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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Condensed Financial Statements Captions [Line Items]
Net income	$ (96,668)	$ (172,034)	$ 434,883	$ 489,876
Other comprehensive loss	(7,184)	30,784	(33,976)	93,117
Total comprehensive income (loss)	(103,852)	(141,250)	400,907	582,993
Less: Comprehensive income attributable to noncontrolling interests	(40,128)	(42,442)	(125,717)	(129,652)
Comprehensive income (loss) attributable to DaVita Inc.	(143,980)	(183,692)	275,190	453,341
Consolidating adjustments
Condensed Financial Statements Captions [Line Items]
Net income	74,799	160,813	(561,504)	(577,761)
Other comprehensive loss	0	0	0	0
Total comprehensive income (loss)	74,799	160,813	(561,504)	(577,761)
Less: Comprehensive income attributable to noncontrolling interests	(40,128)	(42,442)	(125,717)	(129,652)
Comprehensive income (loss) attributable to DaVita Inc.	34,671	118,371	(687,221)	(707,413)
DaVita Inc. | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	(136,796)	(214,476)	309,166	360,222
Other comprehensive loss	1,643	1,641	5,499	1,571
Total comprehensive income (loss)	(135,153)	(212,835)	314,665	361,793
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income (loss) attributable to DaVita Inc.	(135,153)	(212,835)	314,665	361,793
Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	(121,771)	(249,861)	255,681	240,548
Other comprehensive loss	0	0	0	0
Total comprehensive income (loss)	(121,771)	(249,861)	255,681	240,548
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income (loss) attributable to DaVita Inc.	(121,771)	(249,861)	255,681	240,548
Non- Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	87,100	131,490	431,540	466,867
Other comprehensive loss	(8,827)	29,143	(39,475)	91,546
Total comprehensive income (loss)	78,273	160,633	392,065	558,413
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income (loss) attributable to DaVita Inc.	$ 78,273	$ 160,633	$ 392,065	$ 558,413

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