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Noncontrolling Interests Subject to Put Provisions and Other Commitments - Additional Information (Detail) - USD ($)
$ in Thousands
 1 Months Ended 12 Months Ended
Jan. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Commitments And Contingencies Disclosure [Line Items]        
Schedule of Joint ventures to dissolve   Certain consolidated joint ventures are originally contractually scheduled to dissolve after terms ranging from 10 to 50 years.    
DaVita Medical Group (DMG)        
Commitments And Contingencies Disclosure [Line Items]        
Required minimum cash balance   $ 60,796    
Epogen        
Commitments And Contingencies Disclosure [Line Items]        
Long term purchase commitment, expiration date   Dec. 31, 2018    
Epogen | Subsequent Event        
Commitments And Contingencies Disclosure [Line Items]        
Long term purchase commitment, period 6 years      
Long term purchase commitment, expiration date Dec. 31, 2022      
Dialysis Equipment, Parts and Supplies        
Commitments And Contingencies Disclosure [Line Items]        
Long-term purchase commitment, time period   In 2010, the Company entered into an agreement with Fresenius Medical Care (FMC) which committed the Company to purchase a certain amount of dialysis equipment, parts and supplies from FMC through 2013. This agreement has been subsequently extended through December 31, 2017.    
Long term purchase commitment, expiration year   2013    
Purchase commitment, purchase during the period   $ 164,766 $ 154,566 $ 154,266
Dialysis Equipment, Parts and Supplies | Extended Expiration        
Commitments And Contingencies Disclosure [Line Items]        
Long term purchase commitment, expiration month   2016-02    
Hemodialysis Products, Supplies and Equipment        
Commitments And Contingencies Disclosure [Line Items]        
Long-term purchase commitment, time period   In 2014, the Company entered into an agreement with Baxter Healthcare (Baxter) which committed the Company to purchase a certain amount of its hemodialysis non-equipment product supplies, such as dialyzers, at fixed prices through 2018    
Long term purchase commitment, expiration year   2018    
Purchase commitment, purchase during the period   $ 162,109 $ 112,931 $ 112,645
Minimum        
Commitments And Contingencies Disclosure [Line Items]        
Scheduled dissolution term of joint ventures   10 years    
Minimum | Epogen | Subsequent Event        
Commitments And Contingencies Disclosure [Line Items]        
Long-term purchase commitment, percentage of quantity required 90.00%      
Maximum        
Commitments And Contingencies Disclosure [Line Items]        
Scheduled dissolution term of joint ventures   50 years    
Commitments to provide operating capital        
Commitments And Contingencies Disclosure [Line Items]        
Other potential commitments to provide operating capital to several dialysis centers   $ 1,500