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Net Revenues | 12 Months Ended
--- | ---
Dec. 31, 2019
Net Revenues |
Net Revenues | (24) Net Revenues Net revenues are mainly generated from the sale of goods. The distribution of net consolidated revenues for 2019, 2018 and 2017 by segment is as follows:
|  | Thousands of Euros
|  | 31/12/2019 |  | 31/12/2018 |  | 31/12/2017
Bioscience |  | 3,993,462 |  | 3,516,704 |  | 3,429,785
Diagnostic |  | 733,604 |  | 702,265 |  | 732,369
Hospital |  | 134,441 |  | 119,454 |  | 105,649
Bio supplies |  | 266,540 |  | 167,004 |  | 66,791
Others |  | 22,820 |  | 22,451 |  | 18,263
Intersegments |  | (52,176) |  | (41,154) |  | (34,784)
|  | 5,098,691 |  | 4,486,724 |  | 4,318,073
The geographical distribution of net consolidated revenues is as follows:
|  | Thousands of Euros
|  | 31/12/2019 |  | 31/12/2018 |  | 31/12/2017
USA and Canada |  | 3,390,811 |  | 2,974,429 |  | 2,896,505
Spain |  | 268,287 |  | 264,913 |  | 242,894
European Union |  | 588,375 |  | 535,361 |  | 444,089
Rest of the world |  | 851,218 |  | 712,021 |  | 734,585
Consolidated |  | 5,098,691 |  | 4,486,724 |  | 4,318,073
Details of discounts and other reductions in gross income are as follows:
|  | Thousands of Euros
|  | 31/12/2019 |  | 31/12/2018 |  | 31/12/2017
Gross sales |  | 6,429,762 |  | 5,588,257 |  | 5,322,618
Chargebacks |  | (1,119,540) |  | (923,023) |  | (826,775)
Cash discounts |  | (70,340) |  | (62,518) |  | (57,512)
Volume rebates |  | (56,426) |  | (46,922) |  | (43,274)
Medicare and Medicaid |  | (50,442) |  | (40,343) |  | (41,722)
Other discounts |  | (34,323) |  | (28,727) |  | (35,262)
Net sales |  | 5,098,691 |  | 4,486,724 |  | 4,318,073
Movement in discounts and other reductions in gross income during 2017 were as follows:
|  | Thousands of Euros |
|  |  |  | Cash |  | Volume |  | Medicare / |  | Other |  |  |
|  | Chargebacks |  | discounts |  | rebates |  | Medicaid |  | discounts |  | Total |
Balance at 31 December 2016 |  | 87,249 |  | 6,632 |  | 26,507 |  | 21,757 |  | 4,442 |  | 146,587 |
Current estimate related to sales made in current and prior year |  | 826,775 |  | 57,512 |  | 43,274 |  | 41,722 |  | 35,262 |  | 1,004,545 | (1)
(Actual returns or credits in current period related to sales made in current period) |  | (795,449) |  | (52,270) |  | (28,976) |  | (28,198) |  | (26,072) |  | (930,965) | (2)
(Actual returns or credits in current period related to sales made in prior periods) |  | 31 |  | (6,024) |  | (20,210) |  | (16,659) |  | (2,864) |  | (45,726) | (3)
Translation differences |  | (12,716) |  | (736) |  | (2,604) |  | (2,418) |  | (625) |  | (19,099) |
Balance at 31 December 2017 |  | 105,890 |  | 5,114 |  | 17,991 |  | 16,204 |  | 10,143 |  | 155,342 |
Movement in discounts and other reductions to gross income during 2018 were as follows:
|  | Thousands of Euros |
|  |  |  | Cash |  | Volume |  | Medicare / |  | Other |  |  |
|  | Chargebacks |  | discounts |  | rebates |  | Medicaid |  | discounts |  | Total |
Balance at 31 December 2017 |  | 105,890 |  | 5,114 |  | 17,991 |  | 16,204 |  | 10,143 |  | 155,342 |
Current estimate related to sales made in current and prior year |  | 923,023 |  | 62,518 |  | 46,922 |  | 40,343 |  | 28,727 |  | 1,101,533 | (1)
(Actual returns or credits in current period related to sales made in current period) |  | (957,695) |  | (56,568) |  | (24,648) |  | (21,324) |  | (26,493) |  | (1,086,728) | (2)
(Actual returns or credits in current period related to sales made in prior periods) |  | — |  | (4,909) |  | (16,384) |  | (13,232) |  | (3,781) |  | (38,306) | (3)
Translation differences |  | 3,957 |  | 286 |  | 916 |  | 950 |  | 241 |  | 6,350 |
Balance at 31 December 2018 |  | 75,175 |  | 6,441 |  | 24,797 |  | 22,941 |  | 8,837 |  | 138,191 |
Movement in discounts and other reductions to gross income during 2019 were as follows:
|  | Thousands of Euros |
|  |  |  | Cash |  | Volume |  | Medicare / |  | Other |  |  |
|  | Chargebacks |  | discounts |  | rebates |  | Medicaid |  | discounts |  | Total |
Balance at 31 December 2018 |  | 75,175 |  | 6,441 |  | 24,797 |  | 22,941 |  | 8,837 |  | 138,191 |
Current estimate related to sales made in current and prior year |  | 1,119,540 |  | 70,340 |  | 56,426 |  | 50,442 |  | 34,323 |  | 1,331,071 | (1)
(Actual returns or credits in current period related to sales made in current period) |  | (1,104,493) |  | (64,523) |  | (28,014) |  | (34,486) |  | (22,490) |  | (1,254,006) | (2)
(Actual returns or credits in current period related to sales made in prior periods) |  | 275 |  | (6,385) |  | (25,050) |  | (20,375) |  | (5,652) |  | (57,187) | (3)
Translation differences |  | (9) |  | 24 |  | 546 |  | 389 |  | 52 |  | 1,003 |
Balance at 31 December 2019 |  | 90,488 |  | 5,897 |  | 28,705 |  | 18,911 |  | 15,070 |  | 159,072 |
| (1) |  | Net impact in income statement: estimate for the current year plus prior years’ adjustments. Adjustments made during the year corresponding to prior years’ estimates have not been significant.
| (2) |  | Amounts credited and posted against provisions for current period
| (3) |  | Amounts credited and posted against provisions for prior period

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