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Consolidating Statements of Income (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
Condensed Income Statements Captions [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
Capitated revenues                 3,518,679 3,509,095 3,261,288
Other revenues                 1,323,618 1,220,323 1,032,364
Total net revenues                 14,745,105 13,781,837 12,795,106
Operating expenses and charges                 12,850,562 12,611,142 10,979,965
Operating income 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
Debt expense                 (414,382) (408,380) (410,294)
Debt (expense) and refinancing charges                   (456,452) (507,842)
Other income, net                 8,734 8,893 2,374
Income tax expense                 455,813 295,726 446,343
Net income                 1,033,082 427,410 863,330
Less: Net income attributable to noncontrolling interests                 (153,208) (157,678) (140,216)
Net income 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
Consolidation, Eliminations                      
Condensed Income Statements Captions [Line Items]                      
Patient service revenues                 (173,567) (144,954) (117,549)
Net patient service revenues                 (173,567) (144,954) (117,549)
Capitated revenues                 (273) (243) (184)
Other revenues                 (1,659,125) (1,414,834) (1,315,685)
Total net revenues                 (1,832,965) (1,560,031) (1,433,418)
Operating expenses and charges                 (1,832,965) (1,560,031) (1,433,418)
Debt expense                 402,788    
Debt (expense) and refinancing charges                   375,822 401,992
Other income, net                 (402,788) (375,822) (401,992)
Equity earnings in subsidiaries                 (1,378,452) (514,183) (982,776)
Net income                 (1,378,452) (514,183) (982,776)
Less: Net income attributable to noncontrolling interests                 (153,208) (157,678) (140,216)
Net income attributable to DaVita Inc.                 (1,531,660) (671,861) (1,122,992)
DaVita Inc. | Additional Reporting Entities                      
Condensed Income Statements Captions [Line Items]                      
Other revenues                 767,791 727,887 684,066
Total net revenues                 767,791 727,887 684,066
Operating expenses and charges                 524,108 488,595 443,951
Operating income                 243,683 239,292 240,115
Debt expense                 (407,925)    
Debt (expense) and refinancing charges                   (449,598) (502,762)
Other income, net                 396,797 365,752 385,532
Income tax expense                 79,301 81,221 46,856
Equity earnings in subsidiaries                 726,620 195,507 647,085
Net income                 879,874 269,732 723,114
Net income attributable to DaVita Inc.                 879,874 269,732 723,114
Guarantor Subsidiaries | Additional Reporting Entities                      
Condensed Income Statements Captions [Line Items]                      
Patient service revenues                 6,766,138 6,578,185 6,246,683
Less: Provision for uncollectible accounts                 (278,761) (285,454) (238,600)
Net patient service revenues                 6,487,377 6,292,731 6,008,083
Capitated revenues                 1,795,673 1,776,311 1,681,668
Other revenues                 2,089,749 1,875,133 1,639,828
Total net revenues                 10,372,799 9,944,175 9,329,579
Operating expenses and charges                 9,735,334 9,565,667 8,269,025
Operating income                 637,465 378,508 1,060,554
Debt expense                 (358,535)    
Debt (expense) and refinancing charges                   (340,176) (363,623)
Other income, net                 6,196 11,562 11,731
Income tax expense                 210,338 173,063 397,268
Equity earnings in subsidiaries                 651,832 318,676 335,691
Net income                 726,620 195,507 647,085
Net income attributable to DaVita Inc.                 726,620 195,507 647,085
Non-Guarantor Subsidiaries | Additional Reporting Entities                      
Condensed Income Statements Captions [Line Items]                      
Patient service revenues                 3,761,590 3,047,048 2,739,204
Less: Provision for uncollectible accounts                 (172,592) (142,406) (128,284)
Net patient service revenues                 3,588,998 2,904,642 2,610,920
Capitated revenues                 1,723,279 1,733,027 1,579,804
Other revenues                 125,203 32,137 24,155
Total net revenues                 5,437,480 4,669,806 4,214,879
Operating expenses and charges                 4,424,085 4,116,911 3,700,407
Operating income                 1,013,395 552,895 514,472
Debt expense                 (50,710)    
Debt (expense) and refinancing charges                   (42,500) (43,449)
Other income, net                 8,529 7,401 7,103
Income tax expense                 166,174 41,442 2,219
Net income                 805,040 476,354 475,907
Net income attributable to DaVita Inc.                 $ 805,040 $ 476,354 $ 475,907