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Schedule of Goodwill and Indefinite-Lived Intangible Asset Impairment Charges (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2015 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges |  | $ 281,415 | $ 192,834 | $ 1,000
International operations |  |  |  |
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges |  |  | 4,065 | $ 1,000
DaVita Medical Group (DMG) |  |  |  |
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges | $ 188,769 | 253,000 | 188,769 |
DaVita Medical Group (DMG) | Nevada |  |  |  |
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges |  | 161,800 | 181,253 |
DaVita Medical Group (DMG) | Arizona |  |  |  |
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges |  |  | 1,716 |
DaVita Medical Group (DMG) | Florida |  |  |  |
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges |  | 91,200 | $ 5,800 |
Vascular access |  |  |  |
Goodwill [Line Items] |  |  |  |
Total goodwill impairment charges |  | $ 28,415 |  |

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