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Consolidating Financial Statements - Consolidating Statements of Income (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Condensed Income Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Dialysis patient service revenues |  |  |  |  |  |  |  |  | $ 10,918,421 | $ 10,709,981 | $ 10,093,670
Provision for uncollectible accounts |  |  |  |  |  |  |  |  | (21,715) | (49,587) | (485,364)
Net dialysis patient service revenues |  |  |  |  |  |  |  |  | 10,896,706 | 10,660,394 | 9,608,306
Other revenues |  |  |  |  |  |  |  |  | 491,773 | 744,457 | 1,268,328
Total revenues | $ 2,898,584 | $ 2,904,078 | $ 2,842,705 | $ 2,743,112 | $ 2,821,124 | $ 2,847,330 | $ 2,886,953 | $ 2,849,444 | 11,388,479 | 11,404,851 | 10,876,634
Operating expenses and charges |  |  |  |  |  |  |  |  | 9,745,162 | 9,879,027 | 9,063,879
Operating income | 462,588 | 378,336 | 461,886 | 340,507 | 387,908 | 289,038 | 438,192 | 410,686 | 1,643,317 | 1,525,824 | 1,812,755
Debt expense, including debt prepayment, refinancing and redemption charges |  |  |  |  |  |  |  |  | (477,226) | (487,435) | (430,634)
Other income, net |  |  |  |  |  |  |  |  | 29,348 | 10,089 | 17,665
Income tax expense |  |  |  |  |  |  |  |  | 279,628 | 258,400 | 323,859
Equity earnings in subsidiaries |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income from continuing operations |  |  |  |  |  |  |  |  | 915,811 | 790,078 | 1,075,927
Net income (loss) from discontinuing operations, net of tax |  |  |  |  |  |  |  |  | 105,483 | (457,038) | (245,372)
Net income |  |  |  |  |  |  |  |  | 1,021,294 | 333,040 | 830,555
Less: Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | (210,313) | (173,646) | (166,937)
Net (loss) income attributable to DaVita Inc. | $ 244,871 | $ 143,270 | $ 273,551 | $ 149,289 | $ (149,772) | $ (136,796) | $ 267,276 | $ 178,686 | 810,981 | 159,394 | 663,618
Reportable Legal Entites | DaVita Inc. |  |  |  |  |  |  |  |  |  |  |
Condensed Income Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Dialysis patient service revenues |  |  |  |  |  |  |  |  | 0 | 0 | 0
Provision for uncollectible accounts |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net dialysis patient service revenues |  |  |  |  |  |  |  |  | 0 | 0 | 0
Other revenues |  |  |  |  |  |  |  |  | 804,684 | 799,230 | 793,751
Total revenues |  |  |  |  |  |  |  |  | 804,684 | 799,230 | 793,751
Operating expenses and charges |  |  |  |  |  |  |  |  | 642,717 | 646,640 | 527,942
Operating income |  |  |  |  |  |  |  |  | 161,967 | 152,590 | 265,809
Debt expense, including debt prepayment, refinancing and redemption charges |  |  |  |  |  |  |  |  | (482,074) | (491,749) | (426,149)
Other income, net |  |  |  |  |  |  |  |  | 309,623 | 418,839 | 411,731
Income tax expense |  |  |  |  |  |  |  |  | (2,616) | 23,482 | 65,965
Equity earnings in subsidiaries |  |  |  |  |  |  |  |  | 818,849 | 103,196 | 478,192
Net income from continuing operations |  |  |  |  |  |  |  |  | 810,981 | 159,394 | 663,618
Net income (loss) from discontinuing operations, net of tax |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income |  |  |  |  |  |  |  |  | 810,981 | 159,394 | 663,618
Less: Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net (loss) income attributable to DaVita Inc. |  |  |  |  |  |  |  |  | 810,981 | 159,394 | 663,618
Reportable Legal Entites | Guarantor Subsidiaries |  |  |  |  |  |  |  |  |  |  |
Condensed Income Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Dialysis patient service revenues |  |  |  |  |  |  |  |  | 6,961,825 | 6,834,865 | 6,417,574
Provision for uncollectible accounts |  |  |  |  |  |  |  |  | (15,296) | (34,977) | (322,085)
Net dialysis patient service revenues |  |  |  |  |  |  |  |  | 6,946,529 | 6,799,888 | 6,095,489
Other revenues |  |  |  |  |  |  |  |  | 601,394 | 488,086 | 408,460
Total revenues |  |  |  |  |  |  |  |  | 7,547,923 | 7,287,974 | 6,503,949
Operating expenses and charges |  |  |  |  |  |  |  |  | 6,631,471 | 6,551,328 | 5,331,545
