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Supplemental Data - Condensed Consolidating Statements of Income (Detail) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Condensed Income Statements Captions [Line Items]    
Dialysis and related lab patient service revenues $ 2,635,152 $ 2,591,074
Less: Provision for uncollectible accounts (5,463) 25,545
Net dialysis and related lab patient service revenues 2,629,689 2,616,619
Other revenues 113,423 232,825
Total revenues 2,743,112 2,849,444
Operating expenses 2,402,605 2,438,758
Operating income 340,507 410,686
Debt expense, including refinancing charges (131,519)  
Other income 6,940 4,582
Income tax expense 56,746 70,737
Net income from continuing operations 159,182 231,015
Net income (loss) from discontinued operations, net of tax 30,305 (5,786)
Net income 189,487 225,229
Less: Net income attributable to noncontrolling interests (40,198) (46,543)
Net income attributable to DaVita Inc. 149,289 $ 178,686
Physician Groups    
Condensed Income Statements Captions [Line Items]    
Dialysis and related lab patient service revenues 0  
Less: Provision for uncollectible accounts 0  
Net dialysis and related lab patient service revenues 0  
Other revenues 0  
Total revenues 0  
Operating expenses 0  
Operating income 0  
Debt expense, including refinancing charges 0  
Other income 0  
Income tax expense 0  
Net income from continuing operations 0  
Net income (loss) from discontinued operations, net of tax 9,237  
Net income 9,237  
Less: Net income attributable to noncontrolling interests (1,255)  
Net income attributable to DaVita Inc. 7,982  
Unrestricted Subsidiaries    
Condensed Income Statements Captions [Line Items]    
Dialysis and related lab patient service revenues 0  
Less: Provision for uncollectible accounts 0  
Net dialysis and related lab patient service revenues 0  
Other revenues 0  
Total revenues 0  
Operating expenses 0  
Operating income 0  
Debt expense, including refinancing charges 0  
Other income 0  
Income tax expense 0  
Net income from continuing operations 0  
Net income (loss) from discontinued operations, net of tax 463  
Net income 463  
Less: Net income attributable to noncontrolling interests 0  
Net income attributable to DaVita Inc. 463  
Company and Restricted Subsidiaries    
Condensed Income Statements Captions [Line Items]    
Dialysis and related lab patient service revenues 2,635,152  
Less: Provision for uncollectible accounts (5,463)  
Net dialysis and related lab patient service revenues 2,629,689  
Other revenues 113,423  
Total revenues 2,743,112  
Operating expenses 2,402,605  
Operating income 340,507  
Debt expense, including refinancing charges (131,519)  
Other income 6,940  
Income tax expense 56,746  
Net income from continuing operations 159,182  
Net income (loss) from discontinued operations, net of tax 20,605  
Net income 179,787  
Less: Net income attributable to noncontrolling interests (38,943)  
Net income attributable to DaVita Inc. $ 140,844