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, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Numerators:
Net income attributable to DaVita Inc.	$ 222,676	$ 178,691	$ 462,325	$ 294,238
Weighted average basic shares outstanding during period	86,899,000	90,984,000	87,337,000	90,742,000
Assumed incremental from stock plans	2,051,000	2,434,000	2,412,000	2,210,000
Weighted average diluted shares outstanding during period	88,950,000	93,418,000	89,749,000	92,952,000
Basic net income per share attributable to DaVita Inc.	$ 2.56	$ 1.96	$ 5.29	$ 3.24
Diluted net income per share attributable to DaVita Inc.	$ 2.50	$ 1.91	$ 5.15	$ 3.17
Anti-dilutive stock-settled awards excluded from calculation	4,000	280,000	197,000	787,000