v3.26.3
Revenue Recognition Segment revenue by major payor (Tables)
9 Months Ended
Sep. 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 September 30, 2026Three months ended September 30, 2025
U.S. dialysisOther — Ancillary servicesConsolidatedU.S. dialysisOther — Ancillary servicesConsolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage$1,756,098 $$1,756,098 $1,715,224 $$1,715,224 
Medicaid and Managed Medicaid228,173 228,173 214,658 214,658 
Other government89,887 252,760 342,647 86,996 237,627 324,623 
Commercial969,474 133,882 1,103,356 956,887 98,630 1,055,517 
Other revenues:
Medicare and Medicare Advantage137,027 137,027 85,877 85,877 
Commercial4,265 4,265 3,762 3,762 
Other(1)
6,846 23,832 30,678 6,275 28,994 35,269 
Eliminations of intersegment revenues(22,008)(2,110)(24,118)(11,932)(2,771)(14,703)
Total$3,028,470 $549,656 $3,578,126 $2,968,108 $452,119 $3,420,227 
Nine months ended September 30, 2026Nine months ended September 30, 2025
U.S. dialysisOther — Ancillary servicesConsolidatedU.S. dialysisOther — Ancillary servicesConsolidated
Dialysis patient service revenues:
Medicare and Medicare Advantage$5,180,801 $$5,180,801 $4,983,850 $$4,983,850 
Medicaid and Managed Medicaid667,947 667,947 638,865 638,865 
Other government271,675 737,316 1,008,991 246,846 672,928 919,774 
Commercial2,863,944 379,598 3,243,542 2,828,790 277,057 3,105,847 
Other revenues:
Medicare and Medicare Advantage397,776 397,776 324,981 324,981 
Medicaid and Managed Medicaid— — 2 2 
Commercial14,153 14,153 14,786 14,786 
Other(1)
19,636 77,238 96,874 18,248 65,647 83,895 
Eliminations of intersegment revenues(53,841)(8,485)(62,326)(40,382)(8,336)(48,718)
Total$8,950,162 $1,597,596 $10,547,758 $8,676,217 $1,347,065 $10,023,282 
(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.