05.5

Notes to Consolidated Financial Statements

22. BUSINESS SEGMENT INFORMATION

The Company has identified three business segments, North America, International, and Asia Pacific, which were determined based upon how the Company manages its businesses. All segments are primarily engaged in providing dialysis services and manufacturing and distributing products and equipment for the treatment of end-stage renal disease. In the U.S., the Company also engages in performing clinical laboratory testing and providing inpatient dialysis services, and other services under contract to hospitals. The Company has aggregated the International and Asia Pacific operating segments as “International”. The segments are aggregated due to their similar economic characteristics. These characteristics include the same services provided and the same products sold, the same type patient population, similar methods of distribution of products and services and similar economic environments.

Management evaluates each segment using a measure that reflects all of the segment’s controllable revenues and expenses. Management believes that the most appropriate measure in this regard is operating income which measures the Company’s source of earnings. Financing is a corporate function, which the Company’s segments do not control. Therefore, the Company does not include interest expense relating to financing as a segment measure. Similarly, the Company does not allocate “corporate costs” which relate primarily to certain headquarters overhead charges, including accounting and finance, professional services, etc., because the Company believes that these costs are also not within the control of the individual segments. The Company also regards income taxes to be outside the segment’s control. In addition, certain acquisitions and intangible assets are not allocated to a segment but are accounted for as “corporate”.

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Table 05.5.38 BUSINESS SEGMENT INFORMATION
$ in thousands North America International Segment total Corporate Total
           
2008          
Net revenue
7,005,401
3,606,270
10,611,671
652
10,612,323
Inter-segment revenue
2,100
82,283
84,383
(84,383)
TOTAL NET REVENUE
7,007,501
3,688,553
10,696,054
(83,731)
10,612,323
Depreciation and amortization
(238,300)
(169,999)
(408,299)
(7,372)
(415,671)
OPERATING INCOME
1,168,173
616,034
1,784,207
(111,775)
1,672,432
Segment assets
10,960,264
3,557,247
14,517,511
402,165
14,919,676
Capital expenditures, acquisitions and investments 1
497,612
358,930
856,542
107,287
963,829
           
2007          
Net revenue
6,663,221
3,057,030
9,720,251
63
9,720,314
Inter-segment revenue
516
77,492
78,008
(78,008)
TOTAL NET REVENUE
6,663,737
3,134,522
9,798,259
(77,945)
9,720,314
Depreciation and amortization
(220,210)
(140,968)
(361,178)
(2,151)
(363,329)
OPERATING INCOME
1,129,801
544,214
1,674,015
(93,894)
1,580,121
Segment assets
10,586,316
3,330,955
13,917,271
252,994
14,170,265
Capital expenditures, acquisitions and investments 2
396,705
319,105
715,810
120,306
836,116
           
1 North America and International acquisitions exclude $ 22,542 and $ 24,710, respectively, of non-cash acquisitions for 2008.
2 International and Corporate acquisitions exclude $ 9,964 and $ 83,812, respectively, of non-cash acquisitions for 2007.

For the geographic presentation, revenues are attributed to specific countries based on the end user’s location for products and the country in which the service is provided. Information with respect to the Company’s geographic operations is set forth in the table below:

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Table 05.5.39 GEOGRAPHIC DIVISION
$ in thousands 2008 2007
  Net revenue Long-lived
assets
Net revenue Long-lived
assets
         
Germany
350,995
306,963
308,603
195,846
North America
7,005,401
8,706,790
6,663,221
8,471,870
Rest of the world
3,255,927
1,597,576
2,748,490
1,558,364
TOTAL
10,612,323
10,611,329
9,720,314
10,226,080
         

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