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Aggregate Purchase Cost Allocations for Acquisitions of DSI Renal Inc (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Business Acquisition [Line Items]      
Goodwill $ 9,212,974 $ 8,952,750 $ 4,946,976
CDSI I Holding Company, Inc
     
Business Acquisition [Line Items]      
Current assets 7,215 18,708 171,619
Property and equipment 23,760 41,741 90,107
Amortizable intangible and other long-term assets 80,646 90,296 28,557
Goodwill 271,267 554,685 889,506
Long-term deferred income taxes (5,666) (1,838) 79,420
Noncontrolling interests assumed (22,880) (21,962) (93,921)
Liabilities assumed (19,265) (27,211) (68,836)
Aggregate purchase cost $ 335,077 $ 654,419 $ 1,096,452