Patient Service Revenue (Tables)

3 Months Ended

Mar. 31, 2014

Patient Service Revenue by Payor (Abstract)

Patient Service Revenue [Text Block]

	For the three months ended March 31,
		2014		2013
Medicare ESRD program	$	1,094,338	$	1,055,056
Private/alternative payors		947,477		914,397
Medicaid and other government sources		109,486		91,026
Hospitals		112,701		106,931
Total patient service revenue	$	2,264,002	$	2,167,410