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Condensed Consolidating Statements of Comprehensive Income (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Condensed Financial Statements Captions [Line Items]    
Net income $ 500,285 $ 138,159
Other comprehensive (loss) income 12,755 6,313
Total comprehensive income 513,040 144,472
Less: comprehensive income attributable to the noncontrolling interests (52,586) (40,725)
Comprehensive income (loss) attributable to DaVita Inc. 460,454 103,747
Consolidating adjustments    
Condensed Financial Statements Captions [Line Items]    
Net income (546,345) (132,743)
Other comprehensive (loss) income 0 0
Total comprehensive income (546,345) (132,743)
Less: comprehensive income attributable to the noncontrolling interests (52,586) (40,725)
Comprehensive income (loss) attributable to DaVita Inc. (598,931) (173,468)
DaVita Inc. | Reportable Legal Entities    
Condensed Financial Statements Captions [Line Items]    
Net income 447,697 97,434
Other comprehensive (loss) income (506) (4,868)
Total comprehensive income 447,191 92,566
Less: comprehensive income attributable to the noncontrolling interests 0 0
Comprehensive income (loss) attributable to DaVita Inc. 447,191 92,566
Guarantor subsidiaries | Reportable Legal Entities    
Condensed Financial Statements Captions [Line Items]    
Net income 394,641 70,419
Other comprehensive (loss) income 0 0
Total comprehensive income 394,641 70,419
Less: comprehensive income attributable to the noncontrolling interests 0 0
Comprehensive income (loss) attributable to DaVita Inc. 394,641 70,419
Non- Guarantor subsidiaries | Reportable Legal Entities    
Condensed Financial Statements Captions [Line Items]    
Net income 204,292 103,049
Other comprehensive (loss) income 13,261 11,181
Total comprehensive income 217,553 114,230
Less: comprehensive income attributable to the noncontrolling interests 0 0
Comprehensive income (loss) attributable to DaVita Inc. $ 217,553 $ 114,230