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Selected Quarterly Financial Data (unaudited) (Details) - USD ($) $ / shares in Units, $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Selected quarterly financial information: |  |  |  |  |  |  |  |  |  |  |
Net revenues | $ 2,898,584 | $ 2,904,078 | $ 2,842,705 | $ 2,743,112 | $ 2,821,124 | $ 2,847,330 | $ 2,886,953 | $ 2,849,444 | $ 11,388,479 | $ 11,404,851 | $ 10,876,634
Operating income | 462,588 | 378,336 | 461,886 | 340,507 | 387,908 | 289,038 | 438,192 | 410,686 | 1,643,317 | 1,525,824 | 1,812,755
Amounts attributable to DaVita Inc.: |  |  |  |  |  |  |  |  |  |  |
Net income from continuing operations | 242,242 | 150,113 | 194,223 | 120,254 | 160,332 | 73,371 | 199,603 | 191,015 | 706,832 | 624,321 | 901,277
Net income (loss) from discontinued operations | 2,629 | (6,843) | 79,328 | 29,035 | (310,104) | (210,167) | 67,673 | (12,329) | 104,149 | (464,927) | (237,659)
Net (loss) income attributable to DaVita Inc. | $ 244,871 | $ 143,270 | $ 273,551 | $ 149,289 | $ (149,772) | $ (136,796) | $ 267,276 | $ 178,686 | $ 810,981 | $ 159,394 | $ 663,618
Earnings per share attributable to DaVita Inc.: |  |  |  |  |  |  |  |  |  |  |
Basic net income from continuing operations per share attributable to DaVita Inc. (in usd per share) | $ 1.87 | $ 1.00 | $ 1.17 | $ 0.72 | $ 0.97 | $ 0.44 | $ 1.16 | $ 1.07 | $ 4.61 | $ 3.66 | $ 4.78
Basic net loss from discontinued operations per share attributable to DaVita Inc. (in usd per share) | 0.02 | (0.05) | 0.47 | 0.18 | (1.87) | (1.26) | 0.40 | (0.07) | 0.68 | (2.73) | (1.26)
Basic net income per share attributable to DaVita Inc. (in usd per share) | 1.89 | 0.95 | 1.64 | 0.90 | (0.90) | (0.82) | 1.56 | 1.00 | 5.29 | 0.93 | 3.52
Diluted net income from continuing operations per share attributable to DaVita Inc. (in usd per share) | 1.86 | 0.99 | 1.16 | 0.72 | 0.96 | 0.44 | 1.15 | 1.05 | 4.60 | 3.62 | 4.71
Diluted net loss from discontinued operations per share attributable to DaVita Inc. (in usd per share) | 0.02 | (0.04) | 0.48 | 0.18 | (1.86) | (1.26) | 0.38 | (0.07) | 0.67 | (2.70) | (1.24)
Diluted net income per share attributable to DaVita Inc. (in usd per share) | $ 1.88 | $ 0.95 | $ 1.64 | $ 0.90 | $ (0.90) | $ (0.82) | $ 1.53 | $ 0.98 | $ 5.27 | $ 0.92 | $ 3.47
Footnotes to Selected Quarterly Financial Information: |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment charges |  |  |  |  |  |  |  |  | $ 124,892 | $ 3,106 | $ 36,196
Equity investment (loss) income |  |  |  |  |  |  |  |  | 12,679 | (4,484) | (8,640)
Equity Loss And Asset Impairment |  |  |  |  |  | $ 12,088 |  |  |  |  |
Goodwill and Intangible Asset Impairment |  |  |  |  |  |  | $ 14,351 |  | 124,892 | 61,981 | 981,589
Business combination, equity interest in acquiree, remeasurement gain (loss), net |  |  |  |  | $ (19,437) |  |  |  |  |  |
Share-based Payment Arrangement, Plan Modification, Incremental Cost |  |  |  |  |  | 23,470 |  |  |  | 14,704 |
APAC JV - Deconsolidated Noncontrolling Entity |  |  |  |  |  |  |  |  |  |  |
Footnotes to Selected Quarterly Financial Information: |  |  |  |  |  |  |  |  |  |  |
Equity investment (loss) income |  |  |  |  | $ 1,530 |  |  |  | 12,679 | (4,484) | (8,640)
Paladina |  |  |  |  |  |  |  |  |  |  |
Footnotes to Selected Quarterly Financial Information: |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Realized Gain (Loss) on Disposal |  |  |  |  |  | 1,506 | $ (33,957) |  |  |  |
Pharmacy |  |  |  |  |  |  |  |  |  |  |
Footnotes to Selected Quarterly Financial Information: |  |  |  |  |  |  |  |  |  |  |
Restructuring Charges |  |  |  |  |  | $ 11,366 |  |  |  |  |
Other - Ancillary services |  |  |  |  |  |  |  |  |  |  |
Selected quarterly financial information: |  |  |  |  |  |  |  |  |  |  |
Net revenues |  |  |  |  |  |  |  |  | 957,898 | 1,161,852 | $ 1,571,745
Footnotes to Selected Quarterly Financial Information: |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment charges |  | $ 83,855 |  |  |  |  |  |  | $ 124,892 | $ 3,106 |
GERMANY | Kidney Care |  |  |  |  |  |  |  |  |  |  |
Footnotes to Selected Quarterly Financial Information: |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment charges |  | $ 78,439 |  | $ 41,037 |  |  |  |  |  |  |

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