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v3.21.2

Revenue Recognition Segment Revenue by Payor (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2021 | Sep. 30, 2020 | Sep. 30, 2021 | Sep. 30, 2020
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 100,379 | $ 142,416 | $ 304,346 | $ 392,154
Total revenues | 2,938,319 | 2,924,066 | 8,674,830 | 8,645,282
Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (22,104) | (41,396) | (74,718) | (117,389)
Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,543,819 | 1,541,707 | 4,586,278 | 4,619,852
Other revenues | 77,277 | 111,248 | 243,085 | 309,555
Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 203,169 | 193,254 | 585,053 | 547,045
Other revenues | 377 | 412 | 981 | 1,061
Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 195,884 | 181,646 | 583,678 | 537,085
Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 917,075 | 902,092 | 2,685,671 | 2,653,257
Other revenues | 7,164 | 7,799 | 14,387 | 27,370
Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 15,658 | 27,304 | 50,415 | 67,446
U.S. dialysis |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 2,675,942 | 2,656,902 | 7,893,839 | 7,880,798
U.S. dialysis | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (22,104) | (37,317) | (70,424) | (104,987)
U.S. dialysis | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,543,819 | 1,541,707 | 4,586,278 | 4,619,852
U.S. dialysis | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 203,169 | 193,254 | 585,053 | 547,045
U.S. dialysis | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 82,624 | 83,602 | 245,125 | 253,654
U.S. dialysis | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 862,218 | 858,247 | 2,528,499 | 2,534,388
U.S. dialysis | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 6,216 | 17,409 | 19,308 | 30,846
Other—Ancillary services |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 262,377 | 267,164 | 780,991 | 764,484
Other—Ancillary services | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 0 | (4,079) | (4,294) | (12,402)
Other—Ancillary services | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 77,277 | 111,248 | 243,085 | 309,555
Other—Ancillary services | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 377 | 412 | 981 | 1,061
Other—Ancillary services | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 113,260 | 98,044 | 338,553 | 283,431
Other—Ancillary services | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 54,857 | 43,845 | 157,172 | 118,869
Other revenues | 7,164 | 7,799 | 14,387 | 27,370
Other—Ancillary services | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 9,442 | $ 9,895 | $ 31,107 | $ 36,600

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