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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
Mar. 31, 2021
Mar. 31, 2020
Numerators:    
Net income from continuing operations attributable to DaVita Inc. $ 237,403 $ 229,613
Net income from discontinued operations attributable to DaVita Inc. 0 9,980
Net income attributable to DaVita Inc. $ 237,403 $ 239,593
Weighted average shares outstanding during period 109,014,000 124,902,000
Assumed incremental from stock plans 4,838,000 1,993,000
Weighted average shares for diluted earnings per share calculation 113,852,000 126,895,000
Basic:    
Basic net income from continuing operations $ 2.18 $ 1.84
Basic net income (loss) from discontinued operations per share 0 0.08
Basic net income per share attributable to DaVita Inc. 2.18 1.92
Diluted:    
Diluted net income from continuing operations 2.09 1.81
Diluted net income from discontinued operations per share 0 0.08
Diluted net income per share attributable to DaVita Inc. $ 2.09 $ 1.89
Anti-dilutive stock-settled awards excluded from calculation 27,000 3,207,000