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Changes in DaVita Inc.'s ownership interest in consolidated subsidiaries - Effects of Changes in DaVita Inc's Ownership Interest on Company's Equity (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]        
Net (loss) income attributable to DaVita Inc. $ (214,476) $ 571,332 $ 360,222 $ 722,148
Net transfers to noncontrolling interests 0 (604) 195 (5,135)
Net (loss) income attributable to DaVita Inc., net of transfers to noncontrolling interests (214,476) 570,728 360,417 717,013
Additional paid-in capital        
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]        
Purchases of noncontrolling interests $ 0 $ (604) $ 195 $ (5,135)