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Contingencies - Additional Information (Detail)
$ in Thousands
1 Months Ended 3 Months Ended
Mar. 31, 2016
USD ($)
Jun. 30, 2015
USD ($)
Dec. 31, 2012
Entity
Dec. 31, 2015
USD ($)
Dialysis businesses and other businesses        
Other Commitments [Line Items]        
Number of businesses acquired | Entity     2  
Vainer Private Civil Suit        
Other Commitments [Line Items]        
Litigation settlement amount   $ 450,000    
Legal fees   $ 45,000    
2016 U.S. Attorney Prescription Drug Investigation        
Other Commitments [Line Items]        
Estimated accrual for potential damages and liabilities       $ 22,530
Solari Post-Acquisition Matter        
Other Commitments [Line Items]        
Estimated accrual for potential damages and liabilities $ 16,000