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v3.24.0.1

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 | 3 Months Ended | 12 Months Ended
--- | --- | ---
Jun. 30, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Segment Reporting Information [Line Items] |  |  |  |
Other revenues |  | $ 565,206 | $ 433,430 | $ 405,282
Total revenues |  | 12,140,147 | 11,609,894 | 11,618,797
Operating Income (Loss) |  | 1,602,784 | 1,339,062 | 1,797,370
Corporate administrative support |  | (163,047) | (129,669) | (111,615)
Debt expense |  | (398,551) | (357,019) | (285,254)
Debt Extinguishment And Modification Costs | $ 7,962 | 7,962 | 0 | 0
Other (loss) income, net |  | (19,177) | (15,765) | 6,378
Income from continuing operations before income taxes |  | 1,177,094 | 966,278 | 1,518,494
Segment Reporting Information footnote: |  |  |  |
Equity investment income (loss) from equity method investments in nonconsolidated dialysis partnerships. |  | 27,864 | 26,520 | 26,937
Property and equipment, net of accumulated depreciation |  | 3,073,533 | 3,256,397 |
U.S. dialysis |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues |  | 10,848,776 | 10,512,774 | 10,576,167
Other - Ancillary services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues |  | 1,291,371 | 1,097,120 | 1,042,630
Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues |  | 12,236,221 | 11,701,135 | 11,713,887
Operating Income (Loss) |  | 1,765,831 | 1,468,731 | 1,908,985
Operating Segments | U.S. dialysis |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues before provision |  | 10,911,747 | 10,575,372 | 10,641,618
Total revenues |  | 10,936,998 | 10,599,809 | 10,666,963
Operating Income (Loss) |  | 1,774,578 | 1,565,310 | 1,974,988
Operating Segments | U.S. dialysis | External Sources |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues before provision |  | 10,823,525 | 10,488,327 | 10,551,106
Other revenues |  | 25,251 | 24,447 | 25,061
Operating Segments | U.S. dialysis | Intersubsegment Eliminations |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues before provision |  | 88,222 | 87,045 | 90,512
Other revenues |  | 0 | (10) | 284
Operating Segments | Other - Ancillary services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues before provision |  | 751,416 | 688,137 | 662,409
Other revenues |  | 539,955 | 408,983 | 380,221
Total revenues |  | 1,299,223 | 1,101,326 | 1,046,924
Operating Income (Loss) |  | (8,747) | (96,579) | (66,003)
Segment Reporting Information footnote: |  |  |  |
Equity investment income (loss) from equity method investments in nonconsolidated dialysis partnerships. |  | (2,103) | (1,898) | (3,177)
Operating Segments | Other - Ancillary services | Intersubsegment Eliminations |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Dialysis patient service revenues before provision |  | 7,852 | 4,206 | 4,294
Intersegment Elimination |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues |  | (96,074) | (91,241) | (95,090)
Intersegment Elimination | U.S. dialysis |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues |  | (88,222) | (87,035) | (90,796)
Intersegment Elimination | Other - Ancillary services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenues |  | $ (7,852) | $ (4,206) | $ (4,294)

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- References No definition available. + Details
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- Details
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- Details
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- Details
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Namespace Prefix: |
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- Details
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- Details
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- Details
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