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Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries - Effects of Changes in DaVita Inc's Ownership Interest on Company's Equity (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Change Due to Net Income Attributable to Parent and Effects of Changes, Net [Abstract]        
Net income attributable to DaVita Inc. $ 273,551 $ 267,276 $ 422,840 $ 445,962
Changes in paid-in capital for:        
Sales of noncontrolling interests 0 3 0 79
Consolidation Less Than Wholly Owned Subsidiary Parent Ownership Interest Changes Purchase Or Sale Of Interest By Parent 13,140   10,934  
Purchases of noncontrolling interests   (10,203)   (12,197)
Net transfers to noncontrolling interests 13,140 (10,200) 10,934 (12,118)
Net income attributable to DaVita Inc., net of transfers to noncontrolling interests $ 286,691 $ 257,076 $ 433,774 $ 433,844