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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Condensed Financial Statements Captions [Line Items]        
Net income $ 201,688 $ (96,668) $ 718,332 $ 434,883
Other comprehensive income (43,993) (7,184) (42,680) (33,976)
Total comprehensive income (loss) 157,695 (103,852) 675,652 400,907
Less: Comprehensive income attributable to noncontrolling interests (58,418) (40,128) (152,222) (125,717)
Comprehensive income (loss) attributable to DaVita Inc. 99,277 (143,980) 523,430 275,190
Consolidating adjustments        
Condensed Financial Statements Captions [Line Items]        
Net income (166,245) 61,323 (766,205) (583,723)
Other comprehensive income 0 0 0 0
Total comprehensive income (loss) (166,245) 61,323 (766,205) (583,723)
Less: Comprehensive income attributable to noncontrolling interests (58,418) (40,128) (152,222) (125,717)
Comprehensive income (loss) attributable to DaVita Inc. (224,663) 21,195 (918,427) (709,440)
DaVita Inc. | Reportable Legal Entities        
Condensed Financial Statements Captions [Line Items]        
Net income 143,270 (136,796) 566,110 309,166
Other comprehensive income 509 1,643 3,110 5,499
Total comprehensive income (loss) 143,779 (135,153) 569,220 314,665
Less: Comprehensive income attributable to noncontrolling interests 0 0 0 0
Comprehensive income (loss) attributable to DaVita Inc. 143,779 (135,153) 569,220 314,665
Guarantor subsidiaries | Reportable Legal Entities        
Condensed Financial Statements Captions [Line Items]        
Net income 130,036 135,218 554,258 547,382
Other comprehensive income 0 0 0 0
Total comprehensive income (loss) 130,036 135,218 554,258 547,382
Less: Comprehensive income attributable to noncontrolling interests 0 0 0 0
Comprehensive income (loss) attributable to DaVita Inc. 130,036 135,218 554,258 547,382
Non- Guarantor subsidiaries | Reportable Legal Entities        
Condensed Financial Statements Captions [Line Items]        
Net income 94,627 (156,413) 364,169 162,058
Other comprehensive income (44,502) (8,827) (45,790) (39,475)
Total comprehensive income (loss) 50,125 (165,240) 318,379 122,583
Less: Comprehensive income attributable to noncontrolling interests 0 0 0 0
Comprehensive income (loss) attributable to DaVita Inc. $ 50,125 $ (165,240) $ 318,379 $ 122,583