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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Condensed Financial Statements Captions [Line Items]
Net income	$ 306,322	$ 161,625	$ 531,551	$ 661,910
Other comprehensive income	(49,260)	49,578	(26,792)	62,333
Total comprehensive income	257,062	211,203	504,759	724,243
Less: Comprehensive income attributable to noncontrolling interests	(39,046)	(34,624)	(85,589)	(87,210)
Comprehensive income attributable to DaVita Inc.	218,016	176,579	419,170	637,033
Consolidating adjustments
Condensed Financial Statements Captions [Line Items]
Net income	(428,691)	(181,457)	(636,303)	(738,574)
Other comprehensive income	0	0	0	0
Total comprehensive income	(428,691)	(181,457)	(636,303)	(738,574)
Less: Comprehensive income attributable to noncontrolling interests	(39,046)	(34,624)	(85,589)	(87,210)
Comprehensive income attributable to DaVita Inc.	(467,737)	(216,081)	(721,892)	(825,784)
DaVita Inc. | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	267,276	127,001	445,962	574,698
Other comprehensive income	1,269	436	3,856	(70)
Total comprehensive income	268,545	127,437	449,818	574,628
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income attributable to DaVita Inc.	268,545	127,437	449,818	574,628
Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	236,335	95,908	377,452	490,409
Other comprehensive income	0	0	0	0
Total comprehensive income	236,335	95,908	377,452	490,409
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income attributable to DaVita Inc.	236,335	95,908	377,452	490,409
Non- Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	231,402	120,173	344,440	335,377
Other comprehensive income	(50,529)	49,142	(30,648)	62,403
Total comprehensive income	180,873	169,315	313,792	397,780
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income attributable to DaVita Inc.	$ 180,873	$ 169,315	$ 313,792	$ 397,780

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