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Earnings per share Earnings per share - Reconciliation of numberators and denominators used to calculate basic and diluted earnings per share (Details) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Numerators:        
Net income from continuing operations attributable to DaVita Inc. $ 201,602 $ 194,223 $ 431,215 $ 314,477
Net income from discontinued operations attributable to DaVita Inc. 0 79,328 9,980 108,363
Net income attributable to DaVita Inc. $ 201,602 $ 273,551 $ 441,195 $ 422,840
Weighted average shares outstanding during period 122,074,000 166,346,000 123,485,000 166,367,000
Assumed incremental shares from stock plans 1,994,000 454,000 1,994,000 423,000
Weighted average shares for diluted earnings per share calculation 124,068,278 166,799,525 125,478,913 166,789,978
Basic:        
Basic net income from continuing operations per share $ 1.65 $ 1.17 $ 3.49 $ 1.89
Basic net income (loss) from discontinued operations per share 0 0.47 0.08 0.65
Basic net income per share attributable to DaVita Inc. 1.65 1.64 3.57 2.54
Diluted:        
Diluted net income from continuing operations per share 1.62 1.16 3.44 1.89
Diluted net income from discontinued operations per share 0 0.48 0.08 0.65
Diluted net income per share attributable to DaVita Inc. $ 1.62 $ 1.64 $ 3.52 $ 2.54
Anti-dilutive stock-settled awards excluded from calculation 3,216,000 5,797,000 3,211,000 5,974,000