,883,000 -69,299,000 -89,916,000 -81,072,000 -77,076,000 -55,121,000 -79,907,000 -62,729,000 -67,686,000 -55,121,000 -58,512,000 -59,328,000 -59,807,000 -43,596,000 -61,959,000 -60,000,000 -57,211,000 -54,142,000 -60,597,000 -58,866,000 -53,270,000 -48,302,000 -58,091,000 -58,418,000 -53,606,000 -40,198,000 -47,929,000 -40,128,000 -39,046,000 -46,543,000 -37,283,000 -42,442,000 -34,624,000 -52,588,000 -30,544,000 -40,818,000 -41,121,000 -40,725,000 -40,474,000 -45,435,000 -37,300,000 -34,469,000 -42,368,000 -35,662,000 -33,738,000 -28,448,000 -31,995,000 -33,208,000 -28,982,000 -29,570,000 -27,961,000 -27,829,000 -24,667,000 -24,763,000 -28,009,000 -26,485,000 -20,650,000 -20,250,000 -23,425,000 -23,494,000 -16,040,000 -15,577,000 -15,859,000 -15,340,000 -13,813,000 -12,063,000  
      net income attributable to davita inc.
    197,530,000 234,217,000 150,332,000 199,337,000 162,917,000 259,329,000 214,688,000 222,676,000 115,547,000 150,665,000 246,632,000 178,691,000 115,547,000 68,103,000 105,366,000 224,809,000 162,122,000 187,473,000 259,754,000 293,820,000 237,403,000 173,773,000 158,674,000 201,602,000 239,593,000 244,871,000 143,270,000 273,551,000 149,289,000 -149,772,000 -136,796,000 267,276,000 178,686,000 303,396,000 -214,476,000 127,001,000 447,697,000 157,726,000 571,332,000               95,044,500 144,721,000 95,337,000 140,120,000 148,123,000 135,361,000 100,015,000 94,502,000 69,020,000 119,387,000 107,853,000 109,423,000 109,724,000 110,930,000 105,819,000 96,211,000  
      earnings per share attributable to davita inc.:
                                                                          
      basic net income
    2.93 3.29 2.09 2.62 2.05 3.16 2.56 2.56 1.28 1.67 2.7 1.96 1.28 0.79 1.16 2.38 1.68 1.89 2.48 2.76 2.18                                                  
      diluted net income
    2.87 3.22 2.04 2.58 3.07 2.5 2.5 1.25 1.62 2.62 1.91 1.25 0.78 1.13 2.3 1.61 1.82 2.36 2.64 2.09                                                  
      weighted-average shares for earnings per share:
                                                                          
      basic shares
    67,390 -1,541 72,075 75,943 79,368 -1,132 83,721 86,899 90,497 -147 91,322 90,984 90,497 -967 91,160 94,457 96,342 -1,455 104,793 106,364 109,014                                                  
      diluted shares
    68,875 -1,557 73,769 77,362 81,275 -1,148 85,795 88,950 92,483 -135 94,041 93,418 92,483 -1,319 93,263 97,772 100,503 -1,718 109,838 111,423 113,852                                                  
      gain on changes in ownership interests
                                   -33,957,000  17,129,000 -17,129,000  -6,273,000  -374,374,000                                
      debt extinguishment and modification costs
     -9,028,000 -5,150,000                                                                    
      other loss
     -21,031,000 -41,257,000 -22,851,000 -17,549,000 -12,908,000 -16,780,000   -3,631,250 -19,650,000                                                            
      debt prepayment, extinguishment and modification costs
          -10,081,000 -9,732,000                                                               
      gain on changes in ownership interest
         -8,786,750                                                                 
      debt prepayment and refinancing charges
               -7,962,000                                                           
      loss on changes in ownership interest
                           16,252,000                                               
      debt prepayment, refinancing and redemption charges
                          -86,074,000    -21,242,000                                            
      income from continuing operations before income taxes
                     314,940,000 394,458,000 432,340,000 376,756,000 327,371,000 283,332,000 338,084,000 369,475,000 382,023,000 273,785,000 323,703,000 215,928,000 259,114,000 167,118,000 320,494,000 301,752,000             354,365,000 336,412,000 282,308,000 336,588,000 380,020,000 270,766,000 412,550,000 61,642,000 281,729,000 271,184,000 188,013,000 260,378,000 269,149,000 258,662,000            
      net income from continuing operations
                     249,432,000 319,754,000 351,031,000 291,545,000 254,003,000 217,540,000 254,872,000 277,915,000 300,333,000 208,531,000 247,765,000 159,182,000 207,366,000 115,071,000 236,626,000 231,015,000                                      
      net income from discontinued operations, net of tax
                         -19,633,000   9,980,000 25,713,500 -6,843,000 79,392,000 30,305,000   69,696,000 -5,786,000                                      
      basic net income from continuing operations
                     1.89 2.48 2.76 2.18                                                  
      diluted net income from continuing operations
                     1.82 2.36 2.64 2.09                                                  
      amounts attributable to davita inc.:
                                                                          
      net income from discontinued operations
                         -19,633   9,980 2,629 -6,843 79,328 29,035   67,673 -12,329                                      
      debt refinancing charges
                            -2,948,000                       -97,548,000                       
      operating expenses and charges:
                                                                          
      goodwill impairment charges
                              83,855,000  41,037,000   3,106,000      63,250,000  176,000,000                               
      total operating expenses and charges
                         2,523,651,000 2,486,397,000 2,470,059,000 2,375,861,000 2,435,996,000 2,525,742,000 2,380,819,000 2,402,605,000 2,433,216,000 2,558,292,000 2,448,761,000 2,438,758,000 -1,359,683,000 4,115,354,000 3,499,161,000 2,809,047,000 3,334,314,000 2,911,420,000 3,388,581,000 3,216,247,000 3,288,654,000 3,016,297,000 2,954,070,000 3,352,121,000 2,875,932,000 2,814,288,000 2,688,194,000 2,601,551,000 2,579,030,000 2,622,512,000 2,349,653,000 2,662,721,000 2,039,316,000 1,622,107,000 1,681,858,000 1,545,915,000 1,532,206,000 1,489,157,000 1,464,483,000 1,370,405,000 1,394,012,000 1,395,058,000 1,344,542,000 1,316,752,000 1,329,492,000 1,328,914,000 1,283,087,000 1,227,036,000  
      basic net income from continuing operations per share
                         1.203 1.31 1.65 1.84 1.73 1.17 0.72 0.97 0.44                                        
      basic net income per share
                         1.223 1.31 1.65 1.92 1.78 0.95 1.64 0.9 -0.86 -0.82                                        
      diluted net income from continuing operations per share
                         1.18 1.28 1.62 1.81 1.73 0.99 1.16 0.72 0.96 0.44                                        
      diluted net income per share
                         1.2 1.28 1.62 1.89 1.77 0.95 1.64 0.9 -0.85 -0.82                                        
      weighted-average shares for earnings per share:
                                                                          
      basic
                          120,905,038 122,074,452 124,901,671 153,180,908 150,675,465 166,346,041 166,387,958 170,785,999 166,770,664 171,617,238 178,957,865 188,625,559 188,883,922 191,088,216 192,376,735 201,641,173 203,761,433 204,497,970 204,366,869 211,867,714 212,374,897 212,991,606 213,387,253 212,301,827 212,617,238 212,258,994 211,375,232 209,939,364 210,394,560 104,898,667 104,484,476 96,017,939 94,979,858 94,171,583 93,769,092 94,658,027 93,441,620 95,488,449 96,263,802 101,504,373 102,608,844 103,003,623 103,364,869 103,603,885 104,127,334 103,705,683 103,878,417  
      diluted
                          123,953,879 124,068,278 126,894,847 153,812,064 151,295,950 166,799,525 166,780,657 172,364,581 167,262,358 174,105,884 181,834,547 191,348,533 188,883,922 193,987,983 195,281,014 204,904,656 206,961,450 208,047,172 207,928,096 216,251,807 216,691,461 217,606,198 213,387,253 216,927,681 217,236,493 216,720,944 216,118,922 214,763,887 214,902,860 107,424,582 107,063,633 97,971,080 96,634,620 96,002,190 95,729,105 96,532,110 95,171,225 97,657,578 98,378,371 103,059,171 104,022,458 104,449,065 104,765,600 104,167,685 104,607,318 103,925,843 104,409,026  
      dialysis and related lab patient service revenues
                             2,037,596,500 2,781,169,000 2,734,065,000 2,635,152,000 2,729,803,000 2,670,701,000 2,718,403,000 2,591,074,000                                      
      provision for uncollectible accounts
                             -2,026,000 -3,977,000 -10,249,000 -5,463,000 -13,749,000 -11,977,000 -49,406,000 25,545,000 -5,652,000 -2,685,000 -606,000  1,821,000 3,773,000 3,566,000  1,624,250 2,511,000 2,159,000  2,420,000 3,961,000 3,208,000 2,511,000    878,000    2,024,000              
      net dialysis and related lab patient service revenues
                             2,032,674,250 2,777,192,000 2,723,816,000 2,629,689,000 2,716,054,000 2,658,724,000 2,668,997,000 2,616,619,000                                      
      equity investment loss
                             -1,521,000 -3,936,000   -1,531,500 3,824,000 -9,795,000  11,337,000 4,852,000 -3,614,000    505,000                             18,000  
      investment and other asset impairments
                                  6,093,000 11,245,000                                       
      impairment of other assets
                                                                          
      debt prepayment charges
                               -12,160,000                                           
      patient care costs and other costs
                                 2,027,069,000 2,063,770,000 2,069,089,000 2,035,585,000 -868,701,000 2,925,975,000 2,859,911,000 2,722,820,000 2,695,749,000 2,697,629,000 2,671,025,000 2,582,333,000 2,515,131,000 2,501,015,000 2,446,076,000 2,362,612,000 2,366,461,000 2,326,534,000 2,246,538,000 2,179,772,000 2,127,832,000 2,095,334,000 2,014,320,000                   
      loss on changes in ownership interests
                                 -8,112,750 1,506,000                                        
      gain on settlement
                                     -131,706,750   -526,827,000                                  
      net loss from discontinued operations, net of tax
                                 -309,209,000 -211,739,000                                        
      net (loss) income
                                 108,720,750 -96,668,000                                        
      net loss from discontinued operations
                                 -310,104 -210,167                                        
      earnings per share:
                                                                          
      basic net income from continuing operations per share attributable to davita inc.
                                   1.16 1.07                                      
      basic net income per share attributable to davita inc.
                                   1.56 1.63 -1.14 0.66 2.33 0.82 2.8               1.008 1.52 1.01 1.49 1.58 1.45            
      diluted net income from continuing operations per share attributable to davita inc.
                                   1.15 1.05                                      
      diluted net income per share attributable to davita inc.
                                   1.53 0.98 1.61 -1.14 0.65 2.29 0.81 2.76               0.99 1.5 0.99 1.46 1.56 1.42            
      patient service revenues
                                     2,007,525,500 2,746,257,000 2,682,467,000 2,601,378,000 2,676,108,000 2,629,661,000 2,570,654,000 2,477,738,000 2,430,851,000 2,414,034,000 2,363,579,000 2,271,815,000 2,324,458,000 2,242,533,000 2,187,249,000 2,114,098,000 2,151,972,000 2,126,699,000 2,048,651,000 1,979,873,000                  
      less: provision for uncollectible accounts
                                     -133,170,000 -123,760,000 -115,485,000  -115,165,000 -115,555,000 -111,428,000  -78,645,250 -109,452,000 -105,965,000  -67,555,000 -98,971,000 -88,052,000 -83,197,000    -70,057,000                  
      net patient service revenues
                                     1,919,468,500 2,622,497,000 2,566,982,000 2,488,395,000 2,560,943,000 2,514,106,000 2,459,226,000 2,368,533,000 2,317,572,000 2,304,582,000 2,257,614,000 2,172,651,000 2,227,794,000 2,143,562,000 2,099,197,000 2,030,901,000 2,075,151,000 2,052,222,000 1,976,460,000 1,909,816,000                  
      capitated revenues
                                     739,119,750 1,016,365,000 1,022,078,000 918,036,000 864,516,000 869,290,000 897,826,000 887,047,000 865,543,000 926,847,000 866,190,000 850,515,000 825,808,000 848,546,000 799,369,000 787,565,000 767,362,000 747,264,000                    
      total net revenues
                                     -620,957,000 3,922,831,000 3,877,477,000 3,697,283,000 3,715,742,000 3,730,576,000 3,717,651,000 3,581,136,000 3,533,589,000 3,525,665,000 3,434,618,000 3,287,965,000 3,328,017,000 3,251,824,000 3,172,489,000 3,042,776,000 3,063,209,000 2,999,586,000 2,871,673,000 2,829,582,000                  
      goodwill and asset impairment charges
                                     175,380,750 601,040,000 61,117,000 39,366,000                                  
      less: benefit from uncollectible accounts
                                        -112,983,000    -109,205,000    -99,164,000     -54,181,250 -74,477,000 -72,191,000                   
      benefit from uncollectible accounts
                                        1,910,000    2,517,000    1,827,000     909,000 1,498,000 1,260,000  1,573,500 2,469,000 1,801,000  54,318,000 51,942,000 49,417,000 42,289,000 43,382,000 43,938,000 42,367,000 41,563,000 41,796,000 42,021,000 41,233,000 36,736,000  
      settlement charge
                                                                          
