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Segment reporting - Summary of Assets by Segment (Phantom) (Detail) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Segment Reporting Information [Line Items]    
Equity method and other investments $ 255,489 $ 241,983
U.S. dialysis    
Segment Reporting Information [Line Items]    
Equity method and other investments 130,732 124,188
Other—Ancillary services    
Segment Reporting Information [Line Items]    
Equity method and other investments $ 124,757 $ 117,795