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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Condensed Financial Statements Captions [Line Items]
Net income	$ 254,872	$ 327,157	$ 542,767	$ 516,644
Other comprehensive income	5,418	13,940	(87,609)	1,313
Total comprehensive income	260,290	341,097	455,158	517,957
Less: Comprehensive income attributable to noncontrolling interests	(53,270)	(53,606)	(101,572)	(93,804)
Comprehensive income attributable to DaVita Inc.	207,020	287,491	353,586	424,153
Consolidating adjustments
Condensed Financial Statements Captions [Line Items]
Net income	(404,391)	(409,861)	(732,480)	(608,771)
Other comprehensive income	0	0	0	0
Total comprehensive income	(404,391)	(409,861)	(732,480)	(608,771)
Less: Comprehensive income attributable to noncontrolling interests	(53,270)	(53,606)	(101,572)	(93,804)
Comprehensive income attributable to DaVita Inc.	(457,661)	(463,467)	(834,052)	(702,575)
DaVita Inc. | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	201,602	273,551	441,195	422,840
Other comprehensive income	(201)	1,575	(11,596)	2,601
Total comprehensive income	201,401	275,126	429,599	425,441
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income attributable to DaVita Inc.	201,401	275,126	429,599	425,441
Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	241,601	235,451	446,912	424,222
Other comprehensive income	0	0	0	0
Total comprehensive income	241,601	235,451	446,912	424,222
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income attributable to DaVita Inc.	241,601	235,451	446,912	424,222
Non- Guarantor subsidiaries | Reportable Legal Entities
Condensed Financial Statements Captions [Line Items]
Net income	216,060	228,016	387,140	278,353
Other comprehensive income	5,619	12,365	(76,013)	(1,288)
Total comprehensive income	221,679	240,381	311,127	277,065
Less: Comprehensive income attributable to noncontrolling interests	0	0	0	0
Comprehensive income attributable to DaVita Inc.	$ 221,679	$ 240,381	$ 311,127	$ 277,065

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