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United States securities and exchange commission logo





                            April 11, 2024

       Christopher Berry
       Chief Accounting Officer
       Davita, Inc.
       2000 16th ST
       Denver, CO 80202

                                                        Re: Davita, Inc.
                                                            Form 10-K For the
Fiscal Year Ended December 31, 2023
                                                            Filed February 14,
2024
                                                            File No. 001-14106

       Dear Christopher Berry:

              We have limited our review of your filing to the financial
statements and related
       disclosures and have the following comments.

              Please respond to this letter within ten business days by
providing the requested
       information or advise us as soon as possible when you will respond. If
you do not believe a
       comment applies to your facts and circumstances, please tell us why in
your response.

                                                        After reviewing your
response to this letter, we may have additional comments.

       Form 10-K For the Fiscal Year Ended December 31, 2023

       Management's Discussion and Analysis, page 58

   1.                                                   In your response and in
future filings, please further explain the IKC adjustment that
                                                        resulted in $55 million
in incremental shared savings revenue. Discuss the circumstances
                                                        that resulted in the
lifting of certain revenue recognition constraints for some of your
                                                        value-based care
contracts with health plans and how you considered ASC 606 in your
                                                        accounting.
       Reconciliations of non-GAAP measures, page 72

   2.                                                   In future filings,
please include a footnote that describes the composition of the non-
                                                        GAAP adjustments and
why you believe they are not indicative of your ordinary results of
                                                        operations. As a
related matter, explain to us in your response why you believe that the
                                                        non-GAAP adjustment for
"closure costs" meets the requirements of Question 100.01 of
                                                        the C&DI on Non-GAAP
Financial Measures. In this regard, we see that you incurred
                                                        similar costs in FY22
and that you will continue to optimize your U.S. dialysis center
 Christopher Berry
Davita, Inc.
April 11, 2024
Page 2
         footprint through center mergers and/or closures and expect your
center closure levels in
         the upcoming year to mirror the current year's elevated closure
levels.
Consolidated Financial Statements
Property and equipment , page F-13

3.       We note the disclosure here that maintenance and repairs are charged
to expense as
         incurred and a reference on page 65, for example, that routine repairs
and maintenance are
         included within patient care costs. The disclosures on page 70 and 72,
however, appear to
         indicate that certain routine maintenance is accounted for as a
capital expenditure. Please
         describe for us the specific routine maintenance costs that are
accounted for as a capital
         expenditure and quantify the large expenditures or groups of similar
expenditures. In
         addition, please provide us an analysis of how you determined the
accounting for these
         separate costs or groups of costs is appropriate.
4.       Please identify, describe and quantify for us the specific costs
included within
         developments and relocations, as disclosed on page 70. In addition,
please fully describe
         for us how you determined capital expenditure accounting is
appropriate for the
         separate costs or groups of similar costs.
9. Goodwill , page F-22

5.       You disclose, in part, that "since the dates of the Company   s last
annual goodwill
         impairment assessments, there have been certain developments, events,
changes in
         operating performance and other changes in key circumstances that have
affected the
         Company   s businesses." Please revise your disclosure in future
filings to identify the dates
         of your annual goodwill impairment assessment, whether you performed
an interim
         impairment analysis, and to include specific facts regarding any
developments, events, etc.
         that could impact your impairment analysis. In addition, please update
your accounting
         policy to address your application of ASC 350-20-35-3 through 35-13.
       In closing, we remind you that the company and its management are
responsible for the
accuracy and adequacy of their disclosures, notwithstanding any review,
comments, action or
absence of action by the staff.

       Please contact Michael Fay at 202-551-3812 or Kristin Lochhead at
202-551-3664 with
any questions.



                                                               Sincerely,
FirstName LastNameChristopher Berry
                                                               Division of
Corporation Finance
Comapany NameDavita, Inc.
                                                               Office of
Industrial Applications and
April 11, 2024 Page 2                                          Services
FirstName LastName
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