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Condensed Consolidating Statements of Income (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Condensed Income Statements Captions [Line Items]        
Patient service revenues $ 2,682,467 $ 2,583,514 $ 5,283,845 $ 5,065,448
Less: Provision for uncollectible accounts (115,485) (111,428) (228,468) (220,633)
Net patient service operating revenues 2,566,982 2,472,086 5,055,377 4,844,815
Capitated revenues 1,022,078 899,985 1,940,114 1,787,993
Other revenues 288,417 345,580 579,269 665,979
Total net operating revenues 3,877,477 3,717,651 7,574,760 7,298,787
Operating expenses and charges 3,499,161 3,388,581 6,308,208 6,604,828
Operating income 378,316 329,070 1,266,552 693,959
Interest and Debt Expense (107,962) (102,894) (212,391) (205,778)
Other income, net 5,253 3,215 9,496 6,191
Income tax expense 113,982 134,888 401,747 261,710
Equity (loss) earnings in subsidiaries 0 0 0 0
Net income 161,625 94,503 661,910 232,662
Less: Net income attributable to noncontrolling interests (34,624) (41,121) (87,212) (81,846)
Net income attributable to DaVita Inc. 127,001 53,382 574,698 150,816
Consolidating adjustments        
Condensed Income Statements Captions [Line Items]        
Patient service revenues (54,579) (40,793) (105,309) (80,209)
Less: Provision for uncollectible accounts 0 0 0 0
Net patient service operating revenues (54,579) (40,793) (105,309) (80,209)
Capitated revenues (1,721) (84) (2,266) (211)
Other revenues (441,286) (404,144) (885,132) (782,595)
Total net operating revenues (497,586) (445,021) (992,707) (863,015)
Operating expenses and charges (497,586) (445,021) (992,707) (863,015)
Operating income 0 0 0 0
Interest and Debt Expense 105,486 103,464 208,838 205,368
Other income, net (105,486) (103,464) (208,838) (205,368)
Income tax expense 0 0 0 0
Equity (loss) earnings in subsidiaries (177,954) (182,366) (724,299) (315,109)
Net income (177,954) (182,366) (724,299) (315,109)
Less: Net income attributable to noncontrolling interests (34,624) (41,121) (87,212) (81,846)
Net income attributable to DaVita Inc. (212,578) (223,487) (811,511) (396,955)
DaVita Inc. | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Patient service revenues 0 0 0 0
Less: Provision for uncollectible accounts 0 0 0 0
Net patient service operating revenues 0 0 0 0
Capitated revenues 0 0 0 0
Other revenues 193,585 196,910 414,971 383,885
Total net operating revenues 193,585 196,910 414,971 383,885
Operating expenses and charges 138,104 134,072 270,014 256,345
Operating income 55,481 62,838 144,957 127,540
Interest and Debt Expense (106,159) (102,101) (208,823) (203,202)
Other income, net 102,299 98,654 202,636 197,214
Income tax expense 22,969 41,942 57,062 77,088
Equity (loss) earnings in subsidiaries 98,349 35,933 492,990 106,352
Net income 127,001 53,382 574,698 150,816
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net income attributable to DaVita Inc. 127,001 53,382 574,698 150,816
Guarantor subsidiaries | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Patient service revenues 1,681,249 1,664,361 3,234,605 3,317,673
Less: Provision for uncollectible accounts (74,413) (74,498) (136,694) (133,311)
Net patient service operating revenues 1,606,836 1,589,863 3,097,911 3,184,362
Capitated revenues 467,852 463,732 931,479 931,694
Other revenues 501,861 521,065 979,536 1,005,420
Total net operating revenues 2,576,549 2,574,660 5,008,926 5,121,476
Operating expenses and charges 2,396,723 2,510,119 4,276,878 4,887,749
Operating income 179,826 64,541 732,048 233,727
Interest and Debt Expense (92,346) (91,259) (183,747) (183,432)
Other income, net 2,191 5,421 5,728 9,757
Income tax expense 70,927 89,203 292,348 162,457
Equity (loss) earnings in subsidiaries 79,605 146,433 231,309 208,757
Net income 98,349 35,933 492,990 106,352
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net income attributable to DaVita Inc. 98,349 35,933 492,990 106,352
Non- Guarantor subsidiaries | Reportable Legal Entities        
Condensed Income Statements Captions [Line Items]        
Patient service revenues 1,055,797 959,946 2,154,549 1,827,984
Less: Provision for uncollectible accounts (41,072) (36,930) (91,774) (87,322)
Net patient service operating revenues 1,014,725 923,016 2,062,775 1,740,662
Capitated revenues 555,947 436,337 1,010,901 856,510
Other revenues 34,257 31,749 69,894 59,269
Total net operating revenues 1,604,929 1,391,102 3,143,570 2,656,441
Operating expenses and charges 1,461,920 1,189,411 2,754,023 2,323,749
Operating income 143,009 201,691 389,547 332,692
Interest and Debt Expense (14,943) (12,998) (28,659) (24,512)
Other income, net 6,249 2,604 9,970 4,588
Income tax expense 20,086 3,743 52,337 22,165
Equity (loss) earnings in subsidiaries 0 0 0 0
Net income 114,229 187,554 318,521 290,603
Less: Net income attributable to noncontrolling interests 0 0 0 0
Net income attributable to DaVita Inc. $ 114,229 $ 187,554 $ 318,521 $ 290,603