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Effects of Changes in DaVita Inc's Ownership Interest on Company's Equity (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]    
Net income attributable to DaVita Inc. $ 447,697 $ 97,434
Net transfers to noncontrolling interests (423) (2,452)
Net income attributable to DaVita Inc., net of transfers to noncontrolling interests 447,274 94,982
Additional paid-in capital    
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]    
Increase in paid-in capital for sales of noncontrolling interests 0 885
Decrease in paid-in capital for the purchase of noncontrolling interests and adjustments to ownership interest $ (423) $ (3,337)