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Condensed consolidating financial statements - Condensed Consolidating Statements of Cash Flows (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019
Cash flows from operating activities: |  |  |  |
Net income | $ 254,872 | $ 327,157 | $ 542,767 | $ 516,644
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 468,736 | 234,471
Net cash provided by operating activities |  |  | 1,011,503 | 751,115
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (291,667) | (373,918)
Acquisitions |  |  | (44,267) | (65,970)
Proceeds from asset and business sales |  |  | 70,615 | 3,851,381
(Purchases) proceeds from investment sales and other items, net |  |  | (141,820) | (8,801)
Net cash (used in) provided by investing activities |  |  | (407,139) | 3,402,692
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | 1,668,230 | (1,164,109)
Intercompany borrowings (payments) |  |  | 0 | 0
Other items |  |  | (428,657) | (146,444)
Net cash provided by (used in) financing activities |  |  | 1,239,573 | (1,310,553)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | (16,936) | (77)
Net increase in cash, cash equivalents and restricted cash |  |  | 1,827,001 | 2,843,177
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 1,208,718 | 415,420
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 3,035,719 | 3,682,410 | 3,035,719 | 3,682,410
Consolidating adjustments |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income | (404,391) | (409,861) | (732,480) | (608,771)
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 732,480 | 608,771
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
(Purchases) proceeds from investment sales and other items, net |  |  | 0 | 0
Net cash (used in) provided by investing activities |  |  | 0 | 0
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | 0 | 0
Intercompany borrowings (payments) |  |  | 0 | 0
Other items |  |  | 0 | 0
Net cash provided by (used in) financing activities |  |  | 0 | 0
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | 0 | 0
Net increase in cash, cash equivalents and restricted cash |  |  | 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 year | 0 | 0 | 0 | 0
DaVita Inc. | Reportable Legal Entities |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income | 201,602 | 273,551 | 441,195 | 422,840
Changes in operating assets and liabilities and non-cash items included in net income |  |  | (357,763) | (292,988)
Net cash provided by operating activities |  |  | 83,432 | 129,852
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (89,785) | (63,037)
Acquisitions |  |  | 0 | 0
Proceeds from asset and business sales |  |  | 2 | 3,824,509
(Purchases) proceeds from investment sales and other items, net |  |  | (134,674) | 729
Net cash (used in) provided by investing activities |  |  | (224,457) | 3,762,201
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | 1,694,037 | (1,152,510)
Intercompany borrowings (payments) |  |  | 738,213 | 656,704
Other items |  |  | (330,009) | (82,011)
Net cash provided by (used in) financing activities |  |  | 2,102,241 | (577,817)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | 0 | 0
Net increase in cash, cash equivalents and restricted cash |  |  | 1,961,216 | 3,314,236
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 772,740 | 61,658
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 2,733,956 | 3,375,894 | 2,733,956 | 3,375,894
Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income | 241,601 | 235,451 | 446,912 | 424,222
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 87,552 | (198,192)
Net cash provided by operating activities |  |  | 534,464 | 226,030
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (93,331) | (148,050)
Acquisitions |  |  | (984) | (8,974)
Proceeds from asset and business sales |  |  | 2,991 | 1,194
(Purchases) proceeds from investment sales and other items, net |  |  | 661 | (6,492)
Net cash (used in) provided by investing activities |  |  | (90,663) | (162,322)
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | (5,468) | (6,611)
Intercompany borrowings (payments) |  |  | (439,037) | (58,208)
Other items |  |  | 419 | 86
Net cash provided by (used in) financing activities |  |  | (444,086) | (64,733)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | 0 | 0
Net increase in cash, cash equivalents and restricted cash |  |  | (285) | (1,025)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 532 | 13,280
Cash, cash equivalents and restricted cash of continuing operations at end of the year | 247 | 12,255 | 247 | 12,255
Non- Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from operating activities: |  |  |  |
Net income | 216,060 | 228,016 | 387,140 | 278,353
Changes in operating assets and liabilities and non-cash items included in net income |  |  | 6,467 | 116,880
Net cash provided by operating activities |  |  | 393,607 | 395,233
Cash flows from investing activities: |  |  |  |
Additions of property and equipment |  |  | (108,551) | (162,831)
Acquisitions |  |  | (43,283) | (56,996)
Proceeds from asset and business sales |  |  | 67,622 | 25,678
(Purchases) proceeds from investment sales and other items, net |  |  | (7,807) | (3,038)
Net cash (used in) provided by investing activities |  |  | (92,019) | (197,187)
Cash flows from financing activities: |  |  |  |
Long-term debt and related financing costs, net |  |  | (20,339) | (4,988)
Intercompany borrowings (payments) |  |  | (299,176) | (598,496)
Other items |  |  | (99,067) | (64,519)
Net cash provided by (used in) financing activities |  |  | (418,582) | (668,003)
Effect of exchange rate changes on cash, cash equivalents and restricted cash |  |  | (16,936) | (77)
Net increase in cash, cash equivalents and restricted cash |  |  | (133,930) | (470,034)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year |  |  | 435,446 | 340,482
Cash, cash equivalents and restricted cash of continuing operations at end of the year | $ 301,516 | $ 294,261 | 301,516 | 294,261
Discontinued Operations |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  | 0 | (423,813)
Discontinued Operations | Consolidating adjustments |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | 0
Discontinued Operations | DaVita Inc. | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | 0
Discontinued Operations | Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | 0
Discontinued Operations | Non- Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | (423,813)
Continuing Operations |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  | $ 1,827,001 | 3,266,990
Continuing Operations | Consolidating adjustments |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | 0
Continuing Operations | DaVita Inc. | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | 3,314,236
Continuing Operations | Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | (1,025)
Continuing Operations | Non- Guarantor subsidiaries | Reportable Legal Entities |  |  |  |
Cash flows from financing activities: |  |  |  |
Net increase in cash, cash equivalents and restricted cash |  |  |  | $ (46,221)

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