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Condensed consolidating financial statements - Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Condensed Financial Statements Captions [Line Items]    
Net income $ 287,895 $ 189,487
Other comprehensive income (93,027) (12,627)
Total comprehensive income 194,868 176,860
Less: Comprehensive income attributable to noncontrolling interests (48,302) (40,198)
Comprehensive income attributable to DaVita Inc. 146,566 136,662
Consolidating adjustments    
Condensed Financial Statements Captions [Line Items]    
Net income (328,089) (198,910)
Other comprehensive income 0 0
Total comprehensive income (328,089) (198,910)
Less: Comprehensive income attributable to noncontrolling interests (48,302) (40,198)
Comprehensive income attributable to DaVita Inc. (376,391) (239,108)
DaVita Inc. | Reportable Legal Entities    
Condensed Financial Statements Captions [Line Items]    
Net income 239,593 149,289
Other comprehensive income (11,395) 1,026
Total comprehensive income 228,198 150,315
Less: Comprehensive income attributable to noncontrolling interests 0 0
Comprehensive income attributable to DaVita Inc. 228,198 150,315
Guarantor subsidiaries | Reportable Legal Entities    
Condensed Financial Statements Captions [Line Items]    
Net income 205,311 188,771
Other comprehensive income 0 0
Total comprehensive income 205,311 188,771
Less: Comprehensive income attributable to noncontrolling interests 0 0
Comprehensive income attributable to DaVita Inc. 205,311 188,771
Non- Guarantor subsidiaries | Reportable Legal Entities    
Condensed Financial Statements Captions [Line Items]    
Net income 171,080 50,337
Other comprehensive income (81,632) (13,653)
Total comprehensive income 89,448 36,684
Less: Comprehensive income attributable to noncontrolling interests 0 0
Comprehensive income attributable to DaVita Inc. $ 89,448 $ 36,684