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Aggregate Purchase Cost Allocations for Acquisitions (Detail) - USD ($)
$ in Thousands
Jun. 30, 2017
May 01, 2017
Dec. 31, 2016
Dec. 31, 2015
Business Acquisition [Line Items]        
Goodwill $ 9,889,791   $ 9,407,317 $ 9,294,479
Renal Ventures        
Business Acquisition [Line Items]        
Current assets   $ 24,529    
Property and equipment   36,295    
Amortizable intangible and other long-term assets   11,547    
Goodwill   296,582    
Current liabilities   (6,912)    
Long-term liabilities   (478)    
Aggregate purchase price   $ 361,563    
Dialysis and other businesses        
Business Acquisition [Line Items]        
Current assets 7,439      
Property and equipment 13,278      
Amortizable intangible and other long-term assets 14,180      
Non-amortizable intangibles 4,833      
Goodwill 276,182      
Current liabilities (6,467)      
Long-term liabilities (2,484)      
Noncontrolling interests (36,075)      
Aggregate purchase price $ 270,886