v2.4.1.9

Long-term Debt - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified | 1 Months Ended | 12 Months Ended | 1 Months Ended |
--- | --- | --- | --- | ---
Jun. 30, 2014 | Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012 | Jul. 31, 2014 | Sep. 30, 2014
Debt Instrument [Line Items] |  |  |  |  |  |
Senior notes |  | $ 3,775,000us-gaap_SeniorNotes | $ 2,800,000us-gaap_SeniorNotes |  |  |
Facility, aggregate principal amount | 5,500,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity |  |  |  |  |
Maximum additional borrowing capacity | 1,500,000dva_LineOfCreditFacilityAdditionalBorrowingCapacity |  |  |  |  |
Long term borrowing annual principal payment, 2015 |  | 117,193us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo |  |  |  |
Long term borrowing annual principal payment, 2016 |  | 144,161us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree |  |  |  |
Long term borrowing annual principal payment, 2017 |  | 155,750us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour |  |  |  |
Long term borrowing annual principal payment, 2018 |  | 730,084us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive |  |  |  |
Thereafter |  | 7,252,300us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive |  |  |  |
Proceeds from borrowings |  | 60,038,508us-gaap_ProceedsFromIssuanceOfLongTermDebt | 66,286,097us-gaap_ProceedsFromIssuanceOfLongTermDebt | 43,248,175us-gaap_ProceedsFromIssuanceOfLongTermDebt |  |
Payment of total outstanding principal balances under existing Senior Secured Credit Facilities plus accrued interest |  | 60,046,487us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations | 66,723,385us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations | 39,286,027us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations |  |
Debt refinancing charges |  | 97,548dva_DebtRefinancingCharge |  | 10,963dva_DebtRefinancingCharge |  |
Amount of gains (losses) recognized in OCI on interest rate swap and cap agreements | 3,000us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet |  |  |  |  |
Debt expense |  | 410,294us-gaap_InterestAndDebtExpense | 429,943us-gaap_InterestAndDebtExpense | 288,554us-gaap_InterestAndDebtExpense |  |
Debt refinancing charges |  | (97,548)dva_DebtRefinancingCharge |  | (10,963)dva_DebtRefinancingCharge |  |
Debt expense recognized |  | 385,750us-gaap_InterestExpenseDebt | 401,140us-gaap_InterestExpenseDebt | 270,107us-gaap_InterestExpenseDebt |  |
Unrealized (losses) gain on interest rate swap and cap agreements |  | (10,059)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax | 169us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax | (6,204)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax |  |
Overall weighted average effective interest rate on Senior Secured Credit Facilities |  |  | 3.43%dva_LineOfCreditWeightedAverageInterestRate |  |  |
Weighted average effective interest rate |  | 4.68%us-gaap_DebtInstrumentInterestRateDuringPeriod |  |  |  |
Overall weighted average effective interest rate |  | 4.46%us-gaap_LongtermDebtWeightedAverageInterestRate |  |  |  |
Amortization of deferred financing costs |  | 24,544us-gaap_AmortizationOfFinancingCosts | 28,803us-gaap_AmortizationOfFinancingCosts | 18,447us-gaap_AmortizationOfFinancingCosts |  |
HealthCare Partners (HCP) |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Outstanding letters of credit |  | 1,000us-gaap_LettersOfCreditOutstandingAmount / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  |  |  |
Letter of Credit |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Outstanding letters of credit |  | 95,000us-gaap_LettersOfCreditOutstandingAmount / us-gaap_CreditFacilityAxis = us-gaap_LetterOfCreditMember |  |  |  |
Revolving Credit Facility |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Facility, aggregate principal amount | 1,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity / us-gaap_CreditFacilityAxis = us-gaap_RevolvingCreditFacilityMember |  |  |  |  |
Facility, term | 5 years |  |  |  |  |
Interest rate cap agreements |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Interest rate agreements, notional amount |  | 3,500,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |  |  |
Derivative, expiration date |  | Jun. 30, 2018 |  |  |  |
Fair value of assets |  | 12,340us-gaap_DerivativeFairValueOfDerivativeAsset / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |  |  |
Unrealized (losses) gain on interest rate swap and cap agreements |  | (2,147)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |  |  |
Interest Rate Swap |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Notional amount terminated | 600,000invest_DerivativeNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |  |
Debt refinancing charges | 3,100dva_DebtRefinancingCharge / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |  |
Debt expense |  | 6,100us-gaap_InterestAndDebtExpense / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Debt refinancing charges | (3,100)dva_DebtRefinancingCharge / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |  |
Amortizing Swap |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Notional amount terminated | 1,137,500invest_DerivativeNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = dva_AmortizingSwapMember |  |  |  |  |
Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Senior secured leverage ratio | 3.50dva_RequiredSeniorSecuredLeverageRatio1 / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |  |
Maximum | Interest rate cap agreements |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument Interest rate |  | 3.50%dva_DebtInstrumentInterestLondonInterbankOfferedRateRate / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
Minimum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Senior secured leverage ratio | 1.00dva_RequiredSeniorSecuredLeverageRatio1 / us-gaap_RangeAxis = us-gaap_MinimumMember |  |  |  |  |
Covenants factor leverage ratio | 1.00dva_RequiredLeverageRatioCovenant1 / us-gaap_RangeAxis = us-gaap_MinimumMember |  |  |  |  |
Term Loan A Term Loan B |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Interest rate description |  | At December 31, 2014, the overall weighted average interest rate for the Term Loan A was determined based upon the LIBOR interest rates in effect for all of the individual tranches plus the interest rate margin. |  |  |  |
