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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 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 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. $ 143,270 $ (136,796) $ 566,110 $ 309,166
Changes in paid-in capital for:        
Sales of noncontrolling interests 0 0 0 79
Purchases of noncontrolling interests     10,732  
Purchases of noncontrolling interests (202) (5,285)   (17,482)
Net transfers to noncontrolling interests (202) (5,285) 10,732 (17,403)
Net income (loss) attributable to DaVita Inc., net of transfers to noncontrolling interests $ 143,068 $ (142,081) $ 576,842 $ 291,763