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Condensed consolidating financial statements - Condensed Consolidating Statements of Operations (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Condensed Income Statements Captions [Line Items]        
Patient services revenues $ 2,746,257 $ 2,643,194 $ 8,030,102 $ 7,708,641
Less: Provision for uncollectible accounts (123,760) (115,555) (352,228) (336,188)
Net patient service revenues 2,622,497 2,527,639 7,677,874 7,372,453
Capitated revenues 1,016,365 872,538 2,956,479 2,660,532
Other revenues 283,969 330,399 863,238 996,378
Total net revenues 3,922,831 3,730,576 11,497,591 11,029,363
Operating expenses and charges 4,115,354 2,911,420 10,423,562 9,516,248
Operating (loss) income (192,523) 819,156 1,074,029 1,513,115
Debt expense (109,623) (104,581) (322,014) (310,359)
Other income, net 4,370 1,876 13,866 8,067
Income tax expense (benefit) (125,742) 104,301 276,005 366,011
Equity (loss) earnings in subsidiaries 0 0 0 0
Net (loss) income (172,034) 612,150 489,876 844,812
Less: Net income attributable to noncontrolling interests (42,442) (40,818) (129,654) (122,664)
Net (loss) income attributable to DaVita Inc. (214,476) 571,332 360,222 722,148
Consolidating adjustments        
Condensed Income Statements Captions [Line Items]        
Patient services revenues (62,065) (42,891) (167,374) (123,100)
Less: Provision for uncollectible accounts 6,089 0 6,089 0
Net patient service revenues (55,976) (42,891) (161,285) (123,100)
Capitated revenues (982) (39) (3,248) (250)
Other revenues (426,537) (400,687) (1,311,669) (1,183,282)
Total net revenues (483,495) (443,617) (1,476,202) (1,306,632)
Operating expenses and charges (483,495) (443,617) (1,476,202) (1,306,632)
Operating (loss) income 0 0 0 0
Debt expense 108,241 103,432 317,079 308,800
Other income, net (108,241) (103,432) (317,079) (308,800)
Income tax expense (benefit) 0 0 0 0
Equity (loss) earnings in subsidiaries 160,969 (840,027) (563,330) (1,155,137)
Net (loss) income 160,969 (840,027) (563,330) (1,155,137)
Less: Net income attributable to noncontrolling interests (42,442) (40,818) (129,654) (122,664)
Net (loss) income attributable to DaVita Inc. 118,527 (880,845) (692,984) (1,277,801)
DaVita Inc. | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Patient services revenues 0 0 0 0
Less: Provision for uncollectible accounts 0 0 0 0
Net patient service revenues 0 0 0 0
Capitated revenues 0 0 0 0
Other revenues 189,275 191,815 604,246 575,700
Total net revenues 189,275 191,815 604,246 575,700
Operating expenses and charges 128,488 143,784 398,502 400,129
Operating (loss) income 60,787 48,031 205,744 175,571
Debt expense (108,453) (101,895) (317,276) (305,097)
Other income, net 104,250 99,446 306,886 296,660
Income tax expense (benefit) 27,624 (20,898) 84,686 56,190
Equity (loss) earnings in subsidiaries (243,436) 504,852 249,554 611,204
Net (loss) income (214,476) 571,332 360,222 722,148
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net (loss) income attributable to DaVita Inc. (214,476) 571,332 360,222 722,148
Guarantor subsidiaries | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Patient services revenues 1,732,287 1,726,892 4,966,892 5,044,565
Less: Provision for uncollectible accounts (82,860) (73,833) (219,554) (207,144)
Net patient service revenues 1,649,427 1,653,059 4,747,338 4,837,421
Capitated revenues 461,866 465,684 1,393,345 1,397,378
Other revenues 468,948 506,619 1,448,484 1,512,039
Total net revenues 2,580,241 2,625,362 7,589,167 7,746,838
Operating expenses and charges 2,964,867 2,388,114 7,241,745 7,275,863
Operating (loss) income (384,626) 237,248 347,422 470,975
Debt expense (93,243) (91,716) (276,990) (275,148)
Other income, net 1,774 2,659 7,502 12,416
Income tax expense (benefit) (150,192) (21,486) 142,156 140,972
Equity (loss) earnings in subsidiaries 82,467 335,175 313,776 543,933
Net (loss) income (243,436) 504,852 249,554 611,204
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net (loss) income attributable to DaVita Inc. (243,436) 504,852 249,554 611,204
Non- Guarantor subsidiaries | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Patient services revenues 1,076,035 959,193 3,230,584 2,787,176
Less: Provision for uncollectible accounts (46,989) (41,722) (138,763) (129,044)
Net patient service revenues 1,029,046 917,471 3,091,821 2,658,132
Capitated revenues 555,481 406,893 1,566,382 1,263,404
Other revenues 52,283 32,652 122,177 91,921
Total net revenues 1,636,810 1,357,016 4,780,380 4,013,457
Operating expenses and charges 1,505,494 823,139 4,259,517 3,146,888
Operating (loss) income 131,316 533,877 520,863 866,569
Debt expense (16,168) (14,402) (44,827) (38,914)
Other income, net 6,587 3,203 16,557 7,791
Income tax expense (benefit) (3,174) 146,685 49,163 168,849
Equity (loss) earnings in subsidiaries 0 0 0 0
Net (loss) income 124,909 375,993 443,430 666,597
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net (loss) income attributable to DaVita Inc. $ 124,909 $ 375,993 $ 443,430 $ 666,597