v2.4.0.8

Effects of Change upon Retrospective Application for Patient Service Revenue and Provision for Uncollectible Accounts (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
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Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |  |  |  |  |  |  |
Patient service operating revenues | $ 3,063,209 | $ 2,999,586 | $ 2,871,673 | $ 2,829,582 | $ 2,477,853 | $ 1,945,888 | $ 1,913,006 | $ 1,849,533 | $ 8,307,195 | $ 7,351,902 | $ 6,470,540
Less: Provision for uncollectible accounts |  |  |  |  |  |  |  |  | 293,546 | 235,218 | 190,234
Net patient service revenues |  |  |  |  |  |  |  |  | 8,013,649 | 7,116,684 | 6,280,306
Capitated revenues |  |  |  |  |  |  |  |  | 2,987,315 | 481,336 | 45,133
Other revenues |  |  |  |  |  |  |  |  | 763,086 | 588,260 | 406,367
Total net revenues |  |  |  |  |  |  |  |  | 11,764,050 | 8,186,280 | 6,731,806
Less: Provision for uncollectible accounts |  |  |  |  |  |  |  |  | (293,546) | (235,218) | (190,234)
Discontinued operations |  |  |  |  |  |  |  |  |  |  | (4,022)
Provision for uncollectible accounts |  |  |  |  |  |  |  |  | 4,852 | 4,339 | 3,309
Dialysis And Related Lab Services |  |  |  |  |  |  |  |  |  |  |
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |  |  |  |  |  |  |
Patient service operating revenues |  |  |  |  |  |  |  |  |  |  | 6,470,540
Previously Reported |  |  |  |  |  |  |  |  |  |  |
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |  |  |  |  |  |  |
Patient service operating revenues |  |  |  |  |  |  |  |  |  |  | 6,982,214
Less: Provision for uncollectible accounts |  |  |  |  |  |  |  |  |  |  | 197,565
Less: Provision for uncollectible accounts |  |  |  |  |  |  |  |  |  |  | $ (197,565)

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- Definition Amount of the current period expense charged against patient service revenue, the offset which is generally to the allowance for doubtful accounts for the purpose of reducing patient service receivables, to an amount that approximates their net realizable value (the amount expected to be collected). + References No definition available. + Details
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- Definition Amount of revenue recognized based on fees charged on a per capita basis. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8200-115640 + Details
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- Definition Amount of revenue recognized for providing services to patients, net of provisions for contractual allowances and discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8184-115640 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=25502053&loc=SL9156464-115641 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8195-115640 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 + Details
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- Definition Amount of patient service revenue, net of contractual allowances and discounts, less the related provision for bad debts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 + Details
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- Definition Amount of revenues recognized by the entity from providing services to in-patients, outpatients, residents in facilities owned or operated by the entity, from insurance premiums, or from goods provided or services performed. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 + Details
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- Definition Amount of expense related to write-down of receivables to the amount expected to be collected. Includes, but is not limited to, accounts receivable and notes receivable. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.5) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 5 -Article 5 + Details
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