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Accounts Receivable - Additional Information (Detail)
$ in Thousands
9 Months Ended
Sep. 30, 2016
USD ($)
Accounts Notes And Loans Receivable [Line Items]  
Percentage of outstanding patient accounts receivables to be reserved as per Company's policy 100.00%
Account receivable outstanding, number of months 3 months
Decrease in allowance for doubtful accounts $ (12,551)
Government-based Programs, Medicare and Medicaid | Accounts Receivable  
Accounts Notes And Loans Receivable [Line Items]  
Percentage of accounts receivable due 80.00%
Health Care Patient | Accounts Receivable  
Accounts Notes And Loans Receivable [Line Items]  
Percentage of accounts receivable due 1.00%
DaVita Medical Group (DMG)  
Accounts Notes And Loans Receivable [Line Items]  
Percentage of outstanding patient accounts receivables to be reserved as per Company's policy 100.00%
Account receivable outstanding, number of months 12 months