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Earnings per share Earnings per share - Reconciliation of numberators 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, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Numerators:        
Net income from continuing operations attributable to DaVita Inc. $ 150,113 $ 73,371 $ 464,590 $ 463,989
Change in noncontrolling interest redemption rights in excess of fair value 0 98 0 0
Net income from continuing operations for earnings per share calculation 150,113 73,469 464,590 463,989
Net income from discontinued operations attributable to DaVita Inc. (6,843) (210,167) 101,520 (154,823)
Net income (loss) attributable to DeVita Inc. for earnings per share calculation $ 143,270 $ (136,698) $ 566,110 $ 309,166
Basic:        
Weighted average shares outstanding during period 150,675,000 166,819,000 161,147,000 173,875,000
Weighted average contingently returnable shares held in escrow for the DaVita HealthCare Partners merger 0 (48,000) 0 (1,471,000)
Weighted average shares for basic earnings per share calculation 150,675,465 166,770,664 161,147,122 172,403,944
Basic net income from continuing operations per share $ 1.00 $ 0.44 $ 2.88 $ 2.69
Basic net income (loss) from discontinued operations per share (0.05) (1.26) 0.63 (0.90)
Basic net income per share attributable to DaVita Inc. $ 0.95 $ (0.82) $ 3.51 $ 1.79
Diluted:        
Weighted average shares outstanding during period 150,675,000 166,819,000 161,147,000 173,875,000
Assumed incremental shares from stock plans 621,000 443,000 489,000 473,000
Weighted average shares for diluted earnings per share calculation 151,295,950 167,262,358 161,636,011 174,348,421
Diluted net income from continuing operations per share $ 0.99 $ 0.44 $ 2.87 $ 2.66
Diluted net income from discontinued operations per share (0.04) (1.26) 0.63 (0.89)
Diluted net income per share attributable to DaVita Inc. $ 0.95 $ (0.82) $ 3.50 $ 1.77
Anti-dilutive stock-settled awards excluded from calculation 7,293,000 5,281,000 6,414,000 4,987,000