Condensed consolidating financial statements - Condensed Consolidating Statements of Cash Flows (Detail) - USD ($) $ in Thousands	3 Months Ended
Mar. 31, 2020	Mar. 31, 2019
Cash flows from operating activities:
Net income	$ 287,895	$ 189,487
Changes in operating assets and liabilities and non-cash items included in net income	72,486	(48,183)
Net cash provided by operating activities	360,381	141,304
Cash flows from investing activities:
Additions of property and equipment	(154,942)	(198,878)
Acquisitions	(34,107)	(11,274)
Proceeds from asset and business sales	31,518	13,903
Purchases from investment sales and other items, net	(5,094)	(4,109)
Net cash used in investing activities	(162,625)	(200,358)
Cash flows from financing activities:
Long-term debt and related financing costs, net	465,837	357,197
Intercompany borrowings (payments)	0	0
Other items	(368,845)	(32,246)
Net cash provided by financing activities	96,992	324,951
Effect of exchange rate changes on cash, cash equivalents and restricted cash	(14,978)	(921)
Net increase in cash, cash equivalents and restricted cash	279,770	264,976
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year	1,208,718	415,420
Cash, cash equivalents and restricted cash of continuing operations at end of the period	1,488,488	561,434
Consolidating adjustments
Cash flows from operating activities:
Net income	(328,089)	(198,910)
Changes in operating assets and liabilities and non-cash items included in net income	328,089	198,910
Net cash provided by operating activities	0	0
Cash flows from investing activities:
Additions of property and equipment	0	0
Acquisitions	0	0
Proceeds from asset and business sales	0	0
Purchases from investment sales and other items, net	0	0
Net cash used in investing activities	0	0
Cash flows from financing activities:
Long-term debt and related financing costs, net	0	0
Intercompany borrowings (payments)	0	0
Other items	0	0
Net cash provided by financing activities	0	0
Effect of exchange rate changes on cash, cash equivalents and restricted cash	0	0
Net increase in cash, cash equivalents and restricted cash	0	0
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year	0	0
Cash, cash equivalents and restricted cash of continuing operations at end of the period	0	0
DaVita Inc. \| Reportable Legal Entities
Cash flows from operating activities:
Net income	239,593	149,289
Changes in operating assets and liabilities and non-cash items included in net income	(182,332)	(124,409)
Net cash provided by operating activities	57,261	24,880
Cash flows from investing activities:
Additions of property and equipment	(52,714)	(38,942)
Acquisitions	0	0
Proceeds from asset and business sales	0	0
Purchases from investment sales and other items, net	452	1,804
Net cash used in investing activities	(52,262)	(37,138)
Cash flows from financing activities:
Long-term debt and related financing costs, net	481,856	365,133
Intercompany borrowings (payments)	153,029	(220,697)
Other items	(322,119)	1,517
Net cash provided by financing activities	312,766	145,953
Effect of exchange rate changes on cash, cash equivalents and restricted cash	0	0
Net increase in cash, cash equivalents and restricted cash	317,765	133,695
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year	772,740	61,658
Cash, cash equivalents and restricted cash of continuing operations at end of the period	1,090,505	195,353
Guarantor subsidiaries \| Reportable Legal Entities
Cash flows from operating activities:
Net income	205,311	188,771
Changes in operating assets and liabilities and non-cash items included in net income	(71,454)	(289,332)
Net cash provided by operating activities	133,857	(100,561)
Cash flows from investing activities:
Additions of property and equipment	(41,144)	(76,529)
Acquisitions	(984)	0
Proceeds from asset and business sales	4,180	2,270
Purchases from investment sales and other items, net	271	(3,878)
Net cash used in investing activities	(37,677)	(78,137)
Cash flows from financing activities:
Long-term debt and related financing costs, net	(2,462)	(2,364)
Intercompany borrowings (payments)	(95,857)	188,870
Other items	2,018	(8,427)
Net cash provided by financing activities	(96,301)	178,079
Effect of exchange rate changes on cash, cash equivalents and restricted cash	0	0
Net increase in cash, cash equivalents and restricted cash	(121)	(619)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year	532	13,280
Cash, cash equivalents and restricted cash of continuing operations at end of the period	411	12,661
Non- Guarantor subsidiaries \| Reportable Legal Entities
Cash flows from operating activities:
Net income	171,080	50,337
Changes in operating assets and liabilities and non-cash items included in net income	(1,817)	166,648
Net cash provided by operating activities	169,263	216,985
Cash flows from investing activities:
Additions of property and equipment	(61,084)	(83,407)
Acquisitions	(33,123)	(11,274)
Proceeds from asset and business sales	27,338	11,633
Purchases from investment sales and other items, net	(5,817)	(2,035)
Net cash used in investing activities	(72,686)	(85,083)
Cash flows from financing activities:
Long-term debt and related financing costs, net	(13,557)	(5,572)
Intercompany borrowings (payments)	(57,172)	31,827
Other items	(48,744)	(25,336)
Net cash provided by financing activities	(119,473)	919
Effect of exchange rate changes on cash, cash equivalents and restricted cash	(14,978)	(921)
Net increase in cash, cash equivalents and restricted cash	(37,874)	131,900
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year	435,446	340,482
Cash, cash equivalents and restricted cash of continuing operations at end of the period	397,572	353,420
Discontinued Operations
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash	0	118,962
Discontinued Operations \| Consolidating adjustments
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		0
Discontinued Operations \| DaVita Inc. \| Reportable Legal Entities
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		0
Discontinued Operations \| Guarantor subsidiaries \| Reportable Legal Entities
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		0
Discontinued Operations \| Non- Guarantor subsidiaries \| Reportable Legal Entities
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		118,962
Continuing Operations
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash	$ 279,770	146,014
Continuing Operations \| Consolidating adjustments
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		0
Continuing Operations \| DaVita Inc. \| Reportable Legal Entities
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		133,695
Continuing Operations \| Guarantor subsidiaries \| Reportable Legal Entities
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		(619)
Continuing Operations \| Non- Guarantor subsidiaries \| Reportable Legal Entities
Cash flows from financing activities:
Net increase in cash, cash equivalents and restricted cash		$ 12,938

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