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Condensed consolidating financial statements - Condensed Consolidating Statements of Operations (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Condensed Income Statements Captions [Line Items]        
Dialysis patient service revenues $ 2,758,197 $ 2,723,816 $ 5,471,478 $ 5,353,505
Other revenues 121,782 118,889 249,738 232,312
Total revenues 2,879,979 2,842,705 5,721,216 5,585,817
Operating expenses 2,470,059 2,380,819 4,845,920 4,783,424
Operating income 409,920 461,886 875,296 802,393
Debt expense (81,381) (143,826) (172,932) (275,345)
Other income, net 9,545 5,643 5,195 12,583
Income tax (benefit) expense 83,212 75,938 174,772 132,684
Equity earnings in subsidiaries 0 0 0 0
Net income from continuing operations 254,872 247,765 532,787 406,947
Net income from discontinued operations, net of tax 0 79,392 9,980 109,697
Net income 254,872 327,157 542,767 516,644
Less: Net income attributable to noncontrolling interests (53,270) (53,606) (101,572) (93,804)
Net income attributable to DaVita Inc. 201,602 273,551 441,195 422,840
Consolidating adjustments        
Condensed Income Statements Captions [Line Items]        
Dialysis patient service revenues (77,324) (64,483) (144,660) (127,760)
Other revenues (284,577) (278,790) (552,192) (535,229)
Total revenues (361,901) (343,273) (696,852) (662,989)
Operating expenses (361,901) (343,273) (696,852) (662,989)
Operating income 0 0 0 0
Debt expense 62,000 65,047 132,241 130,322
Other income, net (62,000) (108,088) (132,241) (223,054)
Income tax (benefit) expense 0 0 0 0
Equity earnings in subsidiaries (404,391) (409,861) (732,480) (608,771)
Net income from continuing operations (404,391) (452,902) (732,480) (701,503)
Net income from discontinued operations, net of tax 0 43,041 0 92,732
Net income (404,391) (409,861) (732,480) (608,771)
Less: Net income attributable to noncontrolling interests (53,270) (53,606) (101,572) (93,804)
Net income attributable to DaVita Inc. (457,661) (463,467) (834,052) (702,575)
DaVita Inc. | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Dialysis patient service revenues 0 0 0 0
Other revenues 211,996 207,299 409,279 396,135
Total revenues 211,996 207,299 409,279 396,135
Operating expenses 250,311 160,464 404,962 304,123
Operating income (38,315) 46,835 4,317 92,012
Debt expense (79,578) (144,896) (170,940) (278,491)
Other income, net 59,980 102,059 122,433 212,257
Income tax (benefit) expense (14,449) 627 (11,025) 7,653
Equity earnings in subsidiaries 245,066 270,180 474,360 404,715
Net income from continuing operations 201,602 273,551 441,195 422,840
Net income from discontinued operations, net of tax 0 0 0 0
Net income 201,602 273,551 441,195 422,840
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net income attributable to DaVita Inc. 201,602 273,551 441,195 422,840
Guarantor subsidiaries | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Dialysis patient service revenues 1,715,449 1,702,387 3,445,189 3,408,980
Other revenues 163,738 150,985 320,598 297,102
Total revenues 1,879,187 1,853,372 3,765,787 3,706,082
Operating expenses 1,663,321 1,648,270 3,304,142 3,282,555
Operating income 215,866 205,102 461,645 423,527
Debt expense (52,604) (50,925) (111,697) (101,575)
Other income, net 658 690 1,463 1,338
Income tax (benefit) expense 81,644 59,097 162,619 103,124
Equity earnings in subsidiaries 159,325 139,681 258,120 204,056
Net income from continuing operations 241,601 235,451 446,912 424,222
Net income from discontinued operations, net of tax 0 0 0 0
Net income 241,601 235,451 446,912 424,222
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net income attributable to DaVita Inc. 241,601 235,451 446,912 424,222
Non- Guarantor subsidiaries | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Dialysis patient service revenues 1,120,072 1,085,912 2,170,949 2,072,285
Other revenues 30,625 39,395 72,053 74,304
Total revenues 1,150,697 1,125,307 2,243,002 2,146,589
Operating expenses 918,328 915,358 1,833,668 1,859,735
Operating income 232,369 209,949 409,334 286,854
Debt expense (11,199) (13,052) (22,536) (25,601)
Other income, net 10,907 10,982 13,540 22,042
Income tax (benefit) expense 16,017 16,214 23,178 21,907
Equity earnings in subsidiaries 0 0 0 0
Net income from continuing operations 216,060 191,665 377,160 261,388
Net income from discontinued operations, net of tax 0 36,351 9,980 16,965
Net income 216,060 228,016 387,140 278,353
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net income attributable to DaVita Inc. $ 216,060 $ 228,016 $ 387,140 $ 278,353