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Condensed consolidating financial statements - Condensed Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Jun. 30, 2018
Dec. 31, 2017
Dec. 31, 2016
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents $ 389,264 $ 508,234  
Restricted cash and equivalents 90,884 10,686  
Accounts receivable, net 1,842,108 1,714,750  
Other current assets 710,025 749,046  
Current assets held for sale 6,053,081 5,761,642  
Total current assets 9,085,362 8,744,358  
Property and equipment, net 3,229,098 3,149,213  
Intangible assets, net 100,255 113,827  
Investments in subsidiaries 0 0  
Intercompany receivables 0 0  
Other long-term assets and investments 342,290 330,516  
Goodwill 6,678,559 6,610,279 $ 6,015,375
Total assets 19,435,564 18,948,193  
Current liabilities 3,512,414 1,856,107  
Current liabilities held for sale 1,271,364 1,185,070  
Intercompany payables 0 0  
Long-term debt and other long-term liabilities 9,120,121 10,009,590  
Noncontrolling interests subject to put provisions 1,047,158 1,011,360  
Total DaVita Inc. shareholders' equity 4,279,184 4,690,029  
Noncontrolling interests not subject to put provisions 205,323 196,037  
Total equity 4,484,507 4,886,066  
Total liabilities and equity 19,435,564 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 (13,468,634) (13,095,596)  
Intercompany receivables (4,965,303) (4,991,160)  
Other long-term assets and investments 0 0  
Goodwill 0 0  
Total assets (18,433,937) (18,086,756)  
Current liabilities 0 0  
Current liabilities held for sale 0 0  
Intercompany payables (4,965,303) (4,991,160)  
Long-term debt and other long-term liabilities 0 0  
Noncontrolling interests subject to put provisions 443,650 436,758  
Total DaVita Inc. shareholders' equity (13,468,634) (13,095,596)  
Noncontrolling interests not subject to put provisions (443,650) (436,758)  
Total equity (13,912,284) (13,532,354)  
Total liabilities and equity (18,433,937) (18,086,756)  
DaVita Inc. | Reportable Legal Entities      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 193,991 149,305  
Restricted cash and equivalents 1,004 1,002  
Accounts receivable, net 0 0  
Other current assets 37,185 67,025  
Current assets held for sale 0 0  
Total current assets 232,180 217,332  
Property and equipment, net 441,159 408,010  
Intangible assets, net 199 250  
Investments in subsidiaries 10,304,847 10,009,874  
Intercompany receivables 3,579,186 3,677,947  
Other long-term assets and investments 54,077 47,297  
Goodwill 0 0  
Total assets 14,611,648 14,360,710  
Current liabilities 1,831,526 238,706  
Current liabilities held for sale 0 0  
Intercompany payables 0 0  
Long-term debt and other long-term liabilities 7,897,430 8,857,373  
Noncontrolling interests subject to put provisions 603,508 574,602  
Total DaVita Inc. shareholders' equity 4,279,184 4,690,029  
Noncontrolling interests not subject to put provisions 0 0  
Total equity 4,279,184 4,690,029  
Total liabilities and equity 14,611,648 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 11,367 9,384  
Accounts receivable, net 1,274,067 1,208,715  
Other current assets 547,928 595,066  
Current assets held for sale 5,101,853 4,992,067  
Total current assets 6,935,215 6,805,232  
Property and equipment, net 1,553,931 1,560,390  
Intangible assets, net 46,491 50,971  
Investments in subsidiaries 3,163,787 3,085,722  
Intercompany receivables 0 0  
Other long-term assets and investments 68,922 68,344  
Goodwill 4,767,041 4,732,320  
Total assets 16,535,387 16,302,979  
Current liabilities 1,219,455 1,181,139  
Current liabilities held for sale 734,745 739,294  
Intercompany payables 3,548,086 3,690,042  
Long-term debt and other long-term liabilities 728,254 682,630  
Noncontrolling interests subject to put provisions 0 0  
Total DaVita Inc. shareholders' equity 10,304,847 10,009,874  
Noncontrolling interests not subject to put provisions 0 0  
Total equity 10,304,847 10,009,874  
Total liabilities and equity 16,535,387 16,302,979  
Non- Guarantor subsidiaries | Reportable Legal Entities      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 195,273 358,929  
Restricted cash and equivalents 78,513 300  
Accounts receivable, net 568,041 506,035  
Other current assets 124,912 86,955  
Current assets held for sale 951,228 769,575  
Total current assets 1,917,967 1,721,794  
Property and equipment, net 1,234,008 1,180,813  
Intangible assets, net 53,565 62,606  
Investments in subsidiaries 0 0  
Intercompany receivables 1,386,117 1,313,213  
Other long-term assets and investments 219,291 214,875  
Goodwill 1,911,518 1,877,959  
Total assets 6,722,466 6,371,260  
Current liabilities 461,433 436,262  
Current liabilities held for sale 536,619 445,776  
Intercompany payables 1,417,217 1,301,118  
Long-term debt and other long-term liabilities 494,437 469,587  
Noncontrolling interests subject to put provisions 0 0  
Total DaVita Inc. shareholders' equity 3,163,787 3,085,722  
Noncontrolling interests not subject to put provisions 648,973 632,795  
Total equity 3,812,760 3,718,517  
Total liabilities and equity $ 6,722,466 $ 6,371,260