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Condensed consolidating financial statements - Condensed Consolidating Statements of Operations (Detail) - USD ($)
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Condensed Income Statements Captions [Line Items]    
Patient services revenues $ 2,591,074,000 $ 2,422,786,000
Less: Provision for uncollectible accounts 25,545,000 (107,058,000)
Net dialysis and related lab patient service revenues 2,616,619,000 2,315,728,000
Other revenues 232,825,000 315,523,000
Total revenues 2,849,444,000 2,631,251,000
Operating expenses and charges 2,438,758,000 1,755,323,000
Operating income 410,686,000 875,928,000
Debt expense (113,516,000) (104,397,000)
Other income, net 4,582,000 3,986,000
Income tax expense 70,737,000 281,665,000
Equity (loss) earnings in subsidiaries 0 0
Net income from continuing operations 231,015,000 493,852,000
Net (loss) income from discontinued operations, net of tax (5,786,000) 6,433,000
Net income 225,229,000 500,285,000
Less: Net income attributable to noncontrolling interests (46,543,000) (52,588,000)
Net income attributable to DaVita Inc. 178,686,000 447,697,000
Consolidating adjustments    
Condensed Income Statements Captions [Line Items]    
Patient services revenues (47,515,000) (37,171,000)
Less: Provision for uncollectible accounts 0 0
Net dialysis and related lab patient service revenues (47,515,000) (37,171,000)
Other revenues (238,633,000) (227,571,000)
Total revenues (286,148,000) (264,742,000)
Operating expenses and charges (286,148,000) (264,742,000)
Operating income 0 0
Debt expense 60,390,000 58,142,000
Other income, net (107,726,000) (102,740,000)
Income tax expense 0 0
Equity (loss) earnings in subsidiaries (207,613,000) (557,116,000)
Net income from continuing operations (254,949,000) (601,714,000)
Net (loss) income from discontinued operations, net of tax 47,336,000 44,598,000
Net income (207,613,000) (557,116,000)
Less: Net income attributable to noncontrolling interests (46,543,000) (52,588,000)
Net income attributable to DaVita Inc. (254,156,000) (609,704,000)
DaVita Inc. | Reportable Legal Entities    
Condensed Income Statements Captions [Line Items]    
Patient services revenues 0 0
Less: Provision for uncollectible accounts 0 0
Net dialysis and related lab patient service revenues 0 0
Other revenues 195,565,000 221,386,000
Total revenues 195,565,000 221,386,000
Operating expenses and charges 133,356,000 131,910,000
Operating income 62,209,000 89,476,000
Debt expense (114,334,000) (102,664,000)
Other income, net 104,081,000 100,337,000
Income tax expense 14,387,000 33,953,000
Equity (loss) earnings in subsidiaries 141,117,000 394,501,000
Net income from continuing operations 178,686,000 447,697,000
Net (loss) income from discontinued operations, net of tax 0 0
Net income 178,686,000 447,697,000
Less: Net income attributable to noncontrolling interests 0 0
Net income attributable to DaVita Inc. 178,686,000 447,697,000
Guarantor subsidiaries | Reportable Legal Entities    
Condensed Income Statements Captions [Line Items]    
Patient services revenues 1,790,188,000 1,530,726,000
Less: Provision for uncollectible accounts 9,628,000 (61,053,000)
Net dialysis and related lab patient service revenues 1,799,816,000 1,469,673,000
Other revenues 204,960,000 305,618,000
Total revenues 2,004,776,000 1,775,291,000
Operating expenses and charges 1,791,094,000 1,208,820,000
Operating income 213,682,000 566,471,000
Debt expense (52,197,000) (47,643,000)
Other income, net 2,523,000 2,803,000
Income tax expense 48,944,000 235,865,000
Equity (loss) earnings in subsidiaries 66,496,000 162,615,000
Net income from continuing operations 181,560,000 448,381,000
Net (loss) income from discontinued operations, net of tax (40,443,000) (53,880,000)
Net income 141,117,000 394,501,000
Less: Net income attributable to noncontrolling interests 0 0
Net income attributable to DaVita Inc. 141,117,000 394,501,000
Non- Guarantor subsidiaries | Reportable Legal Entities    
Condensed Income Statements Captions [Line Items]    
Patient services revenues 848,401,000 929,231,000
Less: Provision for uncollectible accounts 15,917,000 (46,005,000)
Net dialysis and related lab patient service revenues 864,318,000 883,226,000
Other revenues 70,933,000 16,090,000
Total revenues 935,251,000 899,316,000
Operating expenses and charges 800,456,000 679,335,000
Operating income 134,795,000 219,981,000
Debt expense (7,375,000) (12,232,000)
Other income, net 5,704,000 3,586,000
Income tax expense 7,406,000 11,847,000
Equity (loss) earnings in subsidiaries 0 0
Net income from continuing operations 125,718,000 199,488,000
Net (loss) income from discontinued operations, net of tax (12,679,000) 15,715,000
Net income 113,039,000 215,203,000
Less: Net income attributable to noncontrolling interests 0 0
Net income attributable to DaVita Inc. $ 113,039,000 $ 215,203,000