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v3.22.2

Revenue Recognition Segment Revenue by Payor (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 116,658 | $ 98,553 | $ 217,932 | $ 203,967
Total revenues | 2,926,757 | 2,916,510 | 5,744,312 | 5,736,511
Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (19,389) | (21,317) | (41,558) | (52,614)
Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,529,534 | 1,562,164 | 2,993,621 | 3,042,461
Other revenues | 93,262 | 80,211 | 176,859 | 165,807
Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 186,873 | 194,641 | 376,528 | 381,884
Other revenues | 232 | 305 | 769 | 605
Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 202,732 | 200,781 | 400,427 | 387,794
Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 910,370 | 881,618 | 1,797,372 | 1,768,595
Other revenues | 8,207 | 1,189 | 9,546 | 7,223
Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 14,936 | 16,918 | 30,748 | 34,756
U.S. dialysis |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 2,643,851 | 2,655,021 | 5,196,778 | 5,217,897
U.S. dialysis | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | (19,389) | (21,317) | (41,558) | (48,320)
U.S. dialysis | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 1,529,534 | 1,562,164 | 2,993,621 | 3,042,461
U.S. dialysis | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 186,873 | 194,641 | 376,528 | 381,884
U.S. dialysis | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 86,079 | 82,317 | 166,879 | 162,501
U.S. dialysis | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 854,662 | 830,801 | 1,689,240 | 1,666,280
U.S. dialysis | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 6,092 | 6,415 | 12,068 | 13,091
Other—Ancillary services |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues | 282,906 | 261,489 | 547,534 | 518,614
Other—Ancillary services | Elimination of intersegment revenues |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Total revenues |  | 0 |  | (4,294)
Other—Ancillary services | Medicare and Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 93,262 | 80,211 | 176,859 | 165,807
Other—Ancillary services | Medicaid and Managed Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | 232 | 305 | 769 | 605
Other—Ancillary services | Other Government Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 116,653 | 118,464 | 233,548 | 225,293
Other—Ancillary services | Commercial Payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Patient service revenues | 55,708 | 50,817 | 108,132 | 102,315
Other revenues | 8,207 | 1,189 | 9,546 | 7,223
Other—Ancillary services | Other |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Other revenues | $ 8,844 | $ 10,503 | $ 18,680 | $ 21,665

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