Condensed Consolidating Statements of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended
Mar. 31, 2015	Mar. 31, 2014
Cash flows from operating activities:
Net (loss) income	$ (76,148)us-gaap_ProfitLoss	$ 211,737us-gaap_ProfitLoss
Changes in operating assets and liabilities and non-cash items included in net income	486,237	207,370
Net cash provided by operating activities	410,089	419,107
Cash flows from investing activities:
Additions of property and equipment	(121,421)	(126,562)
Acquisitions	(40,650)	(67,857)
Proceeds from asset and business sales	2,565	56
Purchases/proceeds from investment sales and other items	(92,781)	(1,430)
Net cash used in investing activities	(252,287)	(195,793)
Cash flows from financing activities:
Long-term debt and related financing costs, net	(28,439)	(65,153)
Other items	(82,429)	3,028
Net cash used in financing activities	(110,868)	(62,125)
Effect of exchange rate changes on cash	(904)	631
Net increase (decrease) in cash and cash equivalents	46,030	161,820
Cash and cash equivalents at beginning of the year	965,241	946,249
Cash and cash equivalents at end of the period	1,011,271	1,108,069
DaVita HealthCare Partners Inc.
Cash flows from operating activities:
Net (loss) income	(110,617)	183,289
Changes in operating assets and liabilities and non-cash items included in net income	154,352	(28,933)
Net cash provided by operating activities	43,735	154,356
Cash flows from investing activities:
Additions of property and equipment	(6,230)	(11,100)
Purchases/proceeds from investment sales and other items	(84,640)	(776)
Net cash used in investing activities	(90,870)	(11,876)
Cash flows from financing activities:
Long-term debt and related financing costs, net	(21,250)	(62,853)
Intercompany borrowing	180,207	90,289
Other items	(56,828)	21,786
Net cash used in financing activities	102,129	49,222
Net increase (decrease) in cash and cash equivalents	54,994	191,702
Cash and cash equivalents at beginning of the year	698,876	602,188
Cash and cash equivalents at end of the period	753,870	793,890
Guarantor Subsidiaries
Cash flows from operating activities:
Net (loss) income	(133,144)	156,272
Changes in operating assets and liabilities and non-cash items included in net income	410,880	(2,155)
Net cash provided by operating activities	277,736	154,117
Cash flows from investing activities:
Additions of property and equipment	(48,802)	(60,113)
Acquisitions	(40,018)	(67,857)
Proceeds from asset and business sales	2,565	56
Purchases/proceeds from investment sales and other items	(537)	135
Net cash used in investing activities	(86,792)	(127,779)
Cash flows from financing activities:
Long-term debt and related financing costs, net	(3,620)	(1,579)
Intercompany borrowing	(202,804)	(57,572)
Other items		764
Net cash used in financing activities	(206,424)	(58,387)
Net increase (decrease) in cash and cash equivalents	(15,480)	(32,049)
Cash and cash equivalents at beginning of the year	77,921	175,004
Cash and cash equivalents at end of the period	62,441	142,955
Non-Guarantor Subsidiaries
Cash flows from operating activities:
Net (loss) income	79,525	83,975
Changes in operating assets and liabilities and non-cash items included in net income	9,093	26,659
Net cash provided by operating activities	88,618	110,634
Cash flows from investing activities:
Additions of property and equipment	(66,389)	(55,349)
Acquisitions	(632)
Purchases/proceeds from investment sales and other items	(7,604)	(789)
Net cash used in investing activities	(74,625)	(56,138)
Cash flows from financing activities:
Long-term debt and related financing costs, net	(3,569)	(721)
Intercompany borrowing	22,597	(32,717)
Other items	(25,601)	(19,522)
Net cash used in financing activities	(6,573)	(52,960)
Effect of exchange rate changes on cash	(904)	631
Net increase (decrease) in cash and cash equivalents	6,516	2,167
Cash and cash equivalents at beginning of the year	188,444	169,057
Cash and cash equivalents at end of the period	194,960	171,224
Consolidating Adjustments
Cash flows from operating activities:
Net (loss) income	88,088	(211,799)
Changes in operating assets and liabilities and non-cash items included in net income	$ (88,088)	$ 211,799

Payments for proceeds from sale of investments in securities and other.

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