Revenue Recognition and Accounts Receivable Segment revenue by major payor (Tables)

12 Months Ended

Dec. 31, 2019

Schedule of Revenue Sources, Health Care Organization [Table Text Block]

The following table summarizes the Company's segment revenues by primary payor source:



	Year ended December 31, 2019
	U.S. dialysis			Other - Ancillary services			Consolidated
Patient service revenues:
Medicare and Medicare Advantage	$	6,129,697		$			$	6,129,697
Medicaid and Managed Medicaid	669,089						669,089
Other government	446,010			352,765			798,775
Commercial	3,286,089			144,256			3,430,345
Other revenues:
Medicare and Medicare Advantage				264,538			264,538
Medicaid and Managed Medicaid				606			606
Commercial				130,823			130,823
Other⁽¹⁾	32,021			78,940			110,961
Eliminations of intersegment revenues	(132,325		)	(14,030		)	(146,355		)
Total	$	10,430,581		$	957,898		$	11,388,479


(1)	Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.



	Year ended December 31, 2018
	U.S. dialysis			Other - Ancillary services			Consolidated
Patient service revenues:
Medicare and Medicare Advantage	$	6,063,891		$			$	6,063,891
Medicaid and Managed Medicaid	628,766						628,766
Other government	446,999			335,594			782,593
Commercial	3,176,413			101,681			3,278,094
Other revenues:
Medicare and Medicare Advantage				492,812			492,812
Medicaid and Managed Medicaid				44,246			44,246
Commercial				90,890			90,890
Other⁽¹⁾	19,880			130,865			150,745
Eliminations of intersegment revenues	(92,950		)	(34,236		)	(127,186		)
Total	$	10,242,999		$	1,161,852		$	11,404,851


(1)	Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.



	Year ended December 31, 2017⁽¹⁾
	U.S. dialysis			Other - Ancillary services			Consolidated
Patient service revenues:
Medicare and Medicare Advantage	$	5,253,012		$			$	5,253,012
Medicaid and Managed Medicaid	606,827						606,827
Other government	362,567			259,651			622,218
Commercial	3,117,920			63,505			3,181,425
Other revenues:
Medicare and Medicare Advantage				902,289			902,289
Medicaid and Managed Medicaid				71,426			71,426
Commercial				116,503			116,503
Other⁽²⁾	19,739			182,974			202,713
Eliminations of intersegment revenues	(55,176		)	(24,603		)	(79,779		)
Total	$	9,304,889		$	1,571,745		$	10,876,634


(1)	As noted above, prior period amounts have not been adjusted under the cumulative effect method. In this table, the Company's U.S. dialysis revenues for the year ended December 31, 2017 has been presented net of the provision for uncollectible accounts of $485,364 to conform to the current period presentation.

(2)

Other consists of management service fees earned in the respective Company line of business as well as other revenue from the Company's ancillary services.