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v3.25.1

Revenue Recognition Segment Revenue by Payor (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Disaggregation of Revenue [Line Items] |  |
Other revenues | $ 120,536 | $ 129,023
Total revenues | 3,223,529 | 3,070,555
Contract with Customer, Performance Obligation Satisfied in Previous Period | 28,463 | 19,450
Elimination of intersegment revenues |  |
Disaggregation of Revenue [Line Items] |  |
Total revenues | (14,462) | (27,210)
Medicare and Medicare Advantage |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 1,609,018 | 1,531,497
Other revenues | 98,954 | 103,110
Medicaid and Managed Medicaid |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 206,509 | 210,123
Other revenues | 2 | 395
Other Government Payors |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 286,493 | 228,372
Commercial Payors |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 1,012,707 | 996,003
Other revenues | 2,701 | 6,940
Other |  |
Disaggregation of Revenue [Line Items] |  |
Other revenues | 21,607 | 21,325
U S Dialysis And Related Lab Services [Member] |  |
Disaggregation of Revenue [Line Items] |  |
Total revenues | 2,811,435 | 2,731,697
U S Dialysis And Related Lab Services [Member] | Elimination of intersegment revenues |  |
Disaggregation of Revenue [Line Items] |  |
Total revenues | (11,734) | (24,463)
U S Dialysis And Related Lab Services [Member] | Medicare and Medicare Advantage |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 1,609,018 | 1,531,497
U S Dialysis And Related Lab Services [Member] | Medicaid and Managed Medicaid |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 206,509 | 210,123
U S Dialysis And Related Lab Services [Member] | Other Government Payors |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 76,746 | 82,587
U S Dialysis And Related Lab Services [Member] | Commercial Payors |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 924,888 | 925,831
U S Dialysis And Related Lab Services [Member] | Other |  |
Disaggregation of Revenue [Line Items] |  |
Other revenues | 6,008 | 6,122
Other—Ancillary services |  |
Disaggregation of Revenue [Line Items] |  |
Total revenues | 412,094 | 338,858
Other—Ancillary services | Elimination of intersegment revenues |  |
Disaggregation of Revenue [Line Items] |  |
Total revenues | (2,728) | (2,747)
Other—Ancillary services | Medicare and Medicare Advantage |  |
Disaggregation of Revenue [Line Items] |  |
Other revenues | 98,954 | 103,110
Other—Ancillary services | Medicaid and Managed Medicaid |  |
Disaggregation of Revenue [Line Items] |  |
Other revenues | 2 | 395
Other—Ancillary services | Other Government Payors |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 209,747 | 145,785
Other—Ancillary services | Commercial Payors |  |
Disaggregation of Revenue [Line Items] |  |
Dialysis patient service revenues | 87,819 | 70,172
Other revenues | 2,701 | 6,940
Other—Ancillary services | Other |  |
Disaggregation of Revenue [Line Items] |  |
Other revenues | $ 15,599 | $ 15,203

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