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Condensed Consolidating Statements of Cash Flows (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Cash flows from operating activities:        
Net income $ 161,625 $ 94,503 $ 661,910 $ 232,662
Changes in operating assets and liabilities and non-cash items included in net income     349,534 712,977
Net cash provided by (used in) operating activities     1,011,444 945,639
Cash flows from investing activities:        
Additions of property and equipment (184,405) (185,440) (398,940) (358,627)
Acquisitions     (619,839) (473,314)
Proceeds from asset and business sales     70,236 17,393
Proceeds (purchases) from investment sales and other items, net     96,895 56,319
Net cash used in investing activities     (851,648) (758,229)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (64,032) (61,233)
Intercompany (payments) borrowing     0 0
Payments For Other Financing Activities     (301,146) (342,321)
Net cash (used in) provided by financing activities     (365,178) (403,554)
Effect of exchange rate changes on cash     4,192 444
Net (decrease) increase in cash     (201,190) (215,700)
Cash and cash equivalents at beginning of period     913,187 1,499,116
Cash and cash equivalents at end of period 711,997 1,283,416 711,997 1,283,416
Consolidating adjustments        
Cash flows from operating activities:        
Net income (177,954) (182,366) (724,299) (315,109)
Changes in operating assets and liabilities and non-cash items included in net income     724,299 315,109
Net cash provided by (used in) operating activities     0 0
Cash flows from investing activities:        
Additions of property and equipment     0 0
Acquisitions     0 0
Proceeds from asset and business sales     0 0
Proceeds (purchases) from investment sales and other items, net     0 0
Net cash used in investing activities     0 0
Cash flows from financing activities:        
Long-term debt and related financing costs, net     0 0
Intercompany (payments) borrowing     0 0
Payments For Other Financing Activities     0 0
Net cash (used in) provided by financing activities     0 0
Effect of exchange rate changes on cash     0 0
Net (decrease) increase in cash     0 0
Cash and cash equivalents at beginning of period     0 0
Cash and cash equivalents at end of period 0 0 0 0
DaVita Inc. | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 127,001 53,382 574,698 150,816
Changes in operating assets and liabilities and non-cash items included in net income     (431,980) (1,505)
Net cash provided by (used in) operating activities     142,718 149,311
Cash flows from investing activities:        
Additions of property and equipment     (50,966) (42,266)
Acquisitions     0  
Proceeds from asset and business sales     0 0
Proceeds (purchases) from investment sales and other items, net     49,036 21,230
Net cash used in investing activities     (1,930) (21,036)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (54,992) (42,493)
Intercompany (payments) borrowing     (37,233) 11,208
Payments For Other Financing Activities     (223,511) (255,032)
Net cash (used in) provided by financing activities     (315,736) (286,317)
Effect of exchange rate changes on cash     0 0
Net (decrease) increase in cash     (174,948) (158,042)
Cash and cash equivalents at beginning of period     549,921 1,186,636
Cash and cash equivalents at end of period 374,973 1,028,594 374,973 1,028,594
Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 98,349 35,933 492,990 106,352
Changes in operating assets and liabilities and non-cash items included in net income     52,218 219,697
Net cash provided by (used in) operating activities     545,208 326,049
Cash flows from investing activities:        
Additions of property and equipment     (182,494) (171,164)
Acquisitions     (538,450) (462,592)
Proceeds from asset and business sales     70,127 17,393
Proceeds (purchases) from investment sales and other items, net     (2,974) (10,869)
Net cash used in investing activities     (653,791) (627,232)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (6,893) (13,917)
Intercompany (payments) borrowing     98,224 247,765
Payments For Other Financing Activities     (1,432) (6,253)
Net cash (used in) provided by financing activities     89,899 227,595
Effect of exchange rate changes on cash     0 0
Net (decrease) increase in cash     (18,684) (73,588)
Cash and cash equivalents at beginning of period     59,192 109,357
Cash and cash equivalents at end of period 40,508 35,769 40,508 35,769
Non- Guarantor subsidiaries | Reportable Legal Entities        
Cash flows from operating activities:        
Net income 114,229 187,554 318,521 290,603
Changes in operating assets and liabilities and non-cash items included in net income     4,997 179,676
Net cash provided by (used in) operating activities     323,518 470,279
Cash flows from investing activities:        
Additions of property and equipment     (165,480) (145,197)
Acquisitions     (81,389) (10,722)
Proceeds from asset and business sales     109 0
Proceeds (purchases) from investment sales and other items, net     50,833 45,958
Net cash used in investing activities     (195,927) (109,961)
Cash flows from financing activities:        
Long-term debt and related financing costs, net     (2,147) (4,823)
Intercompany (payments) borrowing     (60,991) (258,973)
Payments For Other Financing Activities     (76,203) (81,036)
Net cash (used in) provided by financing activities     (139,341) (344,832)
Effect of exchange rate changes on cash     4,192 444
Net (decrease) increase in cash     (7,558) 15,930
Cash and cash equivalents at beginning of period     304,074 203,123
Cash and cash equivalents at end of period $ 296,516 $ 219,053 $ 296,516 $ 219,053