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Condensed Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Sep. 30, 2016
Dec. 31, 2015
Sep. 30, 2015
Dec. 31, 2014
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents $ 913,496 $ 1,499,116 $ 1,047,419 $ 965,241
Accounts receivable, net 1,850,425 1,724,228    
Other current assets 1,497,438 1,279,936    
Total current assets 4,261,359 4,503,280    
Property and equipment, net 3,044,988 2,788,740    
Intangible assets, net 1,576,157 1,687,326    
Other long-term assets and investments 660,153 241,050    
Goodwill 9,382,996 9,294,479   9,415,295
Total assets 18,925,653 18,514,875    
Current liabilities 2,639,469 2,399,138    
Long-term debt and other long-term liabilities 10,195,049 10,167,499    
Noncontrolling interests subject to put provisions 971,744 864,066    
Total DaVita Inc. shareholder's equity 4,911,746 4,870,780    
Noncontrolling interests not subject to put provisions 207,645 213,392    
Total equity 5,119,391 5,084,172    
Total liabilities and equity 18,925,653 18,514,875    
Consolidation, Eliminations        
Condensed Balance Sheet Statements Captions [Line Items]        
Investments in subsidiaries (11,552,690) (10,490,264)    
Intercompany receivables (3,952,332) (4,175,947)    
Total assets (15,505,022) (14,666,211)    
Intercompany payables (3,952,332) (4,175,947)    
Noncontrolling interests subject to put provisions 362,099 322,320    
Total DaVita Inc. shareholder's equity (11,552,690) (10,490,264)    
Noncontrolling interests not subject to put provisions (362,099) (322,320)    
Total equity (11,914,789) (10,812,584)    
Total liabilities and equity (15,505,022) (14,666,211)    
DaVita Inc. | Reportable Legal Entities        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 623,901 1,186,636 721,477 698,876
Other current assets 661,642 431,504    
Total current assets 1,285,543 1,618,140    
Property and equipment, net 298,869 268,066    
Intangible assets, net 553 540    
Investments in subsidiaries 9,628,258 8,893,079    
Intercompany receivables 3,131,796 3,474,133    
Other long-term assets and investments 40,574 74,458    
Total assets 14,385,593 14,328,416    
Current liabilities 274,520 185,217    
Long-term debt and other long-term liabilities 8,589,682 8,730,673    
Noncontrolling interests subject to put provisions 609,645 541,746    
Total DaVita Inc. shareholder's equity 4,911,746 4,870,780    
Total equity 4,911,746 4,870,780    
Total liabilities and equity 14,385,593 14,328,416    
Guarantor Subsidiaries | Reportable Legal Entities        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 35,769 109,357 88,969 77,921
Accounts receivable, net 1,174,364 929,390    
Other current assets 745,238 769,947    
Total current assets 1,955,371 1,808,694    
Property and equipment, net 1,624,181 1,575,890    
Intangible assets, net 1,537,645 1,634,920    
Investments in subsidiaries 1,924,432 1,597,185    
Other long-term assets and investments 55,069 53,346    
Goodwill 7,876,067 7,834,257    
Total assets 14,972,765 14,504,292    
Current liabilities 1,842,058 1,730,123    
Intercompany payables 2,264,044 2,750,102    
Long-term debt and other long-term liabilities 1,238,405 1,130,988    
Total DaVita Inc. shareholder's equity 9,628,258 8,893,079    
Total equity 9,628,258 8,893,079    
Total liabilities and equity 14,972,765 14,504,292    
Non-Guarantor Subsidiaries | Reportable Legal Entities        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 253,826 203,123 $ 236,973 $ 188,444
Accounts receivable, net 676,061 794,838    
Other current assets 90,558 78,485    
Total current assets 1,020,445 1,076,446    
Property and equipment, net 1,121,938 944,784    
Intangible assets, net 37,959 51,866    
Intercompany receivables 820,536 701,814    
Other long-term assets and investments 564,510 113,246    
Goodwill 1,506,929 1,460,222    
Total assets 5,072,317 4,348,378    
Current liabilities 522,891 483,798    
Intercompany payables 1,688,288 1,425,845    
Long-term debt and other long-term liabilities 366,962 305,838    
Total DaVita Inc. shareholder's equity 1,924,432 1,597,185    
Noncontrolling interests not subject to put provisions 569,744 535,712    
Total equity 2,494,176 2,132,897    
Total liabilities and equity $ 5,072,317 $ 4,348,378