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Organization and Summary of Significant Accounting Policies - Additional Information (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2016
USD ($)
Entity
Location
Person
Segment
Country
Dec. 31, 2015
USD ($)
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Number of Operating Segments | Segment 2  
Number of countries in which dialysis centers located | Country 11  
Funds on deposit with third parties | $ $ 75,877 $ 82,679
Number of legal entities that third parties held noncontrolling equity interests 490  
California Medical Group Insurance    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Equity interest owned 67.00%  
Trade names    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 4 years  
Maximum    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Percentage of management fees included in net operating revenues 1.00%  
Maximum | Customer relationships    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 20 years  
Maximum | Provider network and practice management tools    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 15 years  
Maximum | Noncompetition and other agreements    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 10 years  
Maximum | Buildings    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Useful lives of the assets 40 years  
Maximum | Equipment and Information Systems    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Useful lives of the assets 8 years  
Minimum | Customer relationships    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 10 years  
Minimum | Provider network and practice management tools    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 2 years  
Minimum | Noncompetition and other agreements    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Amortization period 2 years  
Minimum | Buildings    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Useful lives of the assets 20 years  
Minimum | Equipment and Information Systems    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Useful lives of the assets 3 years  
Dialysis And Related Lab Services | Maximum    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Percentage of risk on revenue 1.00%  
UNITED STATES    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Number of dialysis centers that the company operated or provided administrative services 2,350  
Number of states that dialysis centers located | Location 46  
Number of patients served | Person 187,700  
Outside United States    
Organization, Consolidation and Presentation of Financial Statements Disclosure [Line Items]    
Number of dialysis centers that the company operated or provided administrative services 154  
Number of patients served | Person 15,100