      debt redemption charges
                                                                 -1,031,750  -4,127,000       
      gain on sales of business interests
                                           -29,791,000                               
      net income attributable to davita healthcare partners inc.
                                           53,382,000 97,434,000 -6,000,000 215,872,000 170,477,000 -110,617,000 208,020,000 184,122,000 147,683,000 183,289,000 212,278,000 136,628,000 254,376,000 30,164,000                  
      basic net income per share attributable to davita healthcare partners inc.
                                           0.26 0.48 -0.03 1.02 0.8 -0.52 0.98 0.87 0.7 0.87 1.01 0.65 2.42 0.29                  
      diluted net income per share attributable to davita healthcare partners inc.
                                           0.26 0.47 -0.02 0.78 -0.52 0.95 0.85 0.68 0.85 0.99 0.64 2.37 0.28                  
      goodwill impairment charge
                                            77,000,000                   24,000,000           
      income tax benefit
                                            126,822,000                              
      loss contingency accrual and settlement charge
                                             123,750,000                             
      debt redemption and refinancing charges
                                               -48,072,000                           
      loss contingency accrual
                                                495,000,000                          
      income tax (benefit) expense
                                                -85,933,000                          
      loss contingency reserve
                                                 4,250,000 17,000,000      300,000,000                  
      contingent earn-out obligation adjustment
                                                       -56,977,000                   
      income from continuing operations
                                                 250,388,000 219,784,000 181,421,000 211,737,000 244,273,000 169,836,000 283,358,000 46,498,000 184,022,000 172,550,000 120,004,000 164,883,000 177,439,000 164,458,000            
      discontinued operations:
                                                                          
      loss from operations of discontinued operations, net of tax
                                                        -139,000                  
      gain on disposal of discontinued operations, net of tax
                                                        13,375,000                  
      basic income from continuing operations per share attributable to davita healthcare partners inc.
                                                 0.98 0.87 0.7 0.87 0.65 2.42 0.16                  
      diluted income from continuing operations per share attributable to davita healthcare partners inc.
                                                 0.95 0.85 0.68 0.85 0.99 0.64 2.37 0.16                  
      amounts attributable to davita healthcare partners inc.:
                                                                          
      discontinued operations
                                                        13,249     -1,307 -2,831            
      loss contingency reserve and other legal settlements
                                                      97,000,000                    
      income from operations of discontinued operations, net of tax
                                                     -34,750        -239,000 1,076,000            
      hcp capitated revenues
                                                       692,357,000 746,071,000                  
      dialysis patient service operating revenues
                                                         1,352,550,000 1,838,363,000 1,809,259,000               
      less: benefit from uncollectible accounts related to patient service operating revenues
                                                         -41,806,750 -59,803,000 -54,416,000               
      net patient service operating revenues
                                                         1,310,743,250 1,778,560,000 1,754,843,000 1,710,692,000              
      total net operating revenues
                                                         1,439,835,250 1,962,966,000 1,929,740,000 1,866,635,000              
      legal proceeding contingency accrual and related expenses
                                                         19,500,000  78,000,000               
      loss on disposal of discontinued operations, net of tax
                                                             -1,068,000 -3,688,000            
      basic income from continuing operations per share attributable to davita inc.
                                                         1.008 1.52 1.01 1.49 1.59 1.48            
      diluted income from continuing operations per share attributable to davita inc.
                                                         0.99 1.5 0.99 1.46 1.56 1.45            
      net income.
                                                           120,004,000 164,883,000 99,315,750 161,846,000            
      patient service operating revenues
                                                            1,763,700,000              
      less: provision for uncollectible accounts related to patient service operating revenues
                                                            -53,008,000              
      net operating revenues
                                                             1,862,318,000 1,807,869,000 1,711,529,000 1,605,958,000 1,649,417,000 1,651,649,000 1,586,907,000 1,559,418,000 1,568,204,000 1,573,915,000 1,519,041,000 1,447,640,000  
      basic earnings per share attributable to davita inc.
                                                               1.05 0.98 0.73 1.16 1.05 1.05 1.07 1.07 1.02 0.93  
      diluted earnings per share attributable to davita inc.
                                                               1.03 0.96 0.72 1.15 1.04 1.04 1.06 1.06 1.02 0.92  
      equity investment (income) loss
                                                                    -2,345,000   -376,000   
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 
                                                                            
        assets
                                                                            
        cash and cash equivalents
      644,243,000 676,438,000 705,960,000 708,417,000 438,780,000 794,933,000 1,070,775,000 416,493,000 345,131,000 380,063,000 449,458,000 327,443,000 317,132,000 244,086,000 367,510,000 262,605,000 327,502,000 461,900,000 1,045,742,000 1,043,632,000 884,205,000 324,958,000 710,514,000 2,928,910,000 1,381,764,000 1,102,372,000 1,253,256,000 3,575,638,000 459,242,000 323,038,000 448,215,000 389,264,000 358,874,000 508,234,000 846,110,000 711,997,000 1,472,232,000 913,187,000 913,496,000 1,283,416,000 1,041,427,000 1,499,116,000 1,047,419,000 933,735,000 1,011,271,000 965,241,000 1,527,035,000 1,420,973,000 1,108,069,000 946,249,000 970,694,000 617,904,000 699,671,000 533,748,000 382,194,000 273,445,000 449,290,000 393,752,000 541,206,000 729,825,000 1,006,010,000 860,117,000 534,565,000 574,716,000 755,909,000 539,459,000 581,680,000 544,113,000 405,683,000 410,881,000 
        restricted cash and equivalents
      82,160,000 81,309,000 89,454,000 88,542,000 85,793,000 84,892,000 87,869,000 86,753,000 85,650,000 84,571,000 95,667,000 94,727,000 94,265,000 94,903,000 94,704,000 93,132,000 93,079,000 93,060,000 92,867,000 162,846,000 176,835,000 176,832,000 106,823,000 106,809,000 106,724,000 106,346,000 103,885,000 106,772,000 102,192,000 92,382,000 91,940,000 90,884,000 88,744,000                                      
        short-term investments
      22,303,000 24,303,000 30,524,000 31,014,000 73,163,000 51,064,000 20,996,000 20,693,000 10,611,000 11,610,000 11,713,000 12,484,000 49,965,000 77,693,000 74,305,000 100,489,000 19,407,000 22,310,000 26,690,000 36,701,000 11,060,000 20,101,000 19,360,000 154,115,000 9,376,000 11,572,000 100,713,000 5,213,000 4,035,000 2,935,000 4,730,000 4,528,000 4,602,000 43,516,000 137,358,000 211,436,000 313,265,000 310,198,000 659,478,000 394,166,000 396,468,000 408,084,000 922,848,000 942,141,000 422,365,000 337,399,000 142,122,000 63,835,000 8,080,000 6,801,000 6,796,000 6,794,000 7,142,000 7,138,000 5,836,000 8,629,000 8,616,000 17,399,000 24,661,000 23,014,000 23,006,000 23,003,000 22,945,000 22,926,000 22,907,000 26,475,000 20,680,000 19,109,000 25,413,000 35,532,000 
        accounts receivable
      2,459,355,000 2,414,690,000 2,333,319,000 2,441,259,000 2,321,818,000 2,146,975,000 2,267,365,000 2,303,119,000 2,594,675,000 1,986,856,000 2,024,827,000 2,009,692,000 2,057,809,000 2,132,070,000 2,089,017,000 2,093,830,000 2,044,346,000 1,957,583,000 2,027,599,000 1,947,466,000 2,040,813,000 1,824,282,000 1,804,390,000 1,772,259,000 1,820,132,000 1,795,598,000 1,901,225,000 2,010,801,000 1,953,422,000 1,858,608,000 1,847,086,000 1,842,108,000 1,830,590,000                                      
        inventories
      141,613,000 160,627,000 139,092,000 146,295,000 150,522,000 134,559,000 128,999,000 126,765,000 145,808,000 143,105,000 109,620,000 110,299,000 106,770,000 109,122,000 106,845,000 109,522,000 107,722,000 107,428,000 114,096,000 115,369,000 116,322,000 111,625,000 106,254,000 97,902,000 95,685,000 97,949,000 98,641,000 96,819,000 104,236,000 107,381,000 91,102,000 112,729,000 125,555,000 181,799,000 154,422,000 199,304,000 174,159,000 164,858,000 200,563,000 197,388,000 192,689,000 185,575,000 173,050,000 159,353,000 145,740,000 136,085,000 114,677,000 99,650,000 101,173,000 88,805,000 84,899,000 77,997,000 76,582,000 78,126,000 78,322,000 77,684,000 72,285,000 75,731,000 73,293,000 68,629,000 69,641,000 76,008,000 68,950,000 69,386,000 68,038,000 70,041,000 69,014,000 65,354,000 71,353,000 84,174,000 
        contract assets and other receivables
      517,653,000 494,414,000                                                                     
        prepaid and other current assets
      159,576,000 156,285,000 160,968,000 110,334,000 129,967,000 122,948,000 96,989,000 83,106,000 105,479,000 102,645,000 91,109,000 90,061,000 89,393,000 78,839,000 65,807,000 63,539,000 79,261,000 72,517,000 69,060,000 69,360,000 73,765,000 76,387,000 58,512,000 63,266,000 59,853,000 66,866,000 50,617,000 54,599,000 64,770,000 111,840,000 88,857,000 97,426,000 106,351,000 112,058,000 205,211,000 202,464,000 204,027,000                                  
        income tax receivable
      35,780,000 49,937,000 130,646,000 84,776,000 13,881,000 27,535,000 4,522,000 9,373,000  6,387,000  2,341,000  4,603,000 11,403,000 38,070,000 16,034,000 25,604,000 52,688,000 61,782,000 28,160,000 70,163,000 75,441,000 41,963,000 31,324,000 19,772,000 16,236,000 15,783,000 42,650,000 68,614,000 26,002,000 23,540,000 18,660,000 49,440,000    10,596,000    60,070,000 48,963,000 193,681,000  83,839,000  6,965,000  10,315,000 64,351,000 68,047,000  55,454,000 33,625,000 11,586,000      40,330,000        32,138,000 
        total current assets
      4,062,683,000 4,058,003,000 4,111,826,000 4,087,828,000 3,636,188,000 3,746,072,000 4,037,000,000 3,466,925,000 3,683,753,000 3,137,906,000 3,135,359,000 3,001,968,000 3,039,739,000 3,155,292,000 3,202,442,000 3,264,108,000 3,128,714,000 3,167,723,000 3,839,538,000 3,978,586,000 3,866,681,000 3,148,724,000 3,429,675,000 5,779,830,000 4,023,939,000 3,690,170,000 3,998,718,000 6,390,629,000 9,225,076,000 8,424,159,000 8,929,501,000 9,085,362,000 8,673,555,000 8,744,358,000 4,033,549,000 4,023,768,000 4,603,900,000 3,980,228,000 4,261,359,000 4,496,217,000 4,199,560,000 4,503,280,000 4,737,886,000 4,780,921,000 4,300,795,000 3,876,797,000 4,178,435,000 4,161,247,000 3,707,233,000 3,472,278,000 3,381,408,000 3,131,834,000 3,191,168,000 2,878,794,000 2,325,674,000 2,178,751,000 2,374,400,000 2,281,608,000 2,370,167,000 2,513,364,000 2,726,916,000 2,622,854,000 2,262,005,000 2,265,150,000 2,461,251,000 2,302,521,000 2,308,533,000 2,233,397,000 2,031,463,000 2,128,304,000 
        property and equipment
      2,754,754,000 2,812,966,000 2,853,343,000 2,854,468,000 2,901,056,000 2,940,916,000 2,939,620,000 2,982,222,000 3,026,170,000 3,073,533,000 3,097,483,000 3,158,450,000 3,216,373,000 3,256,397,000 3,240,310,000 3,304,596,000 3,439,337,000 3,479,972,000 3,463,212,000 3,485,600,000 3,490,442,000 3,521,824,000 3,417,919,000 3,417,918,000 3,445,423,000 3,473,384,000 3,419,238,000 3,405,315,000 3,392,266,000 3,393,669,000 3,275,636,000 3,229,098,000 3,185,223,000 3,149,213,000 3,386,056,000 3,248,030,000 3,171,199,000 3,175,367,000 3,044,988,000 2,972,407,000 2,911,205,000 2,788,740,000 2,621,918,000 2,564,708,000 2,500,596,000 2,469,099,000 2,359,203,000 2,290,844,000 2,224,439,000 2,189,411,000 2,048,235,000 1,990,963,000 1,915,453,000 1,872,370,000 1,654,657,000 1,586,460,000 1,490,572,000 1,432,651,000 1,335,789,000 1,223,662,000 1,183,744,000 1,170,808,000 1,121,604,000 1,106,028,000 1,093,850,000 1,104,925,000 1,088,446,000 1,075,349,000 1,067,289,000 1,048,075,000 
        operating lease right-of-use assets
      2,396,698,000 2,397,179,000 2,323,123,000 2,338,599,000 2,360,829,000 2,393,558,000 2,418,350,000 2,457,565,000 2,487,158,000 2,501,364,000 2,509,416,000 2,547,053,000 2,617,018,000 2,666,242,000 2,721,888,000 2,771,757,000 2,784,140,000 2,824,787,000 2,860,172,000 2,865,320,000 2,868,292,000 2,863,089,000 2,834,163,000 2,826,620,000 2,847,776,000 2,830,047,000 2,781,288,000 2,790,885,000 2,736,536,000                                          
        intangible assets, net of accumulated amortization of 36,748 and 37,751, respectively
      229,020,000                                                                      
        equity method and other investments
      167,441,000 157,249,000 259,436,000 303,136,000 329,755,000 336,684,000 430,483,000 453,709,000 492,541,000 545,848,000 565,394,000 593,269,000 241,747,000 231,108,000 243,554,000 253,457,000 237,788,000 238,881,000 243,163,000 245,389,000 257,513,000 257,491,000 252,483,000 255,489,000 254,499,000 241,983,000 219,386,000 225,677,000 226,309,000 224,611,000 240,820,000 249,020,000 245,564,000 245,534,000 545,053,000 542,468,000                                   
        long-term investments
      39,469,000 40,966,000 40,134,000 38,722,000 31,446,000 33,660,000 33,844,000 31,779,000 47,729,000 47,890,000 45,320,000 46,005,000 44,520,000 44,329,000 43,535,000 44,562,000 47,866,000 49,514,000 33,598,000 33,777,000 31,891,000 32,193,000 29,867,000 28,340,000 34,657,000 36,519,000 35,041,000 35,051,000 34,414,000 35,424,000 35,047,000 34,200,000 34,344,000 37,695,000 120,129,000 114,693,000 108,368,000 103,679,000 100,786,000 102,374,000 97,770,000 94,122,000 90,393,000 92,864,000 91,441,000 89,389,000 87,307,000 87,614,000 81,033,000 79,557,000 72,568,000 65,765,000 63,451,000 59,341,000 13,249,000 12,143,000 9,897,000 9,890,000 8,857,000 10,083,000 8,434,000 8,848,000 8,049,000 7,190,000 7,584,000 7,616,000 7,567,000 6,827,000 5,212,000 5,656,000 
        other long-term assets
      266,987,000 246,520,000 204,479,000 192,749,000 238,933,000 261,731,000 218,956,000 240,490,000 262,449,000 271,253,000 302,142,000 314,009,000 291,321,000 315,587,000 307,713,000 257,577,000 185,166,000 136,677,000 101,469,000 95,490,000 90,534,000 79,501,000 96,110,000 92,909,000 94,030,000 115,972,000 114,834,000 97,443,000 73,651,000 71,583,000 76,517,000 59,070,000 51,728,000 47,287,000 61,642,000 60,140,000 43,450,000 44,510,000 42,984,000 64,254,000 66,269,000 73,560,000 62,387,000 121,774,000 68,248,000 77,000,000 67,330,000 66,106,000 76,909,000 79,598,000 79,833,000 97,895,000 86,806,000 80,194,000 30,558,000 29,623,000 30,065,000 34,231,000 31,761,000 35,264,000 40,659,000 32,054,000 32,428,000 33,202,000 33,397,000 32,615,000 34,262,000 44,104,000 46,006,000 47,330,000 
        goodwill
      7,582,313,000 7,545,095,000 7,543,878,000 7,465,769,000 7,415,560,000 7,375,216,000 7,227,630,000 7,201,399,000 7,229,702,000 7,112,560,000 7,088,223,000 7,106,242,000 7,090,311,000 7,076,610,000 7,022,642,000 7,019,778,000 7,072,903,000 7,046,241,000 6,940,667,000 6,943,665,000 6,891,209,000 6,919,109,000 6,868,377,000 6,790,606,000 6,778,023,000 6,787,635,000 6,765,659,000 6,865,386,000 6,799,368,000 6,841,960,000 6,702,659,000 6,678,559,000 6,638,592,000 6,610,279,000 9,415,877,000 9,889,791,000 9,452,470,000 9,407,317,000 9,382,996,000 9,360,957,000 9,485,628,000 9,294,479,000 9,487,579,000 9,450,946,000 9,431,390,000 9,415,295,000 9,344,641,000 9,254,043,000 9,242,179,000 9,212,974,000 9,144,242,000 9,056,589,000 9,015,035,000 8,964,969,000 5,324,960,000 5,258,056,000 5,064,577,000 4,946,976,000 4,769,965,000 4,227,386,000 4,182,076,000 4,091,307,000 4,053,123,000 4,013,711,000 3,942,386,000 3,951,196,000 3,932,964,000 3,908,290,000 3,905,762,000 3,876,931,000 
        liabilities and equity
                                                                            
