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Condensed consolidating financial statements - Condensed Consolidating Statements of Operations (Detail) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Condensed Income Statements Captions [Line Items]    
Dialysis patient service revenues $ 2,713,281 $ 2,629,689
Other revenues 127,956 113,423
Total revenues 2,841,237 2,743,112
Operating expenses 2,375,861 2,402,605
Operating income 465,376 340,507
Debt expense (91,551) (131,519)
Other (loss) income, net (4,350) 6,940
Income tax expense 91,560 56,746
Equity earnings in subsidiaries 0 0
Net income from continuing operations 277,915 159,182
Net income from discontinued operations, net of tax 9,980 30,305
Net income 287,895 189,487
Less: Net income attributable to noncontrolling interests (48,302) (40,198)
Net income attributable to DaVita Inc. 239,593 149,289
Consolidating adjustments    
Condensed Income Statements Captions [Line Items]    
Dialysis patient service revenues (67,336) (63,277)
Other revenues (267,615) (256,439)
Total revenues (334,951) (319,716)
Operating expenses (334,951) (319,716)
Operating income 0 0
Debt expense 70,241 65,275
Other (loss) income, net (70,241) (114,966)
Income tax expense 0 0
Equity earnings in subsidiaries (328,089) (198,910)
Net income from continuing operations (328,089) (248,601)
Net income from discontinued operations, net of tax 0 49,691
Net income (328,089) (198,910)
Less: Net income attributable to noncontrolling interests (48,302) (40,198)
Net income attributable to DaVita Inc. (376,391) (239,108)
DaVita Inc. | Reportable Legal Entities    
Condensed Income Statements Captions [Line Items]    
Dialysis patient service revenues 0 0
Other revenues 197,283 188,836
Total revenues 197,283 188,836
Operating expenses 154,651 143,659
Operating income 42,632 45,177
Debt expense (91,362) (133,595)
Other (loss) income, net 62,453 110,198
Income tax expense 3,424 7,026
Equity earnings in subsidiaries 229,294 134,535
Net income from continuing operations 239,593 149,289
Net income from discontinued operations, net of tax 0 0
Net income 239,593 149,289
Less: Net income attributable to noncontrolling interests 0 0
Net income attributable to DaVita Inc. 239,593 149,289
Guarantor subsidiaries | Reportable Legal Entities    
Condensed Income Statements Captions [Line Items]    
Dialysis patient service revenues 1,729,740 1,706,593
Other revenues 156,860 146,117
Total revenues 1,886,600 1,852,710
Operating expenses 1,640,821 1,634,285
Operating income 245,779 218,425
Debt expense (59,093) (50,650)
Other (loss) income, net 805 648
Income tax expense 80,975 44,027
Equity earnings in subsidiaries 98,795 64,375
Net income from continuing operations 205,311 188,771
Net income from discontinued operations, net of tax 0 0
Net income 205,311 188,771
Less: Net income attributable to noncontrolling interests 0 0
Net income attributable to DaVita Inc. 205,311 188,771
Non- Guarantor subsidiaries | Reportable Legal Entities    
Condensed Income Statements Captions [Line Items]    
Dialysis patient service revenues 1,050,877 986,373
Other revenues 41,428 34,909
Total revenues 1,092,305 1,021,282
Operating expenses 915,340 944,377
Operating income 176,965 76,905
Debt expense (11,337) (12,549)
Other (loss) income, net 2,633 11,060
Income tax expense 7,161 5,693
Equity earnings in subsidiaries 0 0
Net income from continuing operations 161,100 69,723
Net income from discontinued operations, net of tax 9,980 (19,386)
Net income 171,080 50,337
Less: Net income attributable to noncontrolling interests 0 0
Net income attributable to DaVita Inc. $ 171,080 $ 50,337