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Summary of Expenditures for Property and Equipment by Segment (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | $ 829,095 | $ 707,998 | $ 641,330
U.S. Dialysis And Related Lab Services |  |  |
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | 675,994 | 584,513 | 560,610
DaVita Medical Group (DMG) |  |  |
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | 84,399 | 66,800 | 27,885
Other-Ancillary services and strategic initiatives |  |  |
Segment Reporting Information [Line Items] |  |  |
Expenditures for property and equipment | $ 68,702 | $ 56,685 | $ 52,835

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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3213-108585 + Details
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