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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 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
|
Dec. 31, 2013
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Sep. 30, 2013
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Jun. 30, 2013
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Mar. 31, 2013
|
Dec. 31, 2012
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Sep. 30, 2012
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Jun. 30, 2012
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Mar. 31, 2012
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Dec. 31, 2013
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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
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|||||||||||
| 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) | ||||||||||