|
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 | ||