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Long-term Debt - Additional Information (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2016 | Sep. 30, 2015 | Sep. 30, 2016 | Sep. 30, 2015 | Dec. 31, 2015
Debt Instrument [Line Items] |  |  |  |  |
Fixed interest rate | 52.80% |  | 52.80% |  |
Unrealized losses on interest rate swap and cap agreements | $ (153) | $ (1,851) | $ (8,238) | $ (10,064) |
Weighted average effective interest rate | 4.49% |  | 4.49% |  |
Weighted average effective interest rate | 4.42% |  |  |  |
DaVita Medical Group (DMG) |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Letters of credit outstanding | $ 1,286 |  | $ 1,286 |  |
Revolving Credit Facility |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Undrawn revolving credit facilities | 1,000,000 |  | 1,000,000 |  |
Letter of Credit |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Letters of credit outstanding | 91,644 |  | 91,644 |  |
Interest Rate Cap Agreements Effective September 30, 2016 |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate agreements, notional amount | 3,500,000 |  | $ 3,500,000 |  |
Derivative, effective date |  |  | Sep. 30, 2016 |  |
Derivative, expiration date |  |  | Jun. 30, 2018 |  |
Fair value of assets | 22 |  | $ 22 |  |
Unrealized losses on interest rate swap and cap agreements |  |  | (1,289) |  |
Interest Rate Cap Agreements Effective June 29, 2018 |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate agreements, notional amount | 3,500,000 |  | $ 3,500,000 |  |
Derivative, effective date |  |  | Jun. 29, 2018 |  |
Derivative, expiration date |  |  | Jun. 30, 2020 |  |
Fair value of assets | $ 2,431 |  | $ 2,431 |  |
Unrealized losses on interest rate swap and cap agreements |  |  | $ (11,385) |  |
London Interbank Offered Rate (LIBOR) | Interest Rate Cap Agreements Effective September 30, 2016 |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
LIBOR cap rate | 3.50% |  | 3.50% |  |
London Interbank Offered Rate (LIBOR) | Interest Rate Cap Agreements Effective June 29, 2018 |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
LIBOR cap rate | 3.50% |  | 3.50% |  |
Term Loan A |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt instrument, annual principal payment | $ 43,750 |  | $ 43,750 |  |
Senior Secured Credit Facilities | $ 881,250 |  | $ 881,250 |  | $ 925,000
Term Loan A | Interest rate swap agreements |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt instrument, variable interest rate margin |  |  | 1.75% |  |
Debt expense recognized |  |  | $ 299 |  |
Amount of gains (losses) recognized in OCI on swaps arising during the period net of tax |  |  | $ (815) |  |
Term Loan A | London Interbank Offered Rate (LIBOR) |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt instrument, variable interest rate margin |  |  | 1.75% |  |
Term Loan A | London Interbank Offered Rate (LIBOR) | Minimum | Interest rate swap agreements |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Fixed interest rate | 0.49% |  | 0.49% |  |
Term Loan A | London Interbank Offered Rate (LIBOR) | Maximum | Interest rate swap agreements |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Fixed interest rate | 0.52% |  | 0.52% |  |
Term Loan B |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt instrument, annual principal payment | $ 26,250 |  | $ 26,250 |  |
Senior Secured Credit Facilities | 3,421,250 |  | 3,421,250 |  | $ 3,447,500
Term Loan B | Interest rate cap agreements |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt expense recognized |  |  | 1,829 |  |
Interest rate agreements, notional amount | $ 2,735,000 |  | $ 2,735,000 |  |
Term Loan B | London Interbank Offered Rate (LIBOR) |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt instrument, variable interest rate margin |  |  | 2.75% |  |
LIBOR cap rate | 2.50% |  | 2.50% |  |
Term Loan B | London Interbank Offered Rate (LIBOR) | Maximum |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Debt instrument, variable interest rate margin |  |  | 3.50% |  |
Term Loan A subject to interest rate caps |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Senior Secured Credit Facilities | $ 78,750 |  | $ 78,750 |  |
Term Loan A subject to uncapped portion of variability of LIBOR |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Senior Secured Credit Facilities | $ 802,500 |  | $ 802,500 |  |
Senior Secured Credit Facilities |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Weighted average effective interest rate | 3.61% |  | 3.61% |  |

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