v2.4.0.8

Noncontrolling Interests Subject to Put Provisions and Other Commitments - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended |  | 12 Months Ended | 1 Months Ended | 12 Months Ended |  | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | ---
Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2013 Minimum | Dec. 31, 2013 Maximum | Dec. 31, 2012 Epogen | Nov. 30, 2011 Epogen | Dec. 31, 2012 Epogen Minimum | Nov. 30, 2011 Epogen Minimum | Dec. 31, 2013 Hemodialysis Products, Supplies and Equipment | Dec. 31, 2012 Hemodialysis Products, Supplies and Equipment | Dec. 31, 2011 Hemodialysis Products, Supplies and Equipment | Oct. 31, 2005 Hemodialysis Products, Supplies and Equipment | Dec. 31, 2013 Dialysis Equipment, Parts and Supplies | Dec. 31, 2012 Dialysis Equipment, Parts and Supplies | Dec. 31, 2011 Dialysis Equipment, Parts and Supplies | Dec. 31, 2011 Dialysis Equipment, Parts and Supplies Extended Expiration
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other potential commitments to provide operating capital to several dialysis centers | $ 3,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Joint ventures to dissolve | Certain consolidated joint ventures are contractually scheduled to dissolve after terms ranging from ten to fifty years. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Scheduled dissolution term of joint ventures |  |  | 10 years | 50 years |  |  |  |  |  |  |  |  |  |  |  |
Long term purchase commitment, period |  |  |  |  |  | 7 years |  |  |  |  |  |  |  |  |  |
Long term purchase commitment, expiration date |  |  |  |  | Dec. 31, 2013 | Dec. 31, 2018 |  |  |  |  |  |  |  |  |  |
Long-term purchase commitment, percentage of quantity required |  |  |  |  |  |  | 90.00% | 90.00% |  |  |  |  |  |  |  |
Long term purchase commitment, origination date |  |  |  |  | Jan. 01, 2013 |  |  |  |  |  |  |  |  |  |  |
Purchase commitment, purchase during the period |  |  |  |  |  |  |  |  | 124,555 | 147,639 | 120,938 |  | 144,030 | 138,450 | 107,977 |
Long-term purchase commitment, time period |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In January 2010, the Company entered into an agreement with Fresenius which committed the Company to purchase a certain amount of dialysis equipment, parts and supplies from Fresenius through 2013. |
Long term purchase commitment, expiration year |  |  |  |  |  |  |  |  | 2015 |  |  |  |  |  | 2013 | 2015
Product Supply Agreement, intangible liability initially valued as of the acquisition date | $ 68,200 | $ 68,200 |  |  |  |  |  |  |  |  |  | $ 162,100 |  |  |  |
Purchase commitment description |  |  |  |  |  |  |  |  | The Product Supply Agreement committed the Company to purchase a significant majority of its hemodialysis products, supplies and equipment at fixed prices through 2015. |  |  |  |  |  |  |

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- Definition Minimum amount of other commitment not otherwise specified in the taxonomy. Excludes commitments explicitly modeled in the taxonomy, including but not limited to, long-term and short-term purchase commitments, recorded and unrecorded purchase obligations, supply commitments, registration payment arrangements, leases, debt, product warranties, guarantees, environmental remediation obligations, and pensions. + References No definition available. + Details
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- Definition Excluding long-term commitments, description of arrangements in which the entity must commit resources to supply goods or services to one or more customers, which may include identification of the goods or services to be furnished, identity of the buyer, pricing, effects on pricing (such as penalties) of failing to deliver minimum quantities required to be furnished, cancellation rights, and termination provisions. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.25) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 25 -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 19 -Article 7 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 17 -Article 9 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03.17) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.(a)(19)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 + Details
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