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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Condensed Financial Statements Captions [Line Items]
Net income	$ (172,034)	$ 612,150	$ 489,876	$ 844,812
Other comprehensive income	30,784	7,868	93,117	7,807
Total comprehensive (loss) income	(141,250)	620,018	582,993	852,619
Less: Comprehensive income attributable to noncontrolling interests	(42,442)	(40,876)	(129,652)	(122,871)
Comprehensive (loss) income attributable to DaVita Inc.	(183,692)	579,142	453,341	729,748
Consolidating adjustments
Condensed Financial Statements Captions [Line Items]
Net income	160,969	(840,027)	(563,330)	(1,155,137)
Other comprehensive income	0	0	0	0
Total comprehensive (loss) income	160,969	(840,027)	(563,330)	(1,155,137)
Less: Comprehensive income attributable to noncontrolling interests	(42,442)	(40,876)	(129,652)	(122,871)
Comprehensive (loss) income attributable to DaVita Inc.	118,527	(880,903)	(692,982)	(1,278,008)
DaVita Inc. | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	(214,476)	571,332	360,222	722,148
Other comprehensive income	1,641	1,248	1,571	(5,299)
Total comprehensive (loss) income	(212,835)	572,580	361,793	716,849
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive (loss) income attributable to DaVita Inc.	(212,835)	572,580	361,793	716,849
Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	(243,436)	504,852	249,554	611,204
Other comprehensive income	0	0	0	0
Total comprehensive (loss) income	(243,436)	504,852	249,554	611,204
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive (loss) income attributable to DaVita Inc.	(243,436)	504,852	249,554	611,204
Non- Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	124,909	375,993	443,430	666,597
Other comprehensive income	29,143	6,620	91,546	13,106
Total comprehensive (loss) income	154,052	382,613	534,976	679,703
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive (loss) income attributable to DaVita Inc.	$ 154,052	$ 382,613	$ 534,976	$ 679,703

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Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income and other comprehensive income, attributable to parent entity. Excludes changes in equity resulting from investments by owners and distributions to owners.

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