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Supplemental Data - 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  
Other long-term assets 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  
Payables to parent 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  
Physician Groups      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 0    
Restricted cash and equivalents 0    
Accounts receivable, net 0    
Other current assets 133,199    
Current assets held for sale 319,968    
Total current assets 453,167    
Property and equipment, net 0    
Intangible assets, net 0    
Other long-term assets 0    
Goodwill 0    
Total assets 453,167    
Current liabilities 0    
Current liabilities held for sale 328,493    
Payables to parent 0    
Long-term debt and other long-term liabilities 0    
Noncontrolling interests subject to put provisions 0    
Total DaVita Inc. shareholders’ equity 124,674    
Noncontrolling interests not subject to put provisions 0    
Total equity 124,674    
Total liabilities and equity 453,167    
Unrestricted Subsidiaries      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 0    
Restricted cash and equivalents 0    
Accounts receivable, net 0    
Other current assets 0    
Current assets held for sale 3,223    
Total current assets 3,223    
Property and equipment, net 0    
Intangible assets, net 0    
Other long-term assets 0    
Goodwill 0    
Total assets 3,223    
Current liabilities 0    
Current liabilities held for sale 0    
Payables to parent 3,223    
Long-term debt and other long-term liabilities 0    
Noncontrolling interests subject to put provisions 0    
Total DaVita Inc. shareholders’ equity 0    
Noncontrolling interests not subject to put provisions 0    
Total equity 0    
Total liabilities and equity 3,223    
Parent Company And Restricted Subsidiaries      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 358,874    
Restricted cash and equivalents 88,744    
Accounts receivable, net 1,830,590    
Other current assets 537,883    
Current assets held for sale 5,401,074    
Total current assets 8,217,165    
Property and equipment, net 3,185,223    
Intangible assets, net 113,366    
Other long-term assets 331,636    
Goodwill 6,638,592    
Total assets 18,485,982    
Current liabilities 1,692,898    
Current liabilities held for sale 926,132    
Payables to parent (3,223)    
Long-term debt and other long-term liabilities 10,178,267    
Noncontrolling interests subject to put provisions 1,034,501    
Total DaVita Inc. shareholders’ equity 4,456,006    
Noncontrolling interests not subject to put provisions 201,401    
Total equity 4,657,407    
Total liabilities and equity $ 18,485,982