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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2018	Mar. 31, 2017
Condensed Financial Statements Captions [Line Items]
Net income	$ 225,229	$ 500,285
Other comprehensive income	22,468	12,755
Total comprehensive income	247,697	513,040
Less: Comprehensive income attributable to noncontrolling interests	(46,543)	(52,586)
Comprehensive income attributable to DaVita Inc.	201,154	460,454
Consolidating adjustments
Condensed Financial Statements Captions [Line Items]
Net income	(207,613)	(557,116)
Other comprehensive income	0	0
Total comprehensive income	(207,613)	(557,116)
Less: Comprehensive income attributable to noncontrolling interests	(46,543)	(52,586)
Comprehensive income attributable to DaVita Inc.	(254,156)	(609,702)
DaVita Inc. | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	178,686	447,697
Other comprehensive income	2,587	(506)
Total comprehensive income	181,273	447,191
Less: Comprehensive income attributable to noncontrolling interests	0	0
Comprehensive income attributable to DaVita Inc.	181,273	447,191
Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	141,117	394,501
Other comprehensive income	0	0
Total comprehensive income	141,117	394,501
Less: Comprehensive income attributable to noncontrolling interests	0	0
Comprehensive income attributable to DaVita Inc.	141,117	394,501
Non- Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	113,039	215,203
Other comprehensive income	19,881	13,261
Total comprehensive income	132,920	228,464
Less: Comprehensive income attributable to noncontrolling interests	0	0
Comprehensive income attributable to DaVita Inc.	$ 132,920	$ 228,464

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