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Revenue Recognition and Accounts Receivable Segment revenue by major payor (Tables) | 12 Months Ended
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Dec. 31, 2023
Disaggregation of Revenue [Abstract] |
Disaggregation of Revenue | The Company's revenues by segment and primary payor source were as follows:
| Year ended December 31, 2023
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Patient service revenues: |  |  |  |  |
Medicare and Medicare Advantage | $ | 6,100,183 |  |  | $ |  | $ | 6,100,183 |
Medicaid and Managed Medicaid | 833,744 |  |  |  |  | 833,744 |
Other government | 354,304 |  |  | 500,137 |  |  | 854,441 |
Commercial | 3,623,516 |  |  | 251,279 |  |  | 3,874,795 |
Other revenues: |  |  |  |  |
Medicare and Medicare Advantage |  |  | 460,991 |  |  | 460,991 |
Medicaid and Managed Medicaid |  |  | 1,733 |  |  | 1,733 |
Commercial |  |  | 32,329 |  |  | 32,329 |
Other(1) | 25,251 |  |  | 52,754 |  |  | 78,005 |
Eliminations of intersegment revenues | (88,222) |  |  | (7,852) |  |  | (96,074) |
Total | $ | 10,848,776 |  |  | $ | 1,291,371 |  |  | $ | 12,140,147 |
(1)Consists primarily of management service fees in the Company's U.S. dialysis business and research fees, management fees, and other non-patient service revenues in the Other - ancillary services businesses.
| Year ended December 31, 2022
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Patient service revenues: |  |  |  |  |
Medicare and Medicare Advantage | $ | 6,041,496 |  |  | $ |  | $ | 6,041,496 |
Medicaid and Managed Medicaid | 759,579 |  |  |  |  | 759,579 |
Other government | 336,991 |  |  | 464,921 |  |  | 801,912 |
Commercial | 3,437,306 |  |  | 223,216 |  |  | 3,660,522 |
Other revenues: |  |  |  |  |
Medicare and Medicare Advantage |  |  | 345,340 |  |  | 345,340 |
Medicaid and Managed Medicaid |  |  | 1,546 |  |  | 1,546 |
Commercial |  |  | 22,211 |  |  | 22,211 |
Other(1) | 24,437 |  |  | 44,092 |  |  | 68,529 |
Eliminations of intersegment revenues | (87,035) |  |  | (4,206) |  |  | (91,241) |
Total | $ | 10,512,774 |  |  | $ | 1,097,120 |  |  | $ | 11,609,894 |
(1)Consists primarily of management service fees in the Company's U.S. dialysis business and research fees, management fees, and other non-patient service revenues in the Other - ancillary services businesses.
| Year ended December 31, 2021
| U.S. dialysis |  | Other - Ancillary services |  | Consolidated
Patient service revenues: |  |  |  |  |
Medicare and Medicare Advantage | $ | 6,133,235 |  |  | $ |  | $ | 6,133,235 |
Medicaid and Managed Medicaid | 782,430 |  |  |  |  | 782,430 |
Other government | 328,256 |  |  | 463,385 |  |  | 791,641 |
Commercial | 3,397,697 |  |  | 199,024 |  |  | 3,596,721 |
Other revenues: |  |  |  |  |
Medicare and Medicare Advantage |  |  | 326,696 |  |  | 326,696 |
Medicaid and Managed Medicaid |  |  | 1,321 |  |  | 1,321 |
Commercial |  |  | 15,553 |  |  | 15,553 |
Other(1) | 25,345 |  |  | 40,945 |  |  | 66,290 |
Eliminations of intersegment revenues | (90,796) |  |  | (4,294) |  |  | (95,090) |
Total | $ | 10,576,167 |  |  | $ | 1,042,630 |  |  | $ | 11,618,797 |
(1)Consists primarily of management service fees in the Company's U.S. dialysis business and research fees, management fees, and other non-patient service revenues in the Other - ancillary services businesses.

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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 -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479806/606-10-50-5 + Details
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