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Supplemental Data - Condensed Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Jun. 30, 2019
Dec. 31, 2018
Dec. 31, 2017
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents $ 3,575,638 $ 323,038  
Restricted cash and equivalents 106,772 92,382  
Accounts receivable, net 2,010,801 1,858,608  
Other current assets 697,418 760,566  
Total current assets 6,390,629 8,424,159  
Property and equipment, net 3,405,315 3,393,669  
Operating lease right-of-use asset 2,790,885 0  
Intangible assets, net 120,574 118,846  
Other long-term assets 358,171 331,618  
Goodwill 6,865,386 6,841,960 $ 6,610,279
Total assets 19,930,960 19,110,252  
Current liabilities 5,706,944 3,647,402  
Long-term operating lease liabilities 2,689,249 0  
Long-term debt and other long-term liabilities 6,105,965 9,186,052  
Noncontrolling interests subject to put provisions 1,185,733 1,124,641  
Total DaVita Inc. shareholders’ equity 4,049,298 3,703,442  
Noncontrolling interests not subject to put provisions 193,771 204,956  
Total equity 4,243,069 3,908,398  
Total liabilities and equity 19,930,960 $ 19,110,252  
Physician Groups      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 0    
Restricted cash and equivalents 0    
Accounts receivable, net 0    
Other current assets 0    
Total current assets 0    
Property and equipment, net 0    
Operating lease right-of-use asset 0    
Intangible assets, net 0    
Other long-term assets 0    
Goodwill 0    
Total assets 0    
Current liabilities 0    
Long-term operating lease liabilities 0    
Long-term debt and other long-term liabilities 0    
Noncontrolling interests subject to put provisions 0    
Total DaVita Inc. shareholders’ equity 0    
Noncontrolling interests not subject to put provisions 0    
Total equity 0    
Total liabilities and equity 0    
Unrestricted Subsidiaries      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 0    
Restricted cash and equivalents 0    
Accounts receivable, net 0    
Other current assets 0    
Total current assets 0    
Property and equipment, net 0    
Operating lease right-of-use asset 0    
Intangible assets, net 0    
Other long-term assets 0    
Goodwill 0    
Total assets 0    
Current liabilities 0    
Long-term operating lease liabilities 0    
Long-term debt and other long-term liabilities 0    
Noncontrolling interests subject to put provisions 0    
Total DaVita Inc. shareholders’ equity 0    
Noncontrolling interests not subject to put provisions 0    
Total equity 0    
Total liabilities and equity 0    
Parent Company And Restricted Subsidiaries      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 3,575,638    
Restricted cash and equivalents 106,772    
Accounts receivable, net 2,010,801    
Other current assets 697,418    
Total current assets 6,390,629    
Property and equipment, net 3,405,315    
Operating lease right-of-use asset 2,790,885    
Intangible assets, net 120,574    
Other long-term assets 358,171    
Goodwill 6,865,386    
Total assets 19,930,960    
Current liabilities 5,706,944    
Long-term operating lease liabilities 2,689,249    
Long-term debt and other long-term liabilities 6,105,965    
Noncontrolling interests subject to put provisions 1,185,733    
Total DaVita Inc. shareholders’ equity 4,049,298    
Noncontrolling interests not subject to put provisions 193,771    
Total equity 4,243,069    
Total liabilities and equity $ 19,930,960