Revenue Recognition Segment revenue by major payor (Tables)

3 Months Ended

Mar. 31, 2024

Disaggregation of Revenue [Table Text Block]

The following tables summarize the Company's segment revenues by primary payor source:


	Three months ended March 31, 2024						Three months ended March 31, 2023
	U.S. dialysis		Other — Ancillary services		Consolidated		U.S. dialysis		Other — Ancillary services		Consolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage	$	1,531,497	$		$	1,531,497	$	1,482,767	$		$	1,482,767
Medicaid and Managed Medicaid	210,123				210,123		205,776				205,776
Other government	82,587		145,785		228,372		82,044		121,585		203,629
Commercial	925,831		70,172		996,003		835,393		54,516		889,909
Other revenues:
Medicare and Medicare Advantage			103,110		103,110				93,238		93,238
Medicaid and Managed Medicaid			395		395				570		570
Commercial			6,940		6,940				1,206		1,206
Other(1)	6,122		15,203		21,325		6,180		12,839		19,019
Eliminations of intersegment revenues	(24,463)		(2,747)		(27,210)		(22,047)		(1,368)		(23,415)
Total	$	2,731,697	$	338,858	$	3,070,555	$	2,590,113	$	282,586	$	2,872,699

(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.