v2.4.0.8

Changes in Book Value of Goodwill (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended |
--- | --- | ---
Dec. 31, 2013 | Dec. 31, 2012 | Nov. 01, 2012
Goodwill [Line Items] |  |  |
Beginning balance | $ 8,952,750 | $ 4,946,976 |
Acquisitions | 271,267 | 4,051,398 |
Divestitures | (2,728) | (709) |
Held for sale |  | (31,853) |
Other adjustments | (8,315) | (843) |
Ending balance | 9,212,974 | 8,952,750 |
Previously Reported |  |  |
Goodwill [Line Items] |  |  |
Ending balance |  | 8,964,969 |
Adjusted |  |  |
Goodwill [Line Items] |  |  |
HCP purchase accounting adjustments |  | (12,219) |
Ending balance |  | 8,952,750 |
U.S. dialysis and related lab services |  |  |
Goodwill [Line Items] |  |  |
Beginning balance | 5,309,152 | 4,865,864 |
Acquisitions | 163,037 | 443,997 |
Divestitures | (2,728) | (709) |
Other adjustments | 12 |  |
Ending balance | 5,469,473 | 5,309,152 |
U.S. dialysis and related lab services | Previously Reported |  |  |
Goodwill [Line Items] |  |  |
Ending balance |  | 5,309,152 |
U.S. dialysis and related lab services | Adjusted |  |  |
Goodwill [Line Items] |  |  |
Ending balance |  | 5,309,152 |
HealthCare Partners (HCP) |  |  |
Goodwill [Line Items] |  |  |
Beginning balance | 3,506,571 |  | 3,496,713
Acquisitions | 17,833 | 3,518,790 |
Other adjustments | (8,242) |  |
Ending balance | 3,516,162 | 3,506,571 | 3,496,713
HealthCare Partners (HCP) | Previously Reported |  |  |
Goodwill [Line Items] |  |  |
Ending balance |  | 3,518,790 |
HealthCare Partners (HCP) | Adjusted |  |  |
Goodwill [Line Items] |  |  |
HCP purchase accounting adjustments |  | (12,219) |
Ending balance |  | 3,506,571 |
Other-ancillary services and strategic initiatives |  |  |
Goodwill [Line Items] |  |  |
Beginning balance | 137,027 | 81,112 |
Acquisitions | 90,397 | 88,611 |
Held for sale |  | (31,853) |
Other adjustments | (85) | (843) |
Ending balance | 227,339 | 137,027 |
Other-ancillary services and strategic initiatives | Previously Reported |  |  |
Goodwill [Line Items] |  |  |
Ending balance |  | 137,027 |
Other-ancillary services and strategic initiatives | Adjusted |  |  |
Goodwill [Line Items] |  |  |
Ending balance |  | $ 137,027 |

X
- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6388280&loc=d3e13770-109266 + Details
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- Definition Amount of other (increase) decrease of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 + Details
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- Definition Amount of divestiture of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 + Details
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