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Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income from Continuing Operations Before Income Taxes (Detail) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Segment Reporting Information [Line Items]                      
Patient service revenues $ 3,715,742 $ 3,730,576 $ 3,717,651 $ 3,581,136 $ 3,533,589 $ 3,525,665 $ 3,434,618 $ 3,287,965 $ 10,354,161 $ 9,480,279 $ 8,868,338
Less: Provision for uncollectible accounts                 (451,353) (427,860) (366,884)
Net patient service revenues                 9,902,808 9,052,419 8,501,454
Other revenues                 1,323,618 1,220,323 1,032,364
Total net operating revenues                 14,745,105 13,781,837 12,795,106
Capitated revenues                 3,518,679 3,509,095 3,261,288
Operating income (loss) 381,428 819,156 329,070 364,889 244,935 509,368 480,548 (64,156) 1,894,543 1,170,695 1,815,141
Corporate administrative support [1]                 (44,561) (18,965) (13,012)
Debt expense                 (414,382) (408,380) (410,294)
Debt refinancing and redemption charges                   (48,072) (97,548)
Other income                 8,734 8,893 2,374
Income before income taxes $ 278,072 $ 716,451 $ 229,391 $ 264,981 $ 146,307 $ 408,371 $ 330,539 $ (162,081) 1,488,895 723,136 1,309,673
Operating Segments                      
Segment Reporting Information [Line Items]                      
Total net operating revenues                 14,872,975 13,861,123 12,852,469
Operating income (loss)                 1,939,104 1,189,660 1,828,153
Operating Segments | U.S. Dialysis And Related Lab Services                      
Segment Reporting Information [Line Items]                      
Patient service revenues                 9,551,422 9,033,991 8,550,201
Less: Provision for uncollectible accounts                 (429,882) (406,530) (353,028)
Net patient service revenues                 9,121,540 8,627,461 8,197,173
Other revenues [2]                 16,649 13,971 13,498
Total net operating revenues                 9,138,189 8,641,432 8,210,671
Operating income (loss)                 1,777,014 1,259,632 1,637,626
Operating Segments | U.S. Dialysis And Related Lab Services | External Sources                      
Segment Reporting Information [Line Items]                      
Patient service revenues                 9,482,648 8,980,515 8,513,089
Operating Segments | U.S. Dialysis And Related Lab Services | Intersubsegment Eliminations                      
Segment Reporting Information [Line Items]                      
Patient service revenues                 68,774 53,476 37,112
Operating Segments | DaVita Medical Group (DMG)                      
Segment Reporting Information [Line Items]                      
Net patient service revenues                 621,583 317,950 219,306
Other revenues [3]                 61,040 82,470 91,374
Total net operating revenues                 4,113,414 3,837,261 3,502,299
Capitated revenues                 3,430,576 3,436,705 3,190,903
Operating income (loss)                 (104,233) 33,929 214,983
Operating Segments | DaVita Medical Group (DMG) | Intersubsegment Eliminations                      
Segment Reporting Information [Line Items]                      
Other revenues                 215 136 716
Operating Segments | Other-Ancillary services and strategic initiatives                      
Segment Reporting Information [Line Items]                      
Net patient service revenues                 228,459 160,484 122,087
Other revenues                 1,245,929 1,123,882 927,492
Total net operating revenues                 1,621,372 1,382,430 1,139,499
Capitated revenues                 88,103 72,390 70,385
Operating income (loss)                 266,323 (103,901) (24,456)
Operating Segments | Other-Ancillary services and strategic initiatives | Intersubsegment Eliminations                      
Segment Reporting Information [Line Items]                      
Total net operating revenues                 58,881 25,674 19,535
Intersegment Elimination                      
Segment Reporting Information [Line Items]                      
Total net operating revenues                 $ (127,870) $ (79,286) $ (57,363)
[1] Corporate administrative support costs in 2016 also include $30,934 of an adjustment to reduce a tax asset associated with the DMG acquisition escrow provisions.
[2] Includes management fees for providing management and administrative services to dialysis centers in which the Company owns a noncontrolling interest or which are wholly-owned by third parties.
[3] Includes medical consulting service fees and management fees for providing management and administrative services to unconsolidated joint ventures, as well as revenue related to the maintenance of existing physician networks