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Consolidating Statements of Cash Flows (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Cash flows from operating activities:      
Net income $ 1,033,082 $ 427,410 $ 863,330
Changes in operating assets and liabilities and non-cash items included in net income 930,362 1,129,790 596,077
Net cash provided by operating activities 1,963,444 1,557,200 1,459,407
Cash flows from investing activities:      
Additions of property and equipment (829,095) (707,998) (641,330)
Acquisitions (563,856) (96,469) (272,094)
Proceeds from asset sales, net of cash divested 64,725    
Proceeds from asset and business sales 64,725 19,715 8,791
Investments and other items 126,558 (97,032) (373,096)
Net cash used in investing activities (1,201,668) (881,784) (1,277,729)
Cash flows from financing activities:      
Long-term debt and related financing costs, net (124,442) 619,698 (7,989)
Other items (1,227,539) (758,668) (156,990)
Net cash used in financing activities (1,351,981) (138,970) (164,979)
Effect of exchange rate changes on cash 4,276 (2,571) 2,293
Net (decrease) increase in cash and cash equivalents (585,929) 533,875 18,992
Cash and cash equivalents at beginning of the year 1,499,116 965,241 946,249
Cash and cash equivalents at end of the year 913,187 1,499,116 965,241
Additional Reporting Entities | DaVita Inc.      
Cash flows from operating activities:      
Net income 879,874 269,732 723,114
Changes in operating assets and liabilities and non-cash items included in net income (614,642) (146,531) (597,992)
Net cash provided by operating activities 265,232 123,201 125,122
Cash flows from investing activities:      
Additions of property and equipment (139,303) (115,269) (51,374)
Investments and other items 153,031 (74,474) (333,803)
Net cash used in investing activities 13,728 (189,743) (385,177)
Cash flows from financing activities:      
Long-term debt and related financing costs, net (92,460) 640,009 4,513
Intercompany borrowing 237,988 486,588 410,437
Other items (1,061,203) (572,295) (58,207)
Net cash used in financing activities (915,675) 554,302 356,743
Net (decrease) increase in cash and cash equivalents (636,715) 487,760 96,688
Cash and cash equivalents at beginning of the year 1,186,636 698,876 602,188
Cash and cash equivalents at end of the year 549,921 1,186,636 698,876
Additional Reporting Entities | Guarantor Subsidiaries      
Cash flows from operating activities:      
Net income 726,620 195,507 647,085
Changes in operating assets and liabilities and non-cash items included in net income 335,166 688,106 120,772
Net cash provided by operating activities 1,061,786 883,613 767,857
Cash flows from investing activities:      
Additions of property and equipment (382,305) (319,695) (312,191)
Acquisitions (472,413) (76,983) (228,569)
Proceeds from asset sales, net of cash divested 70,342    
Proceeds from asset and business sales   19,715 8,791
Investments and other items (29,038) (2,144) (316)
Net cash used in investing activities (813,414) (379,107) (532,285)
Cash flows from financing activities:      
Long-term debt and related financing costs, net (27,830) (11,953) (12,545)
Intercompany borrowing (249,182) (394,735) (282,461)
Other items (21,525) (66,382) (14,099)
Net cash used in financing activities (298,537) (473,070) (309,105)
Net (decrease) increase in cash and cash equivalents (50,165) 31,436 (73,533)
Cash and cash equivalents at beginning of the year 109,357 77,921 151,454
Cash and cash equivalents at end of the year 59,192 109,357 77,921
Additional Reporting Entities | Non-Guarantor Subsidiaries      
Cash flows from operating activities:      
Net income 805,040 476,354 475,907
Changes in operating assets and liabilities and non-cash items included in net income (168,614) 74,032 90,521
Net cash provided by operating activities 636,426 550,386 566,428
Cash flows from investing activities:      
Additions of property and equipment (307,487) (273,034) (277,765)
Acquisitions (91,443) (19,486) (43,525)
Proceeds from asset sales, net of cash divested (5,617)    
Investments and other items 2,565 (20,414) (38,977)
Net cash used in investing activities (401,982) (312,934) (360,267)
Cash flows from financing activities:      
Long-term debt and related financing costs, net (4,152) (8,358) 43
Intercompany borrowing 11,194 (91,853) (127,976)
Other items (144,811) (119,991) (84,684)
Net cash used in financing activities (137,769) (220,202) (212,617)
Effect of exchange rate changes on cash 4,276 (2,571) 2,293
Net (decrease) increase in cash and cash equivalents 100,951 14,679 (4,163)
Cash and cash equivalents at beginning of the year 203,123 188,444 192,607
Cash and cash equivalents at end of the year 304,074 203,123 188,444
Consolidation, Eliminations      
Cash flows from operating activities:      
Net income (1,378,452) (514,183) (982,776)
Changes in operating assets and liabilities and non-cash items included in net income $ 1,378,452 $ 514,183 $ 982,776