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v3.20.2

Revenue Recognition Segment Revenue by Payor (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 121,782 | $ 118,889 | $ 249,738 | $ 232,312
Total revenues | 2,879,979 | 2,842,705 | 5,721,216 | 5,585,817
Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (39,600) | (33,737) | (75,994) | (67,714)
Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,517,309 | 1,520,193 | 3,019,529 | 3,013,709
Other revenues | 99,829 | 64,012 | 198,307 | 125,713
Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 182,324 | 160,242 | 353,791 | 314,431
Other revenues | 283 | 94 | 649 | 100
Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 207,571 | 199,335 | 414,056 | 389,937
Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 886,115 | 874,088 | 1,751,164 | 1,695,890
Other revenues | 9,050 | 32,307 | 19,571 | 64,925
Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 17,098 | 26,171 | 40,143 | 48,826
U.S. dialysis |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 2,639,515 | 2,607,160 | 5,223,897 | 5,123,670
U.S. dialysis | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (35,429) | (30,334) | (67,670) | (60,975)
U.S. dialysis | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,517,309 | 1,520,193 | 3,019,529 | 3,013,709
U.S. dialysis | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 182,324 | 160,242 | 353,791 | 314,431
U.S. dialysis | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 116,758 | 110,565 | 228,669 | 216,692
U.S. dialysis | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 850,558 | 840,993 | 1,676,140 | 1,629,407
U.S. dialysis | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 7,995 | 5,501 | 13,438 | 10,406
Other—Ancillary services |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 240,464 | 235,545 | 497,319 | 462,147
Other—Ancillary services | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (4,171) | (3,403) | (8,324) | (6,739)
Other—Ancillary services | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 99,829 | 64,012 | 198,307 | 125,713
Other—Ancillary services | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 283 | 94 | 649 | 100
Other—Ancillary services | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 90,813 | 88,770 | 185,387 | 173,245
Other—Ancillary services | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 35,557 | 33,095 | 75,024 | 66,483
Other revenues | 9,050 | 32,307 | 19,571 | 64,925
Other—Ancillary services | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 9,103 | $ 20,670 | $ 26,705 | $ 38,420

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