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Condensed consolidating financial statements - Condensed Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents $ 358,874 $ 508,234  
Restricted cash and equivalents 88,744 10,686  
Accounts receivable, net 1,830,590 1,714,750  
Other current assets 671,082 749,046  
Current assets held for sale 5,724,265 5,761,642  
Total current assets 8,673,555 8,744,358  
Property and equipment, net 3,185,223 3,149,213  
Intangible assets, net 113,366 113,827  
Investments in subsidiaries 0 0  
Intercompany receivables 0 0  
Other long-term assets and investments 331,636 330,516  
Goodwill 6,638,592 6,610,279 $ 6,015,375
Total assets 18,942,372 18,948,193  
Current liabilities 1,692,898 1,856,107  
Current liabilities held for sale 1,254,625 1,185,070  
Intercompany payables 0 0  
Long-term debt and other long-term liabilities 10,178,267 10,009,590  
Noncontrolling interests subject to put provisions 1,034,501 1,011,360  
Total DaVita Inc. shareholders' equity 4,580,680 4,690,029  
Noncontrolling interests not subject to put provisions 201,401 196,037  
Total equity 4,782,081 4,886,066  
Total liabilities and equity 18,942,372 18,948,193  
Consolidating adjustments      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 0 0  
Restricted cash and equivalents 0 0  
Accounts receivable, net 0 0  
Other current assets 0 0  
Current assets held for sale 0 0  
Total current assets 0 0  
Property and equipment, net 0 0  
Intangible assets, net 0 0  
Investments in subsidiaries (13,318,990) (13,095,596)  
Intercompany receivables (5,081,899) (4,991,160)  
Other long-term assets and investments 0 0  
Goodwill 0 0  
Total assets (18,400,889) (18,086,756)  
Current liabilities 0 0  
Current liabilities held for sale 0 0  
Intercompany payables (5,081,899) (4,991,160)  
Long-term debt and other long-term liabilities 0 0  
Noncontrolling interests subject to put provisions 444,895 436,758  
Total DaVita Inc. shareholders' equity (13,318,990) (13,095,596)  
Noncontrolling interests not subject to put provisions (444,895) (436,758)  
Total equity (13,763,885) (13,532,354)  
Total liabilities and equity (18,400,889) (18,086,756)  
DaVita Inc. | Reportable Legal Entities      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 122,047 149,305  
Restricted cash and equivalents 1,003 1,002  
Accounts receivable, net 0 0  
Other current assets 35,555 67,025  
Current assets held for sale 0 0  
Total current assets 158,605 217,332  
Property and equipment, net 413,949 408,010  
Intangible assets, net 224 250  
Investments in subsidiaries 10,180,619 10,009,874  
Intercompany receivables 3,593,688 3,677,947  
Other long-term assets and investments 54,952 47,297  
Goodwill 0 0  
Total assets 14,402,037 14,360,710  
Current liabilities 247,486 238,706  
Current liabilities held for sale 0 0  
Intercompany payables 0 0  
Long-term debt and other long-term liabilities 8,984,265 8,857,373  
Noncontrolling interests subject to put provisions 589,606 574,602  
Total DaVita Inc. shareholders' equity 4,580,680 4,690,029  
Noncontrolling interests not subject to put provisions 0 0  
Total equity 4,580,680 4,690,029  
Total liabilities and equity 14,402,037 14,360,710  
Guarantor subsidiaries | Reportable Legal Entities      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 0 0  
Restricted cash and equivalents 9,421 9,384  
Accounts receivable, net 1,257,461 1,208,715  
Other current assets 368,131 595,066  
Current assets held for sale 5,004,717 4,992,067  
Total current assets 6,639,730 6,805,232  
Property and equipment, net 1,554,591 1,560,390  
Intangible assets, net 50,396 50,971  
Investments in subsidiaries 3,138,371 3,085,722  
Intercompany receivables 0 0  
Other long-term assets and investments 58,467 68,344  
Goodwill 4,730,205 4,732,320  
Total assets 16,171,760 16,302,979  
Current liabilities 968,018 1,181,139  
Current liabilities held for sale 759,020 739,294  
Intercompany payables 3,589,494 3,690,042  
Long-term debt and other long-term liabilities 674,609 682,630  
Noncontrolling interests subject to put provisions 0 0  
Total DaVita Inc. shareholders' equity 10,180,619 10,009,874  
Noncontrolling interests not subject to put provisions 0 0  
Total equity 10,180,619 10,009,874  
Total liabilities and equity 16,171,760 16,302,979  
Non- Guarantor subsidiaries | Reportable Legal Entities      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 236,827 358,929  
Restricted cash and equivalents 78,320 300  
Accounts receivable, net 573,129 506,035  
Other current assets 267,396 86,955  
Current assets held for sale 719,548 769,575  
Total current assets 1,875,220 1,721,794  
Property and equipment, net 1,216,683 1,180,813  
Intangible assets, net 62,746 62,606  
Investments in subsidiaries 0 0  
Intercompany receivables 1,488,211 1,313,213  
Other long-term assets and investments 218,217 214,875  
Goodwill 1,908,387 1,877,959  
Total assets 6,769,464 6,371,260  
Current liabilities 477,394 436,262  
Current liabilities held for sale 495,605 445,776  
Intercompany payables 1,492,405 1,301,118  
Long-term debt and other long-term liabilities 519,393 469,587  
Noncontrolling interests subject to put provisions 0 0  
Total DaVita Inc. shareholders' equity 3,138,371 3,085,722  
Noncontrolling interests not subject to put provisions 646,296 632,795  
Total equity 3,784,667 3,718,517  
Total liabilities and equity $ 6,769,464 $ 6,371,260