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v3.6.0.2

Long-term Debt - Additional Information (Detail) - USD ($) | 1 Months Ended | 12 Months Ended
--- | --- | ---
Apr. 30, 2015 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Debt Instrument [Line Items] |  |  |  |
Senior notes |  | $ 4,500,000,000 | $ 4,500,000,000 |
Debt expense recognized |  | 394,279,000 | 389,755,000 | $ 385,750,000
Unrealized losses on interest rate swap and cap agreements |  | $ (3,670,000) | (12,241,000) | (10,059,000)
Weighted average effective interest rate |  | 4.52% |  |
Weighted average effective interest rate |  | 4.43% |  |
Amortization of deferred financing costs |  | $ 20,103,000 | 18,625,000 | $ 24,544,000
DaVita Medical Group (DMG) |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Outstanding letters of credit |  | 1,286,000 |  |
Letter of Credit |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Outstanding letters of credit |  | 95,629,000 |  |
Interest rate cap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Interest rate agreements, notional amount |  | $ 3,500,000,000 |  |
Derivative, effective date |  | Jun. 29, 2018 |  |
Interest Rate Cap Agreements Effective September 30, 2016 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Interest rate agreements, notional amount |  | $ 3,500,000,000 |  |
Derivative, effective date |  | Sep. 30, 2016 |  |
Derivative, expiration date |  | Jun. 30, 2018 |  |
Fair value of assets |  | $ 116,000 |  |
Debt expense recognized |  | 2,070,000 |  |
Unrealized losses on interest rate swap and cap agreements |  | (1,196,000) |  |
Interest Rate Cap Agreements Effective June 29, 2018 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Interest rate agreements, notional amount |  | $ 3,500,000,000 |  |
Derivative, effective date |  | Jun. 29, 2018 |  |
Derivative, expiration date |  | Jun. 30, 2020 |  |
Fair value of assets |  | $ 9,813,000 |  |
Unrealized losses on interest rate swap and cap agreements |  | (4,002,000) |  |
Term Loan A |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt instrument, annual principal payment |  | 62,500,000 |  |
Senior Secured Credit Facilities |  | $ 862,500,000 | 925,000,000 |
Term Loan A | Interest rate swap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Derivative, expiration date |  | Sep. 30, 2016 |  |
Debt expense recognized |  | $ 299,000 |  |
Amount of gains (losses) recognized in OCI on swaps arising during the period net of tax |  | $ (815,000) |  |
Term Loan B |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt instrument Interest rate |  | 0.75% |  |
Debt instrument, annual principal payment |  | $ 35,000,000 |  |
Senior Secured Credit Facilities |  | 3,412,500,000 | $ 3,447,500,000 |
Term Loan B | Interest rate cap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Interest rate agreements, notional amount |  | $ 2,735,000,000 |  |
Derivative, expiration date |  | Sep. 30, 2016 |  |
Debt expense recognized |  | $ 1,829,000 |  |
Term Loan B | Maximum | Interest rate cap agreements 1 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt instrument Interest rate |  | 3.50% |  |
Interest rate agreements, notional amount |  | $ 3,500,000,000 |  |
Remaining outstanding debt |  | $ 775,000,000 |  |
Term Loan B | Maximum | Interest rate cap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
LIBOR interest rate for interest cap |  | 3.50% |  |
Senior Secured Credit Facilities |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Undrawn revolving credit facilities |  | $ 1,000,000,000 |  |
Weighted average effective interest rate |  | 3.68% |  |
Term Loan A subject to interest rate caps |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Senior Secured Credit Facilities |  | $ 87,500,000 |  |
Term Loan A subject to uncapped portion of variability of LIBOR |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Senior Secured Credit Facilities |  | $ 775,000,000 |  |
London Interbank Offered Rate (LIBOR) | Interest Rate Cap Agreements Effective September 30, 2016 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
LIBOR cap rate |  | 3.50% |  |
London Interbank Offered Rate (LIBOR) | Interest Rate Cap Agreements Effective June 29, 2018 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
LIBOR cap rate |  | 3.50% |  |
London Interbank Offered Rate (LIBOR) | Term Loan A |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt instrument, variable interest rate margin |  | 1.75% |  |
London Interbank Offered Rate (LIBOR) | Term Loan A | Maximum | Interest rate swap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Fixed interest rate |  | 0.52% |  |
London Interbank Offered Rate (LIBOR) | Term Loan A | Minimum | Interest rate swap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Fixed interest rate |  | 0.49% |  |
London Interbank Offered Rate (LIBOR) | Term Loan B |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt instrument, variable interest rate margin |  | 2.75% |  |
London Interbank Offered Rate (LIBOR) | Term Loan B | Interest rate cap agreements |  |  |  |
Debt Instrument [Line Items] |  |  |  |
LIBOR cap rate |  | 2.50% |  |
London Interbank Offered Rate (LIBOR) | Term Loan B | Maximum |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt instrument, variable interest rate margin |  | 3.50% |  |
Term Loan A Term Loan B |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Interest rate description |  | At December 31, 2016, the overall weighted average interest rate for Term Loan A was determined based upon the LIBOR interest rates in effect for all of the individual tranches plus the interest rate margin of 1.75%. |  |
Term Loan A Term Loan B | Maximum |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Term Loan A and Term Loan B maturity date range |  | 12 months |  |
Term Loan A Term Loan B | Minimum |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Term Loan A and Term Loan B maturity date range |  | 1 month |  |
Senior Notes 5.0 Percent Due 2025 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Senior notes |  | $ 1,500,000,000 |  |
Senior note, interest rate | 5.00% | 5.00% |  |
Senior note, due date | 2025 | 2025 |  |
Senior notes, principal balance | $ 1,500,000,000 |  |  |
Debt Instrument, frequency of periodic payment |  | The 5.0% Senior Notes pay interest on May 1 and November 1 |  |
Senior notes interest payment, first required payment date | Nov. 01, 2015 |  |  |
Debt instrument, redemption description |  | The Company may redeem up to 35% of the 5.0% Senior Notes at any time prior to May 1, 2018 at a certain specified price from the proceeds of one or more equity offerings. In addition, the Company may redeem some or all of the 5.0% Senior Notes at any time prior to May 1, 2020 at make-whole redemption rates and on or after such date at certain specified redemption prices. |  |
Senior Notes 5.0 Percent Due 2025 | Senior Notes Redemption Period One |  |  |  |
Debt Instrument [Line Items] |  |  |  |
End date of debt instrument redemption period | May 01, 2018 |  |  |
Senior Notes 5.0 Percent Due 2025 | Senior Notes Redemption Period Two |  |  |  |
Debt Instrument [Line Items] |  |  |  |
End date of debt instrument redemption period | May 01, 2020 |  |  |
Senior Notes 5.0 Percent Due 2025 | Maximum |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Debt Instrument, redemption price percentage | 35.00% |  |  |
Senior Notes 5.125 Percent Due 2024 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Senior notes |  | $ 1,750,000,000 |  |
Senior note, interest rate |  | 5.125% |  |
Senior note, due date |  | 2024 |  |
Senior Notes 5.75 Percent Due 2022 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Senior notes |  | $ 1,250,000,000 |  |
Senior note, interest rate |  | 5.75% |  |
Senior note, due date |  | 2022 |  |
Senior Notes 6.625 Percent Due 2020 |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Senior note, interest rate | 6.625% |  |  |
Senior note, due date |  | 2020 |  |
Senior notes, principal balance | $ 775,000,000 |  |  |
Debt redemption and refinance charges |  | $ 48,072,000 |  |

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