Revenue Recognition Segment revenue by major payor (Tables)

6 Months Ended

Jun. 30, 2020

Disaggregation of Revenue [Table Text Block]

The following table summarizes the Company's segment revenues by primary payor source:



	Three months ended June 30, 2020									Three months ended June 30, 2019
	U.S. dialysis			Other - Ancillary services			Consolidated			U.S. dialysis			Other - Ancillary services			Consolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage	$	1,517,309		$			$	1,517,309		$	1,520,193		$			$	1,520,193
Medicaid and Managed Medicaid	182,324						182,324			160,242						160,242
Other government	116,758			90,813			207,571			110,565			88,770			199,335
Commercial	850,558			35,557			886,115			840,993			33,095			874,088
Other revenues:
Medicare and Medicare Advantage				99,829			99,829						64,012			64,012
Medicaid and Managed Medicaid				283			283						94			94
Commercial				9,050			9,050						32,307			32,307
Other⁽¹⁾	7,995			9,103			17,098			5,501			20,670			26,171
Eliminations of intersegment revenues	(35,429		)	(4,171		)	(39,600		)	(30,334		)	(3,403		)	(33,737		)
Total	$	2,639,515		$	240,464		$	2,879,979		$	2,607,160		$	235,545		$	2,842,705


(1)	Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.



	Six months ended June 30, 2020									Six months ended June 30, 2019
	U.S. dialysis			Other - Ancillary services			Consolidated			U.S. dialysis			Other - Ancillary services			Consolidated
Patient service revenues:
Medicare and Medicare Advantage	$	3,019,529		$			$	3,019,529		$	3,013,709		$			$	3,013,709
Medicaid and Managed Medicaid	353,791						353,791			314,431						314,431
Other government	228,669			185,387			414,056			216,692			173,245			389,937
Commercial	1,676,140			75,024			1,751,164			1,629,407			66,483			1,695,890
Other revenues:
Medicare and Medicare Advantage				198,307			198,307						125,713			125,713
Medicaid and Managed Medicaid				649			649						100			100
Commercial				19,571			19,571						64,925			64,925
Other⁽¹⁾	13,438			26,705			40,143			10,406			38,420			48,826
Eliminations of intersegment revenues	(67,670		)	(8,324		)	(75,994		)	(60,975		)	(6,739		)	(67,714		)
Total	$	5,223,897		$	497,319		$	5,721,216		$	5,123,670		$	462,147		$	5,585,817

(1)

Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.