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Condensed consolidating financial statements - Condensed Consolidating Statements of Cash Flows (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017
Cash flows from operating activities: |  |  |  |
Net income (loss) | $ (96,668) | $ (172,034) | $ 434,883 | $ 489,876
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 947,365 | 1,078,274
Net cash provided by operating activities |  |  | 1,382,248 | 1,568,150
Cash flows from investing activities: |  |  |  |
Additions of property and equipment | (231,682) | (240,889) | (705,659) | (639,829)
Acquisitions |  |  | (113,526) | (726,538)
Proceeds from asset and business sales |  |  | 135,268 | 92,529
Proceeds (purchases) from investment sales and other items, net |  |  | 22,598 | 168,289
Net cash used in investing activities |  |  | (661,319) | (1,105,549)
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | 845,836 | (108,463)
Intercompany borrowing (payments) |  |  | 0 | 0
Other items |  |  | (1,269,175) | (421,369)
Net cash used in financing activities |  |  | (423,339) | (529,832)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | (5,790) | 5,449
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 291,800 | (61,782)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 518,920 | 683,463
Cash, cash equivalents and restricted cash of continuing operations at end of the period | 540,155 | 538,987 | 540,155 | 538,987
Consolidating adjustments |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income (loss) | 74,799 | 160,813 | (561,504) | (577,761)
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 561,504 | 577,761
Net cash provided by operating activities |  |  | 0 | 0
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | 0 | 0
Acquisitions |  |  | 0 | 0
Proceeds from asset and business sales |  |  | 0 | 0
Proceeds (purchases) from investment sales and other items, net |  |  | 0 | 0
Net cash used in investing activities |  |  | 0 | 0
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | 0 | 0
Intercompany borrowing (payments) |  |  | 0 | 0
Other items |  |  | 0 | 0
Net cash used in financing activities |  |  | 0 | 0
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | 0 | 0
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 0 | 0
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 0 | 0
Cash, cash equivalents and restricted cash of continuing operations at end of the period | 0 | 0 | 0 | 0
DaVita Inc. | Reportable Legal Entities |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income (loss) | (136,796) | (214,476) | 309,166 | 360,222
Changes in operating assets and liabilities and non-cash items included in net income |  |  | (235,558) | (282,651)
Net cash provided by operating activities |  |  | 73,608 | 77,571
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (124,585) | (94,385)
Acquisitions |  |  | 0 |
Proceeds from asset and business sales |  |  | 0 | 0
Proceeds (purchases) from investment sales and other items, net |  |  | 32,345 | 123,894
Net cash used in investing activities |  |  | (92,240) | 29,509
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | 866,537 | (92,721)
Intercompany borrowing (payments) |  |  | 454,410 | 188,977
Other items |  |  | (1,154,921) | (305,630)
Net cash used in financing activities |  |  | 166,026 | (209,374)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | 0 | 0
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 147,394 | (102,294)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 150,307 | 549,921
Cash, cash equivalents and restricted cash of continuing operations at end of the period | 297,701 | 447,627 | 297,701 | 447,627
Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income (loss) | (121,771) | (249,861) | 255,681 | 240,548
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 469,008 | 585,836
Net cash provided by operating activities |  |  | 724,689 | 826,384
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (385,765) | (305,261)
Acquisitions |  |  | (18,549) | (627,324)
Proceeds from asset and business sales |  |  | 47,025 | 90,533
Proceeds (purchases) from investment sales and other items, net |  |  | (9,746) | (4,788)
Net cash used in investing activities |  |  | (367,035) | (846,840)
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | (9,135) | (10,394)
Intercompany borrowing (payments) |  |  | (217,518) | (7,968)
Other items |  |  | (94,281) | (1,432)
Net cash used in financing activities |  |  | (320,934) | (19,794)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | 0 | 0
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 36,720 | (40,250)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 9,384 | 8,687
Cash, cash equivalents and restricted cash of continuing operations at end of the period | 11,985 | 10,371 | 11,985 | 10,371
Non- Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income (loss) | 87,100 | 131,490 | 431,540 | 466,867
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 152,411 | 197,328
Net cash provided by operating activities |  |  | 583,951 | 664,195
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (195,309) | (240,183)
Acquisitions |  |  | (94,977) | (99,214)
Proceeds from asset and business sales |  |  | 88,243 | 1,996
Proceeds (purchases) from investment sales and other items, net |  |  | (1) | 49,183
Net cash used in investing activities |  |  | (202,044) | (288,218)
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | (11,566) | (5,348)
Intercompany borrowing (payments) |  |  | (236,892) | (181,009)
Other items |  |  | (19,973) | (114,307)
Net cash used in financing activities |  |  | (268,431) | (300,664)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | (5,790) | 5,449
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 107,686 | 80,762
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 359,229 | 124,855
Cash, cash equivalents and restricted cash of continuing operations at end of the period | $ 230,469 | $ 80,989 | 230,469 | 80,989
Discontinued Operations |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 270,565 | 82,694
Discontinued Operations | Consolidating adjustments |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 0 | 0
Discontinued Operations | DaVita Inc. | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 0 | 0
Discontinued Operations | Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 34,119 | (41,934)
Discontinued Operations | Non- Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 236,446 | 124,628
Continuing Operations |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 21,235 | (144,476)
Continuing Operations | Consolidating adjustments |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 0 | 0
Continuing Operations | DaVita Inc. | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 147,394 | (102,294)
Continuing Operations | Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | 2,601 | 1,684
Continuing Operations | Non- Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net decrease in cash, cash equivalents and restricted cash from continuing operations |  |  | $ (128,760) | $ (43,866)

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