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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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Amount of the total principal payments made during the annual reporting period.

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