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Summary of Expenditures for Property and Equipment by Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2016 | Jun. 30, 2015 | Jun. 30, 2016 | Jun. 30, 2015
Segment Reporting Information [Line Items] |  |  |  |
Expenditures for property and equipment | $ 185,440 | $ 169,452 | $ 358,627 | $ 290,873
U.S. Dialysis And Related Lab Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Expenditures for property and equipment | 150,932 | 141,656 | 284,380 | 247,051
HealthCare Partners (HCP) |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Expenditures for property and equipment | 18,098 | 12,951 | 38,243 | 17,985
Other Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Expenditures for property and equipment | $ 16,410 | $ 14,845 | $ 36,004 | $ 25,837

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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3213-108585 + Details
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