        accounts payable
      691,256,000 696,148,000 655,598,000 594,403,000 596,137,000 547,200,000 488,244,000 493,534,000 489,883,000 514,533,000 435,417,000 427,894,000 447,969,000 479,780,000 417,139,000 402,308,000 433,137,000 402,049,000 387,712,000 376,264,000 348,105,000 434,253,000 388,504,000 357,283,000 340,092,000 403,840,000 332,136,000 388,955,000 365,192,000 463,270,000 458,927,000 542,272,000 437,733,000 509,116,000 566,918,000 439,741,000 464,790,000 522,415,000 498,422,000 504,353,000 480,288,000 513,950,000 487,945,000 490,460,000 423,986,000 445,453,000 442,183,000 405,751,000 392,907,000 435,465,000 358,402,000 320,066,000 330,247,000 414,143,000 272,627,000 299,005,000 269,029,000 289,653,000 259,459,000 254,129,000 227,401,000 181,033,000 321,179,000 238,219,000 177,764,000 176,657,000 256,707,000 230,576,000 217,125,000 282,883,000 
        other liabilities
      799,377,000 893,024,000 933,985,000 921,174,000 900,188,000 934,145,000 927,530,000 888,358,000 859,604,000 828,878,000 808,000,000 817,608,000 796,742,000 802,469,000 796,200,000 752,717,000 737,160,000 709,345,000 723,080,000 837,284,000 846,710,000 810,529,000 879,792,000 902,019,000 757,784,000 756,174,000 716,023,000 726,011,000 572,944,000 595,850,000 560,692,000 568,536,000 544,846,000 552,662,000 928,123,000 885,274,000 783,806,000 856,847,000 828,535,000 840,745,000 779,141,000 682,123,000 632,331,000 716,250,000 581,411,000 506,579,000 503,198,000 465,242,000 486,565,000 464,422,000 481,840,000 525,272,000 565,262,000 563,365,000 416,897,000 395,024,000 347,096,000 325,734,000 363,176,000 317,291,000 352,490,000 342,943,000 337,221,000 429,399,000 412,515,000 461,092,000 426,856,000 453,048,000 441,124,000 495,239,000 
        accrued compensation and benefits
      708,037,000 793,478,000 851,852,000 686,242,000 676,782,000 800,484,000 806,149,000 644,865,000 622,127,000 752,598,000 770,184,000 630,289,000 618,931,000 692,654,000 702,877,000 559,791,000 565,458,000 659,960,000 683,045,000 593,859,000 550,671,000 685,555,000 701,968,000 686,700,000 596,999,000 695,052,000 662,826,000 628,022,000 495,327,000 658,913,000 631,799,000 633,092,000 526,183,000 616,116,000 775,280,000 760,284,000 756,002,000 815,761,000 845,879,000 807,135,000 728,476,000 741,926,000 835,518,000 678,853,000 733,708,000 698,475,000 761,912,000 626,617,000 629,669,000 603,013,000 685,352,000 554,705,000 565,206,000 566,911,000 529,492,000 436,273,000 455,825,000 412,972,000 461,988,000 388,965,000 352,931,000 325,477,000 357,132,000 348,640,000 299,709,000 286,121,000 314,677,000 329,517,000 276,851,000 312,216,000 
        current portion of operating lease liabilities
      432,219,000 425,484,000 432,015,000 429,252,000 420,506,000 410,411,000 404,540,000 404,820,000 401,371,000 394,399,000 393,440,000 394,465,000 394,607,000 395,401,000 396,880,000 398,421,000 399,101,000 394,357,000 388,089,000 382,342,000 372,737,000 369,497,000 365,190,000 360,405,000 356,033,000 343,912,000 374,214,000 372,625,000                                           
        current portion of long-term debt
      112,653,000 109,201,000 62,921,000 182,442,000 178,648,000 270,867,000 296,255,000 537,991,000 127,616,000 123,299,000 108,558,000 101,113,000 242,193,000 231,404,000 214,254,000 197,510,000 185,728,000 179,030,000 166,818,000 184,435,000 168,191,000 168,541,000 163,787,000 1,906,560,000 146,318,000 130,708,000 121,441,000 3,591,331,000 4,676,691,000 1,929,369,000 1,784,065,000 1,768,514,000 184,136,000 178,213,000 189,822,000 182,323,000 170,217,000 165,041,000 152,764,000 144,183,000 137,966,000 129,037,000 114,617,000 108,795,000 118,076,000 120,154,000 121,530,000 117,080,000 292,220,000 274,697,000 259,770,000 242,324,000 228,219,000 227,791,000 117,821,000 105,562,000 89,646,000 87,345,000 82,497,000 75,226,000 74,551,000 74,892,000 96,252,000 96,590,000 98,844,000 100,007,000 100,677,000 92,290,000 83,295,000 72,725,000 
        income tax payable
      37,417,000 24,359,000 26,410,000 19,691,000 36,577,000 10,303,000 21,268,000 25,222,000 82,500,000 28,507,000 22,331,000 32,049,000 64,651,000 18,039,000 10,059,000  99,863,000 53,792,000 14,309,000 11,856,000 28,310,000 7,768,000  61,596,000 23,520,000 42,412,000         14,391,000 115,316,000 249,081,000        23,130,000  48,732,000  83,054,000    37,983,000    80,519,000  38,800,000            
        due to related party
      86,500,000 199,940,000 54,347,000 100,336,000 97,944,000                                                                  
        total current liabilities
      2,867,459,000 3,141,634,000 3,017,128,000 2,933,540,000 2,906,782,000 2,973,410,000 2,943,986,000 2,994,790,000 2,583,101,000 2,642,214,000 2,537,930,000 2,403,418,000 2,565,093,000 2,619,747,000 2,537,409,000 2,310,747,000 2,420,447,000 2,398,533,000 2,363,053,000 2,386,040,000 2,314,724,000 2,476,143,000 2,499,241,000 4,274,563,000 2,220,746,000 2,372,098,000 2,206,640,000 5,706,944,000 8,230,877,000 4,891,161,000 4,855,104,000 4,783,778,000 2,947,523,000 3,041,177,000 2,874,793,000 2,773,325,000 2,813,577,000 2,696,445,000 2,639,469,000 2,645,662,000 2,443,618,000 2,399,138,000 2,410,554,000 2,334,290,000 2,679,516,000 2,088,652,000 2,597,631,000 2,608,148,000 2,566,174,000 2,462,049,000 2,453,126,000 2,214,888,000 2,325,239,000 2,018,174,000 1,336,837,000 1,235,864,000 1,242,115,000 1,153,116,000 1,205,920,000 1,035,611,000 1,007,373,000 924,345,000 1,111,784,000 1,118,818,000 1,047,475,000 1,046,941,000 1,113,509,000 1,108,840,000 1,026,606,000 1,163,063,000 
        long-term operating lease liabilities
      2,162,372,000 2,175,658,000 2,099,531,000 2,124,875,000 2,161,439,000 2,209,655,000 2,237,135,000 2,281,372,000 2,311,902,000 2,330,389,000 2,342,170,000 2,384,471,000 2,455,144,000 2,503,068,000 2,558,355,000 2,606,391,000 2,622,039,000 2,672,713,000 2,716,707,000 2,727,323,000 2,739,311,000 2,738,670,000 2,710,550,000 2,709,569,000 2,734,370,000 2,723,800,000 2,682,125,000 2,689,249,000                                           
        long-term debt
      10,513,597,000 10,163,988,000 10,183,863,000 10,078,805,000 9,559,745,000 9,175,903,000 9,260,331,000 8,451,562,000 9,000,594,000 8,268,334,000 8,285,146,000 8,598,162,000 8,417,532,000 8,692,617,000 8,867,187,000 9,064,916,000 8,687,487,000 8,729,150,000 8,770,883,000 8,798,263,000 8,829,765,000 7,917,263,000 7,866,545,000 7,894,674,000 8,442,136,000 7,977,526,000 8,014,475,000 5,377,798,000 5,787,013,000 8,172,847,000 8,440,673,000 8,175,573,000 9,279,885,000 9,158,018,000 8,908,703,000 8,910,814,000 8,918,878,000 8,947,327,000 8,972,002,000 8,957,257,000 8,979,855,000 9,001,308,000 9,082,096,000 9,101,052,000 8,380,153,000 8,383,280,000 8,380,903,000 8,390,578,000 8,071,622,000 8,141,231,000 8,181,434,000 8,234,290,000 8,277,259,000 8,326,534,000 5,620,716,000 4,392,908,000 4,401,865,000 4,417,624,000 4,417,468,000 4,210,823,000 4,218,201,000 4,233,850,000 3,266,190,000 3,287,523,000 3,509,713,000 3,532,217,000 3,555,853,000 3,579,417,000 3,600,233,000 3,622,421,000 
        other long-term liabilities
      88,853,000 83,516,000 172,195,000 156,486,000 166,515,000 169,588,000 183,030,000 179,010,000 179,806,000 183,074,000 184,944,000 183,137,000 100,229,000 105,233,000 106,895,000 105,137,000 108,954,000 119,158,000 163,051,000 157,687,000 150,724,000 150,060,000 147,371,000 144,121,000 161,940,000 160,809,000 135,087,000 134,605,000 143,756,000 450,669,000 452,445,000 418,123,000 391,156,000 365,325,000 548,226,000 520,886,000 504,380,000 465,358,000 420,938,000 420,776,000 464,250,000 439,229,000 406,035,000 400,475,000 407,068,000 389,806,000 368,475,000 386,033,000 407,288,000 371,010,000 353,723,000 360,110,000 497,708,000 443,743,000 145,246,000 146,948,000 139,656,000 132,006,000 134,075,000 104,644,000 86,615,000 89,290,000 89,919,000 89,572,000 89,634,000 87,692,000 100,722,000 100,209,000 100,085,000 101,442,000 
        deferred income taxes
      818,918,000 756,869,000 742,453,000 646,229,000 664,580,000 665,361,000 659,581,000 693,982,000 719,545,000 726,217,000 753,871,000 760,038,000 771,087,000 782,787,000 819,073,000 852,389,000 839,003,000 830,954,000 868,078,000 851,961,000 830,369,000 809,600,000 765,691,000 706,410,000 675,728,000 577,543,000 604,921,000 593,562,000 588,805,000 562,536,000 515,893,000 526,425,000 507,226,000 486,247,000 685,598,000 855,159,000 830,990,000 809,128,000 802,109,000 772,329,000 792,038,000 726,962,000 253,067,000 239,012,000 436,359,000 240,626,000 407,071,000 399,361,000 406,538,000 409,441,000 398,138,000 434,035,000 441,828,000 315,782,000 323,219,000 300,276,000 313,355,000 280,382,000 256,325,000 229,827,000 224,996,000 226,060,000 220,342,000 256,653,000 251,088,000 256,953,000 223,697,000 211,709,000 213,339,000 217,196,000 
        total liabilities
      16,451,199,000 16,321,665,000 16,215,170,000 15,939,935,000 15,459,061,000 15,193,917,000 15,284,063,000 14,600,716,000 14,794,948,000 14,150,228,000 14,104,061,000 14,329,226,000 14,309,085,000 14,703,452,000 14,888,919,000 14,939,580,000 14,677,930,000 14,750,508,000 14,881,772,000 14,921,274,000 14,864,893,000 14,091,736,000 13,989,398,000 15,729,337,000 14,234,920,000 13,811,776,000 13,643,248,000 14,502,158,000 17,376,227,000 14,077,213,000 14,264,115,000 13,903,899,000 13,125,790,000 13,050,767,000 13,017,320,000 13,060,184,000 13,067,825,000 12,918,258,000 12,834,518,000 12,796,024,000 12,679,761,000 12,566,637,000 12,805,492,000 12,736,776,000 12,347,557,000 11,752,439,000 12,191,198,000 12,208,504,000 11,867,926,000 11,796,036,000 11,768,656,000 11,572,726,000 11,851,052,000 11,509,856,000 7,603,707,000 6,224,238,000 6,250,663,000 6,145,831,000 6,173,373,000 5,830,091,000 5,780,052,000 5,694,238,000 4,882,260,000 4,873,512,000 5,022,597,000 5,032,352,000 5,106,739,000 5,096,081,000 5,021,670,000  
        commitments and contingencies
                                                                            
