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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 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]        
Net income attributable to DaVita Inc. $ 267,276 $ 127,001 $ 445,962 $ 574,698
Sales of noncontrolling interests 3 0 79 0
Purchases of noncontrolling interests (10,203)   (12,197)  
Purchases of noncontrolling Interests   618   195
Net transfers to noncontrolling interests (10,200) 618 (12,118) 195
Net income attributable to DaVita Inc., net of transfers to noncontrolling interests 257,076 127,619 433,844 574,893
DaVita Inc. | Reportable Legal Entities        
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]        
Net income attributable to DaVita Inc. $ 267,276 $ 127,001 $ 445,962 $ 574,698