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Earnings per share Earnings per share - Reconciliation of numerators 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, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Numerators:        
Net income attributable to DaVita Inc. $ 178,691 $ 224,809 $ 294,238 $ 386,931
Weighted average basic shares outstanding during period 90,984,000 94,457,000 90,742,000 95,382,000
Assumed incremental from stock plans 2,434,000 3,315,000 2,210,000 3,739,000
Weighted average diluted shares outstanding during period 93,418,000 97,772,000 92,952,000 99,121,000
Basic net income per share attributable to DaVita Inc. $ 1.96 $ 2.38 $ 3.24 $ 4.06
Diluted net income per share attributable to DaVita Inc. $ 1.91 $ 2.30 $ 3.17 $ 3.90
Anti-dilutive stock-settled awards excluded from calculation 280,000 1,201,000 787,000 686,000