        noncontrolling interests subject to put provisions
      1,524,505,000 1,532,166,000 1,644,954,000 1,660,990,000 1,666,521,000 1,695,483,000 1,633,011,000 1,574,840,000 1,503,474,000 1,499,288,000 1,445,403,000 1,423,549,000 1,398,829,000 1,348,908,000 1,370,753,000 1,385,821,000 1,390,757,000 1,434,832,000 1,423,917,000 1,426,211,000 1,349,160,000 1,330,028,000 1,303,934,000 1,241,937,000 1,228,036,000 1,180,376,000 1,296,059,000 1,185,733,000 1,143,044,000 1,124,641,000 1,064,412,000 1,047,158,000 1,034,501,000 1,011,360,000 1,026,890,000 1,009,704,000 979,848,000 973,258,000 971,744,000 936,903,000 912,705,000 864,066,000 897,139,000 863,126,000 848,392,000 829,965,000 758,743,000 760,242,000 692,780,000 697,300,000 621,232,000 600,499,000 605,894,000 580,692,000 550,020,000 522,748,000 504,491,000 478,216,000 450,903,000 416,504,000 405,988,000 383,052,000 368,369,000 347,361,000 350,485,000 331,725,000 292,636,000 288,458,000 289,592,000  
        equity:
                                                                            
        preferred stock
                                                                            
        common stock
      69,000 69,000 91,000 91,000 91,000 90,000 90,000 90,000 90,000 89,000 91,000 91,000 91,000 90,000 98,000 98,000 97,000 97,000 111,000 111,000 110,000 110,000 126,000 126,000 126,000 126,000 167,000 167,000 166,000 166,000 183,000 183,000 183,000 182,000 195,000 195,000 195,000 195,000 217,000 217,000 217,000 217,000 217,000 217,000 216,000 216,000 215,000 215,000 214,000 213,000 213,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 135,000 
        additional paid-in capital
        401,785,000 356,884,000 299,467,000 286,270,000 295,637,000 383,235,000 428,202,000 509,804,000 552,651,000 555,680,000 590,251,000 606,935,000 609,345,000 578,272,000 595,403,000 540,321,000 525,009,000 523,038,000 603,172,000 597,073,000 694,132,000 719,102,000 720,053,000 749,043,000 906,990,000 989,021,000 990,380,000 995,006,000 1,055,839,000 1,022,783,000 1,030,772,000 1,042,899,000 1,059,176,000 1,058,090,000 1,058,610,000 1,027,182,000 1,032,739,000 1,047,820,000 1,089,305,000 1,118,326,000 1,106,342,000 1,128,161,000 1,112,396,000 1,108,211,000 1,107,368,000 1,089,929,000 1,113,714,000 1,070,922,000 1,120,276,000 1,244,693,000 1,208,315,000 1,208,800,000 543,751,000 564,795,000 575,364,000 596,300,000 611,833,000 614,304,000 618,362,000 620,546,000 631,062,000 638,373,000 617,891,000 621,685,000 638,253,000 620,259,000 607,234,000 769,069,000 
        accumulated deficit
      -179,242,000                                                                      
        treasury stock
      -489,364,000 -199,940,000 -2,904,806,000 -2,485,654,000 -2,037,238,000 -1,389,072,000 -1,021,979,000 -615,948,000 -240,117,000      -787,854,000 -603,058,000 -233,318,000  -899,447,000 -563,230,000 -322,333,000  -1,028,578,000 -303,139,000 -303,139,000  -1,860,157,000 -112,189,000   -1,153,511,000 -809,900,000 -298,377,000  -348,801,000 -231,674,000   -1,147,967,000 -749,598,000 -786,352,000 -544,772,000 -424,705,000 -84,113,000 -70,063,000       -1,132,988,000 -1,154,266,000 -1,162,336,000 -1,564,178,000 -1,598,231,000 -1,618,134,000 -1,631,694,000 -1,639,554,000 -1,634,127,000 -1,354,744,000 -1,360,579,000 -958,680,000 -865,186,000 -775,115,000 -793,340,000 -756,157,000 -701,783,000 -714,977,000 -691,857,000 
        accumulated other comprehensive loss
      -86,959,000 -122,783,000 -116,160,000 -137,838,000 -226,968,000 -310,796,000 -162,334,000 -195,090,000 -100,115,000 -52,084,000 -68,898,000 -7,052,000 -54,906,000 -69,186,000 -135,551,000 -111,796,000 -34,870,000 -139,247,000 -119,750,000 -65,899,000 -122,783,000 -66,154,000 -122,530,000 -135,107,000 -140,525,000 -47,498,000 -77,604,000 -33,611,000 -47,551,000       -27,308,000 -76,886,000 -89,643,000 -52,226,000 -60,036,000 -53,513,000 -59,826,000 -54,336,000 -44,379,000 -47,625,000 -25,017,000 -11,624,000  -1,639,000 -2,645,000 -4,214,000 -3,334,000 -16,741,000 -15,297,000 -18,283,000 -19,382,000 -18,773,000       -1,461,000 -3,320,000 -5,548,000 -7,838,000 -10,033,000 -12,111,000 -14,339,000 
        total davita inc. shareholders' equity deficit
      -755,496,000                                                                      
        noncontrolling interests not subject to put provisions
      279,157,000 277,354,000 267,642,000 261,666,000 260,549,000 274,746,000 199,948,000 217,116,000 206,516,000 187,965,000 180,075,000 188,626,000 194,403,000 163,566,000 169,455,000 170,390,000 174,552,000 180,640,000 178,814,000 185,046,000 185,109,000 183,186,000 178,583,000 179,902,000 185,498,000 185,833,000 193,947,000 193,771,000 211,319,000 204,956,000 204,613,000 205,323,000 201,401,000 196,037,000 184,548,000 187,582,000 200,662,000 201,694,000 207,645,000 212,649,000 217,806,000 213,392,000 201,844,000 200,067,000 199,304,000 189,798,000 176,433,000 171,054,000 178,069,000 173,062,000 169,445,000 157,403,000 157,089,000 164,911,000 132,964,000 129,355,000 127,400,000 127,050,000 83,139,000 65,267,000 62,506,000 58,712,000 55,043,000 55,537,000 57,488,000 59,093,000 61,530,000 56,437,000 58,207,000  
        total equity deficit
      -476,339,000                                                                      
        intangible assets, net of accumulated amortization
       222,125,000    197,431,000    203,224,000    182,687,000    177,693,000    166,585,000                                                 
        accumulated (deficit) earnings
       -328,428,000                                                                     
        total davita inc. shareholders' equity
       -651,082,000 -571,874,000 -369,633,000 -267,101,000 121,122,000 386,715,000 632,900,000 925,997,000 1,056,097,000 1,199,201,000 1,017,444,000 825,470,000 712,326,000 532,672,000 604,784,000 843,771,000 755,508,000 1,149,437,000 1,277,780,000 1,248,106,000 1,383,566,000 1,574,757,000 2,153,915,000 1,947,846,000 2,133,409,000 2,318,576,000 4,049,298,000 3,875,354,000 3,703,442,000 3,824,649,000 4,279,184,000 4,580,680,000 4,690,029,000    4,648,047,000                                 
        total equity
       -373,728,000 -304,232,000 -107,967,000 -6,552,000 395,868,000 586,663,000 850,016,000 1,132,513,000 1,244,062,000 1,379,276,000 1,206,070,000 1,019,873,000 875,892,000 702,127,000 775,174,000 1,018,323,000 936,148,000 1,328,251,000 1,462,826,000 1,433,215,000 1,566,752,000 1,753,340,000 2,333,817,000 2,133,344,000 2,319,242,000 2,512,523,000 4,243,069,000 4,086,673,000 3,908,398,000 4,029,262,000 4,484,507,000 4,782,081,000 4,886,066,000 4,969,129,000 5,271,896,000 5,340,591,000 4,849,741,000 5,119,391,000 4,958,703,000 4,921,732,000 5,084,172,000 5,192,197,000 5,346,916,000 5,170,714,000 5,360,311,000 5,151,475,000 4,956,825,000 4,837,636,000 4,605,541,000 4,437,431,000 4,282,284,000 3,956,531,000 3,928,048,000 2,670,385,000 2,507,947,000 2,401,930,000 2,268,125,000 2,082,392,000 1,946,126,000 2,136,901,000 2,037,134,000 2,376,476,000 2,356,808,000 2,318,636,000 2,194,159,000 2,138,333,000 2,056,495,000 1,924,149,000  
        other receivables
        521,863,000 477,191,000 422,264,000 383,166,000 359,485,000 420,623,000 396,399,000 422,669,000 352,965,000 354,921,000 324,405,000 413,976,000 392,851,000 502,921,000 441,363,000 427,321,000 410,796,000 541,430,000 535,521,000 544,376,000 548,381,000 614,606,000 519,081,000 489,695,000 474,145,000 525,004,000 489,581,000 469,796,000 383,783,000 471,802,000 415,914,000 372,919,000 599,374,000 644,755,000 539,656,000 453,483,000 451,953,000 558,081,000 525,548,000 435,885,000 416,932,000 456,502,000 423,713,000 400,916,000 346,712,000 455,620,000 374,017,000 349,090,000 295,540,000 331,741,000 298,871,000 265,671,000 207,439,000 211,487,000 216,493,000 269,832,000 242,218,000 274,783,000 277,065,000 304,366,000 249,445,000 231,614,000 225,038,000 263,456,000 235,785,000 226,931,000 194,637,000 239,165,000 
        intangible assets, net of accumulated amortization of 34,444 and 32,408, respectively
        219,673,000                                                                    
        retained earnings
        2,047,216,000 1,896,884,000 1,697,547,000 1,534,630,000 1,275,301,000 1,060,613,000 837,937,000 598,288,000 715,357,000 468,725,000 290,034,000 174,487,000 846,634,000 741,268,000 516,459,000 354,337,000 1,643,514,000 1,383,760,000 1,089,940,000 852,537,000 2,031,607,000 1,872,933,000 1,671,331,000 1,431,738,000 3,349,180,000 3,205,910,000 2,932,359,000 2,743,194,000 3,951,247,000 4,088,043,000 3,820,767,000 3,633,713,000 4,070,535,000 4,285,011,000 4,158,010,000 3,710,313,000 5,078,983,000 4,507,651,000 4,454,269,000 4,356,835,000 4,362,835,000 4,146,963,000 3,976,486,000 4,087,103,000 3,879,083,000 3,694,961,000 3,547,278,000 3,363,989,000 3,151,711,000 4,016,375,000 3,761,999,000 3,731,835,000 3,575,996,000 3,431,275,000 3,335,938,000 3,195,818,000 3,047,695,000 2,912,334,000 2,812,319,000 2,717,817,000 2,648,797,000 2,529,410,000 2,421,557,000 2,312,134,000 2,202,410,000 2,091,480,000 1,985,661,000 1,889,450,000 
        intangible assets, net of accumulated amortization of 34,165 and 32,408, respectively
         211,687,000                                                                   
        intangible assets, net of accumulated amortization of 32,735 and 32,408, respectively
          205,263,000                                                                  
        intangible assets, net of accumulated amortization of 29,374 and 38,445, respectively
            197,854,000                                                                
        intangible assets, net of accumulated amortization of 38,752 and 38,445, respectively
             191,483,000                                                               
        intangible assets, net of accumulated amortization of 37,053 and 38,445, respectively
              201,433,000                                                              
        intangible assets, net of accumulated amortization of 37,738 and 49,772, respectively
                185,403,000                                                            
        intangible assets, net of accumulated amortization of 39,766 and 49,772, respectively
                 191,849,000                                                           
        intangible assets, net of accumulated amortization of 40,945 and 49,772, respectively
                  186,758,000                                                          
        intangible assets, net of accumulated amortization of 46,907 and 60,730, respectively
                    179,715,000                                                        
        intangible assets, net of accumulated amortization of 44,985 and 60,730, respectively
                     184,740,000                                                       
        intangible assets, net of accumulated amortization of 64,525 and 60,730, respectively
                      191,096,000                                                      
        intangible assets, net of accumulated amortization of 66,455 and 70,141, respectively
                        152,121,000                                                    
        intangible assets, net of accumulated amortization of 73,215 and 70,141, respectively
                         162,484,000                                                   
        intangible assets, net of accumulated amortization of 69,691 and 70,141, respectively
                          150,706,000                                                  
        intangible assets, net of accumulated amortization of 75,727 and 81,922, respectively
                            118,078,000                                                
        intangible assets, net of accumulated amortization of 88,133 and 81,922, respectively
                             113,379,000                                               
        intangible assets, net of accumulated amortization of 84,643 and 81,922, respectively
                              117,953,000                                              
        current assets held for sale
                                  6,004,948,000 5,389,565,000 5,947,786,000 6,053,081,000 5,724,265,000 5,761,642,000                                     
        intangible assets
                               135,684,000    118,846,000    113,827,000    1,527,767,000   1,678,707,000 1,687,326,000                             
        current liabilities held for sale
                                  1,753,310,000 1,243,759,000 1,419,621,000 1,271,364,000 1,254,625,000 1,185,070,000                                     
        intangible assets, net of accumulated amortization of 78,437 and 80,566, respectively
                                117,666,000                                            
        intangible assets, net of accumulated amortization of 75,283 and 80,566
                                 120,574,000                                           
        intangible assets, net of accumulated amortization of 82,265 and 80,566
                                  118,324,000                                          
        current portion of operating leases liabilities
                                  367,413,000                                          
        long-term operating leases liabilities
                                  2,625,776,000                                          
        commitments and contingencies:
                                                                            
