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Condensed Consolidating Statements of Cash Flows (Detail) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Cash flows from operating activities:        
Net income $ 612,150 $ 261,307 $ 844,812 $ 392,936
Changes in operating assets and liabilities and non-cash items included in net income     636,450 727,591
Net cash provided by operating activities     1,481,262 1,120,527
Cash flows from investing activities:        
Additions of property and equipment (216,616) (171,340) (575,243) (462,213)
Acquisitions     (497,331) (90,709)
Proceeds from asset and business sales     18,991 6,865
(Purchases) proceeds from investment sales and other items, net     (203,659) (604,327)
Net cash used in investing activities     (1,257,242) (1,150,384)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (98,724) 639,317
Other items     (709,252) (525,438)
Net cash (used in) provided by financing activities     (807,976) 113,879
Effect of exchange rate changes on cash     (1,664) (1,844)
Net (decrease) increase in cash and cash equivalents     (585,620) 82,178
Cash and cash equivalents at beginning of the year     1,499,116 965,241
Cash and cash equivalents at end of the period 913,496 1,047,419 913,496 1,047,419
Consolidation, Eliminations        
Cash flows from operating activities:        
Net income (840,027) (284,725) (1,155,137) (444,255)
Changes in operating assets and liabilities and non-cash items included in net income     1,155,137 444,255
DaVita Inc. | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 571,332 215,872 722,148 275,732
Changes in operating assets and liabilities and non-cash items included in net income     (586,804) (187,876)
Net cash provided by operating activities     135,344 87,856
Cash flows from investing activities:        
Additions of property and equipment     (81,785) (39,448)
(Purchases) proceeds from investment sales and other items, net     (236,150) (587,583)
Net cash used in investing activities     (317,935) (627,031)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (73,889) 661,260
Intercompany borrowing (payments)     283,709 304,623
Other items     (589,964) (404,107)
Net cash (used in) provided by financing activities     (380,144) 561,776
Net (decrease) increase in cash and cash equivalents     (562,735) 22,601
Cash and cash equivalents at beginning of the year     1,186,636 698,876
Cash and cash equivalents at end of the period 623,901 721,477 623,901 721,477
Guarantor Subsidiaries | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 504,852 179,926 611,204 213,754
Changes in operating assets and liabilities and non-cash items included in net income     228,991 441,752
Net cash provided by operating activities     840,195 655,506
Cash flows from investing activities:        
Additions of property and equipment     (248,339) (222,447)
Acquisitions     (458,556) (73,339)
Proceeds from asset and business sales     24,608 6,865
(Purchases) proceeds from investment sales and other items, net     (12,825) 1,513
Net cash used in investing activities     (695,112) (287,408)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (20,684) (13,183)
Intercompany borrowing (payments)     (188,247) (320,262)
Other items     (9,740) (23,605)
Net cash (used in) provided by financing activities     (218,671) (357,050)
Net (decrease) increase in cash and cash equivalents     (73,588) 11,048
Cash and cash equivalents at beginning of the year     109,357 77,921
Cash and cash equivalents at end of the period 35,769 88,969 35,769 88,969
Non-Guarantor Subsidiaries | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 375,993 150,234 666,597 347,705
Changes in operating assets and liabilities and non-cash items included in net income     (160,874) 29,460
Net cash provided by operating activities     505,723 377,165
Cash flows from investing activities:        
Additions of property and equipment     (245,119) (200,318)
Acquisitions     (38,775) (17,370)
Proceeds from asset and business sales     (5,617)  
(Purchases) proceeds from investment sales and other items, net     45,316 (18,257)
Net cash used in investing activities     (244,195) (235,945)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (4,151) (8,760)
Intercompany borrowing (payments)     (95,462) 15,639
Other items     (109,548) (97,726)
Net cash (used in) provided by financing activities     (209,161) (90,847)
Effect of exchange rate changes on cash     (1,664) (1,844)
Net (decrease) increase in cash and cash equivalents     50,703 48,529
Cash and cash equivalents at beginning of the year     203,123 188,444
Cash and cash equivalents at end of the period $ 253,826 $ 236,973 $ 253,826 $ 236,973