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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, shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Numerators:
Net income attributable to DaVita Inc.	$ 162,917	$ 239,649
Weighted average basic shares outstanding during period	79,368	87,775
Assumed incremental from stock plans	1,907	2,772
Weighted average diluted shares outstanding during period	81,275	90,547
Basic net income per share attributable to DaVita Inc.	$ 2.05	$ 2.73
Diluted net income per share attributable to DaVita Inc.	$ 2.00	$ 2.65
Anti-dilutive stock-settled awards excluded from calculation	187	391

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Securities (including those issuable pursuant to contingent stock agreements) that could potentially dilute basic earnings per share (EPS) or earnings per unit (EPU) in the future that were not included in the computation of diluted EPS or EPU because to do so would increase EPS or EPU amounts or decrease loss per share or unit amounts for the period presented.

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