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Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries - Effects of Changes in DaVita Inc's Ownership Interest on Company's Equity (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]    
Net income attributable to DaVita Inc. $ 178,686 $ 447,697
Sales of noncontrolling interests 76 0
Purchases of noncontrolling interests 1,994 423
Net transfers to noncontrolling interests (1,918) (423)
Net income attributable to DaVita Inc., net of transfers to noncontrolling interests 176,768 447,274
DaVita Inc. | Reportable Legal Entities    
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]    
Net income 178,686  
Net income attributable to DaVita Inc. $ 178,686 $ 447,697