v3.26.1
Revenue Recognition Segment revenue by major payor (Tables)
6 Months Ended
Jun. 30, 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 June 30, 2026Three months ended June 30, 2025
U.S. dialysisOther — Ancillary servicesConsolidatedU.S. dialysisOther — Ancillary servicesConsolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage$1,749,289 $$1,749,289 $1,659,607 $$1,659,607 
Medicaid and Managed Medicaid226,944 226,944 217,699 217,699 
Other government88,848 236,377 325,225 83,104 224,937 308,041 
Commercial940,228 136,052 1,076,280 947,015 91,225 1,038,240 
Other revenues:
Medicare and Medicare Advantage151,824 151,824 140,149 140,149 
Medicaid and Managed Medicaid— — — — 
Commercial6,241 6,241 8,322 8,322 
Other(1)
6,514 26,215 32,729 5,966 21,054 27,020 
Eliminations of intersegment revenues(11,361)(3,087)(14,448)(16,716)(2,836)(19,552)
Total$3,000,462 $553,622 $3,554,084 $2,896,675 $482,851 $3,379,526 
Six months ended June 30, 2026Six months ended June 30, 2025
U.S. dialysisOther — Ancillary servicesConsolidatedU.S. dialysisOther — Ancillary servicesConsolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage$3,424,703 $$3,424,703 $3,268,625 $$3,268,625 
Medicaid and Managed Medicaid439,773 439,773 424,208 424,208 
Other government181,788 484,556 666,344 159,850 435,301 595,151 
Commercial1,894,471 245,716 2,140,187 1,871,903 178,427 2,050,330 
Other revenues:
Medicare and Medicare Advantage260,331 260,331 239,103 239,103 
Medicaid and Managed Medicaid— — 
Commercial9,889 9,889 11,023 11,023 
Other(1)
12,790 53,823 66,613 11,974 36,654 48,628 
Eliminations of intersegment revenues(31,833)(6,375)(38,208)(28,450)(5,565)(34,015)
Total$5,921,692 $1,047,940 $6,969,632 $5,708,110 $894,945 $6,603,055 
(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.