Term Loan A Term Loan B | Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Term Loan A and Term Loan B maturity date range |  | 12 months |  |  |  |
Term Loan A Term Loan B | Minimum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Term Loan A and Term Loan B maturity date range |  | 1 month |  |  |  |
Term Loan A |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, annual principal payment |  | 37,500us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_TermLoanAMember | 100,000us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_TermLoanAMember |  |  |
Term Loan A-3 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, annual principal payment |  | 16,875us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_TermLoanAThreeFacilityMember | 67,500us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_TermLoanAThreeFacilityMember |  |  |
Term Loan B |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, annual principal payment |  | 4,375us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember | 17,500us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember |  |  |
Term Loan B | Interest rate cap agreements |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Interest rate agreements, notional amount |  | 2,735,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |  |  |
Term Loan B | Maximum | Interest rate cap agreements |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 3.50%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
LIBOR interest rate for interest cap |  | 3.50%dva_DebtInstrumentInterestRatePercentageAboveLiborRate / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
Term Loan B | Maximum | Interest rate cap agreements | Derivative Instrument 1 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument Interest rate |  | 2.50%dva_DebtInstrumentInterestLondonInterbankOfferedRateRate / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentOneMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
Interest rate agreements, notional amount |  | 2,735,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentOneMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
Remaining outstanding debt |  | 747,500us-gaap_DebtorInPossessionFinancingBorrowingsOutstanding / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentOneMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
Derivative, Floor Interest Rate |  | 0.75%us-gaap_DerivativeFloorInterestRate / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentOneMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
Term Loan B-2 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, annual principal payment |  | 4,125us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_SeniorSecuredTermLoanBTwoMember | 16,500us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_SeniorSecuredTermLoanBTwoMember |  |  |
New Term Loan A |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, annual principal payment |  | 25,000us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  | 25,000us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember
Facility, aggregate principal amount | 1,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
Facility, term | 5 years |  |  |  |  |
Long term borrowing annual principal payment, 2014 | 25,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalRemainderOfFiscalYear / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
Long term borrowing annual principal payment, 2015 | 50,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
Long term borrowing annual principal payment, 2016 | 62,500us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
Long term borrowing annual principal payment, 2017 | 87,500us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
Long term borrowing annual principal payment, 2018 | 100,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
Thereafter | 675,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember |  |  |  |  |
New Term Loan A | Interest Rate Swap |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Interest rate agreements, notional amount |  | 855,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Fixed interest rate, lower limit |  | 0.49%us-gaap_DerivativeLowerFixedInterestRateRange / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Fixed interest rate, upper limit |  | 0.52%us-gaap_DerivativeHigherFixedInterestRateRange / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Weighted average effective interest rate |  | 2.26%dva_WeightedAverageInterestRateOnHedgedPortionOfSeniorSecuredCreditFacility / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Derivative, expiration date |  | Sep. 30, 2016 |  |  |  |
Debt expense recognized |  | 3,170us-gaap_InterestExpenseDebt / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Fair value of assets |  | 1,824us-gaap_DerivativeFairValueOfDerivativeAsset / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
Unrealized pre-tax losses in other comprehensive income |  | 1,457us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodBeforeTax / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
New Term Loan A | Interest Rate Swap | Not Designated as Hedging Instrument |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_HedgingDesignationAxis = us-gaap_NondesignatedMember |  |  |  |
Interest rate agreements, notional amount |  | 120,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_HedgingDesignationAxis = us-gaap_NondesignatedMember |  |  |  |
New Term Loan B |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Interest rate agreements, notional amount |  | 2,735,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |
LIBOR interest rate for interest cap |  | 2.50%dva_DebtInstrumentInterestRatePercentageAboveLiborRate / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |
Debt instrument, annual principal payment |  | 17,500us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  | 17,500us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember
Facility, aggregate principal amount | 3,500,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Facility, term | 7 years |  |  |  |  |
