Patient Service Revenue

3 Months Ended

Mar. 31, 2013

Notes to Consolidated Financial Statements [Abstract]

Patient Service Revenue Text Block 1 [Text Block]

11. Sources of Revenue

Below is a table showing the sources of our U.S. patient service revenue (net of contractual allowance and discounts but before patient service bad debt provision), included in the Company's dialysis care revenue, for the three months ended March 31, 2013 and 2012. Outside of the U.S., the Company does not recognize patient service revenue at the time the services are rendered without assessing the patient's ability to pay. Accordingly, the additional disclosure requirements introduced with ASU 2011-07 only apply to the U.S. patient service revenue.

	For the three months ended March 31,
		2013		2012
Medicare ESRD program	$	1,055,056	$	923,625
Private/alternative payors		914,397		857,306
Medicaid and other government sources		91,026		103,570
Hospitals		106,931		99,742
Total patient service revenue	$	2,167,410	$	1,984,243