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CONSOLIDATED STATEMENTS OF INCOME (unaudited) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2023 | Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022
Income Statement [Abstract] |  |  |  |
Dialysis patient service revenues | $ 2,951,950 | $ 2,846,494 | $ 8,602,669 | $ 8,372,874
Other revenues | 169,382 | 102,200 | 391,731 | 320,132
Total revenues | 3,121,332 | 2,948,694 | 8,994,400 | 8,693,006
Operating expenses: |  |  |  |
Patient care costs | 2,067,315 | 2,085,555 | 6,181,348 | 6,120,872
General and administrative | 376,883 | 365,447 | 1,072,513 | 975,486
Depreciation and amortization | 188,423 | 194,414 | 550,166 | 538,534
Equity investment income, net | (7,228) | (8,509) | (22,502) | (24,696)
Total operating expenses | 2,625,393 | 2,636,907 | 7,781,525 | 7,610,196
Operating income | 495,939 | 311,787 | 1,212,875 | 1,082,810
Debt expense | (98,080) | (99,680) | (302,361) | (256,057)
Debt Extinguishment And Modification Costs | 0 | 0 | 7,962 | 0
Other loss, net | (19,650) | (4,898) | (14,525) | (7,968)
Income before income taxes | 378,209 | 207,209 | 888,027 | 818,785
Income tax expense | 68,848 | 42,515 | 161,621 | 163,757
Net income | 309,361 | 164,694 | 726,406 | 655,028
Less: Net income attributable to noncontrolling interests | (62,729) | (59,328) | (185,536) | (162,731)
Net income attributable to DaVita Inc. | $ 246,632 | $ 105,366 | $ 540,870 | $ 492,297
Earnings per share attributable to DaVita Inc.: |  |  |  |
Basic net income | $ 2.70 | $ 1.16 | $ 5.95 | $ 5.24
Diluted net income | $ 2.62 | $ 1.13 | $ 5.80 | $ 5.07
Weighted average shares for earnings per share: |  |  |  |
Basic shares | 91,322,000 | 91,160,000 | 90,937,000 | 93,959,000
Diluted shares | 94,041,000 | 93,263,000 | 93,317,000 | 97,153,000

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