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Schedule of Reporting Units Goodwill Balances (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 $ 9,407,317 $ 9,294,479 $ 9,415,295
DaVita Medical Group (DMG)      
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 3,391,942 $ 3,398,264 $ 3,562,534
DaVita Medical Group (DMG) | Nevada      
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 $ 261,204    
Carrying amount coverage [1] 11.40%    
Sensitivities, Operating Income [2] (2.20%)    
Sensitivities, Discount rate [3] (3.90%)    
DaVita Medical Group (DMG) | Florida      
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 $ 442,835    
Carrying amount coverage [1] 7.10%    
Sensitivities, Operating Income [2] (1.70%)    
Sensitivities, Discount rate [3] (3.20%)    
DaVita Medical Group (DMG) | New Mexico      
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 $ 70,926    
Carrying amount coverage [1] 2.60%    
Sensitivities, Operating Income [2] (1.50%)    
Sensitivities, Discount rate [3] (2.20%)    
DaVita Medical Group (DMG) | Washington      
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 $ 244,502    
Carrying amount coverage [1] 3.70%    
Sensitivities, Operating Income [2] (1.80%)    
Sensitivities, Discount rate [3] (3.40%)    
Vascular access      
Goodwill [Line Items]      
Goodwill balance as of 12/31/2016 $ 34,696    
Carrying amount coverage [1] 4.30%    
Sensitivities, Operating Income [2] (2.70%)    
Sensitivities, Discount rate [3] (5.30%)    
[1] Excess of estimated fair value of the reporting unit over carrying amount as of the latest assessment date
[2] Potential impact on estimated fair value of a sustained, long-term reduction of 3% in operating income as of the latest assessment date.
[3] Potential impact on estimated fair value of an increase in discount rates of 100 basis points as of the latest assessment date.