v2.4.0.8

Long-term Debt - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified | 1 Months Ended | 12 Months Ended |  |  | 1 Months Ended |  | 1 Months Ended |  | 1 Months Ended |  | 12 Months Ended |  | 12 Months Ended |  | 12 Months Ended |  | 12 Months Ended |  | 12 Months Ended |  |  |  |  |  |  |  | 1 Months Ended |  |
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Aug. 28, 2012 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011 | Nov. 01, 2012 | Dec. 31, 2013 Maximum | Nov. 01, 2012 Five Year Term Loan A-3 | Dec. 31, 2013 Five Year Term Loan A-3 | Nov. 01, 2012 Five Year Term Loan A-3 Minimum | Nov. 01, 2012 Five Year Term Loan A-3 Maximum | Nov. 01, 2012 Seven Year Term Loan B-2 | Dec. 31, 2013 Seven Year Term Loan B-2 | Aug. 28, 2012 Semi Annual Payment, First Payment | Aug. 28, 2012 Semi Annual Payment, Second Payment | Aug. 26, 2011 Senior Secured Credit Facility | Dec. 31, 2013 HealthCare Partners (HCP) | Dec. 31, 2013 Interest rate cap agreements | Dec. 31, 2013 Interest rate swap agreements | Dec. 31, 2013 Term Loan A | Dec. 31, 2012 Term Loan A | Dec. 31, 2013 Term Loan A Interest rate swap agreements Contract | Dec. 31, 2013 Term Loan A-3 | Dec. 31, 2013 Term Loan A-3 Interest rate swap agreements | Dec. 31, 2013 Term Loan B | Dec. 31, 2012 Term Loan B | Dec. 31, 2013 Term Loan B Minimum | Dec. 31, 2013 Term Loan B Maximum | Dec. 31, 2013 Term Loan B Interest rate cap agreements Contract | Dec. 31, 2013 Term Loan B Interest rate cap agreements Maximum | Dec. 31, 2013 Term Loan B-2 | Dec. 31, 2013 Term Loan B-2 Interest rate cap agreements | Dec. 31, 2013 Term Loan A , Term Loan A-3, Term Loan B and Term Loan B-2 | Dec. 31, 2013 Term Loan A , Term Loan A-3, Term Loan B and Term Loan B-2 Minimum | Dec. 31, 2013 Term Loan A , Term Loan A-3, Term Loan B and Term Loan B-2 Maximum | Dec. 31, 2013 Term Loan A-3 | Dec. 31, 2012 Term Loan A-2 | Aug. 26, 2011 Term Loan A-2 | Dec. 31, 2013 Letter of Credit | Dec. 31, 2013 Senior Notes 6.375 Percent Due 2018 | Dec. 31, 2012 Senior Notes 6.375 Percent Due 2018 | Dec. 31, 2013 Senior Notes 6.625 Percent Due 2020 | Dec. 31, 2012 Senior Notes 6.625 Percent Due 2020 | Aug. 28, 2012 Senior Notes 5.75 Percent Due 2022 | Dec. 31, 2013 Senior Notes 5.75 Percent Due 2022 | Dec. 31, 2012 Senior Notes 5.75 Percent Due 2022
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Term Loan A, Term Loan A-2 and Term Loan B maturity date range |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 month | 12 months |  |  |  |  |  |  |  |  |  |  |
Debt Instrument Interest Additional Interest Above LIBOR Rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.75% |  |  |  |  |  |  | 2.75% | 3.00% |  |  | 3.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate margin, minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.25% |  |  | 2.00% |  |  |  |  |  |  |  |  |  |  |  |  | 2.00% |  |  |  |  |  |  |  |  |  |
Interest rate margin, maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.75% |  |  | 2.50% |  |  |  |  |  |  |  |  |  |  |  |  | 2.50% |  |  |  |  |  |  |  |  |  |
Interest Rate Description |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | At December 31, 2013, the overall weighted average interest rate for the Term Loan A and the Term Loan A-3 was determined based upon the LIBOR interest rates in effect for all of the individual tranches plus the interest rate margin. |  |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument interest LIBOR rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.50% |  |  |  |  |  |  | 1.50% |  |  |  | 2.50% | 4.00% | 1.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate agreements, notional amount |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 600,000 |  |  | $ 800,000 |  | $ 1,282,500 |  |  |  |  | $ 1,250,000 |  |  | $ 1,485,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Remaining outstanding debt |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 447,500 |  |  | 148,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Annual principal payment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 | 50,000 |  | 67,500 |  | 17,500 | 17,500 |  |  |  |  | 16,500 |  |  |  |  |  | 1,500 |  |  |  |  |  |  |  |  |
Undrawn revolving credit facilities |  | 350,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Outstanding letters of credit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 70,000 |  |  |  |  |  |  |
Senior notes |  | 2,800,000 | 2,800,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 775,000 | 775,000 | 775,000 | 775,000 |  | 1,250,000 | 1,250,000
Senior notes, stated interest percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 6.375% | 6.375% | 6.625% | 6.625% |  | 5.75% | 5.75%
Senior notes, due period |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2018 | 2018 | 2020 | 2020 |  | 2022 | 2022
Fixed interest rate, lower limit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0.72% |  |  | 1.59% |  | 0.49% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Fixed interest rate, upper limit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0.75% |  |  | 1.64% |  | 0.52% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Weighted average effective interest rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4.36% |  | 3.01% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate margin in effect |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.75% |  | 2.50% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cap agreements, expiration date |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Sep. 30, 2016 | Sep. 30, 2016 |  |  | Sep. 30, 2014 |  | Sep. 30, 2016 |  |  |  |  | Sep. 30, 2014 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Debt expense recognized |  | 405,010 | 272,134 | 227,667 |  |  |  |  |  |  |  |  |  |  |  |  | 1,829 |  |  |  | 12,423 |  | 3,255 |  |  |  |  | 3,589 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Fair value of assets |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 7,566 | 1,537 |  |  |  |  | 4,386 |  |  |  |  | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Unrealized pre-tax losses in other comprehensive income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 666 |  |  | 7,988 |  | 3,415 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Swap rate agreement effective date |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2014-09-30 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Unrealized loss in other comprehensive income |  | 169 | (6,204) | (29,049) |  |  |  |  |  |  |  |  |  |  |  |  | 971 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of interest rate agreements |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9 |  |  |  |  |  |  | 5 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total liability fair value |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 7,988 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
LIBOR interest rate for interest cap |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.50% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Overall weighted average effective interest rate on Senior Secured Credit Facilities |  | 4.18% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current margin in effect |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.75% |  |  | 2.50% |  | 3.00% |  |  |  |  |  | 3.00% |  |  |  |  | 2.50% |  |  |  |  |  |  |  |  |  |
Maximum additional borrowing capacity |  |  |  |  | 3,000,000 |  | 1,350,000 |  |  |  | 1,650,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
LIBOR plus interest rate margin |  |  |  |  |  |  | 2.50% |  | 2.00% | 2.50% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2013 |  |  |  |  |  |  |  | 67,500 |  |  |  | 16,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2014 |  | 274,697 |  |  |  |  |  | 67,500 |  |  |  | 16,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2015 |  | 845,831 |  |  |  |  |  | 135,000 |  |  |  | 16,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2016 |  | 1,897,554 |  |  |  |  |  | 202,500 |  |  |  | 16,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2017 |  | 910,263 |  |  |  |  |  | 877,500 |  |  |  | 16,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Floor rate |  |  |  |  |  |  |  |  |  |  | 1.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowings, interest rate |  |  |  |  |  |  |  |  |  |  | 3.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2018 |  | 806,339 |  |  |  |  |  |  |  |  |  | 16,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Long term borrowing annual principal payment, 2019 |  |  |  |  |  |  |  |  |  |  |  | 1,551,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Covenants factor leverage ratio |  |  |  |  |  | 3.501 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Senior notes issued |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,250,000 |  |
Senior notes interest payment period | The 5 3/4% Senior Notes pay interest on February 15 and August 15 of each year, and the first interest payment date was on February 15, 2013. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Senior unsecured notes, interest payable date |  |  |  |  |  |  |  |  |  |  |  |  | --02-15 | --08-15 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Debt redemption date |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Aug. 15, 2017 |  |
Debt redemption optional date |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Aug. 15, 2015 |  |
Percentage of redemption |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35.00% |  |
Proceeds from issuance of debts |  |  | 4,250,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from borrowings on Term Loan A-3 and Term Loan B-2 |  |  | 3,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from the issuance of the senior notes |  |  | 1,250,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Fees and expense paid |  |  | 71,840 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Debt refinancing cost |  |  | 10,963 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Increase for additional borrowings on revolving credit facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Maximum borrowing capacity |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 350,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 200,000 |  |  |  |  |  |  |  |
Weighted average effective interest rate |  | 4.84% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Overall weighted average effective interest rate |  | 4.86% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amortization of deferred financing costs |  | $ 24,933 | $ 16,420 | $ 13,423 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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- Definition Applicable Margin Rate + References No definition available. + Details
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- Definition Debt Instrument Date Of Payment + References No definition available. + Details
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Balance Type: | na
Period Type: | duration

