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Segment reporting - Summary of Assets by Segment (Phantom) (Detail) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Segment Reporting Information [Line Items]    
Equity method and other investments $ 245,564 $ 245,534
U.S. dialysis and related lab services    
Segment Reporting Information [Line Items]    
Equity method and other investments 84,985 84,866
Other—Ancillary services and strategic initiatives    
Segment Reporting Information [Line Items]    
Equity method and other investments 160,579 160,668
DMG held for sale    
Segment Reporting Information [Line Items]    
Equity method and other investments $ 11,642 $ 10,321