| Summary of Segment Net Revenues, Segment Operating Income Loss and Reconciliation of Segment Income to Consolidated Income from Continuing Operations Before Income Taxes |
The following
is a summary of segment revenues, segment operating margin (loss),
and a reconciliation of segment operating margin to consolidated
income from continuing operations before income taxes:
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Year ended December
31, |
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2013 |
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2012 |
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2011 |
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Segment
revenues:
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U.S. dialysis and
related lab services
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Patient service
revenues:
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External sources
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$ |
7,998,692 |
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$ |
7,299,032 |
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$ |
6,462,811 |
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Intersegment
revenues
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34,080 |
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17,786 |
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11,141 |
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Total dialysis and related
lab services revenues
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8,032,772 |
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7,316,818 |
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6,473,952 |
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Less: Provision for
uncollectible accounts
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(281,146 |
) |
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(233,580 |
) |
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(190,234 |
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Net dialysis and related
lab services patient service revenues
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7,751,626 |
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7,083,238 |
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6,283,718 |
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Other
revenues(1)
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12,600 |
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11,447 |
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11,019 |
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Total net dialysis and
related lab services revenues
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7,764,226 |
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7,094,685 |
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6,294,737 |
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HCP
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HCP revenues:
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External sources
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$ |
2,919,964 |
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$ |
419,431 |
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$ |
— |
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Intersegment
revenues
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250 |
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— |
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— |
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Total HCP capitated
revenues
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2,920,214 |
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419,431 |
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— |
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Net patient service
revenues
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220,251 |
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34,407 |
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— |
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Other revenues
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55,723 |
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23,552 |
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— |
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Total revenues
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$ |
3,196,188 |
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$ |
477,390 |
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$ |
— |
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Other – Ancillary
services and strategic initiatives
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Net patient service
revenues
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$ |
75,852 |
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$ |
16,824 |
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$ |
7,730 |
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Capitated
revenues
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67,351 |
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61,906 |
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45,133 |
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Other external
sources
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694,763 |
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553,261 |
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395,347 |
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Intersegment
revenues
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13,916 |
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10,481 |
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5,796 |
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Total ancillary services
and strategic initiatives revenues
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851,882 |
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642,472 |
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454,006 |
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Total net segment
revenues
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11,812,296 |
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8,214,547 |
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6,748,743 |
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Elimination of intersegment
revenues
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(48,246 |
) |
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(28,267 |
) |
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(16,937 |
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Consolidated net
revenues
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$ |
11,764,050 |
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$ |
8,186,280 |
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$ |
6,731,806 |
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Segment operating margin
(loss):(2)
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U.S. dialysis and related
lab services
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$ |
1,211,540 |
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$ |
1,378,241 |
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$ |
1,235,869 |
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HCP
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385,253 |
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66,930 |
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— |
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Other—Ancillary
services and strategic initiatives
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(38,595 |
) |
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(64,877 |
) |
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(34,105 |
) |
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Total segment
margin
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1,558,198 |
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1,380,294 |
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1,201,764 |
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Reconciliation of
segment operating margin to consolidated income from continuing
operations before income taxes:
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Contingent earn-out
obligation adjustment
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56,977 |
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— |
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— |
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Corporate support
costs(3)
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(65,041 |
) |
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(52,457 |
) |
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(47,051 |
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Transaction
expenses
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— |
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(30,753 |
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— |
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Consolidated operating
income
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1,550,134 |
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1,297,084 |
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1,154,713 |
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Debt expense
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(429,943 |
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(288,554 |
) |
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(241,090 |
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Debt refinancing and
redemption charges
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— |
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(10,963 |
) |
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— |
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Other income
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4,787 |
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3,737 |
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2,982 |
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Consolidated income from
continuing operations before income taxes
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$ |
1,124,978 |
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$ |
1,001,304 |
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$ |
916,605 |
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| (1) |
Includes management fees
for providing management and administrative services to dialysis
centers in which the Company owns a minority equity investment or
which are wholly-owned by third parties. |
| (2) |
Certain costs previously
reported in the ancillary services and strategic initiatives have
been reclassified to U.S. dialysis and related lab services to
conform to the current year presentation. |
| (3) |
Corporate support costs
also include $7,721 of an adjustment to reduce a tax asset
associated with the HCP acquisition escrow provisions. |
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