Operating income |  |  |  |  |  |  |  |  | 916,452 | 736,646 | 1,172,404
Debt expense, including debt prepayment, refinancing and redemption charges |  |  |  |  |  |  |  |  | (183,272) | (201,496) | (200,953)
Other income, net |  |  |  |  |  |  |  |  | 7,314 | 3,430 | 5,979
Income tax expense |  |  |  |  |  |  |  |  | 263,563 | 155,372 | 210,068
Equity earnings in subsidiaries |  |  |  |  |  |  |  |  | 429,628 | 388,737 | 460,261
Net income from continuing operations |  |  |  |  |  |  |  |  | 906,559 | 771,945 | 1,227,623
Net income (loss) from discontinuing operations, net of tax |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income |  |  |  |  |  |  |  |  | 906,559 | 771,945 | 1,227,623
Less: Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net (loss) income attributable to DaVita Inc. |  |  |  |  |  |  |  |  | 906,559 | 771,945 | 1,227,623
Reportable Legal Entites | Non- Guarantor Subsidiaries |  |  |  |  |  |  |  |  |  |  |
Condensed Income Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Dialysis patient service revenues |  |  |  |  |  |  |  |  | 4,226,402 | 4,096,666 | 3,848,172
Provision for uncollectible accounts |  |  |  |  |  |  |  |  | (6,419) | (14,610) | (170,447)
Net dialysis patient service revenues |  |  |  |  |  |  |  |  | 4,219,983 | 4,082,056 | 3,677,725
Other revenues |  |  |  |  |  |  |  |  | 171,856 | 558,079 | 1,080,832
Total revenues |  |  |  |  |  |  |  |  | 4,391,839 | 4,640,135 | 4,758,557
Operating expenses and charges |  |  |  |  |  |  |  |  | 3,826,941 | 4,003,547 | 4,384,015
Operating income |  |  |  |  |  |  |  |  | 564,898 | 636,588 | 374,542
Debt expense, including debt prepayment, refinancing and redemption charges |  |  |  |  |  |  |  |  | (53,043) | (43,414) | (43,490)
Other income, net |  |  |  |  |  |  |  |  | 46,306 | 29,132 | 23,657
Income tax expense |  |  |  |  |  |  |  |  | 18,681 | 79,546 | 47,826
Equity earnings in subsidiaries |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income from continuing operations |  |  |  |  |  |  |  |  | 539,480 | 542,760 | 306,883
Net income (loss) from discontinuing operations, net of tax |  |  |  |  |  |  |  |  | 12,751 | (649,126) | (429,116)
Net income |  |  |  |  |  |  |  |  | 552,231 | (106,366) | (122,233)
Less: Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net (loss) income attributable to DaVita Inc. |  |  |  |  |  |  |  |  | 552,231 | (106,366) | (122,233)
Consolidating Adjustments |  |  |  |  |  |  |  |  |  |  |
Condensed Income Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Dialysis patient service revenues |  |  |  |  |  |  |  |  | (269,806) | (221,550) | (172,076)
Provision for uncollectible accounts |  |  |  |  |  |  |  |  | 0 | 0 | 7,168
Net dialysis patient service revenues |  |  |  |  |  |  |  |  | (269,806) | (221,550) | (164,908)
Other revenues |  |  |  |  |  |  |  |  | (1,086,161) | (1,100,938) | (1,014,715)
Total revenues |  |  |  |  |  |  |  |  | (1,355,967) | (1,322,488) | (1,179,623)
Operating expenses and charges |  |  |  |  |  |  |  |  | (1,355,967) | (1,322,488) | (1,179,623)
Operating income |  |  |  |  |  |  |  |  | 0 | 0 | 0
Debt expense, including debt prepayment, refinancing and redemption charges |  |  |  |  |  |  |  |  | 241,163 | 249,224 | 239,958
Other income, net |  |  |  |  |  |  |  |  | (333,895) | (441,312) | (423,702)
Income tax expense |  |  |  |  |  |  |  |  | 0 | 0 | 0
Equity earnings in subsidiaries |  |  |  |  |  |  |  |  | (1,248,477) | (491,933) | (938,453)
Net income from continuing operations |  |  |  |  |  |  |  |  | (1,341,209) | (684,021) | (1,122,197)
Net income (loss) from discontinuing operations, net of tax |  |  |  |  |  |  |  |  | 92,732 | 192,088 | 183,744
Net income |  |  |  |  |  |  |  |  | (1,248,477) | (491,933) | (938,453)
Less: Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | (210,313) | (173,646) | (166,937)
Net (loss) income attributable to DaVita Inc. |  |  |  |  |  |  |  |  | $ (1,458,790) | $ (665,579) | $ (1,105,390)

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