| Disaggregation of Revenue [Table Text Block] |
The following tables summarize the Company's segment revenues by primary payor source: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Three months ended September 30, 2026 | | Three months ended September 30, 2025 | | U.S. dialysis | | Other — Ancillary services | | Consolidated | | U.S. dialysis | | Other — Ancillary services | | Consolidated | | Dialysis patient service revenues: | | | | | | | | | | | | | Medicare and Medicare Advantage | $ | 1,756,098 | | | $ | | $ | 1,756,098 | | | $ | 1,715,224 | | | $ | | $ | 1,715,224 | | | Medicaid and Managed Medicaid | 228,173 | | | | | 228,173 | | | 214,658 | | | | | 214,658 | | | Other government | 89,887 | | | 252,760 | | | 342,647 | | | 86,996 | | | 237,627 | | | 324,623 | | | Commercial | 969,474 | | | 133,882 | | | 1,103,356 | | | 956,887 | | | 98,630 | | | 1,055,517 | | | Other revenues: | | | | | | | | | | | | | Medicare and Medicare Advantage | | | 137,027 | | | 137,027 | | | | | 85,877 | | | 85,877 | | | | | | | | | | | | | | | Commercial | | | 4,265 | | | 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, 2026 | | Nine months ended September 30, 2025 | | U.S. dialysis | | Other — Ancillary services | | Consolidated | | U.S. dialysis | | Other — Ancillary services | | Consolidated | | Dialysis patient service revenues: | | | | | | | | | | | | | Medicare and Medicare Advantage | $ | 5,180,801 | | | $ | | $ | 5,180,801 | | | $ | 4,983,850 | | | $ | | $ | 4,983,850 | | | Medicaid and Managed Medicaid | 667,947 | | | | | 667,947 | | | 638,865 | | | | | 638,865 | | | Other government | 271,675 | | | 737,316 | | | 1,008,991 | | | 246,846 | | | 672,928 | | | 919,774 | | | Commercial | 2,863,944 | | | 379,598 | | | 3,243,542 | | | 2,828,790 | | | 277,057 | | | 3,105,847 | | | Other revenues: | | | | | | | | | | | | | Medicare and Medicare Advantage | | | 397,776 | | | 397,776 | | | | | 324,981 | | | 324,981 | | | Medicaid and Managed Medicaid | | | — | | | — | | | | | 2 | | | 2 | | | Commercial | | | 14,153 | | | 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.
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