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Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries
 9 Months Ended
Sep. 30, 2018
Noncontrolling Interest [Abstract]  
Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries
Changes in DaVita Inc.’s ownership interests in consolidated subsidiaries
The effects of changes in DaVita Inc.’s ownership interests in consolidated subsidiaries on the Company’s equity were as follows: 
 
Three months ended
September 30,
 
Nine months ended
September 30,
 
2018
 
2017
 
2018
 
2017
Net (loss) income attributable to DaVita Inc.
$
(136,796
)
 
$
(214,476
)
 
$
309,166

 
$
360,222

Changes in paid-in capital for:
 
 
 
 
 
 
 
Sales of noncontrolling interests
—

 
—

 
79

 
—

Purchases of noncontrolling interests
(5,285
)
 
—

 
(17,482
)
 
195

Net transfers to noncontrolling interests
(5,285
)
 
—

 
(17,403
)
 
195

Net (loss) income attributable to DaVita Inc., net of transfers to noncontrolling interests
$
(142,081
)
 
$
(214,476
)
 
$
291,763

 
$
360,417