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v3.20.2

Revenue Recognition Segment Revenue by Payor (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 142,416 | $ 126,886 | $ 392,154 | $ 359,198
Total revenues | 2,924,066 | 2,904,078 | 8,645,282 | 8,489,895
Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (41,396) | (35,845) | (117,389) | (103,559)
Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,510,982 | 1,558,890 | 4,530,510 | 4,572,599
Other revenues | 111,248 | 65,759 | 309,555 | 191,472
Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 193,254 | 176,292 | 547,045 | 490,723
Other revenues | 412 | 227 | 1,061 | 327
Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 212,371 | 207,931 | 626,427 | 597,866
Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 902,092 | 866,229 | 2,653,257 | 2,562,120
Other revenues | 7,799 | 33,503 | 27,370 | 98,428
Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 27,304 | 31,092 | 67,446 | 79,919
U.S. dialysis |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 2,656,902 | 2,659,065 | 7,880,798 | 7,782,735
U.S. dialysis | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (37,317) | (32,362) | (104,987) | (93,337)
U.S. dialysis | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,510,982 | 1,558,890 | 4,530,510 | 4,572,599
U.S. dialysis | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 193,254 | 176,292 | 547,045 | 490,723
U.S. dialysis | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 114,327 | 116,984 | 342,996 | 333,675
U.S. dialysis | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 858,247 | 828,953 | 2,534,388 | 2,458,360
U.S. dialysis | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 17,409 | 10,308 | 30,846 | 20,715
Other—Ancillary services |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 267,164 | 245,013 | 764,484 | 707,160
Other—Ancillary services | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (4,079) | (3,483) | (12,402) | (10,222)
Other—Ancillary services | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 111,248 | 65,759 | 309,555 | 191,472
Other—Ancillary services | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 412 | 227 | 1,061 | 327
Other—Ancillary services | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 98,044 | 90,947 | 283,431 | 264,191
Other—Ancillary services | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 43,845 | 37,276 | 118,869 | 103,760
Other revenues | 7,799 | 33,503 | 27,370 | 98,428
Other—Ancillary services | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 9,895 | $ 20,784 | $ 36,600 | $ 59,204

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