        accumulated other comprehensive income
                                   -34,924,000 -29,109,000 -21,925,000 27,335,000 13,235,000 3,476,000             666,000          -19,484,000 -20,856,000 -11,787,000 -1,677,000 503,000 119,000        
        intangible assets, net of accumulated amortization of 225,862 and 356,774
                                    97,609,000                                        
        intangible assets, net of accumulated amortization of 362,054 and 356,774
                                     100,255,000                                       
        intangible assets, net of accumulated amortization of 360,828 and 356,774
                                      113,366,000                                      
        accounts receivables
                                       1,714,750,000 2,091,074,000 2,053,812,000 1,900,561,000 1,917,302,000 1,850,425,000 1,875,403,000 1,855,285,000 1,724,228,000 1,699,892,000 1,666,969,000 1,675,182,000 1,525,849,000 1,468,563,000 1,550,252,000 1,539,728,000 1,485,163,000 1,404,050,000 1,445,099,000 1,516,642,000 1,421,303,000 1,248,050,000 1,249,995,000 1,266,869,000 1,195,163,000 1,165,010,000 1,132,051,000 1,069,437,000 1,048,976,000 1,082,676,000 1,070,633,000 1,103,786,000 1,105,903,000 1,142,861,000 1,128,330,000 1,088,584,000 1,075,457,000 
        long-term assets held for sale
                                                                            
        long-term liabilities held for sale
                                                                            
        income taxes receivable
                                            8,196,000  856,000                              
        intangible assets, net of accumulated amortization of 1,084,682 and 940,731
                                        1,451,033,000                                    
        medical payables
                                        400,259,000 390,387,000 389,681,000 336,381,000 313,869,000 300,564,000 317,747,000 332,102,000 340,143,000 339,932,000 304,205,000 314,347,000 306,076,000 304,551,000 284,759,000 287,452,000 270,762,000 272,521,000 298,322,000 245,964,000                 
        total davita inc. shareholders’ equity
                                        4,784,581,000 5,084,314,000 5,139,929,000  4,911,746,000                2,537,421,000 2,378,592,000 2,274,530,000 2,141,075,000 1,999,253,000 1,880,859,000 2,074,395,000 1,978,422,000 2,321,433,000 2,301,271,000 2,261,148,000 2,135,066,000 2,076,803,000 2,000,058,000 1,865,942,000  
        intangible assets, net of accumulated amortization of 1,035,664 and 940,731
                                         1,462,894,000                                   
        intangible assets, net of accumulated amortization of 987,468 and 940,731
                                          1,487,029,000                                  
        equity investments
                                          521,848,000 502,389,000 516,383,000 64,420,000 75,059,000 73,368,000 67,883,000 67,173,000 70,017,000 65,637,000 66,728,000 42,842,000 40,727,000 40,686,000 41,465,000 35,530,000 37,520,000 35,150,000 28,705,000 27,578,000 26,956,000 27,325,000 30,340,000 30,106,000 24,498,000 25,918,000 25,679,000 25,412,000 23,965,000 22,631,000     
        other current assets
                                           210,604,000 177,248,000 187,763,000 187,287,000 190,322,000 175,715,000 189,528,000 186,165,000 186,842,000 172,255,000 164,591,000 169,628,000 176,414,000 156,940,000 150,217,000 150,432,000 201,572,000 46,989,000 45,649,000 47,492,000 49,349,000 67,454,000 49,784,000 46,342,000 43,994,000 38,798,000 39,222,000 34,485,000 40,234,000 34,816,000 37,851,000 32,454,000 33,761,000 
        intangible assets, net of accumulated amortization of 895,034 and 770,691
                                            1,576,157,000                                
        intangible assets, net of accumulated amortization of 852,860 and 770,691
                                             1,631,001,000                               
        income taxes payable
                                             48,682,000                  37,412,000      5,970,000 58,643,000 23,064,000 14,592,000 3,409,000 8,211,000  
        total davita healthcare partners inc. shareholders’ equity
                                             4,746,054,000 4,703,926,000  4,990,353,000 5,146,849,000 4,971,410,000  4,975,042,000 4,785,771,000 4,659,567,000 4,432,479,000 4,267,986,000 4,124,881,000 3,799,442,000 3,763,137,000                 
        total davita healthcare partners inc. shareholders' equity
                                               4,870,780,000    5,170,513,000                         
        intangibles, net of accumulated amortization of 751,806 and 621,891
                                                1,826,782,000                            
        intangibles, net of accumulated amortization of 706,413 and 621,891
                                                 1,868,432,000                           
        intangibles, net of accumulated amortization of 666,995 and 621,891
                                                  1,904,176,000                          
        loss contingency
                                                  495,000,000                          
        intangibles
                                                   1,949,498,000                         
        loss contingency reserve
                                                   3,644,000 414,000,000 397,000,000 397,000,000 397,000,000 397,000,000 300,000,000 300,000,000                  
        intangibles, net of accumulated amortization of 577,124 and 483,773
                                                    1,997,772,000                        
        intangibles, net of accumulated amortization of 565,839 and 483,773
                                                     2,022,875,000                       
        senior notes
                                                     291,907,000                       
        intangibles, net of accumulated amortization of 530,540 and 483,773
                                                      2,025,822,000                      
        intangibles, net of accumulated amortization of 483,773 and 304,323
                                                       2,024,373,000                     
        alliance and product supply agreement
                                                       9,327,000 10,660,000 11,992,000 13,325,000 14,657,000 15,990,000 17,322,000 18,655,000 19,987,000 22,370,000 22,652,000 23,985,000 25,317,000 26,650,000 27,982,000 29,315,000 30,647,000 31,980,000 33,312,000 34,645,000 35,977,000 
        intangibles, net of accumulated amortization of 438,611 and 304,323
                                                        2,059,568,000                    
        intangibles, net of accumulated amortization of 394,169 and 304,323
                                                         2,076,933,000                   
        intangibles, net of accumulated amortization of 349,332 and 304,323
                                                          2,104,044,000                  
        amortizable intangible assets
                                                           2,127,778,000                 
        amortizable intangibles
                                                            177,542,000 162,322,000 160,617,000 159,491,000 159,789,000 152,856,000 156,614,000 162,635,000 124,217,000 126,988,000 129,285,000 136,732,000 141,925,000 148,923,000 155,823,000 160,521,000 
        restricted cash
                                                            1,268,767,000                
        income tax receivables
                                                                 5,451,000 10,419,000  44,284,000        
        investments in third-party dialysis businesses
                                                                        24,011,000 24,144,000 23,856,000 19,274,000 
        liabilities and shareholders’ equity
                                                                            
        minority interests
                                                                           165,846,000 
        shareholders’ equity:
                                                                            
        total shareholders’ equity
                                                                           1,952,458,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 
                                                                             
          cash flows from operating activities:
                                                                             
          net income
        275,035,000 331,031,000 240,249,000 275,220,000 232,216,000 349,245,000 295,760,000 299,752,000 305,980,000 230,572,000 309,361,000 246,377,000 170,668,000 126,615,000 164,694,000 284,616,000 205,718,000 249,432,000 319,754,000 351,031,000 291,545,000 234,370,000 217,540,000 254,872,000 287,895,000 302,962,000 201,688,000 327,157,000 189,487,000 -101,843,000 -96,668,000 306,322,000 225,229,000 340,679,000 -172,034,000 161,625,000 500,285,000 188,270,000 612,150,000 94,503,000 138,159,000 34,474,000 261,307,000 207,777,000 -76,148,000 250,388,000 219,784,000 181,421,000 211,737,000 244,273,000 169,836,000 283,358,000 59,734,000 183,800,000 172,550,000 120,004,000 164,883,000 176,132,000 161,846,000 120,665,000 114,752,000  142,881,000 123,893,000 125,000,000  126,270,000   
          adjustments to reconcile net income to net cash from operating activities:
                                                                             
          depreciation and amortization
        177,829,000 186,703,000 177,490,000 174,704,000 176,451,000 174,102,000 187,014,000 175,661,000 187,083,000 195,277,000 188,423,000 183,672,000 178,071,000 194,068,000 194,414,000 171,176,000 172,944,000 174,763,000 170,462,000 169,689,000 165,701,000 161,486,000 156,894,000 157,376,000 154,679,000 158,467,000 155,915,000 152,242,000 148,528,000 155,157,000 146,000,000 147,079,000 142,799,000 183,958,000 203,283,000 200,038,000 190,206,000 188,777,000 181,739,000 180,381,000 169,355,000 163,330,000 162,062,000 158,843,000 153,789,000 153,600,000 148,865,000 145,905,000 142,565,000 138,732,000 133,005,000 130,626,000 125,756,000 109,540,000 80,586,000 77,807,000 75,975,000 72,987,000 67,821,000 64,470,000 62,037,000 60,071,000 58,486,000 58,353,000 57,468,000 56,865,000 56,813,000 58,185,000 57,123,000 
          stock-based compensation expense
        28,160,000 38,394,000 38,992,000 32,808,000 29,759,000 27,396,000 26,560,000 24,290,000 24,542,000 30,062,000 27,116,000 29,824,000 25,373,000 17,523,000 27,795,000 25,205,000 24,904,000 26,311,000 24,181,000 28,122,000 23,595,000 24,241,000 25,092,000 22,255,000 19,870,000 20,039,000 18,766,000 16,935,000 12,110,000 13,456,000 39,744,000 10,176,000 9,685,000 6,614,000 10,974,000 7,903,000 9,601,000 8,521,000 6,100,000 10,620,000 13,097,000 13,870,000 14,495,000 15,537,000 12,762,000 12,420,000 14,624,000 14,625,000 15,074,000 12,903,000 14,829,000 16,245,000 16,021,000 10,527,000 10,513,000 11,794,000 12,550,000 12,326,000 13,334,000 13,342,000 9,716,000 12,059,000 11,093,000 12,166,000 10,233,000 10,572,000 11,438,000 11,403,000 11,009,000 
          deferred income taxes
        54,798,000 17,585,000 78,827,000 -14,173,000 4,335,000 -4,127,000 -25,070,000 -25,325,000 -3,318,000 -21,587,000 -1,589,000 -12,557,000 -3,621,000 -40,032,000 -44,706,000 9,110,000 -41,000 3,759,000 16,039,000 21,997,000 18,688,000 49,065,000 59,682,000 28,800,000 103,301,000 -30,867,000 11,884,000 19,334,000 41,372,000 73,604,000 143,174,000 13,265,000 43,617,000 -262,436,000 -173,719,000 20,847,000 20,091,000 3,232,000 28,826,000 -27,567,000 47,519,000 63,738,000 -6,412,000 208,358,000 -203,940,000 213,122,000 -15,993,000 4,924,000 8,902,000 26,705,000 49,954,000 9,292,000 -111,331,000 45,139,000 24,157,000 -12,196,000 -13,335,000 15,061,000 14,152,000 6,004,000 18,221,000 13,900,000 72,196,000 -7,386,000 -3,311,000 5,452,000 15,411,000 13,576,000 16,430,000 
          equity investment loss
        -30,000 42,781,000 43,802,000 27,468,000 20,262,000 24,739,000 36,352,000 36,217,000 18,531,000 24,656,000 25,550,000 11,527,000 3,044,000   -574,000 664,000 6,902,000       -9,482,000                                            18,000 
          other non-cash losses
        6,706,000  4,574,000 -189,000 7,137,000                                                                 
          changes in operating assets and liabilities, net of effect of acquisitions and divestitures:
                                                                             
