Business acquisition contingent consideration revenue earn-out period.

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- Definition

Business Combination Contingent Consideration Acquisitions

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- Definition

Number of dialysis patients.

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- Definition

Number of businesses divested by the entity during the period.

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No definition available.

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- Definition

Weighted average amortization period of finite-lived intangible assets acquired either individually or as part of a group of assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

+ References

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (a)(3)
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- Definition

Amount of direct costs of the business combination including legal, accounting, and other costs incurred to consummate the business acquisition.

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No definition available.

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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No definition available.

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- Definition

Percentage of voting equity interests acquired at the acquisition date in the business combination.

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-Publisher FASB
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- Definition

The amount of goodwill arising from a business combination that is expected to be deductible for tax purposes.

+ References

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- Definition

In a business combination in which the amount of net identifiable assets acquired and liabilities assumed exceeds the aggregate consideration transferred or to be transferred (as defined), this element represents the amount of gain recognized by the entity.

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- Definition

Amount of liabilities incurred by the acquirer as part of consideration transferred in a business combination.

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- Definition

Amount of liability recognized arising from contingent consideration in a business combination.

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- Definition

The parent entity's interest in net assets of the subsidiary, expressed as a percentage.

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No definition available.

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- Definition

The number of businesses acquired by the entity during the period.

+ References

No definition available.

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The number of states the entity operates in as of the balance sheet date.

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- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

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The cash inflow associated with the amount received from the sale of a portion of the company's business, for example a segment, division, branch or other business, during the period.

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Acquisitions and divestitures - Additional Information (Detail) $ in Thousands		1 Months Ended	3 Months Ended	9 Months Ended
	May 01, 2017 USD ($) Clinic Person	Dec. 31, 2012 Clinic	Sep. 30, 2017 USD ($)	Sep. 30, 2017 USD ($) Clinic	Sep. 30, 2016 USD ($)	Jul. 01, 2017	Jun. 30, 2017	Dec. 31, 2016 USD ($)
Business Acquisition [Line Items]
Cash paid to acquire businesses				$ 726,538	$ 497,331
Amortizable intangible assets acquired, weighted-average estimated useful lives				5 years
Contingent earn-out obligations associated with acquisitions				$ 13,524
Contingent earn-out obligations			$ 8,955	8,955				$ 9,977
Other Accrued Liabilities
Business Acquisition [Line Items]
Contingent earn-out obligations			1,674	1,674
Other long-term liabilities
Business Acquisition [Line Items]
Contingent earn-out obligations			7,281	7,281
Other companies
Business Acquisition [Line Items]
Contingent earn-out obligations			8,955	$ 8,955
Minimum \| Other companies \| EBITDA or Operating Income Performance Targets or Quality Margins
Business Acquisition [Line Items]
Earn-out consideration payment period				1 year
Maximum \| Other companies \| EBITDA or Operating Income Performance Targets or Quality Margins
Business Acquisition [Line Items]
Earn-out consideration payment period				6 years
Dialysis and other businesses
Business Acquisition [Line Items]
Cash paid to acquire businesses				$ 364,975
Number of businesses acquired \| Clinic		2
Goodwill deductible for tax purposes associated with acquisitions			227,762	227,762
Deferred purchase price obligations				13,290
Contingent earn-out obligations associated with acquisitions				19,411
Purchase gains				17,233
Renal Ventures
Business Acquisition [Line Items]
Voting interest (in percent)	100.00%
Cash paid to acquire businesses	$ 361,563
Number of dialysis patients \| Person	2,600
Number of states	6
Proceeds received from divestiture	$ 21,219
Transaction and integration costs			9,400	9,400
Goodwill deductible for tax purposes associated with acquisitions			$ 298,358	$ 298,358
Magan
Business Acquisition [Line Items]
Voting interest (in percent)						100.00%
Noncompete Agreements \| Renal Ventures
Business Acquisition [Line Items]
Amortizable intangible assets acquired, weighted-average estimated useful lives			5 years
U.S. dialysis and related lab services \| Dialysis and other businesses
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic				21
Foreign Dialysis Centers \| Dialysis and other businesses
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic				63
Other Medical Businesses \| Dialysis and other businesses
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic				8
Operating Dialysis Center \| Dialysis and other businesses
Business Acquisition [Line Items]
Number of businesses divested of \| Clinic	3
Operating Dialysis Center \| Renal Ventures
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic	36
Number of businesses divested of \| Clinic	3
New Center Under Construction \| Dialysis and other businesses
Business Acquisition [Line Items]
Number of businesses divested of \| Clinic	1
New Center Under Construction \| Renal Ventures
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic	1
Home Dialysis Clinic \| Renal Ventures
Business Acquisition [Line Items]
Number of businesses acquired \| Clinic	1
Magan
Business Acquisition [Line Items]
Previous noncontrolling interest percentage							50.00%