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v3.23.2

Segment reporting (Tables) | 6 Months Ended
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Jun. 30, 2023
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 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,
| 2023 |  | 2022 |  | 2023 |  | 2022
Segment revenues: |  |  |  |  |  |  |
U.S. dialysis |  |  |  |  |  |  |
Dialysis patient service revenues: |  |  |  |  |  |  |
External sources | $ | 2,703,850 |  |  | $ | 2,637,738 |  |  | $ | 5,287,782 |  |  | $ | 5,184,700 |
Intersegment revenues | 20,361 |  |  | 19,410 |  |  | 42,410 |  |  | 41,568 |
U.S. dialysis patient service revenues | 2,724,211 |  |  | 2,657,148 |  |  | 5,330,192 |  |  | 5,226,268 |
Other revenues: |  |  |  |  |  |  |
External sources | 6,404 |  |  | 6,113 |  |  | 12,583 |  |  | 12,078 |
Intersegment revenues | — |  |  | (21) |  |  | — |  |  | (10) |
Total U.S. dialysis revenues | 2,730,615 |  |  | 2,663,240 |  |  | 5,342,775 |  |  | 5,238,336 |
Other—Ancillary services |  |  |  |  |  |  |
Dialysis patient service revenues | 186,835 |  |  | 172,361 |  |  | 362,937 |  |  | 341,680 |
Other external sources | 103,280 |  |  | 110,545 |  |  | 209,766 |  |  | 205,854 |
Intersegment revenues | 1,408 |  |  | — |  |  | 2,774 |  |  | — |
Total ancillary services revenues | 291,523 |  |  | 282,906 |  |  | 575,477 |  |  | 547,534 |
Total net segment revenues | 3,022,138 |  |  | 2,946,146 |  |  | 5,918,252 |  |  | 5,785,870 |
Elimination of intersegment revenues | (21,769) |  |  | (19,389) |  |  | (45,184) |  |  | (41,558) |
Consolidated revenues | $ | 3,000,369 |  |  | $ | 2,926,757 |  |  | $ | 5,873,068 |  |  | $ | 5,744,312 |
Segment operating margin (loss): |  |  |  |  |  |  |
U.S. dialysis | $ | 460,759 |  |  | $ | 472,801 |  |  | $ | 821,857 |  |  | $ | 879,241 |
Other—Ancillary services | (21,604) |  |  | (9,113) |  |  | (46,469) |  |  | (41,418) |
Total segment operating margin | 439,155 |  |  | 463,688 |  |  | 775,388 |  |  | 837,823 |
Reconciliation of segment operating income to consolidated income before income taxes: |  |  |  |  |  |  |
Corporate administrative support | (33,864) |  |  | (30,973) |  |  | (58,452) |  |  | (66,800) |
Consolidated operating income | 405,291 |  |  | 432,715 |  |  | 716,936 |  |  | 771,023 |
Debt expense | (103,507) |  |  | (82,586) |  |  | (204,281) |  |  | (156,377) |
Debt prepayment and refinancing charges | (7,962) |  |  | — |  |  | (7,962) |  |  | — |
Other income (loss), net | 1,373 |  |  | (1,284) |  |  | 5,125 |  |  | (3,070) |
Consolidated income before income taxes | $ | 295,195 |  |  | $ | 348,845 |  |  | $ | 509,818 |  |  | $ | 611,576 |
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,
| 2023 |  | 2022 |  | 2023 |  | 2022
U.S. dialysis | $ | 171,842 |  |  | $ | 160,612 |  |  | $ | 338,803 |  |  | $ | 322,632 |
Other—Ancillary services | 11,830 |  |  | 10,564 |  |  | 22,940 |  |  | 21,488 |
| $ | 183,672 |  |  | $ | 171,176 |  |  | $ | 361,743 |  |  | $ | 344,120 |
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,
|  |  |  |  | 2023 |  | 2022
U.S. dialysis |  |  |  |  | $ | 240,474 |  |  | $ | 237,686 |
Other—Ancillary services |  |  |  |  | 31,730 |  |  | 27,775 |
|  |  |  |  | $ | 272,204 |  |  | $ | 265,461 |
Summary of Assets by Reportable Segment | A summary of assets by reportable segment were as follows:
| June 30, 2023 |  | December 31, 2022
U.S. dialysis | $ | 14,592,384 |  |  | $ | 15,084,454 |
Other—Ancillary services | 2,366,461 |  |  | 1,843,798 |
Consolidated assets | $ | 16,958,845 |  |  | $ | 16,928,252 |

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