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

12 Months Ended

Dec. 31, 2020

Disaggregation of Revenue [Abstract]

The Company's revenues by segment and primary payor source were as follows:


	Year ended December 31, 2020
	U.S. dialysis		Other - Ancillary services		Consolidated
Patient service revenues:
Medicare and Medicare Advantage	$	6,048,043	$		$	6,048,043
Medicaid and Managed Medicaid	744,862				744,862
Other government	455,897		380,584		836,481
Commercial	3,370,562		170,394		3,540,956
Other revenues:
Medicare and Medicare Advantage			419,662		419,662
Medicaid and Managed Medicaid			1,227		1,227
Commercial			33,246		33,246
Other(1)	40,571		47,585		88,156
Eliminations of intersegment revenues	(145,286)		(16,743)		(162,029)
Total	$	10,514,649	$	1,035,955	$	11,550,604

(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, 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.