Revenue Recognition Segment revenue by major payor (Tables)

9 Months Ended

Sep. 30, 2020

Disaggregation of Revenue [Abstract]

Disaggregation of Revenue [Table Text Block]

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



	Three months ended September 30, 2020									Three months ended September 30, 2019
	U.S. dialysis			Other - Ancillary services			Consolidated			U.S. dialysis			Other - Ancillary services			Consolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage	$	1,510,982		$			$	1,510,982		$	1,558,890		$			$	1,558,890
Medicaid and Managed Medicaid	193,254						193,254			176,292						176,292
Other government	114,327			98,044			212,371			116,984			90,947			207,931
Commercial	858,247			43,845			902,092			828,953			37,276			866,229
Other revenues:
Medicare and Medicare Advantage				111,248			111,248						65,759			65,759
Medicaid and Managed Medicaid				412			412						227			227
Commercial				7,799			7,799						33,503			33,503
Other⁽¹⁾	17,409			9,895			27,304			10,308			20,784			31,092
Eliminations of intersegment revenues	(37,317		)	(4,079		)	(41,396		)	(32,362		)	(3,483		)	(35,845		)
Total	$	2,656,902		$	267,164		$	2,924,066		$	2,659,065		$	245,013		$	2,904,078


(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.



	Nine months ended September 30, 2020									Nine months ended September 30, 2019
	U.S. dialysis			Other - Ancillary services			Consolidated			U.S. dialysis			Other - Ancillary services			Consolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage	$	4,530,510		$			$	4,530,510		$	4,572,599		$			$	4,572,599
Medicaid and Managed Medicaid	547,045						547,045			490,723						490,723
Other government	342,996			283,431			626,427			333,675			264,191			597,866
Commercial	2,534,388			118,869			2,653,257			2,458,360			103,760			2,562,120
Other revenues:
Medicare and Medicare Advantage				309,555			309,555						191,472			191,472
Medicaid and Managed Medicaid				1,061			1,061						327			327
Commercial				27,370			27,370						98,428			98,428
Other⁽¹⁾	30,846			36,600			67,446			20,715			59,204			79,919
Eliminations of intersegment revenues	(104,987		)	(12,402		)	(117,389		)	(93,337		)	(10,222		)	(103,559		)
Total	$	7,880,798		$	764,484		$	8,645,282		$	7,782,735		$	707,160		$	8,489,895

(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.