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Condensed consolidating financial statements - Condensed Consolidating Statements of Cash Flows (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Cash flows from operating activities:        
Net income $ 254,872 $ 327,157 $ 542,767 $ 516,644
Changes in operating assets and liabilities and non-cash items included in net income     468,736 234,471
Net cash provided by operating activities     1,011,503 751,115
Cash flows from investing activities:        
Additions of property and equipment     (291,667) (373,918)
Acquisitions     (44,267) (65,970)
Proceeds from asset and business sales     70,615 3,851,381
(Purchases) proceeds from investment sales and other items, net     (141,820) (8,801)
Net cash (used in) provided by investing activities     (407,139) 3,402,692
Cash flows from financing activities:        
Long-term debt and related financing costs, net     1,668,230 (1,164,109)
Intercompany borrowings (payments)     0 0
Other items     (428,657) (146,444)
Net cash provided by (used in) financing activities     1,239,573 (1,310,553)
Effect of exchange rate changes on cash, cash equivalents and restricted cash     (16,936) (77)
Net increase in cash, cash equivalents and restricted cash     1,827,001 2,843,177
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year     1,208,718 415,420
Cash, cash equivalents and restricted cash of continuing operations at end of the year 3,035,719 3,682,410 3,035,719 3,682,410
Consolidating adjustments        
Cash flows from operating activities:        
Net income (404,391) (409,861) (732,480) (608,771)
Changes in operating assets and liabilities and non-cash items included in net income     732,480 608,771
Net cash provided by operating activities     0 0
Cash flows from investing activities:        
Additions of property and equipment     0 0
Acquisitions     0 0
Proceeds from asset and business sales     0 0
(Purchases) proceeds from investment sales and other items, net     0 0
Net cash (used in) provided by investing activities     0 0
Cash flows from financing activities:        
Long-term debt and related financing costs, net     0 0
Intercompany borrowings (payments)     0 0
Other items     0 0
Net cash provided by (used in) financing activities     0 0
Effect of exchange rate changes on cash, cash equivalents and restricted cash     0 0
Net increase in cash, cash equivalents and restricted cash     0 0
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year     0 0
Cash, cash equivalents and restricted cash of continuing operations at end of the year 0 0 0 0
DaVita Inc. | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 201,602 273,551 441,195 422,840
Changes in operating assets and liabilities and non-cash items included in net income     (357,763) (292,988)
Net cash provided by operating activities     83,432 129,852
Cash flows from investing activities:        
Additions of property and equipment     (89,785) (63,037)
Acquisitions     0 0
Proceeds from asset and business sales     2 3,824,509
(Purchases) proceeds from investment sales and other items, net     (134,674) 729
Net cash (used in) provided by investing activities     (224,457) 3,762,201
Cash flows from financing activities:        
Long-term debt and related financing costs, net     1,694,037 (1,152,510)
Intercompany borrowings (payments)     738,213 656,704
Other items     (330,009) (82,011)
Net cash provided by (used in) financing activities     2,102,241 (577,817)
Effect of exchange rate changes on cash, cash equivalents and restricted cash     0 0
Net increase in cash, cash equivalents and restricted cash     1,961,216 3,314,236
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year     772,740 61,658
Cash, cash equivalents and restricted cash of continuing operations at end of the year 2,733,956 3,375,894 2,733,956 3,375,894
Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 241,601 235,451 446,912 424,222
Changes in operating assets and liabilities and non-cash items included in net income     87,552 (198,192)
Net cash provided by operating activities     534,464 226,030
Cash flows from investing activities:        
Additions of property and equipment     (93,331) (148,050)
Acquisitions     (984) (8,974)
Proceeds from asset and business sales     2,991 1,194
(Purchases) proceeds from investment sales and other items, net     661 (6,492)
Net cash (used in) provided by investing activities     (90,663) (162,322)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (5,468) (6,611)
Intercompany borrowings (payments)     (439,037) (58,208)
Other items     419 86
Net cash provided by (used in) financing activities     (444,086) (64,733)
Effect of exchange rate changes on cash, cash equivalents and restricted cash     0 0
Net increase in cash, cash equivalents and restricted cash     (285) (1,025)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year     532 13,280
Cash, cash equivalents and restricted cash of continuing operations at end of the year 247 12,255 247 12,255
Non- Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 216,060 228,016 387,140 278,353
Changes in operating assets and liabilities and non-cash items included in net income     6,467 116,880
Net cash provided by operating activities     393,607 395,233
Cash flows from investing activities:        
Additions of property and equipment     (108,551) (162,831)
Acquisitions     (43,283) (56,996)
Proceeds from asset and business sales     67,622 25,678
(Purchases) proceeds from investment sales and other items, net     (7,807) (3,038)
Net cash (used in) provided by investing activities     (92,019) (197,187)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (20,339) (4,988)
Intercompany borrowings (payments)     (299,176) (598,496)
Other items     (99,067) (64,519)
Net cash provided by (used in) financing activities     (418,582) (668,003)
Effect of exchange rate changes on cash, cash equivalents and restricted cash     (16,936) (77)
Net increase in cash, cash equivalents and restricted cash     (133,930) (470,034)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year     435,446 340,482
Cash, cash equivalents and restricted cash of continuing operations at end of the year $ 301,516 $ 294,261 301,516 294,261
Discontinued Operations        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash     0 (423,813)
Discontinued Operations | Consolidating adjustments        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       0
Discontinued Operations | DaVita Inc. | Reportable Legal Entities        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       0
Discontinued Operations | Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       0
Discontinued Operations | Non- Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       (423,813)
Continuing Operations        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash     $ 1,827,001 3,266,990
Continuing Operations | Consolidating adjustments        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       0
Continuing Operations | DaVita Inc. | Reportable Legal Entities        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       3,314,236
Continuing Operations | Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       (1,025)
Continuing Operations | Non- Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from financing activities:        
Net increase in cash, cash equivalents and restricted cash       $ (46,221)