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Acquisitions and divestitures - Additional Information (Detail)
$ in Thousands
3 Months Ended 6 Months Ended
May 01, 2020
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
clinic
Jun. 30, 2019
USD ($)
Business Acquisition [Line Items]          
Cash paid to acquire businesses       $ 44,267 $ 65,970
Loss on changes in ownership interest, net   $ (16,252) $ 0 (16,252) $ 0
Other accrued liabilities          
Business Acquisition [Line Items]          
Contingent earn-out obligations   5,832   5,832  
Other long-term liabilities          
Business Acquisition [Line Items]          
Contingent earn-out obligations   18,225   18,225  
Other companies          
Business Acquisition [Line Items]          
Contingent earn-out obligations   24,057   $ 24,057  
Minimum | Other companies | EBITDA or Operating Income Performance Targets or Quality Margins          
Business Acquisition [Line Items]          
Earn-out consideration payment period       1 year  
Maximum          
Business Acquisition [Line Items]          
Contingent earn-out obligations and liabilities assumed associated with acquisitions       $ 33,785  
Maximum | Other companies | EBITDA or Operating Income Performance Targets or Quality Margins          
Business Acquisition [Line Items]          
Earn-out consideration payment period       5 years  
RMS Lifeline          
Business Acquisition [Line Items]          
Loss on changes in ownership interest, net $ (16,252)        
Noncompete Agreements          
Business Acquisition [Line Items]          
Amortizable intangible assets acquired, weighted-average estimated useful lives       4 years  
Dialysis and other businesses          
Business Acquisition [Line Items]          
Cash paid to acquire businesses       $ 44,267  
Deferred purchase price obligations       1,693  
Contingent earn-out obligations and liabilities assumed associated with acquisitions       10,769  
Goodwill deductible for tax purposes associated with acquisitions   $ 25,475   $ 25,475  
U.S. dialysis | Dialysis and other businesses          
Business Acquisition [Line Items]          
Number of businesses acquired | clinic       3  
Foreign Dialysis Centers | Dialysis and other businesses          
Business Acquisition [Line Items]          
Number of businesses acquired | clinic       25