v3.26.1
Revenue Recognition Segment revenue by major payor (Tables)
3 Months Ended
Mar. 31, 2026
Revenues by major payor [Abstract]  
Disaggregation of Revenue [Table Text Block]
The following tables summarize the Company's segment revenues by primary payor source:
Three months ended March 31, 2026Three months ended March 31, 2025
U.S. dialysisOther — Ancillary servicesConsolidatedU.S. dialysisOther — Ancillary servicesConsolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage$1,675,413 $$1,675,413 $1,609,018 $$1,609,018 
Medicaid and Managed Medicaid212,830 212,830 206,509 206,509 
Other government92,940 248,179 341,119 76,746 209,747 286,493 
Commercial954,243 109,664 1,063,907 924,888 87,819 1,012,707 
Other revenues:
Medicare and Medicare Advantage108,506 108,506 98,954 98,954 
Medicaid and Managed Medicaid— — 
Commercial3,648 3,648 2,701 2,701 
Other(1)
6,275 27,610 33,885 6,008 15,599 21,607 
Eliminations of intersegment revenues(20,472)(3,288)(23,760)(11,734)(2,728)(14,462)
Total$2,921,229 $494,319 $3,415,548 $2,811,435 $412,094 $3,223,529 
(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.