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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, 2025	Jun. 30, 2024	Jun. 30, 2025	Jun. 30, 2024
Numerators:
Net income attributable to DaVita Inc.	$ 199,337	$ 222,676	$ 362,254	$ 462,325
Weighted average basic shares outstanding during period	75,943,000	86,899,000	77,646,000	87,337,000
Assumed incremental from stock plans	1,419,000	2,051,000	1,663,000	2,412,000
Weighted average diluted shares outstanding during period	77,362,000	88,950,000	79,309,000	89,749,000
Basic net income per share attributable to DaVita Inc.	$ 2.62	$ 2.56	$ 4.67	$ 5.29
Diluted net income per share attributable to DaVita Inc.	$ 2.58	$ 2.50	$ 4.57	$ 5.15
Anti-dilutive stock-settled awards excluded from calculation	266,000	4,000	226,000	197,000

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