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Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands		1 Months Ended	6 Months Ended
	May 25, 2022	Dec. 31, 2017	Jun. 30, 2022
Commitments and Contingencies:
Corporate Integrity Agreement Period			5 years
Corporate Integrity Agreement Expiration Date			Oct. 22, 2019
Commitments to provide operating capital
Commitments and Contingencies:
Other potential commitments to provide operating capital to several dialysis centers			$ 12,425
Agreement with Medtronic
Commitments and Contingencies:
Business Agreement Date	May 25, 2022
Other Commitment, to be Paid, Year One	$ 75,000
Other Noncash Assets Commitment	25,000
Additional Cash Commitment	200,000
Other Commitment, to be Paid, after Year Five	$ 300,000
Regulatory and Commercial Milestones Beginning Date	Jan. 01, 2024
Regulatory and Commercial Milestones Ending Date	Dec. 31, 2028
US Attorney Prescription Drug Investigation
Commitments and Contingencies:
Litigation Settlement, Amount Awarded to Other Party		$ 63,700
Incremental Cash Portion | US Attorney Prescription Drug Investigation
Commitments and Contingencies:
Litigation Settlement, Amount Awarded to Other Party		41,500
Cash Paid For Portion Previously Refunded | US Attorney Prescription Drug Investigation
Commitments and Contingencies:
Litigation Settlement, Amount Awarded to Other Party		$ 22,200

X

- Definition

Additional Cash Commitment

+ References

No definition available.

+ Details

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Balance Type:	credit
Period Type:	instant

X

- Definition

Business Agreement Date, in YYYY-MM-DD formate

+ References

No definition available.

+ Details

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X

- Definition

Corporate Integrity Agreement Expiration Date, in CCYY-MM-DD format.

+ References

No definition available.

+ Details

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- Definition

Corporate Integrity Agreement Period, in PnYnMnDn format.

+ References

No definition available.

+ Details

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X

- Definition

Other Noncash Assets Commitment

+ References

No definition available.

+ Details

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Balance Type:	credit
Period Type:	instant

X

- Definition

Regulatory and Commercial Milestones Beginning Date

+ References

No definition available.

+ Details

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- Definition

Regulatory and Commercial Milestones Ending Date

+ References

No definition available.

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X

- Definition

Amount awarded to other party in judgment or settlement of litigation.

+ References

No definition available.

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Minimum amount of other commitment not otherwise specified in the taxonomy. Excludes commitments explicitly modeled in the taxonomy, including but not limited to, long-term and short-term purchase commitments, recorded and unrecorded purchase obligations, supply commitments, registration payment arrangements, leases, debt, product warranties, guarantees, environmental remediation obligations, and pensions.

+ References

No definition available.

+ Details

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Period Type:	instant

X

- Definition

Amount of commitment classified as other to be paid after fifth fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

+ References

No definition available.

+ Details

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Balance Type:	credit
Period Type:	instant

X

- Definition

Amount of commitment classified as other to be paid in next fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

+ References

No definition available.

+ Details

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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.

+ References

No definition available.

+ Details

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X

- Details

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Balance Type:
Period Type:

X

- Details

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Period Type:

X

- Details

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- Details

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