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Employee Benefit Plans - Additional Information (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2016
USD ($)
Plan
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
DaVita Voluntary Deferral Plan      
Defined Benefit Plan Disclosure [Line Items]      
Number of non-qualified voluntary compensation deferral plans | Plan 2    
Nonqualified Deferred Compensation Plan | All Trusts      
Defined Benefit Plan Disclosure [Line Items]      
Total fair value of assets held in trust $ 45,233 $ 33,482  
Nonqualified Deferred Compensation Plan | DaVita Voluntary Deferral Plan      
Defined Benefit Plan Disclosure [Line Items]      
Voluntary compensation deferral plan description The Company also maintains a voluntary compensation deferral plan, the DaVita Voluntary Deferral Plan. This plan is non-qualified and permits certain employees whose annualized base salary equals or exceeds a minimum annual threshold amount as set by the Company to elect to defer all or a portion of their annual bonus payment and up to 50% of their base salary into a deferral account maintained by the Company    
Maximum percentage of employees' base salary to be maintained into deferral account 50.00%    
Non-qualified deferred compensation plan, contributions $ 5,344 4,234 $ 3,772
Deferred compensation arrangement, timing of payments Deferred amounts are generally paid out in cash at the participant’s election either in the first or second year following retirement or in a specified future period at least three to four years after the deferral election was effective    
Non-qualified deferred compensation plan, distributions $ 916 1,270 1,111
Total fair value of assets held in trust 14,036 8,578  
Nonqualified Deferred Compensation Plan | DaVita Voluntary Deferral Plan | Rabbi Trust      
Defined Benefit Plan Disclosure [Line Items]      
Total fair value of assets held in trust 30,191 23,800  
Nonqualified Deferred Compensation Plan | Executive Retirement Plan      
Defined Benefit Plan Disclosure [Line Items]      
Total fair value of assets held in trust 1,005 1,104  
Executive Retirement Plan, distributions 149 25 0
Change of Control Protection Program      
Defined Benefit Plan Disclosure [Line Items]      
Cash bonuses to employees in the event of a change of control 492,645    
DaVita Medical Group (DMG)      
Defined Benefit Plan Disclosure [Line Items]      
Company matching contributions 11,266 8,324 7,400
DaVita Medical Group (DMG) | Nonqualified Deferred Compensation Plan | Key Employees      
Defined Benefit Plan Disclosure [Line Items]      
Non-qualified deferred compensation plan, contributions 0 0 $ 0
Cash surrender value of life insurance policies 59,646 56,840  
Deferred compensation liabilities owed to participants $ 54,486 $ 52,128  
DaVita Medical Group (DMG) | Maximum      
Defined Benefit Plan Disclosure [Line Items]      
Multiple employer matching contributions rate 4.00%