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Consolidating Financial Statements - Consolidating Statements of Cash Flows (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Cash flows from operating activities: |  |  |
Net income | $ 1,021,294 | $ 333,040 | $ 830,555
Changes in operating assets and liabilities and non-cash items included in net income | 1,051,061 | 1,438,600 | 1,082,611
Net cash provided by operating activities | 2,072,355 | 1,771,640 | 1,913,166
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (766,546) | (987,138) | (905,250)
Acquisitions | (100,861) | (183,156) | (803,879)
Proceeds from asset sales, net of cash divested | 3,877,392 | 150,205 | 92,336
Investments and other items | (14,645) | 14,446 | 252,061
Net cash provided by (used in) investing activities | 2,995,340 | (1,005,643) | (1,364,732)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (2,080,191) | 694,777 | 154,848
Intercompany borrowing | 0 | 0 | 0
Other items | (2,616,259) | (1,320,131) | (921,105)
Net cash used in financing activities | (4,696,450) | (625,354) | (766,257)
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (1,760) | (3,350) | 254
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 369,485 | 137,293 | (217,569)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year | 415,420 | 518,920 | 683,463
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 1,208,718 | 415,420 | 518,920
Reportable Legal Entites | DaVita Inc. |  |  |
Cash flows from operating activities: |  |  |
Net income | 810,981 | 159,394 | 663,618
Changes in operating assets and liabilities and non-cash items included in net income | (602,288) | (86,070) | (533,300)
Net cash provided by operating activities | 208,693 | 73,324 | 130,318
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (145,378) | (175,787) | (155,972)
Acquisitions | 0 | 0 | 0
Proceeds from asset sales, net of cash divested | 3,824,516 | 0 | 0
Investments and other items | (4,606) | 30,962 | 211,619
Net cash provided by (used in) investing activities | 3,674,532 | (144,825) | 55,647
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (2,052,197) | 725,889 | 173,529
Intercompany borrowing | 1,267,138 | 404,897 | 22,589
Other items | (2,387,084) | (1,147,934) | (781,697)
Net cash used in financing activities | (3,172,143) | (17,148) | (585,579)
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 0 | 0 | 0
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 711,082 | (88,649) | (399,614)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year | 61,658 | 150,307 | 549,921
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 772,740 | 61,658 | 150,307
Reportable Legal Entites | Guarantor Subsidiaries |  |  |
Cash flows from operating activities: |  |  |
Net income | 906,559 | 771,945 | 1,227,623
Changes in operating assets and liabilities and non-cash items included in net income | (73,356) | (150,976) | (739,023)
Net cash provided by operating activities | 833,203 | 620,969 | 488,600
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (310,032) | (425,008) | (348,292)
Acquisitions | (11,851) | (42,987) | (528,588)
Proceeds from asset sales, net of cash divested | 1,777 | 55,184 | 25,989
Investments and other items | (6,676) | (8,286) | (3,526)
Net cash provided by (used in) investing activities | (326,782) | (421,097) | (854,417)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (10,481) | (8,874) | (8,186)
Intercompany borrowing | (455,405) | (168,224) | 382,452
Other items | (53,283) | (29,457) | (2,205)
Net cash used in financing activities | (519,169) | (206,555) | 372,061
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 0 | 0 | 0
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | (12,748) | (6,683) | 6,244
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year | 13,280 | 19,963 | 13,719
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 532 | 13,280 | 19,963
Reportable Legal Entites | Non- Guarantor Subsidiaries |  |  |
Cash flows from operating activities: |  |  |
Net income | 552,231 | (106,366) | (122,233)
Changes in operating assets and liabilities and non-cash items included in net income | 478,228 | 1,183,713 | 1,416,481
Net cash provided by operating activities | 1,030,459 | 1,077,347 | 1,294,248
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | (311,136) | (386,343) | (400,986)
Acquisitions | (89,010) | (140,169) | (275,291)
Proceeds from asset sales, net of cash divested | 51,099 | 95,021 | 66,347
Investments and other items | (3,363) | (8,230) | 43,968
Net cash provided by (used in) investing activities | (352,410) | (439,721) | (565,962)
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | (17,513) | (22,238) | (10,495)
Intercompany borrowing | (811,733) | (236,673) | (405,041)
Other items | (175,892) | (142,740) | (137,203)
Net cash used in financing activities | (1,005,138) | (401,651) | (552,739)
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (1,760) | (3,350) | 254
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | (328,849) | 232,625 | 175,801
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year | 340,482 | 348,650 | 119,823
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 435,446 | 340,482 | 348,650
Consolidating Adjustments |  |  |
Cash flows from operating activities: |  |  |
Net income | (1,248,477) | (491,933) | (938,453)
Changes in operating assets and liabilities and non-cash items included in net income | 1,248,477 | 491,933 | 938,453
Net cash provided by operating activities | 0 | 0 | 0
Cash flows from investing activities: |  |  |
Additions of property and equipment, net | 0 | 0 | 0
Acquisitions | 0 | 0 | 0
Proceeds from asset sales, net of cash divested | 0 | 0 | 0
Investments and other items | 0 | 0 | 0
Net cash provided by (used in) investing activities | 0 | 0 | 0
Cash flows from financing activities: |  |  |
Long-term debt and related financing costs, net | 0 | 0 | 0
Intercompany borrowing | 0 | 0 | 0
Other items | 0 | 0 | 0
Net cash used in financing activities | 0 | 0 | 0
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 0 | 0 | 0
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 0 | 0 | 0
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year | 0 | 0 | 0
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 0 | 0 | 0
Discontinued Operations |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | (423,813) | 240,793 | (53,026)
Discontinued Operations | Reportable Legal Entites | DaVita Inc. |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 0 | 0 | 0
Discontinued Operations | Reportable Legal Entites | Guarantor Subsidiaries |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 0 | 0 | 0
Discontinued Operations | Reportable Legal Entites | Non- Guarantor Subsidiaries |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | (423,813) | 240,793 | (53,026)
Discontinued Operations | Consolidating Adjustments |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 0 | 0 | 0
Continuing Operations |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 793,298 | (103,500) | (164,543)
Continuing Operations | Reportable Legal Entites | DaVita Inc. |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 711,082 | (88,649) | (399,614)
Continuing Operations | Reportable Legal Entites | Guarantor Subsidiaries |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | (12,748) | (6,683) | 6,244
Continuing Operations | Reportable Legal Entites | Non- Guarantor Subsidiaries |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | 94,964 | (8,168) | 228,827
Continuing Operations | Consolidating Adjustments |  |  |
Cash flows from financing activities: |  |  |
Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations | $ 0 | $ 0 | $ 0

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