          accounts receivable
        -29,751,000 -65,944,000 143,759,000 -133,171,000 -155,276,000 145,877,000 17,450,000 368,188,000 -561,281,000 54,213,000 -23,355,000 59,653,000 81,850,000 -12,762,000 -3,589,000 -65,773,000 -66,270,000 67,652,000 -88,621,000 107,103,000 -224,274,000 -8,682,000 -27,599,000 48,160,000 -32,966,000 102,727,000 105,753,000 -156,145,000 -132,292,000 -6,554,000 27,124,000 -38,045,000 -63,701,000 -10,281,000 -32,816,000 -129,376,000 16,168,000 -66,580,000 18,345,000 -25,908,000 -78,097,000 -24,719,000 -35,198,000 8,793,000 -151,743,000 -57,286,000 81,689,000 -10,514,000 -54,565,000 -80,496,000 38,685,000 74,510,000 -92,339,000 3,676,000 1,945,000 18,412,000 -71,706,000 -27,365,000 21,592,000 -62,614,000 -20,461,000 33,699,000 -12,044,000 33,130,000 594,000 35,922,000 -14,162,000 -40,316,000 -13,757,000 
          inventories
        20,277,000 -20,863,000 10,505,000 5,180,000 -14,772,000 -2,553,000 -1,927,000 20,493,000 1,929,000   -2,874,000 2,758,000 -1,104,000 2,274,000 -2,776,000 849,000 8,210,000 780,000 2,033,000 -5,303,000 -3,904,000 -7,749,000 -2,531,000 1,835,000 639,000 -2,023,000 8,218,000 3,324,000 -14,850,000 16,723,000 14,011,000 57,621,000 -32,897,000 45,339,000 -22,158,000 -8,909,000 35,965,000 -3,832,000 -4,289,000 -4,924,000 -12,457,000 -13,076,000 -13,587,000 -9,193,000 -21,200,000 -14,467,000 1,549,000 -12,280,000 -3,477,000 -6,418,000 -1,238,000 2,162,000 2,094,000 245,000 -3,138,000 4,851,000 -1,497,000 2,398,000 1,940,000 7,429,000 -6,933,000 1,036,000 187,000 1,818,000 -743,000 -3,186,000 5,989,000 13,055,000 
          other current assets
        -22,772,000 29,131,000 -82,483,000 -29,858,000 -41,087,000 -35,676,000 86,375,000 -854,000 -13,044,000 -75,569,000                                                            
          other long-term assets
        -2,571,000 -40,232,000 -3,002,000 -10,045,000 13,026,000 -54,173,000 -9,491,000 -5,289,000 1,922,000 -6,893,000 1,708,000 8,000 -615,000 -1,223,000 -233,000 -52,613,000 3,520,000 -6,724,000 -5,957,000 -7,185,000 -6,521,000 -4,270,000 -3,803,000 -723,000 2,673,000 4,641,000 2,734,000 1,587,000 -1,997,000 1,355,000 -1,312,000 1,400,000 2,054,000 1,886,000 -1,707,000 -9,814,000 -2,310,000 4,812,000 31,512,000 534,000 -965,000 1,783,000 1,562,000 225,000 153,000 294,000 464,000 740,000 1,418,000 -130,000 19,081,000 8,645,000 -9,865,000 -5,204,000 -1,057,000 744,000 3,742,000 -369,000 244,000 1,174,000 990,000 714,000 774,000 195,000 -782,000 1,647,000 2,317,000 1,902,000 1,422,000 
          accounts payable
        -23,774,000 30,424,000 62,267,000 -10,583,000 46,195,000 45,113,000 -4,416,000 -24,836,000 -14,162,000 60,727,000 6,778,000 -20,080,000 -20,535,000 48,611,000 14,353,000 3,115,000 21,402,000 17,092,000 -22,000 28,114,000 -75,504,000 36,755,000 16,303,000 8,187,000 -24,045,000 22,123,000 -37,775,000 -30,350,000 -38,537,000 -23,159,000 -48,028,000 98,058,000 -62,830,000 8,281,000 74,492,000 -29,683,000 -26,214,000 57,404,000 -68,316,000 15,027,000 7,782,000 19,525,000 -39,350,000 61,756,000 -10,933,000 -5,288,000 48,354,000 -3,464,000 -42,558,000 88,247,000 23,313,000 -10,998,000 -83,896,000 59,078,000 -26,378,000 28,802,000 -20,624,000 27,748,000 15,216,000 14,871,000 26,565,000 -91,122,000 33,095,000 60,455,000 1,800,000 -45,884,000 -7,035,000 13,451,000 -65,411,000 
          accrued compensation and benefits
        -88,343,000 -43,321,000 144,644,000 2,829,000 -128,194,000 -12,627,000 150,131,000 12,224,000 -135,041,000 -9,070,000 134,079,000 5,344,000 -74,144,000 -955,000 138,004,000 -6,586,000 -95,927,000 -9,541,000 83,205,000 35,949,000 -126,330,000 -8,807,000 7,201,000 77,103,000 -96,428,000 43,233,000 30,543,000 85,110,000 -173,583,000 43,940,000 16,407,000 86,368,000 -62,550,000 -18,176,000 3,664,000 -902,000 -62,825,000 -11,017,000 38,191,000 74,007,000 -32,909,000 -68,131,000 149,397,000 -56,954,000 30,638,000 -50,309,000 127,658,000 -3,658,000 23,570,000 -76,509,000 129,156,000 -10,489,000 -3,790,000 -94,625,000 89,892,000 -18,414,000 41,623,000 -44,557,000 53,623,000 36,466,000 31,542,000 -32,913,000 7,006,000 48,146,000 17,349,000 -29,871,000 -16,344,000 58,480,000 -21,403,000 
          other current liabilities
        -96,903,000 -46,425,000 20,048,000 35,808,000 -39,394,000 11,087,000 34,427,000 -26,018,000 27,237,000 16,260,000 -6,420,000 23,728,000 -6,486,000 2,707,000 44,731,000 15,605,000 26,912,000 -5,803,000 -112,932,000 -1,880,000 26,970,000 -18,196,000 -22,657,000 142,508,000 3,982,000 41,894,000 -11,734,000 134,544,000 17,236,000 -203,086,000 -12,697,000 8,942,000 49,379,000 -37,537,000 25,454,000 23,624,000 -9,633,000 56,945,000 6,724,000 57,152,000 55,673,000 16,799,000 -81,062,000 116,961,000 60,772,000 10,658,000 40,962,000 11,355,000 20,615,000 -12,686,000 8,598,000 3,628,000 79,277,000 -76,140,000 21,874,000 47,887,000 17,462,000 -43,246,000 16,983,000 -35,199,000 9,483,000 6,861,000 -92,178,000 18,936,000 -45,063,000 24,840,000 -26,024,000 11,757,000 -54,116,000 
          income taxes
        27,125,000 80,880,000 -40,097,000 -30,367,000 39,829,000 -36,686,000 569,000 -68,654,000 60,557,000 3,448,000 -7,078,000 -34,051,000 39,251,000 13,667,000 25,868,000 -116,111,000 52,473,000 14,312,000 11,856,000 -51,966,000 62,719,000 12,769,000 -95,360,000 27,816,000 -32,616,000 38,366,000 -272,000 25,049,000 32,502,000 -45,384,000 -2,607,000 -6,416,000 30,772,000 -74,845,000 -100,968,000 -134,853,000 258,490,000 -2,934,000 -56,808,000 49,572,000 72,400,000 -11,107,000 144,742,000 -216,430,000 106,970,000 -132,758,000 69,397,000 -90,019,000 92,905,000 48,711,000 -6,030,000 -102,583,000 93,401,000 -60,840,000 -20,039,000 -92,141,000 43,072,000 -11,036,000 53,655,000 4,921,000 29,878,000 9,966,000 -50,600,000 -52,720,000 47,617,000 -10,648,000 19,691,000 -4,804,000 40,339,000 
          other long-term liabilities
        -4,955,000 21,520,000 -2,299,000 -1,395,000 -10,478,000 974,000 -1,004,000 1,621,000 -8,263,000 -271,000 730,000 -3,159,000 -5,516,000 -2,382,000 -6,662,000 5,144,000 -11,701,000 2,016,000 4,484,000 -1,439,000 -11,793,000 -304,000 -6,278,000 -13,978,000 709,000 -3,904,000 -9,421,000 -17,656,000 -465,000 -6,577,000 1,722,000 -7,237,000 11,061,000 -7,491,000 -872,000 5,041,000 14,479,000 42,643,000 19,405,000 -50,739,000 19,208,000 28,581,000 7,685,000 -11,307,000 8,395,000 22,187,000 -6,063,000 -34,370,000 16,663,000 14,388,000 15,044,000 -11,116,000 47,829,000 13,965,000 -3,417,000 3,949,000 4,532,000 -3,441,000 10,362,000 3,029,000 1,111,000 2,432,000 1,353,000 640,000 315,000 -1,660,000 3,317,000 -4,435,000 -8,584,000 
          net cash from operating activities
        320,831,000 540,726,000 841,529,000 324,236,000 180,009,000 547,627,000 810,401,000 798,846,000 -134,836,000 485,205,000 661,162,000 450,107,000 462,557,000 343,722,000 710,532,000 188,121,000 322,195,000 529,888,000 566,952,000 679,732,000 154,304,000 484,798,000 482,727,000 651,122,000 360,381,000 680,530,000 640,710,000 609,811,000 141,304,000 389,392,000 457,673,000 562,036,000 362,539,000 342,910,000 553,095,000 146,270,000 865,174,000 482,182,000 535,623,000 516,637,000 429,002,000 436,673,000 678,996,000 31,442,000 410,089,000 -69,991,000 847,900,000 262,391,000 419,107,000 354,187,000 733,128,000 306,819,000 379,207,000 200,235,000 366,634,000 202,105,000 331,874,000 150,659,000 495,194,000 204,410,000 329,783,000 120,551,000 161,366,000 295,919,000 261,847,000 152,591,000 167,487,000 212,383,000 134,249,000 
          capital expenditures
          free cash flows
        320,831,000 540,726,000 841,529,000 324,236,000 180,009,000 547,627,000 810,401,000 798,846,000 -134,836,000 485,205,000 661,162,000 450,107,000 462,557,000 343,722,000 710,532,000 188,121,000 322,195,000 529,888,000 566,952,000 679,732,000 154,304,000 484,798,000 482,727,000 651,122,000 360,381,000 680,530,000 640,710,000 609,811,000 141,304,000 389,392,000 457,673,000 562,036,000 362,539,000 342,910,000 553,095,000 146,270,000 865,174,000 482,182,000 535,623,000 516,637,000 429,002,000 436,673,000 678,996,000 31,442,000 410,089,000 -69,991,000 847,900,000 262,391,000 419,107,000 354,187,000 733,128,000 306,819,000 379,207,000 200,235,000 366,634,000 202,105,000 331,874,000 150,659,000 495,194,000 204,410,000 329,783,000 120,551,000 161,366,000 295,919,000 261,847,000 152,591,000 167,487,000 212,383,000 134,249,000 
          cash flows from investing activities:
                                                                             
          additions of property and equipment
        -102,018,000 -145,430,000 -166,085,000 -121,091,000 -143,258,000 -170,657,000 -139,046,000 -124,725,000 -121,015,000 -158,974,000 -136,807,000 -124,499,000 -147,705,000 -194,038,000 -143,930,000 -142,353,000 -123,108,000 -189,556,000 -157,471,000 -149,525,000 -144,913,000 -224,645,000 -158,229,000 -136,725,000 -154,942,000 -219,363,000 -173,265,000 -175,040,000 -198,878,000 -281,479,000 -231,682,000 -241,534,000 -232,443,000 -265,421,000 -240,889,000 -184,405,000 -214,535,000 -253,852,000 -216,616,000 -185,440,000 -173,187,000 -245,785,000 -171,340,000 -169,452,000 -121,421,000 -197,823,000 -164,914,000 -152,031,000 -126,562,000 -218,070,000 -141,131,000 -141,672,000 -116,724,000 -171,197,000 -128,441,000 -138,049,000 -112,459,000 -148,277,000 -96,950,000 -87,399,000 -67,530,000 -104,226,000 -70,025,000 -56,766,000 -42,585,000 -68,952,000 -67,448,000 -65,002,000 -73,203,000 
          acquisitions
        -33,924,000 869,000 -107,741,000 -353,000 -10,243,000 -84,858,000 -3,427,000 -52,620,000 -105,163,000 -18,404,000 -5,415,000   -13,497,000 -34,320,000 -4,325,000 -5,166,000 -141,907,000 -21,253,000 -20,222,000 -3,668,000 -69,416,000 -68,330,000 -10,160,000 -34,107,000 -23,513,000 -11,378,000 -54,696,000 -11,274,000 -69,630,000 -24,061,000 -72,883,000 -16,582,000 -77,341,000 -106,699,000 -542,603,000 -77,236,000 -66,525,000 -24,017,000 -68,160,000 -405,154,000 -5,760,000 -45,650,000 -4,409,000 -40,650,000 -53,977,000 -119,675,000 -30,585,000 -67,857,000 -75,592,000 -82,690,000 -60,614,000 -91,498,000 -3,874,963,000 -72,340,000 -214,075,000 -132,699,000 -150,318,000 -775,928,000 -69,673,000 -81,523,000 -50,859,000 -45,942,000 -90,632,000 -1,069,000 -23,616,000 -20,687,000 -3,486,000 -39,828,000 
          proceeds from asset and business sales
        3,721,000 1,836,000 9,937,000 11,726,000 10,674,000 7,925,000 5,158,000 5,739,000 7,040,000 5,703,000 3,709,000 7,724,000 13,474,000 1,494,000 1,259,000 103,476,000 11,353,000 14,886,000 16,804,000 13,437,000 16,337,000 -33,200,000 12,724,000 39,097,000 31,518,000 13,773,000 12,238,000 3,837,478,000 13,903,000 14,937,000 19,027,000 97,706,000 18,535,000 -193,000 22,293,000 23,624,000 46,612,000 45,734,000 1,598,000 12,736,000 4,657,000 12,850,000 3,450,000 850,000 2,565,000  3,405,000 159,000 56,000  -2,081,000 2,006,000 62,357,000                 
          purchase of debt investments held-to-maturity
        -290,000 -563,000 11,633,000 -581,000 -26,894,000 -15,010,000 -309,000 -6,761,000 -5,419,000 -25,000,000 -35,201,000 -5,072,000 -84,460,000 -5,070,000 -17,575,000 -5,351,000 -2,574,000 -5,349,000 -2,872,000 -5,346,000 -137,434,000 -5,049,000                                             
          purchase of other debt and equity investments
        -9,655,000 -2,679,000 -350,000 -531,000 -2,471,000 -356,000 -5,373,000 -436,000 -2,975,000 -2,873,000 -327,000 -1,723,000 -4,643,000 -268,000 -312,000 -284,000 -2,726,000 -378,000 -445,000 -385,000 -1,779,000 -369,000 -354,000 -401,000 -2,633,000 -298,000 -348,000 -1,522,000 -3,290,000                                         
          proceeds from debt investments held-to-maturity
        942,000 7,362,000 -9,963,000 44,934,000 3,080,000 546,000 15,010,000 6,782,000 300,000 5,225,000 44,156,000 50,258,000 30,465,000 32,245,000 3,345,000 5,070,000 2,575,000 5,351,000 2,574,000 5,349,000 2,872,000 140,720,000 2,572,000 5,049,000                                             
          proceeds from sale of other debt and equity investments
        4,332,000 17,000 327,000 717,000 5,662,000 8,000 -6,000 17,000 4,547,000 6,435,000 57,000 17,000 3,856,000 18,000 -12,000 2,000 3,773,000 54,000 68,000 29,000 11,879,000 57,000 -4,000 170,000 3,268,000 -2,217,000 2,591,000 3,302,000                                         
          purchase of equity method investments
        -2,308,000 -24,564,000 -322,000   -708,000 -3,797,000 -240,000 -460,000 -196,000 -2,670,000 -265,432,000 -7,904,000 -3,709,000 -4,370,000 -20,844,000 -2,962,000 -5,999,000 -1,896,000 -2,829,000 -3,200,000 -12,728,000 -1,512,000 -1,927,000 -6,174,000                                             
          distributions from equity method investments
        109,000 26,000 44,000 158,000 1,312,000 126,000 3,725,000 2,829,000 1,549,000 1,606,000 638,000 1,120,000 1,472,000 1,443,000 577,000 470,000 1,352,000 452,000 162,000 978,000 2,237,000 163,000 294,000 445,000                                             
          net cash from investing activities
        -139,091,000 -163,126,000 -262,520,000 -67,165,000 -162,138,000 -247,974,000 -146,491,000 -161,758,000 -215,206,000 -168,296,000 -139,847,000 -347,113,000 -116,544,000 -213,264,000 -153,851,000 -144,866,000 -118,366,000 -336,548,000 -164,486,000 -159,333,000 -124,366,000 -338,064,000 -80,168,000 -244,514,000 -162,625,000 -138,685,000 -268,667,000 3,603,050,000 -200,358,000 -344,324,000 -237,255,000 -223,936,000 -200,128,000 -259,498,000 -255,585,000 -601,636,000 -250,012,000 55,574,000 -499,013,000 -203,918,000 -554,311,000 268,600,000 -203,047,000 -695,050,000 -252,287,000 -446,544,000 -388,330,000 -247,062,000 -195,793,000 -299,796,000 -229,199,000 -201,876,000 -146,011,000 -4,045,693,000 -199,546,000 -353,521,000 -233,690,000 -266,221,000 -824,451,000 -163,168,000 -145,388,000 -151,320,000 -115,510,000 -146,240,000 -23,563,000 -97,312,000 -88,376,000 -61,709,000 -98,663,000 
          cash flows from financing activities:
                                                                             
