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v3.20.2

Segment reporting - Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income Before Income Taxes (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019
Segment Reporting Information [Line Items] |  |  |  |
Other revenues | $ 142,416 | $ 126,886 | $ 392,154 | $ 359,198
Total revenues | 2,924,066 | 2,904,078 | 8,645,282 | 8,489,895
Operating income (loss) | 437,669 | 378,336 | 1,312,965 | 1,180,729
Corporate administrative support | 25,841 | 24,681 | 122,514 | 65,546
Debt expense | (73,658) | (88,589) | (243,642) | (351,774)
Debt prepayment, refinancing and redemption charges | (86,074) | (21,242) | (89,022) | (33,402)
Other income, net | 5,395 | 5,280 | 10,590 | 17,863
Income from continuing operations before income taxes | 283,332 | 273,785 | 990,891 | 813,416
U.S. dialysis |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues | 2,656,902 | 2,659,065 | 7,880,798 | 7,782,735
Other—Ancillary services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues | 267,164 | 245,013 | 764,484 | 707,160
Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues | 2,965,462 | 2,939,923 | 8,762,671 | 8,593,454
Operating income (loss) | 463,510 | 403,017 | 1,435,479 | 1,246,275
Operating Segments | U.S. dialysis |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues | 2,676,810 | 2,681,119 | 7,954,939 | 7,855,357
Total revenues | 2,694,219 | 2,691,427 | 7,985,785 | 7,876,072
Operating income (loss) | 470,596 | 500,742 | 1,484,833 | 1,416,680
Operating Segments | U.S. dialysis | External Sources |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues | 2,639,761 | 2,648,969 | 7,850,828 | 7,762,746
Other revenues | 17,141 | 10,096 | 29,970 | 19,989
Operating Segments | U.S. dialysis | Intersubsegment Eliminations |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues | 37,049 | 32,150 | 104,111 | 92,611
Other revenues | 268 | 212 | 876 | 726
Operating Segments | Other—Ancillary services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues | 141,889 | 128,223 | 402,300 | 367,951
Other revenues | 125,275 | 116,790 | 362,184 | 339,209
Total revenues | 271,243 | 248,496 | 776,886 | 717,382
Operating income (loss) | (7,086) | (97,725) | (49,354) | (170,405)
Operating Segments | Other—Ancillary services | Intersubsegment Eliminations |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues | 4,079 | 3,483 | 12,402 | 10,222
Intersegment Elimination |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues | (41,396) | (35,845) | (117,389) | (103,559)
Intersegment Elimination | U.S. dialysis |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues | (37,317) | (32,362) | (104,987) | (93,337)
Intersegment Elimination | Other—Ancillary services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues | $ (4,079) | $ (3,483) | $ (12,402) | $ (10,222)

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