v3.25.4
Revenue Recognition and Accounts Receivable Segment revenue by major payor (Tables)
12 Months Ended
Dec. 31, 2025
Disaggregation of Revenue [Abstract]  
Disaggregation of Revenue
The Company's revenues by segment and primary payor source were as follows:
Year ended December 31, 2025
U.S. dialysisOther - Ancillary servicesConsolidated
Patient service revenues:
Medicare and Medicare Advantage$6,740,392 $$6,740,392 
Medicaid and Managed Medicaid871,695 871,695 
Other government349,651 914,387 1,264,038 
Commercial3,806,596 385,423 4,192,019 
Other revenues:
Medicare and Medicare Advantage507,613 507,613 
Medicaid and Managed Medicaid
Commercial15,399 15,399 
Other(1)
24,610 99,462 124,072 
Eliminations of intersegment revenues(60,958)(11,203)(72,161)
Total$11,731,986 $1,911,083 $13,643,069 
    
Year ended December 31, 2024
U.S. dialysisOther - Ancillary servicesConsolidated
Patient service revenues:
Medicare and Medicare Advantage$6,374,882 $$6,374,882 
Medicaid and Managed Medicaid863,947 863,947 
Other government343,705 717,735 1,061,440 
Commercial3,783,827 248,026 4,031,853 
Other revenues:
Medicare and Medicare Advantage463,731 463,731 
Medicaid and Managed Medicaid740 740 
Commercial21,396 21,396 
Other(1)
24,356 58,862 83,218 
Eliminations of intersegment revenues(71,747)(13,910)(85,657)
Total$11,318,970 $1,496,580 $12,815,550 
Year ended December 31, 2023
U.S. dialysisOther - Ancillary servicesConsolidated
Patient service revenues:
Medicare and Medicare Advantage$6,100,183 $$6,100,183 
Medicaid and Managed Medicaid833,744 833,744 
Other government354,304 500,137 854,441 
Commercial3,623,516 251,279 3,874,795 
Other revenues:
Medicare and Medicare Advantage460,991 460,991 
Medicaid and Managed Medicaid1,733 1,733 
Commercial32,329 32,329 
Other(1)
25,251 52,754 78,005 
Eliminations of intersegment revenues(88,222)(7,852)(96,074)
Total$10,848,776 $1,291,371 $12,140,147 
(1)Consists primarily of management service fees in the Company's U.S. dialysis business and research fees, management fees, and other non-patient service revenues in the Other - ancillary services businesses.