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, 2023	Mar. 31, 2022
Numerators:
Net income attributable to DaVita Inc.	$ 115,547	$ 162,122
Weighted average basic shares outstanding during period	90,497	96,342
Assumed incremental from stock plans	1,986	4,161
Weighted average diluted shares outstanding during period	92,483	100,503
Basic net income per share attributable to DaVita Inc.	$ 1.28	$ 1.68
Diluted net income per share attributable to DaVita Inc.	$ 1.25	$ 1.61
Anti-dilutive stock-settled awards excluded from calculation	1,295	171