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Accounts Receivable - Additional Information (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2016 | Dec. 31, 2015
Accounts Notes And Loans Receivable [Line Items] |  |
Increase (decrease) in allowance for doubtful accounts | $ (12,088) | $ 21,470
Minimum |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Accounts receivable collection period | 1 month |
Maximum |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Accounts receivable collection period | 3 months |
U.S. Dialysis And Related Lab Services |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Percentage of outstanding patient accounts receivables to be reserved as per Company's policy | 100.00% |
Accounts Receivable Period Outstanding | 3 months |
DaVita Medical Group (DMG) |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Percentage of outstanding patient accounts receivables to be reserved as per Company's policy | 100.00% |
Accounts Receivable Period Outstanding | 12 months |
Health Care Patient and Other Services | Accounts Receivable |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Percentage of net accounts receivable | 81.00% | 81.00%
Capitated Health Plans | Accounts Receivable |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Percentage of net accounts receivable | 19.00% | 19.00%
Health Care Patient Services | Accounts Receivable |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Net accounts receivable, percentage of balances more than six months old | 16.00% | 18.00%
Percentage of accounts receivable due | 1.00% |
Government-based Programs, Medicare and Medicaid | Accounts Receivable |  |
Accounts Notes And Loans Receivable [Line Items] |  |
Percentage of accounts receivable due | 80.00% |

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