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Supplemental Data - Condensed Consolidating Statements of Income (Detail) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Condensed Income Statements Captions [Line Items]        
Patient service operating revenues $ 2,746,257 $ 2,643,194 $ 8,030,102 $ 7,708,641
Less: Provision for uncollectible accounts (123,760) (115,555) (352,228) (336,188)
Net patient service revenues 2,622,497 2,527,639 7,677,874 7,372,453
Capitated revenues 1,016,365 872,538 2,956,479 2,660,532
Other revenues 283,969 330,399 863,238 996,378
Total net revenues 3,922,831 3,730,576 11,497,591 11,029,363
Operating expenses 4,115,354 2,911,420 10,423,562 9,516,248
Operating (loss) income (192,523) 819,156 1,074,029 1,513,115
Debt expense, including refinancing charges     (322,014)  
Other income 4,370 1,876 13,866 8,067
Income tax (benefit) expense (125,742) 104,301 276,005 366,011
Net (loss) income (172,034) 612,150 489,876 844,812
Less: Net income attributable to noncontrolling interests (42,442) (40,818) (129,654) (122,664)
Net (loss) income attributable to DaVita Inc. $ (214,476) $ 571,332 360,222 $ 722,148
Physician Groups        
Condensed Income Statements Captions [Line Items]        
Patient service operating revenues     414,784  
Less: Provision for uncollectible accounts     (11,010)  
Net patient service revenues     403,774  
Capitated revenues     1,186,185  
Other revenues     33,688  
Total net revenues     1,623,647  
Operating expenses     1,572,064  
Operating (loss) income     51,583  
Debt expense, including refinancing charges     (6,458)  
Other income     478  
Income tax (benefit) expense     38,059  
Net (loss) income     7,544  
Less: Net income attributable to noncontrolling interests     0  
Net (loss) income attributable to DaVita Inc.     7,544  
Unrestricted Subsidiaries        
Condensed Income Statements Captions [Line Items]        
Patient service operating revenues     0  
Less: Provision for uncollectible accounts     0  
Net patient service revenues     0  
Capitated revenues     0  
Other revenues     0  
Total net revenues     0  
Operating expenses     (147)  
Operating (loss) income     147  
Debt expense, including refinancing charges     0  
Other income     0  
Income tax (benefit) expense     59  
Net (loss) income     88  
Less: Net income attributable to noncontrolling interests     0  
Net (loss) income attributable to DaVita Inc.     88  
Company and Restricted Subsidiaries        
Condensed Income Statements Captions [Line Items]        
Patient service operating revenues     7,615,318  
Less: Provision for uncollectible accounts     (341,218)  
Net patient service revenues     7,274,100  
Capitated revenues     1,770,294  
Other revenues     829,550  
Total net revenues     9,873,944  
Operating expenses     8,851,645  
Operating (loss) income     1,022,299  
Debt expense, including refinancing charges     (315,556)  
Other income     13,388  
Income tax (benefit) expense     237,887  
Net (loss) income     482,244  
Less: Net income attributable to noncontrolling interests     (129,654)  
Net (loss) income attributable to DaVita Inc.     $ 352,590