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Segment reporting - Summary of Expenditures for Property and Equipment by Segment (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Segment Reporting Information [Line Items]
Expenditures for property and equipment	$ 143,258	$ 121,015
Segment, Expenditure, Addition to Long-Lived Assets	143,258	121,015
U S Dialysis And Related Lab Services [Member]
Segment Reporting Information [Line Items]
Segment, Expenditure, Addition to Long-Lived Assets	113,591	104,953
Other Operating Segment [Member]
Segment Reporting Information [Line Items]
Segment, Expenditure, Addition to Long-Lived Assets	$ 29,667	$ 16,062

X

- Definition

The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets.

+ References

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-Topic 230
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-Section 45
-Paragraph 13
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-Publisher FASB
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X

- Definition

Amount of expenditure for addition to long-lived assets included in determination of segment assets by chief operating decision maker (CODM) or otherwise regularly provided to CODM. Excludes expenditure for addition to financial instrument, long-term customer relationship of financial institution, mortgage and other servicing rights, deferred policy acquisition cost, and deferred tax assets.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 280
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-Paragraph 48
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 270
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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.

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