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v3.22.0.1

Segment Reporting - Summary of Segment Net Revenues, Segment Operating Income (Loss) and Reconciliation of Segment Income to Consolidated Income from Continuing Operations Before Income Taxes (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Segment Reporting Information [Line Items] |  |  |
Other revenues | $ 405,282 | $ 524,353 | $ 491,773
Total revenues | 11,618,797 | 11,550,604 | 11,388,479
Operating Income (Loss) | 1,797,370 | 1,694,636 | 1,643,317
Corporate administrative support | (111,615) | (146,707) | (92,335)
Debt expense | (285,254) | (304,111) | (443,824)
Debt prepayment, refinancing and redemption charges | 0 | (89,022) | (33,402)
Other income | 6,378 | 16,759 | 29,348
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest, Total | 1,518,494 | 1,318,262 | 1,195,439
Segment Reporting Information footnote: |  |  |
Equity investment income (loss) | 26,937 | 26,916 | 12,679
U.S. dialysis |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenues | 10,576,167 | 10,514,649 | 10,430,581
Other - Ancillary services |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenues | 1,042,630 | 1,035,955 | 957,898
Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenues | 11,713,887 | 11,712,633 | 11,534,834
Operating Income (Loss) | 1,908,985 | 1,841,343 | 1,735,652
Operating Segments | U.S. dialysis |  |  |
Segment Reporting Information [Line Items] |  |  |
Dialysis patient service revenues before provision | 10,641,618 | 10,619,364 | 10,530,885
Total revenues | 10,666,963 | 10,659,935 | 10,562,906
Operating Income (Loss) | 1,974,988 | 1,917,604 | 1,924,826
Operating Segments | U.S. dialysis | External Sources |  |  |
Segment Reporting Information [Line Items] |  |  |
Dialysis patient service revenues before provision | 10,551,106 | 10,475,273 | 10,399,686
Other revenues | 25,061 | 39,376 | 30,895
Operating Segments | U.S. dialysis | Intersubsegment Eliminations |  |  |
Segment Reporting Information [Line Items] |  |  |
Dialysis patient service revenues before provision | 90,512 | 144,091 | 131,199
Other revenues | 284 | 1,195 | 1,126
Operating Segments | Other - Ancillary services |  |  |
Segment Reporting Information [Line Items] |  |  |
Dialysis patient service revenues before provision | 662,409 | 550,978 | 497,021
Other revenues | 380,221 | 484,977 | 460,877
Total revenues | 1,046,924 | 1,052,698 | 971,928
Operating Income (Loss) | (66,003) | (76,261) | (189,174)
Segment Reporting Information footnote: |  |  |
Equity investment income (loss) | 3,177 | 5,866 | 9,366
Operating Segments | Other - Ancillary services | Intersubsegment Eliminations |  |  |
Segment Reporting Information [Line Items] |  |  |
Dialysis patient service revenues before provision | 4,294 | 16,743 | 14,030
Intersegment Elimination |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenues | (95,090) | (162,029) | (146,355)
Intersegment Elimination | U.S. dialysis |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenues | (90,796) | (145,286) | (132,325)
Intersegment Elimination | Other - Ancillary services |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenues | $ (4,294) | $ (16,743) | $ (14,030)

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