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Contingencies - Additional Information (Detail) $ in Thousands	1 Months Ended		3 Months Ended
	Jun. 30, 2015 USD ($)	Dec. 31, 2012 Entity	Dec. 31, 2015 USD ($)
Other Commitments [Line Items]
Litigation settlement amount	$ 450,000
Legal fees	$ 45,000
Estimated accrual for potential damages and liabilities			$ 22,000
Other dialysis acquisitions
Other Commitments [Line Items]
Number of businesses acquired | Entity		2

X

- Definition

The amount of expense provided in the period for legal costs incurred on or before the balance sheet date pertaining to resolved, pending or threatened litigation, including arbitration and mediation proceedings.

+ 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 210.5-03.3)
-URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688

+ Details

Name:	us-gaap_LegalFees
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

Amount of judgment or settlement awarded to (against) the entity in respect of litigation.

+ References

No definition available.

+ Details

Name:	us-gaap_LitigationSettlementAmount
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Amount charged against operating income increasing loss contingency liability, after adjustments to reduce previously estimated charges.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 450
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14326-108349

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

The number of businesses acquired by the entity during the period.

+ References

No definition available.

+ Details

Name:	us-gaap_NumberOfBusinessesAcquired
Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

+ Details

Name:	us-gaap_OtherCommitmentsLineItems
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Details

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Namespace Prefix:
Data Type:	na
Balance Type:
Period Type: