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Segment reporting (Tables)

6 Months Ended

Jun. 30, 2020

Segment Reporting [Abstract]

Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income Before Income Taxes

The following is a summary of segment net revenues, segment operating income (loss), and a reconciliation of segment operating income (loss) to consolidated income before income taxes:

	Three months ended June 30,								Six months ended June 30,
	2020				2019				2020				2019
Segment revenues:
U.S. dialysis
Dialysis patient service revenues:
External sources	$	2,631,827			$	2,601,951			$	5,211,067			$	5,113,777
Intersegment revenues	35,122				30,042				67,062				60,462
U.S. dialysis patient service revenues	2,666,949				2,631,993				5,278,129				5,174,239
Other revenues(1):
External sources	7,688				5,209				12,830				9,893
Intersegment revenues	307				292				608				513
Total U.S. dialysis revenues	2,674,944				2,637,494				5,291,567				5,184,645
Other—Ancillary services
Dialysis patient service revenues, net	126,370				121,865				260,411				239,728
Other external sources	114,094				113,680				236,908				222,419
Intersegment revenues	4,171				3,403				8,324				6,739
Total ancillary services revenues	244,635				238,948				505,643				468,886
Total net segment revenues	2,919,579				2,876,442				5,797,210				5,653,531
Elimination of intersegment revenues	(39,600		)		(33,737		)		(75,994		)		(67,714		)
Consolidated revenues	$	2,879,979			$	2,842,705			$	5,721,216			$	5,585,817
Segment operating income (loss):
U.S. dialysis	$	522,630			$	498,957			$	1,014,236			$	915,939
Other—Ancillary services	(39,622		)		(15,050		)		(42,268		)		(72,680		)
Total segment operating income	483,008				483,907				971,968				843,259
Reconciliation of segment operating income to consolidated income from continuing operations before income taxes:
Corporate administrative support	(73,088		)		(22,021		)		(96,672		)		(40,866		)
Consolidated operating income	409,920				461,886				875,296				802,393
Debt expense	(81,381		)		(131,666		)		(169,984		)		(263,185		)
Debt prepayment and refinancing charges	—				(12,160		)		(2,948		)		(12,160		)
Other income, net	9,545				5,643				5,195				12,583
Consolidated income from continuing operations before income taxes	$	338,084			$	323,703			$	707,559			$	539,631

(1)

Includes management fee revenue from providing management and administrative services to dialysis ventures in which the Company owns a noncontrolling equity investment or which are wholly-owned by third parties.

Summary of Assets by Reportable Segment

A summary of assets by reportable segment was as follows:

	June 30, 2020				December 31, 2019
U.S. dialysis (including equity investments of $130,732  and $124,188, respectively)	$	17,896,917			$	15,778,880
Other—Ancillary services (including equity investments of $124,757 and $117,795, respectively)	1,408,174				1,532,514
Consolidated assets	$	19,305,091			$	17,311,394

Summary of Depreciation and Amortization Expense by Reportable Segment

Depreciation and amortization expense by reportable segment was as follows:

	Three months ended June 30,								Six months ended June 30,
	2020				2019				2020				2019
U.S. dialysis	$	148,312			$	144,621			$	294,612			$	285,401
Other—Ancillary services	9,064				7,621				17,443				15,369
	$	157,376			$	152,242			$	312,055			$	300,770

Summary of Expenditures for Property and Equipment by Reportable Segment

Expenditures for property and equipment by reportable segment were as follows:

	Six months ended June 30,
	2020				2019
U.S. dialysis	$	280,801			$	319,812
Other—Ancillary services	10,866				15,640
DMG—Discontinued operations	—				38,466
	$	291,667			$	373,918

X

- Definition

Reconciliation of capital expenditures for property and equipment from segment to consolidated.

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Tabular disclosure of all significant reconciling items in the reconciliation of total assets from reportable segments to the entity's consolidated assets.

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Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment.

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Tabular disclosure of each significant reconciling item, other than profit (loss), revenues, or assets, in the reconciliation of totals of such items in reportable segments to the entity's corresponding consolidated amount.

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