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Goodwill - Additional Information (Detail) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Goodwill [Line Items]        
Goodwill impairment charges   $ 281,415,000 $ 192,834,000 $ 1,000,000
DaVita Medical Group (DMG)        
Goodwill [Line Items]        
Goodwill impairment charges $ 188,769,000 253,000,000 $ 188,769,000  
Reporting Units Other Than DaVita Medical Group        
Goodwill [Line Items]        
Goodwill impairment charges   $ 0