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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 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Numerators:        
Net income attributable to DaVita Inc. $ 214,688 $ 246,632 $ 677,013 $ 540,870
Weighted average basic shares outstanding during period 83,721,000 91,322,000 86,123,000 90,937,000
Assumed incremental from stock plans 2,074,000 2,719,000 2,299,000 2,380,000
Weighted average diluted shares outstanding during period 85,795,000 94,041,000 88,422,000 93,317,000
Basic net income per share attributable to DaVita Inc. $ 2.56 $ 2.70 $ 7.86 $ 5.95
Diluted net income per share attributable to DaVita Inc. $ 2.50 $ 2.62 $ 7.66 $ 5.80
Anti-dilutive stock-settled awards excluded from calculation 11,000 271,000 135,000 615,000