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Supplemental Data - Condensed 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)
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
Physician Groups                      
Condensed Income Statements Captions [Line Items]                      
Patient service revenues                 449,473    
Less: Provision for uncollectible accounts                 (12,696)    
Net patient service revenues                 436,777    
Capitated revenues                 1,617,794    
Other revenues                 32,938    
Total net revenues                 2,087,509    
Operating expenses and charges                 2,035,001    
Operating income                 52,508    
Debt expense                 (10,140)    
Other income, net                 576    
Income tax expense                 10,643    
Net income                 32,301    
Net income attributable to DaVita Inc.                 32,301    
Unrestricted Subsidiaries                      
Condensed Income Statements Captions [Line Items]                      
Operating expenses and charges                 110    
Operating income                 (110)    
Income tax expense                 (44)    
Net income                 (66)    
Net income attributable to DaVita Inc.                 (66)    
Company and Restricted Subsidiaries                      
Condensed Income Statements Captions [Line Items]                      
Patient service revenues                 9,904,688    
Less: Provision for uncollectible accounts                 (438,657)    
Net patient service revenues                 9,466,031    
Capitated revenues                 1,900,885    
Other revenues                 1,290,680    
Total net revenues                 12,657,596    
Operating expenses and charges                 10,815,451    
Operating income                 1,842,145    
Debt expense                 (404,242)    
Other income, net                 8,158    
Income tax expense                 445,214    
Net income [1]                 1,000,847    
Less: Net income attributable to noncontrolling interests                 (153,208)    
Net income attributable to DaVita Inc.                 $ 847,639    
[1] After the elimination of the unrestricted subsidiaries and the physician groups