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Selected quarterly financial data (unaudited) (Detail) - USD ($) $ / shares in Units, $ 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
Quarterly Financial Information Disclosure [Abstract]
Net 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
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
Income (loss) 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
Net income (loss) attributable to DaVita Inc.	$ 157,726	$ 571,332	$ 53,382	$ 97,434	$ (6,000)	$ 215,872	$ 170,477	$ (110,617)	$ 879,874	$ 269,732	$ 723,114
Basic net income (loss) per share attributable to DaVita Inc.	$ 0.81	$ 2.80	$ 0.26	$ 0.48	$ (0.03)	$ 1.02	$ 0.80	$ (0.52)	$ 4.36	$ 1.27	$ 3.41
Diluted net income (loss) per share attributable to DaVita Inc.	$ 0.80	$ 2.76	$ 0.26	$ 0.47	$ (0.03)	$ 1.00	$ 0.78	$ (0.52)	$ 4.29	$ 1.25	$ 3.33

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