XML 67 R55.htm IDEA: XBRL DOCUMENT v3.21.2
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 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Segment Reporting Information [Line Items]        
Other revenues $ 98,553 $ 121,782 $ 203,967 $ 249,738
Total revenues 2,916,510 2,879,979 5,736,511 5,721,216
Operating income (loss) 490,476 409,920 933,078 875,296
Corporate administrative support (25,495) (73,088) (50,940) (96,672)
Debt expense (73,324) (81,381) (140,338) (169,984)
Debt refinancing charges 0 0 0 (2,948)
Other income, net 15,188 9,545 16,356 5,195
Income from continuing operations before income taxes 432,340 338,084 809,096 707,559
U.S. dialysis        
Segment Reporting Information [Line Items]        
Total revenues 2,655,021 2,639,515 5,217,897 5,223,897
Other—Ancillary services        
Segment Reporting Information [Line Items]        
Total revenues 261,489 240,464 518,614 497,319
Operating Segments        
Segment Reporting Information [Line Items]        
Total revenues 2,937,827 2,919,579 5,789,125 5,797,210
Operating income (loss) 515,971 483,008 984,018 971,968
Operating Segments | U.S. dialysis        
Segment Reporting Information [Line Items]        
Dialysis patient service revenues 2,669,923 2,666,949 5,253,126 5,278,129
Total revenues 2,676,338 2,674,944 5,266,217 5,291,567
Operating income (loss) 533,779 522,630 1,013,686 1,014,236
Operating Segments | U.S. dialysis | External Sources        
Segment Reporting Information [Line Items]        
Dialysis patient service revenues 2,648,676 2,631,827 5,204,936 5,211,067
Other revenues 6,345 7,688 12,961 12,830
Operating Segments | U.S. dialysis | Intersubsegment Eliminations        
Segment Reporting Information [Line Items]        
Dialysis patient service revenues 21,247 35,122 48,190 67,062
Other revenues 70 307 130 608
Operating Segments | Other—Ancillary services        
Segment Reporting Information [Line Items]        
Dialysis patient service revenues 169,281 126,370 327,608 260,411
Other revenues 92,208 114,094 191,006 236,908
Total revenues 261,489 244,635 522,908 505,643
Operating income (loss) (17,808) (39,622) (29,668) (42,268)
Operating Segments | Other—Ancillary services | Intersubsegment Eliminations        
Segment Reporting Information [Line Items]        
Dialysis patient service revenues 0 4,171 4,294 8,324
Intersegment Elimination        
Segment Reporting Information [Line Items]        
Total revenues (21,317) (39,600) (52,614) (75,994)
Intersegment Elimination | U.S. dialysis        
Segment Reporting Information [Line Items]        
Total revenues (21,317) (35,429) (48,320) (67,670)
Intersegment Elimination | Other—Ancillary services        
Segment Reporting Information [Line Items]        
Total revenues $ 0 $ (4,171) $ (4,294) $ (8,324)