          borrowings
        1,263,179,000 940,110,000 482,454,000 3,556,527,000 633,189,000 676,000 3,348,101,000 1,985,278,000 1,290,255,000 6,000 331,462,000 1,525,044,000 611,829,000 687,203,000 523,002,000 828,626,000 354,285,000 2,334,000 1,950,000 4,117,000 1,606,969,000 220,291,000 1,502,184,000 1,753,521,000 570,779,000 5,859,000 6,152,691,000 15,233,836,000 17,133,464,000 18,260,471,000 13,546,148,000 14,821,233,000 13,306,898,000 12,831,139,000 12,631,266,000 12,726,540,000 12,803,015,000 12,889,188,000 12,967,350,000 13,036,399,000 13,098,553,000 13,170,596,000 13,226,406,000 14,791,219,000 13,353,767,000 13,419,216,000 13,482,549,000 16,957,280,000 16,179,463,000 16,344,214,000 16,496,316,000 16,648,057,000 16,797,510,000 16,256,070,000 9,774,701,000 8,582,801,000 8,634,603,000 8,889,054,000 8,336,471,000 8,186,455,000 10,983,125,000 10,072,739,000 5,046,861,000 4,812,658,000 4,877,000,000 4,842,950,000 4,810,323,000 6,494,779,000 2,619,540,000 
          payments on long-term debt
        -917,087,000 -908,124,000 -507,421,000 -3,027,335,000 -345,965,000 -77,306,000 -2,776,762,000 -2,106,601,000 -554,544,000 -28,708,000 -645,128,000 -1,466,568,000 -880,552,000 -847,037,000 -715,671,000 -442,697,000 -398,990,000 -48,456,000 -58,252,000 -56,109,000 -698,298,000 -182,893,000 -3,291,716,000                              -16,860,949,000 -13,486,220,000 -8,545,304,000 -8,596,502,000 -8,658,001,000 -8,899,071,000 -8,149,151,000 -8,200,727,000 -11,000,635,000 -9,127,748,000 -5,068,442,000 -5,036,271,000 -4,902,041,000 -4,867,157,000 -4,824,716,000 -6,506,212,000 -2,630,739,000 
          deferred and debt related financing costs
        -2,882,000 -27,403,000 -1,283,000 -18,722,000 -6,411,000 -4,863,000 -26,018,000 -19,894,000 -99,000 -16,325,000 -8,457,000                                                           
          purchase of treasury stock from related party
        -199,940,000 -54,347,000 -230,025,000 -168,577,000 -31,684,000                                                                 
          other purchases of treasury stock
        -196,371,000 -274,479,000 -240,053,000 -283,673,000 -510,161,000                                                                 
          distributions to noncontrolling interests
        -85,440,000 -91,549,000 -81,634,000 -58,065,000 -93,022,000 -107,806,000 -122,026,000 -29,862,000 -77,348,000 -77,557,000 -79,203,000 -69,341,000 -54,837,000 -79,354,000 -70,277,000 -52,863,000 -65,452,000 -66,887,000 -77,784,000 -45,495,000 -53,867,000 -74,020,000 -60,545,000 -60,422,000 -58,131,000 -75,953,000 -61,456,000 -51,484,000 -44,230,000 -56,768,000 -45,667,000 -48,539,000 -45,467,000 -46,004,000 -49,388,000 -72,759,000 -43,316,000 -47,329,000 -50,919,000 -43,744,000 -50,409,000 -48,697,000 -46,898,000 -37,541,000 -41,499,000 -44,196,000 -39,325,000 -32,671,000 -33,147,000 -39,590,000 -34,530,000 -30,280,000 -34,926,000 -31,526,000 -31,500,000 -24,073,000 -26,405,000 -33,245,000 -20,985,000 -24,236,000 -22,187,000 -22,479,000 -23,811,000 -18,643,000 -18,658,000 -20,860,000 -16,993,000 -16,328,000 -13,567,000 
          net proceeds from issuance of common stock under employee stock plans
        2,386,000 5,707,000 8,670,000 3,976,000 4,937,000                                                                 
          payment of tax withholdings on net share settlements of equity awards
        -63,155,000 -1,527,000 -3,287,000 -263,000 -30,214,000                                                                 
          contributions from noncontrolling interests
        4,049,000 3,079,000 1,421,000 409,000 2,169,000 3,876,000 3,002,000 3,896,000 3,725,000 3,194,000 4,633,000 2,221,000 4,725,000 3,415,000 2,266,000 4,187,000 4,929,000 3,459,000 12,370,000 5,236,000 10,689,000 10,112,000 12,272,000 11,195,000 9,387,000 13,222,000 12,814,000 12,334,000 18,947,000 9,132,000 11,610,000 19,560,000 12,009,000 23,396,000 11,284,000 21,883,000 17,989,000 12,066,000 22,407,000 2,927,000 10,190,000 26,432,000 10,172,000 2,142,000 15,898,000 26,572,000 9,818,000 14,640,000 13,625,000 6,955,000 9,909,000 5,875,000 14,257,000 18,027,000 8,784,000 6,933,000 3,651,000 6,231,000 8,289,000 2,531,000 3,959,000 4,145,000 1,957,000 1,795,000 1,613,000 1,954,000 4,613,000 2,044,000 4,460,000 
          purchases of noncontrolling interests
        -18,082,000 -9,613,000 -11,007,000 -5,378,000 -13,207,000 -35,530,000 -5,221,000 -4,680,000 -265,000   -5,000 -5,405,000 -12,082,000 -3,283,000 -8,446,000 -7,165,000 -3,398,000 -1,095,000 -1,049,000 -6,082,000 -700,000 -57,031,000 52,000 -2,560,000 -8,480,000 -8,094,000 -6,765,000 -11,023,000 -2,200,000                                     
          net cash from financing activities
        -213,343,000 -414,521,000 -582,165,000 4,446,000 -382,540,000 -565,103,000 -7,858,000 -563,295,000 319,319,000 -403,246,000 -394,501,000 -96,836,000 -275,912,000 -230,900,000 -445,263,000 -103,394,000 -341,571,000 -774,363,000 -464,151,000 -381,730,000 537,278,000 -465,079,000 -2,621,271,000 1,142,581,000 96,992,000 -692,686,000 -2,693,211,000 -1,635,504,000 324,951,000 -202,015,000 -117,430,000 -83,362,000 -222,547,000 -236,425,000 -164,654,000 -306,241,000 -58,937,000 -544,005,000 -404,422,000 -70,457,000 -333,097,000 -252,849,000 -361,214,000 585,961,000 -110,868,000 -45,970,000 -355,657,000 298,773,000 -62,125,000 -78,768,000 -150,474,000 -186,357,000 -67,392,000 3,997,841,000 -58,490,000 -24,310,000 -42,657,000 -31,892,000 140,638,000 -317,427,000 -38,502,000 356,321,000 -86,007,000 -330,872,000 -21,834,000 -97,500,000 -41,544,000 -12,244,000 -40,784,000 
          effect of exchange rate changes on cash, cash equivalents and restricted cash
        259,000 -746,000 1,611,000 10,869,000 9,417,000 -13,369,000 -654,000 -1,328,000 -3,130,000 5,846,000 -3,859,000 4,615,000 2,307,000 -22,783,000 -4,941,000 -4,705,000 3,363,000 -2,626,000 -6,184,000 6,769,000 -7,966,000 2,798,000 330,000 -1,958,000 -14,978,000 2,418,000 -4,101,000 844,000 -921,000 2,440,000 -2,317,000 -10,141,000 6,668,000                                     
          net decrease in cash, cash equivalents and restricted cash
        -31,344,000    -355,252,000                                                                 
          cash, cash equivalents and restricted cash at beginning of the year
        757,747,000 879,825,000 464,634,000 338,989,000 554,960,000                                                     
          cash, cash equivalents and restricted cash at end of the period
        726,403,000  -1,545,000 272,386,000 524,573,000  655,398,000 72,465,000 430,781,000  122,955,000 10,773,000 411,397,000  106,477,000 -64,844,000 420,581,000                                                     
          impairment charges
                                 83,855,000 41,037,000 41,537,000 6,093,000                                       
          loss on extinguishment of debt
         8,133,000    10,082,000                                                              
          gain on changes in ownership interests
                                                                             
          other non-cash (gains) and losses
                                                                             
          proceeds from sales of additional noncontrolling interests
         3,625,000     130,000 50,832,000 3,673,000                      3,557,000     2,844,000 172,000 761,000 2,212,000 180,000 1,729,000 4,174,000 -180,000 1,702,000 42,000 100,000 7,012,000 608,000 1,282,000 785,000 205,000 360,000 2,737,000 108,000 1,642,000 2,258,000 2,394,000 3,081,000 
          net increase in cash, cash equivalents and restricted cash
         -37,667,000 -1,545,000   -278,819,000 655,398,000 72,465,000 -33,853,000 -80,491,000 122,955,000 10,773,000 72,408,000 -123,225,000 106,477,000 -64,844,000 -134,379,000 -583,649,000 -67,869,000 145,438,000 559,250,000 -315,547,000 -2,218,382,000 1,547,231,000 279,770,000 -148,423,000 -2,325,269,000 2,578,201,000 264,976,000 -154,507,000 100,671,000 244,597,000 -53,468,000                                     
          cash, cash equivalents and restricted cash at end of the year
                                                                             
          other non-cash losses and (gains)
                                                                             
          other
                                                                            
          purchase of treasury stock
             -365,382,000 -407,936,000 -361,653,000 -250,961,000     -184,796,000 -381,200,000 -236,232,000 -656,215,000 -321,904,000 -244,257,000 -316,250,000 -432,564,000 -704,080,000 -321,798,000 -546,794,000 -1,763,944,000   -356,332,000 -514,802,000 -290,377,000 -481,538,000 -89,737,000   -476,924,000 -345,972,000 -274,926,000 -165,825,000 -299,997,000 -14,050,000 -70,063,000             -32,755,000   -469,827,000 -48,621,000   -92,272,000 -29,207,000 -32,016,000 
          gain on changes in ownership interest
              -35,147,000                                                             
          net payments related to stock purchases and awards
              -26,219,000 211,000 -86,488,000 -6,957,000 2,457,000 -35,710,000 -7,902,000 4,881,000 5,618,000 -47,365,000 -501,000 -152,000 -16,244,000                                                   
          other non-cash charges
                7,639,000 -10,571,000 6,793,000 -11,024,000 5,864,000 5,658,000 48,893,000 -37,572,000 4,714,000 -2,187,000 12,144,000 -2,705,000 3,979,000 8,727,000 -2,095,000 -10,940,000 5,055,000 25,288,000 -1,566,000 24,137,000 1,720,000 -82,482,000 120,519,000 34,378,000 9,959,000 25,216,000 13,094,000 19,148,000 9,467,000 -16,501,000 -13,957,000 11,613,000 11,507,000                             
          debt prepayment and refinancing charges
                                                                             
          other receivables and prepaid and other current assets
                   -33,413,000 66,595,000 -15,859,000 105,203,000 -43,845,000 -17,966,000 -16,306,000 130,502,000 709,000 13,756,000                                                 
          deferred financing and debt redemption costs
                    -7,000         -143,000 -85,330,000                                              
          debt prepayment, refinancing and redemption charges
                                                                           
          equity investment income
                     9,190,000      160,000 -2,924,000 10,804,000 9,520,000     2,968,000 -337,000   -3,998,000 3,564,000 9,854,000 9,704,000 7,944,000 1,423,000 941,000 2,550,000 9,037,000 5,238,000 -1,270,000 5,306,000 2,718,000 2,539,000 4,118,000 3,750,000 2,444,000 -187,000 1,798,000 1,570,000 1,990,000 -2,486,000 3,374,000 149,000 -622,000 483,000 116,000 -234,000 -948,000 1,420,000 -250,000 -267,000   862,000    
          loss on sales of business interests
                             7,996,000                                               
          proceeds from sales of additional noncontrolling interest
                                                                            
          less: net decrease in cash, cash equivalents and restricted cash from discontinued operations
                                                                             
