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Segment reporting (Tables)

6 Months Ended

Jun. 30, 2022

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 margin (loss), and a reconciliation of segment operating margin to consolidated income before income taxes:

			Three months ended June 30,												Six months ended June 30,
			2022						2021						2022						2021
Segment revenues:
U.S. dialysis
Dialysis patient service revenues:
External sources			$	2,637,738					$	2,648,676					$	5,184,700					$	5,204,936
Intersegment revenues			19,410						21,247						41,568						48,190
U.S. dialysis patient service revenues			2,657,148						2,669,923						5,226,268						5,253,126
Other revenues:
External sources			6,113						6,345						12,078						12,961
Intersegment revenues			(21)						70						(10)						130
Total U.S. dialysis revenues			2,663,240						2,676,338						5,238,336						5,266,217
Other—Ancillary services
Dialysis patient service revenues			172,361						169,281						341,680						327,608
Other external sources			110,545						92,208						205,854						191,006
Intersegment revenues			—						—						—						4,294
Total ancillary services revenues			282,906						261,489						547,534						522,908
Total net segment revenues			2,946,146						2,937,827						5,785,870						5,789,125
Elimination of intersegment revenues			(19,389)						(21,317)						(41,558)						(52,614)
Consolidated revenues			$	2,926,757					$	2,916,510					$	5,744,312					$	5,736,511
Segment operating margin (loss):
U.S. dialysis			$	472,801					$	533,779					$	879,241					$	1,013,686
Other—Ancillary services			(9,113)						(17,808)						(41,418)						(29,668)
Total segment operating margin			463,688						515,971						837,823						984,018
Reconciliation of segment operating income to  consolidated income before income taxes:
Corporate administrative support			(30,973)						(25,495)						(66,800)						(50,940)
Consolidated operating income			432,715						490,476						771,023						933,078
Debt expense			(82,586)						(73,324)						(156,377)						(140,338)
Other (loss) income, net			(1,284)						15,188						(3,070)						16,356
Consolidated income before income taxes			$	348,845					$	432,340					$	611,576					$	809,096

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,
			2022						2021						2022						2021
U.S. dialysis			$	160,612					$	159,856					$	322,632					$	315,802
Other—Ancillary services			10,564						9,833						21,488						19,588
			$	171,176					$	169,689					$	344,120					$	335,390

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,
															2022						2021
U.S. dialysis															$	237,686					$	271,884
Other—Ancillary services															27,775						22,554
															$	265,461					$	294,438

Summary of Assets by Reportable Segment

A summary of assets by reportable segment were as follows:

			June 30, 2022						December 31, 2021
U.S. dialysis			$	15,325,222					$	15,375,000
Other—Ancillary services			1,775,353						1,746,488
Consolidated assets			$	17,100,575					$	17,121,488

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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.

+ References

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
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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.

+ References

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-Topic 280
-SubTopic 10
-Section 50
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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.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
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