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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2019 | Mar. 31, 2018
Condensed Financial Statements Captions [Line Items] |  |
Net income | $ 189,487 | $ 225,229
Other comprehensive loss | (12,627) | 22,468
Total comprehensive income | 176,860 | 247,697
Less: Comprehensive income attributable to noncontrolling interests | (40,198) | (46,543)
Comprehensive income attributable to DaVita Inc. | 136,662 | 201,154
Consolidating adjustments |  |
Condensed Financial Statements Captions [Line Items] |  |
Net income | (180,686) | (207,613)
Other comprehensive loss | 0 | 0
Total comprehensive income | (180,686) | (207,613)
Less: Comprehensive income attributable to noncontrolling interests | (40,198) | (46,543)
Comprehensive income attributable to DaVita Inc. | (220,884) | (254,156)
DaVita Inc. | Reportable Legal Entities |  |
Condensed Financial Statements Captions [Line Items] |  |
Net income | 149,289 | 178,686
Other comprehensive loss | 1,026 | 2,587
Total comprehensive income | 150,315 | 181,273
Less: Comprehensive income attributable to noncontrolling interests | 0 | 0
Comprehensive income attributable to DaVita Inc. | 150,315 | 181,273
Guarantor subsidiaries | Reportable Legal Entities |  |
Condensed Financial Statements Captions [Line Items] |  |
Net income | 134,535 | 141,117
Other comprehensive loss | 0 | 0
Total comprehensive income | 134,535 | 141,117
Less: Comprehensive income attributable to noncontrolling interests | 0 | 0
Comprehensive income attributable to DaVita Inc. | 134,535 | 141,117
Non- Guarantor subsidiaries | Reportable Legal Entities |  |
Condensed Financial Statements Captions [Line Items] |  |
Net income | 86,349 | 113,039
Other comprehensive loss | (13,653) | 19,881
Total comprehensive income | 72,696 | 132,920
Less: Comprehensive income attributable to noncontrolling interests | 0 | 0
Comprehensive income attributable to DaVita Inc. | $ 72,696 | $ 132,920

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