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- Definition Debt Instrument, First Optional Redemption Date + References No definition available. + Details
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Balance Type: | na
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- Definition Debt Instrument Interest Additional Interest Above LIBOR Rate + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
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- Definition Debt Instrument Interest Additional Interest Above LIBOR Rate + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

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- Definition The maximum interest rate on the LIBOR component of the Company's capped term loan debt. + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

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- Definition The maximum interest rate on the LIBOR component of the Company's capped term loan debt. + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
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- Definition Debt Instrument, Interest Rate Stated Margin, Maximum Percentage + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
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- Definition Debt Instrument, Interest Rate Stated Margin, Minimum Percentage + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

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- Definition Debt Instrument Maturity Year + References No definition available. + Details
Name: | dva_DebtInstrumentMaturityYear
Namespace Prefix: | dva_
Data Type: | xbrli:gYearItemType
Balance Type: | na
Period Type: | instant

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- Definition Amount of debt refinancing charges + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

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- Definition Fees And Expenses Paid + References No definition available. + Details
Name: | dva_FeesAndExpensesPaid
Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

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- Definition The interest rate margin in effect + References No definition available. + Details
Name: | dva_InterestRateMargin
Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

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- Definition Interest Rate Swap Agreement Effective Date + References No definition available. + Details
Name: | dva_InterestRateSwapAgreementEffectiveDate
Namespace Prefix: | dva_
Data Type: | us-types:dateStringItemType
Balance Type: | na
Period Type: | duration

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- Definition Line of Credit Facility, Additional Borrowing Capacity + References No definition available. + Details
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Namespace Prefix: | dva_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

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- Definition Line Of Credit Facility Libor Floor Rate + References No definition available. + Details
Name: | dva_LineOfCreditFacilityLiborFloorRate
Namespace Prefix: | dva_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

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- Definition Including the current and noncurrent portions, carrying value as of the balance sheet date of Notes with the highest claim on the assets of the issuer in case of bankruptcy or liquidation (with maturities initially due after one year or beyond the operating cycle if longer). Senior note holders are paid off in full before any payments are made to junior note holders. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03.16) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.16(a)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 16 -Article 9 + Details
Name: | us-gaap_SeniorNotes
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant