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Condensed consolidating financial statements - Condensed Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Sep. 30, 2017
Dec. 31, 2016
Sep. 30, 2016
Dec. 31, 2015
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents $ 846,110 $ 913,187 $ 913,496 $ 1,499,116
Accounts receivable, net 2,091,074 1,917,302    
Other current assets 1,096,365 1,149,739    
Total current assets 4,033,549 3,980,228    
Property and equipment, net 3,386,056 3,175,367    
Intangible assets, net 1,451,033 1,527,767    
Investments in subsidiaries 0 0    
Intercompany receivables 0 0    
Other long-term assets and investments 726,824 650,578    
Goodwill 9,415,877 9,407,317   9,294,479
Total assets 19,013,339 18,741,257    
Current liabilities 2,874,793 2,696,445    
Intercompany payables 0 0    
Long-term debt and other long-term liabilities 10,142,527 10,221,813    
Noncontrolling interests subject to put provisions 1,026,890 973,258    
Total DaVita Inc. shareholder's equity 4,784,581 4,648,047    
Noncontrolling interests not subject to put provisions 184,548 201,694    
Total equity 4,969,129 4,849,741    
Total liabilities and equity 19,013,339 18,741,257    
Consolidating adjustments        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 0 0 0 0
Accounts receivable, net 0 0    
Other current assets 0 0    
Total current assets 0 0    
Property and equipment, net 0 0    
Intangible assets, net 0 0    
Investments in subsidiaries (12,855,807) (11,720,388)    
Intercompany receivables (4,252,235) (4,117,647)    
Other long-term assets and investments 0 0    
Goodwill 0 0    
Total assets (17,108,042) (15,838,035)    
Current liabilities 0 0    
Intercompany payables (4,252,235) (4,117,647)    
Long-term debt and other long-term liabilities 0 0    
Noncontrolling interests subject to put provisions 423,427 365,657    
Total DaVita Inc. shareholder's equity (12,855,807) (11,720,388)    
Noncontrolling interests not subject to put provisions (423,427) (365,657)    
Total equity (13,279,234) (12,086,045)    
Total liabilities and equity (17,108,042) (15,838,035)    
DaVita Inc. | Reportable Legal Entities        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 447,627 549,921 623,901 1,186,636
Accounts receivable, net 0 0    
Other current assets 178,901 277,911    
Total current assets 626,528 827,832    
Property and equipment, net 368,233 337,200    
Intangible assets, net 289 487    
Investments in subsidiaries 10,116,956 9,717,728    
Intercompany receivables 3,079,514 3,250,692    
Other long-term assets and investments 46,028 39,994    
Goodwill 0 0    
Total assets 14,237,548 14,173,933    
Current liabilities 283,770 303,840    
Intercompany payables 0 0    
Long-term debt and other long-term liabilities 8,565,734 8,614,445    
Noncontrolling interests subject to put provisions 603,463 607,601    
Total DaVita Inc. shareholder's equity 4,784,581 4,648,047    
Noncontrolling interests not subject to put provisions 0 0    
Total equity 4,784,581 4,648,047    
Total liabilities and equity 14,237,548 14,173,933    
Guarantor subsidiaries | Reportable Legal Entities        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 14,768 59,192 35,769 109,357
Accounts receivable, net 1,325,029 1,215,232    
Other current assets 804,580 736,727    
Total current assets 2,144,377 2,011,151    
Property and equipment, net 1,752,690 1,689,798    
Intangible assets, net 1,370,085 1,491,057    
Investments in subsidiaries 2,738,851 2,002,660    
Intercompany receivables 0 0    
Other long-term assets and investments 99,584 86,710    
Goodwill 7,248,275 7,838,984    
Total assets 15,353,862 15,120,360    
Current liabilities 1,907,482 1,865,193    
Intercompany payables 2,231,303 2,322,124    
Long-term debt and other long-term liabilities 1,098,121 1,215,315    
Noncontrolling interests subject to put provisions 0 0    
Total DaVita Inc. shareholder's equity 10,116,956 9,717,728    
Noncontrolling interests not subject to put provisions 0 0    
Total equity 10,116,956 9,717,728    
Total liabilities and equity 15,353,862 15,120,360    
Non- Guarantor subsidiaries | Reportable Legal Entities        
Condensed Balance Sheet Statements Captions [Line Items]        
Cash and cash equivalents 383,715 304,074 $ 253,826 $ 203,123
Accounts receivable, net 766,045 702,070    
Other current assets 112,884 135,101    
Total current assets 1,262,644 1,141,245    
Property and equipment, net 1,265,133 1,148,369    
Intangible assets, net 80,659 36,223    
Investments in subsidiaries 0 0    
Intercompany receivables 1,172,721 866,955    
Other long-term assets and investments 581,212 523,874    
Goodwill 2,167,602 1,568,333    
Total assets 6,529,971 5,284,999    
Current liabilities 683,541 527,412    
Intercompany payables 2,020,932 1,795,523    
Long-term debt and other long-term liabilities 478,672 392,053    
Noncontrolling interests subject to put provisions 0 0    
Total DaVita Inc. shareholder's equity 2,738,851 2,002,660    
Noncontrolling interests not subject to put provisions 607,975 567,351    
Total equity 3,346,826 2,570,011    
Total liabilities and equity $ 6,529,971 $ 5,284,999