          net increase in cash, cash equivalents and restricted cash from continuing operations
                         -583,649,000 -67,869,000 145,438,000 559,250,000 -315,547,000 -2,218,382,000 1,547,231,000 279,770,000  -2,325,269,000 3,120,976,000 146,014,000    -71,302,000                                     
          cash, cash equivalents and restricted cash of continuing operations at beginning of the year
                         501,790,000 1,208,718,000 415,420,000 518,920,000                                     
          cash, cash equivalents and restricted cash of continuing operations at end of the year
                               1,547,231,000 1,488,488,000                                             
          purchase of intangible assets
                                                        -11,000  -46,000 130,000 -137,000                 
          deferred financing costs
                          -2,000 -743,000 -8,346,000                    -188,000                           
          less: net increase in cash, cash equivalents and restricted cash from discontinued operations
                                 -542,775,000 118,962,000 -29,772,000 40,664,000 212,067,000 17,834,000                                     
          cash, cash equivalents and restricted cash of continuing operations at end of the period
                          -67,869,000 145,438,000 1,061,040,000      -2,325,269,000 3,120,976,000 561,434,000  60,007,000 32,530,000 447,618,000                                     
          debt refinancing charges
                               884,000                                           
          net (payments) receipts related to stock purchases and awards
                            -2,524,000                                                 
          valuation adjustment on disposal group
                                                                             
          other receivables and other current assets
                             -17,252,000 69,963,000 -107,023,000 -24,965,000 -48,529,000 56,461,000 -6,341,000 1,199,000 237,752,000 90,928,000 -57,565,000 -34,120,000 -69,981,000 65,296,000 -27,958,000 -84,511,000 -52,422,000 105,994,000 -32,284,000 -75,326,000 -22,163,000 105,286,000 -31,743,000 -18,619,000 -69,237,000 103,143,000 -77,840,000 -17,740,000 -72,677,000 29,592,000 -33,068,000 -32,281,000 -13,317,000 3,109,000 5,486,000 56,452,000 -28,040,000 57,946,000 -1,131,000 24,922,000 -61,315,000 -16,457,000 -11,290,000 44,343,000 -32,940,000 -6,190,000 -37,391,000 41,417,000 
          stock award exercises and other share issuances
                              5,944,000 -4,503,000 2,397,000 4,049,000 5,226,000 590,000 1,517,000 4,774,000 5,671,000 4,317,000 -1,185,000 5,471,000 7,618,000 4,833,000 3,330,000 5,028,000 9,050,000 6,298,000 3,167,000 6,353,000 15,122,000 -968,000 5,648,000 4,976,000 7,250,000 3,824,000 3,450,000 3,991,000 3,613,000 2,986,000 5,833,000 -1,748,000 3,550,000 3,182,000 1,663,000 1,430,000 2,476,000 4,000,000 3,410,000 14,344,000 5,303,000 13,040,000 21,073,000 37,599,000 13,618,000 7,589,000 9,102,000 
          payments on long-term debt and other financing costs
                                -104,942,000 -36,038,000 -7,038,594,000 -16,755,142,000 -16,776,267,000 -18,411,530,000 -13,272,095,000 -14,354,123,000 -13,202,225,000 -12,567,828,000 -12,675,697,000 -12,754,431,000 -12,839,156,000 -12,914,916,000 -13,004,831,000 -13,073,061,000 -13,123,124,000 -13,190,215,000 -13,255,081,000 -14,094,791,000 -13,382,203,000  -13,799,677,000 -16,543,694,000 -16,244,613,000                     
          purchase of investments held-to-maturity
                                 -3,140,000 -95,000,000 -3,113,000 -209,000 -2,235,000 -2,000 -140,000 -3,586,000 -5,823,000 -4,534,000 -98,962,000 -121,670,000 -156,781,000 -457,446,000 -290,767,000 -228,198,000 -154,279,000 -515,972,000 -748,858,000 -290,774,000 -309,582,000 -41,713,000 -118,822,000 -2,511,000 -5,000 -2,000 -1,028,000 -4,000 -2,161,000 -2,045,000 -3,212,000 -7,888,000 -10,056,000 -4,523,000 -15,161,000 -33,075,000 -7,704,000 -3,314,000 -12,522,000 -5,722,000 -1,749,000 -15,187,000 -6,000 
          proceeds from investments held-to-maturity
                                     2,234,000 1,174,000 31,454,000 93,705,000 78,281,000 204,199,000 116,285,000 496,561,000 198,256,000 292,984,000 252,701,000 667,809,000 534,865,000 229,034,000 205,650,000                         
          purchase of equity investments
                                 -596,000 -2,055,000 -2,648,000 -4,067,000 -6,303,000 -2,633,000 -7,765,000 -2,476,000 -1,802,000 -1,820,000 -59,000 -1,135,000 -15,467,000 -2,844,000 -2,935,000 -5,850,000 -4,288,000 -6,073,000 -124,000 -7,426,000                    -350,000     
          distributions received on equity investments
                                 1,293,000 1,141,000 155,000 66,000 571,000 544,000 2,465,000 26,000        72,000    391,000 97,000 191,000 146,000 286,000 95,000 116,000 6,000 2,000   11,000 350,000 1,618,000 841,000   
          net increase (decrease) in cash, cash equivalents and restricted cash from continuing operations
                                                                             
          gain on sales of business interests
                                     -28,152,000 1,506,000                                       
          purchase of investments available for sale
                                     -2,657,000 -1,596,000 -1,549,000 -2,646,000 -3,235,000 -3,070,000 -4,454,000 -2,358,000  -1,168,000 -3,438,000 -4,435,000  -2,795,000 -2,424,000 -1,448,000  -1,021,000 -4,293,000 -1,824,000  -3,344,000 -2,074,000 -1,212,000  -382,000 -2,581,000 -489,000  -250,000 -1,570,000 -298,000  -210,000 -224,000 -521,000  -308,000 -915,000 -514,000 
          proceeds from sale of investments available for sale
                                     743,000 3,121,000 511,000 5,151,000 586,000 773,000 1,024,000 4,025,000  3,299,000 182,000 5,155,000  411,000 333,000 1,217,000  44,000 15,000 1,262,000  1,091,000  5,000 6,791,000  1,149,000  20,000 880,000  5,868,000 10,669,000 
          proceeds from sale of equity investments
                                                                           
          excess tax benefits from stock award exercises
                                             -667,000 -1,980,000 -6,221,000 -4,383,000 -8,602,000 -2,642,000 -9,329,000 -7,584,000 -12,606,000 -2,427,000 -11,902,000 -18,336,000 -4,475,000 -3,280,000 -21,485,000 -6,957,000 -22,690,000 -24,505,000 -8,740,000 -6,101,000 -1,194,000 -631,000 -11,813,000 -7,196,000 -4,204,000 -432,000 -269,000 -1,378,000 1,165,000 -524,000 -6,812,000 -779,000 
          net decrease in cash, cash equivalents and restricted cash from continuing operations
                                                                             
          loss on settlements
                                                                             
          debt redemption charges
                                                                            
          settlement receipts
                                                                             
          effect of exchange rate changes on cash and cash equivalents
                                         -5,195,000 1,257,000 1,372,000 2,820,000 5,940,000 -2,108,000 -273,000 717,000 -727,000 -1,051,000 111,000 -904,000 711,000 2,149,000 -1,198,000 631,000 -68,000 -665,000 -353,000 119,000 -829,000 151,000 -119,000 11,000             
          net increase in cash and cash equivalents
                                            559,045,000 -309,000   -457,689,000 451,697,000 113,684,000 -77,536,000 46,030,000 -561,794,000 106,062,000 312,904,000 161,820,000 -24,445,000 352,790,000 -81,767,000 165,923,000    55,538,000   -276,185,000 145,893,000 325,552,000 -40,151,000 -181,193,000 216,450,000 -42,221,000 37,567,000 138,430,000 -5,198,000 
          less: net increase in cash and cash equivalents from discontinued operations
                                                                             
          net increase in cash and cash equivalents from continuing operations
                                                                             
          cash and cash equivalents of continuing operations at beginning of the year
                                                                             
          cash and cash equivalents of continuing operations at end of the year
                                                                             
          goodwill and asset impairment charges
                                          601,040,000 61,117,000 39,366,000                                 
          changes in operating assets and liabilities, other than from acquisitions and divestitures:
                                                                             
          purchase of noncontrolling interests
                                          -633,000 -799,000  -3,487,000 -1,940,000 -4,300,000  -12,765,000                          -1,424,000 
          net decrease in cash and cash equivalents
                                          134,113,000                    108,749,000               
          cash and cash equivalents at beginning of the year
                                          913,187,000 1,499,116,000 965,241,000 946,249,000                     
          cash and cash equivalents at end of the period
                                          134,113,000 -760,235,000 1,472,232,000  -369,920,000 241,989,000 1,041,427,000  113,684,000 -77,536,000 1,011,271,000                         
          settlement charge and loss contingency accrual
                                                                            
          goodwill and other asset impairment charges
                                                                             
          debt redemption and refinancing charges
                                                                           
          tax benefits from stock award exercises
                                             1,385,000 3,354,000 14,990,000 8,668,000 14,680,000 3,029,000 18,674,000 9,366,000 13,592,000 3,417,000 19,132,000 22,978,000 6,028,000 4,346,000 27,156,000 9,368,000 28,712,000 32,669,000 16,693,000 10,890,000 3,103,000 1,331,000 19,897,000 13,868,000 10,951,000 2,859,000 5,023,000 7,873,000 5,807,000 2,460,000 7,813,000 2,161,000 
          settlement payments
                                                                           
          purchase of investments available-for-sale
                                                                             
          proceeds from sale of investments available-for-sale
                                                                             
          deferred financing and debt redemption and refinancing costs
                                                                             
          cash and cash equivalents at end of the year
                                                     -561,794,000 106,062,000 312,904,000 1,108,069,000                     
          settlement charge
                                                                             
          goodwill impairment charges
                                                                            
          goodwill impairment charge
                                                77,000,000                           
          adjustments to reconcile net income to cash from operating activities:
                                                                             
          goodwill and other intangible asset impairment charges
                                                                             
          other non-cash charges and loss on disposal of assets
                                                  1,865,000 16,853,000 7,865,000       -57,654,000 -11,396,000  4,341,000               
          deferred financing costs and debt redemption and refinancing costs
                                                  -815,000                           
          loss contingency accrual
                                                    495,000,000                         
          other non-cash charges and losses on disposal of assets
                                                                             
          loss contingency reserve
                                                     -427,356,000    97,000,000 300,000,000                 
          proceeds from asset sales
                                                             1,441,000 95,000 1,198,000 825,000 23,560,000 48,669,000 142,000 2,812,000 4,256,000 790,000 1,417,000 16,264,000 1,441,000 472,000 1,585,000 4,199,000 
          payments on long-term debt, contingent earn-out obligations and other financing costs
                                                                             
          purchases from noncontrolling interests
                                                     -5,807,000 -6,326,000   -3,095,000   -12,987,000 -3,974,000 -5,428,000 -4,372,000 -4,499,000 -540,000 -7,894,000 -756,000 -8,812,000 -3,095,000 -2,307,000 -191,000 -1,964,000   
          other non-cash charges (income) and loss on disposal of assets
                                                                             
          proceeds from sale of investments held-to-maturity
                                                                             
          purchase of intangible assets and equity investment
                                                      4,710,000                       
          purchase of an equity investment
                                                                             
          deferred financing costs and debt redemption costs
                                                      -15,217,000                       
          other non-cash (income) charges and loss on disposal of assets
                                                       14,515,000 8,346,000                     
          proceeds from sale of investments held to maturity
                                                       63,053,000 1,508,000                     
          supplemental cash flow information:
                                                                             
          non-cash investing and financing activities:
                                                                             
          fixed assets under capital lease obligations
                                                        11,918,000                     
          proceeds from maturities of investments held-to-maturity
                                                           2,155,000 2,793,000 2,031,000 7,551,000 17,948,000 10,064,000 4,520,000 15,163,000 33,016,000 7,667,000 3,259,000 15,990,000 257,000 503,000 15,600,000 20,000 
          purchase of equity investments and other assets
                                                             -906,000    2,607,000   -273,000 -86,000       
          payments on long-term debt, contingent obligations and other financing costs
                                                                             
          restricted cash
                                                                             
          cash and cash equivalents at beginning of period
                                                          533,748,000  393,752,000  860,117,000  539,459,000  410,881,000 
          cash and cash equivalents at end of period
                                                          352,790,000 -81,767,000 699,671,000  108,749,000 -175,845,000 449,290,000  -188,619,000 -276,185,000 1,006,010,000  -40,151,000 -181,193,000 755,909,000  37,567,000 138,430,000 405,683,000 
          payments on long-term debt and other contingent obligations
                                                                             
          interest rate cap premiums and other deferred financing costs
                                                           -468,000 -248,000  -22,187,000 -5,000 3,000 2,000 -4,406,000 -58,000 -13,399,000         
          debt refinancing and redemption charges
                                                                             
          deferred financing costs and other related financing costs
                                                                             
          cash and cash equivalents at beginning of year
                                                                             
          cash and cash equivalents at end of year
                                                                             
          loss on disposal of assets and other non-cash charges
                                                                7,125,000 3,931,000 5,556,000   3,935,000 2,565,000       
          proceeds from the sale of investments available-for-sale
                                                                             
          debt refinancing costs including tender and call premiums
                                                                             
          debt call premium
                                                                            
          gain on disposal of assets and other non-cash charges
                                                                    5,506,000         
          net income.
                                                                             
          other investment activity
                                                                             
          equity investment (income) loss
                                                                        -1,334,000     
          (gain) loss on disposal of assets and other non-cash charges
                                                                        -695,000     
          valuation gain on alliance and product supply agreement
                                                                             
          gain on disposal of assets
                                                                             
          non-cash debt expense and non-cash rent charges
                                                                             
          loss on disposal of assets
                                                                          3,013,000 1,184,000 3,629,000 
          non-cash debt and non-cash rent charges
                                                                          930,000 3,145,000 3,422,000 
          purchase of intangible assets and other
                                                                             
          net income attributable to davita inc.
                                                                            96,211,000 
          net income attributable to noncontrolling interests
                                                                            12,063,000 
          minority interests in income of consolidated subsidiaries
                                                                             
          distributions to minority interests
                                                                             
          gain on disposal of discontinued operations and other dispositions
                                                                             
          acquisitions and purchases of other ownership interests
                                                                             
          proceeds from discontinued operations and asset sales
                                                                             
          purchase of a noncontrolling ownership interest in an unconsolidated joint venture
                                                                             
          contributions from minority owners