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Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents $ 913,187 $ 1,499,116 $ 965,241 $ 946,249
Accounts receivable, net 1,917,302 1,724,228    
Other current assets 1,149,739 1,279,936    
Total current assets 3,980,228 4,503,280    
Property and equipment, net 3,175,367 2,788,740    
Intangible assets, net 1,527,767 1,687,326    
Other long-term assets and investments 650,578 241,050    
Goodwill 9,407,317 9,294,479 9,415,295  
Total assets 18,741,257 18,514,875    
Current liabilities 2,696,445 2,399,138    
Long-term debt and other long-term liabilities 10,221,813 10,167,499    
Noncontrolling interests subject to put provisions 973,258 864,066    
Total DaVita Inc. shareholders' equity 4,648,047 4,870,780    
Noncontrolling interests not subject to put provisions 201,694 213,392    
Total equity 4,849,741 5,084,172    
Total liabilities and equity 18,741,257 18,514,875    
Additional Reporting Entities | DaVita Inc.        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 549,921 1,186,636 698,876 602,188
Other current assets 277,911 431,504    
Total current assets 827,832 1,618,140    
Property and equipment, net 337,200 268,066    
Intangible assets, net 487 540    
Investments in subsidiaries 9,717,728 8,893,079    
Intercompany receivables 3,250,692 3,474,133    
Other long-term assets and investments 39,994 74,458    
Total assets 14,173,933 14,328,416    
Current liabilities 303,840 185,217    
Long-term debt and other long-term liabilities 8,614,445 8,730,673    
Noncontrolling interests subject to put provisions 607,601 541,746    
Total DaVita Inc. shareholders' equity 4,648,047 4,870,780    
Total equity 4,648,047 4,870,780    
Total liabilities and equity 14,173,933 14,328,416    
Additional Reporting Entities | Guarantor Subsidiaries        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 59,192 109,357 77,921 151,454
Accounts receivable, net 1,215,232 929,390    
Other current assets 736,727 769,947    
Total current assets 2,011,151 1,808,694    
Property and equipment, net 1,689,798 1,575,890    
Intangible assets, net 1,491,057 1,634,920    
Investments in subsidiaries 2,002,660 1,597,185    
Other long-term assets and investments 86,710 53,346    
Goodwill 7,838,984 7,834,257    
Total assets 15,120,360 14,504,292    
Current liabilities 1,865,193 1,730,123    
Intercompany payables 2,322,124 2,750,102    
Long-term debt and other long-term liabilities 1,215,315 1,130,988    
Total DaVita Inc. shareholders' equity 9,717,728 8,893,079    
Total equity 9,717,728 8,893,079    
Total liabilities and equity 15,120,360 14,504,292    
Additional Reporting Entities | Non-Guarantor Subsidiaries        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 304,074 203,123 $ 188,444 $ 192,607
Accounts receivable, net 702,070 794,838    
Other current assets 135,101 78,485    
Total current assets 1,141,245 1,076,446    
Property and equipment, net 1,148,369 944,784    
Intangible assets, net 36,223 51,866    
Intercompany receivables 866,955 701,814    
Other long-term assets and investments 523,874 113,246    
Goodwill 1,568,333 1,460,222    
Total assets 5,284,999 4,348,378    
Current liabilities 527,412 483,798    
Intercompany payables 1,795,523 1,425,845    
Long-term debt and other long-term liabilities 392,053 305,838    
Total DaVita Inc. shareholders' equity 2,002,660 1,597,185    
Noncontrolling interests not subject to put provisions 567,351 535,712    
Total equity 2,570,011 2,132,897    
Total liabilities and equity 5,284,999 4,348,378    
Consolidation, Eliminations        
Condensed Balance Sheet Statements Captions [Line Items]        
Investments in subsidiaries (11,720,388) (10,490,264)    
Intercompany receivables (4,117,647) (4,175,947)    
Total assets (15,838,035) (14,666,211)    
Intercompany payables (4,117,647) (4,175,947)    
Noncontrolling interests subject to put provisions 365,657 322,320    
Total DaVita Inc. shareholders' equity (11,720,388) (10,490,264)    
Noncontrolling interests not subject to put provisions (365,657) (322,320)    
Total equity (12,086,045) (10,812,584)    
Total liabilities and equity $ (15,838,035) $ (14,666,211)