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Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income Before Income Taxes (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] |  |  |  |  |
Patient service revenues |  | $ 2,570,654 | $ 2,363,579 | $ 5,048,392 | $ 4,635,394
Less: Provision for uncollectible accounts |  | (111,428) | (105,965) | (220,633) | (205,129)
Net patient service revenues |  | 2,459,226 | 2,257,614 | 4,827,759 | 4,430,265
Other revenues |  | 360,599 | 310,814 | 686,155 | 575,613
Total net operating revenues |  | 3,717,651 | 3,434,618 | 7,298,787 | 6,722,583
Capitated revenues |  | 897,826 | 866,190 | 1,784,873 | 1,716,705
Operating income (loss) |  | 329,070 | 480,548 | 693,959 | 416,392
Corporate administrative support |  | (5,417) | (3,425) | (12,337) | (9,558)
Debt expense |  | (102,894) | (104,248) | (205,778) | (201,640)
Debt redemption and refinancing charges |  |  | (48,072) |  | (48,072)
Other income, net |  | 3,215 | 2,311 | 6,191 | 1,778
Income before income taxes |  | 229,391 | 330,539 | 494,372 | 168,458
Operating Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net operating revenues |  | 3,746,885 | 3,453,937 | 7,354,227 | 6,758,737
Operating income (loss) |  | 334,487 | 483,973 | 706,296 | 425,950
Operating Segments | U.S. Dialysis And Related Lab Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | 2,367,044 | 2,251,221 | 4,695,015 | 4,417,371
Less: Provision for uncollectible accounts |  | (106,515) | (101,304) | (211,266) | (198,781)
Net patient service revenues |  | 2,260,529 | 2,149,917 | 4,483,749 | 4,218,590
Other revenues | [1] | 4,250 | 3,540 | 8,223 | 6,724
Total net operating revenues |  | 2,264,779 | 2,153,457 | 4,491,972 | 4,225,314
Operating income (loss) |  | 449,190 | 437,844 | 889,245 | 333,355
Operating Segments | U.S. Dialysis And Related Lab Services | External Sources |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | 2,352,574 | 2,237,630 | 4,666,236 | 4,391,924
Operating Segments | U.S. Dialysis And Related Lab Services | Intersubsegment Eliminations |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Patient service revenues |  | 14,470 | 13,591 | 28,779 | 25,447
Operating Segments | HealthCare Partners (HCP) |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net patient service revenues |  | 156,307 | 82,236 | 264,545 | 162,446
Other revenues | [2] | 29,095 | 35,326 | 43,625 | 50,379
Total net operating revenues |  | 1,059,565 | 966,342 | 2,048,423 | 1,894,114
Capitated revenues |  | 874,119 | 848,595 | 1,740,138 | 1,681,067
Operating income (loss) |  | (102,059) | 72,336 | (159,204) | 132,630
Operating Segments | HealthCare Partners (HCP) | Intersubsegment Eliminations |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Other revenues |  | 44 | 185 | 115 | 222
Operating Segments | Other Segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net patient service revenues |  | 56,860 | 39,052 | 108,244 | 74,676
Other revenues |  | 327,254 | 271,948 | 634,307 | 518,510
Total net operating revenues |  | 422,541 | 334,138 | 813,832 | 639,309
Capitated revenues |  | 23,707 | 17,595 | 44,735 | 35,638
Operating income (loss) |  | (12,644) | (26,207) | (23,745) | (40,035)
Operating Segments | Other Segments | Intersubsegment Eliminations |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net operating revenues |  | 14,720 | 5,543 | 26,546 | 10,485
Intersegment Elimination |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Total net operating revenues |  | $ (29,234) | $ (19,319) | $ (55,440) | $ (36,154)
[1] | Includes management fees for providing management and administrative services to dialysis centers that are wholly-owned by third parties or centers in which the Company owns a noncontrolling equity investment.
[2] | Includes payments received for medical consulting services and management fees for providing management and administrative services to an unconsolidated joint venture that provides medical services in which the Company owns a 50% interest, as well as revenue related to the maintenance of existing physician networks.

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