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Supplemental Data - Condensed Consolidating Statements of Income (Detail) - USD ($)
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Condensed Income Statements Captions [Line Items]    
Patient service operating revenues $ 2,591,074,000 $ 2,422,786,000
Less: Provision for uncollectible accounts 25,545,000 (107,058,000)
Net dialysis and related lab patient service revenues 2,616,619,000 2,315,728,000
Other revenues 232,825,000 315,523,000
Total revenues 2,849,444,000 2,631,251,000
Operating expenses 2,438,758,000 1,755,323,000
Operating income 410,686,000 875,928,000
Debt expense, including refinancing charges (113,516,000)  
Other income 4,582,000 3,986,000
Income tax expense 70,737,000 281,665,000
Net income from continuing operations 231,015,000 493,852,000
Net (loss) income from discontinued operations, net of tax (5,786,000) 6,433,000
Net income 225,229,000 500,285,000
Less: Net income attributable to noncontrolling interests (46,543,000) (52,588,000)
Net income attributable to DaVita Inc. 178,686,000 $ 447,697,000
Physician Groups    
Condensed Income Statements Captions [Line Items]    
Patient service operating revenues 0  
Less: Provision for uncollectible accounts 0  
Net dialysis and related lab patient service revenues 0  
Other revenues 0  
Total revenues 0  
Operating expenses 0  
Operating income 0  
Debt expense, including refinancing charges 0  
Other income 0  
Income tax expense 0  
Net income from continuing operations 0  
Net (loss) income from discontinued operations, net of tax 7,397,000  
Net income 7,397,000  
Less: Net income attributable to noncontrolling interests (6,543,000)  
Net income attributable to DaVita Inc. 854,000  
Unrestricted Subsidiaries    
Condensed Income Statements Captions [Line Items]    
Patient service operating revenues 0  
Less: Provision for uncollectible accounts 0  
Net dialysis and related lab patient service revenues 0  
Other revenues 0  
Total revenues 0  
Operating expenses 0  
Operating income 0  
Debt expense, including refinancing charges 0  
Other income 0  
Income tax expense 0  
Net income from continuing operations 0  
Net (loss) income from discontinued operations, net of tax 490,000  
Net income 490,000  
Less: Net income attributable to noncontrolling interests 0  
Net income attributable to DaVita Inc. 490,000  
Company and Restricted Subsidiaries    
Condensed Income Statements Captions [Line Items]    
Patient service operating revenues 2,591,074,000  
Less: Provision for uncollectible accounts 25,545,000  
Net dialysis and related lab patient service revenues 2,616,619,000  
Other revenues 232,825,000  
Total revenues 2,849,444,000  
Operating expenses 2,438,758,000  
Operating income 410,686,000  
Debt expense, including refinancing charges (113,516,000)  
Other income 4,582,000  
Income tax expense 70,737,000  
Net income from continuing operations 231,015,000  
Net (loss) income from discontinued operations, net of tax (13,673,000)  
Net income 217,342,000  
Less: Net income attributable to noncontrolling interests (40,000,000)  
Net income attributable to DaVita Inc. $ 177,342,000