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Supplemental Data - Condensed Consolidating Balance Sheets (Detail) - USD ($)
$ in Thousands
Sep. 30, 2018
Dec. 31, 2017
Dec. 31, 2016
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents $ 448,215 $ 508,234  
Restricted cash and equivalents 91,940 10,686  
Accounts receivable, net 1,847,086 1,714,750  
Other current assets 594,474 749,046  
Current assets held for sale 5,947,786 5,761,642  
Total current assets 8,929,501 8,744,358  
Property and equipment, net 3,275,636 3,149,213  
Intangible assets, net 97,609 113,827  
Other long-term assets 352,384 330,516  
Goodwill 6,702,659 6,610,279 $ 6,015,375
Total assets 19,357,789 18,948,193  
Current liabilities 3,435,483 1,856,107  
Current liabilities held for sale 1,419,621 1,185,070  
Payables to parent 0    
Long-term debt and other long-term liabilities 9,409,011 10,009,590  
Noncontrolling interests subject to put provisions 1,064,412 1,011,360  
Total DaVita Inc. shareholders’ equity 3,824,649 4,690,029  
Noncontrolling interests not subject to put provisions 204,613 196,037  
Total equity 4,029,262 4,886,066  
Total liabilities and equity 19,357,789 $ 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 0    
Current assets held for sale 567,216    
Total current assets 567,216    
Property and equipment, net 0    
Intangible assets, net 0    
Other long-term assets 0    
Goodwill 0    
Total assets 567,216    
Current liabilities 0    
Current liabilities held for sale 350,640    
Payables to parent 78,496    
Long-term debt and other long-term liabilities 0    
Noncontrolling interests subject to put provisions 0    
Total DaVita Inc. shareholders’ equity 138,080    
Noncontrolling interests not subject to put provisions 0    
Total equity 138,080    
Total liabilities and equity 567,216    
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 3,031    
Total current assets 3,031    
Property and equipment, net 0    
Intangible assets, net 0    
Other long-term assets 0    
Goodwill 0    
Total assets 3,031    
Current liabilities 0    
Current liabilities held for sale 0    
Payables to parent 3,031    
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 3,031    
Parent Company And Restricted Subsidiaries      
Condensed Balance Sheet Statements Captions [Line Items]      
Cash and cash equivalents 448,215    
Restricted cash and equivalents 91,940    
Accounts receivable, net 1,847,086    
Other current assets 594,474    
Current assets held for sale 5,377,539    
Total current assets 8,359,254    
Property and equipment, net 3,275,636    
Intangible assets, net 97,609    
Other long-term assets 352,384    
Goodwill 6,702,659    
Total assets 18,787,542    
Current liabilities 3,435,483    
Current liabilities held for sale 1,068,981    
Payables to parent (81,527)    
Long-term debt and other long-term liabilities 9,409,011    
Noncontrolling interests subject to put provisions 1,064,412    
Total DaVita Inc. shareholders’ equity 3,686,569    
Noncontrolling interests not subject to put provisions 204,613    
Total equity 3,891,182    
Total liabilities and equity $ 18,787,542