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Revenue Recognition Segment revenue by major payor (Tables) | 3 Months Ended
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Mar. 31, 2023
Revenues by major payor [Abstract] |
Disaggregation of Revenue [Table Text Block] | The following tables summarize the Company's segment revenues by primary payor source:
| Three months ended March 31, 2023 |  | Three months ended March 31, 2022
| U.S. dialysis |  | Other — Ancillary services |  | Consolidated |  | U.S. dialysis |  | Other — Ancillary services |  | Consolidated
Dialysis patient service revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage | $ | 1,482,767 |  |  | $ |  | $ | 1,482,767 |  |  | $ | 1,464,086 |  |  | $ |  | $ | 1,464,086 |
Medicaid and Managed Medicaid | 205,776 |  |  |  |  | 205,776 |  |  | 189,655 |  |  |  |  | 189,655 |
Other government | 82,044 |  |  | 121,585 |  |  | 203,629 |  |  | 80,800 |  |  | 116,895 |  |  | 197,695 |
Commercial | 835,393 |  |  | 54,516 |  |  | 889,909 |  |  | 834,579 |  |  | 52,425 |  |  | 887,004 |
Other revenues: |  |  |  |  |  |  |  |  |  |  |
Medicare and Medicare Advantage |  |  | 93,238 |  |  | 93,238 |  |  |  |  | 83,596 |  |  | 83,596 |
Medicaid and Managed Medicaid |  |  | 570 |  |  | 570 |  |  |  |  | 538 |  |  | 538 |
Commercial |  |  | 1,206 |  |  | 1,206 |  |  |  |  | 1,338 |  |  | 1,338 |
Other(1) | 6,180 |  |  | 12,839 |  |  | 19,019 |  |  | 5,976 |  |  | 9,836 |  |  | 15,812 |
Eliminations of intersegment revenues | (22,047) |  |  | (1,368) |  |  | (23,415) |  |  | (22,169) |  |  |  |  | (22,169) |
Total | $ | 2,590,113 |  |  | $ | 282,586 |  |  | $ | 2,872,699 |  |  | $ | 2,552,927 |  |  | $ | 264,628 |  |  | $ | 2,817,555 |
(1) Other primarily consists of management service fees earned in the respective Company line of business as well as other non-patient service revenue from the Company's U.S. integrated kidney care (IKC) and other ancillary services and international operations.

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- Definition Revenues by major payor [Abstract] + References No definition available. + Details
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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=126920106&loc=SL49130545-203045 + Details
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