Long term borrowing annual principal payment, 2014 | 17,500us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalRemainderOfFiscalYear / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2015 | 35,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2016 | 35,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2017 | 35,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2018 | 35,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2019 | 35,000dva_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearSix / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2020 | 35,000dva_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearSeven / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Long term borrowing annual principal payment, 2021 | 3,272,500dva_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearEight / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |  |
Derivative, expiration date |  | Sep. 30, 2016 |  |  |  |
Debt expense recognized |  | 2,439us-gaap_InterestExpenseDebt / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |
Fair value of assets |  | 1,594us-gaap_DerivativeFairValueOfDerivativeAsset / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |
Unrealized (losses) gain on interest rate swap and cap agreements |  | (5,972)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember |  |  |  |
New Term Loan B | Interest rate cap agreements | Derivative Instrument 2 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Interest rate agreements, notional amount |  | 1,250,000us-gaap_DerivativeAssetNotionalAmount / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |  |  |
Derivative, expiration date |  | Sep. 30, 2014 |  |  |  |
Debt expense recognized |  | 2,691us-gaap_InterestExpenseDebt / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |  |  |
New Term Loan B | Interest Rate Swap |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 2.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember |  |  |  |
New Term Loan B | Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Covenants factor leverage ratio | 3.50dva_RequiredLeverageRatioCovenant1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |  |
New Term Loan B | Maximum | Interest rate cap agreements | Derivative Instrument 2 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument Interest rate |  | 4.00%dva_DebtInstrumentInterestLondonInterbankOfferedRateRate / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |
New Term Loan B | Minimum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument Interest rate | 0.75%dva_DebtInstrumentInterestLondonInterbankOfferedRateRate / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_RangeAxis = us-gaap_MinimumMember |  |  |  |  |
Senior Secured Credit Facilities |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Undrawn revolving credit facilities |  | 1,000,000us-gaap_LineOfCreditFacilityRemainingBorrowingCapacity / us-gaap_DebtInstrumentAxis = dva_SeniorSecuredCreditFacilitiesMember |  |  |  |
Payment of total outstanding principal balances under existing Senior Secured Credit Facilities plus accrued interest |  | 5,362,400us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations / us-gaap_DebtInstrumentAxis = dva_SeniorSecuredCreditFacilitiesMember |  |  |  |
Senior Notes 5.125 Percent Due 2024 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Senior notes | 1,750,000us-gaap_SeniorNotes / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointOneTwoFivePercentDueTwentyTwentyFourMember | 1,750,000us-gaap_SeniorNotes / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointOneTwoFivePercentDueTwentyTwentyFourMember |  |  |  |
Senior note, interest rate | 5.125%us-gaap_DebtInstrumentInterestRateStatedPercentage / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointOneTwoFivePercentDueTwentyTwentyFourMember | 5.125%us-gaap_DebtInstrumentInterestRateStatedPercentage / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointOneTwoFivePercentDueTwentyTwentyFourMember |  |  |  |
Senior note, due date |  | 2024 |  |  |  |
Senior notes interest payment period |  | The 5 1/8% Senior Notes pay interest on January 15 and July 15 of each year beginning January 15, 2015 |  |  |  |
Senior notes interest payment, first required payment date |  | Jan. 15, 2015 |  |  |  |
Debt redemption end date |  | Jul. 15, 2019 |  |  |  |
Proceeds from borrowings |  | 1,750,000us-gaap_ProceedsFromIssuanceOfLongTermDebt / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointOneTwoFivePercentDueTwentyTwentyFourMember |  |  |  |
Senior Notes 5.125 Percent Due 2024 | Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt redemption end date |  | Jul. 15, 2017 |  |  |  |
Senior Notes 6.625 Percent Due 2020 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Senior notes |  | 775,000us-gaap_SeniorNotes / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointSixTwoFivePercentDueTwentyTwentyMember |  |  |  |
Senior note, interest rate |  | 6.625%us-gaap_DebtInstrumentInterestRateStatedPercentage / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointSixTwoFivePercentDueTwentyTwentyMember |  |  |  |
Senior note, due date |  | 2020 |  |  |  |
Senior Notes 5.75 Percent Due 2022 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Senior notes |  | 1,250,000us-gaap_SeniorNotes / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointSevenFivePercentageSeniorNotesMember |  |  |  |
Senior note, interest rate |  | 5.75%us-gaap_DebtInstrumentInterestRateStatedPercentage / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointSevenFivePercentageSeniorNotesMember |  |  |  |
Senior note, due date |  | 2022 |  |  |  |
New Term Loans and Senior Notes 5.125 Percent Due 2024 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Proceeds from borrowings |  | 6,250,000us-gaap_ProceedsFromIssuanceOfLongTermDebt / us-gaap_DebtInstrumentAxis = dva_NewTermLoansAndSeniorNotesMember |  |  |  |
New Term Loans and Senior Notes 5.125 Percent Due 2024 | Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Percentage of redemption | 35.00%us-gaap_DebtInstrumentRedemptionPricePercentage / us-gaap_DebtInstrumentAxis = dva_NewTermLoansAndSeniorNotesMember / us-gaap_RangeAxis = us-gaap_MaximumMember |  |  |  |  |
New Term Loans |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Proceeds from borrowings |  | 4,500,000us-gaap_ProceedsFromIssuanceOfLongTermDebt / us-gaap_DebtInstrumentAxis = dva_NewTermLoansMember |  |  |  |
Senior Notes 6.375 Percent Due 2018 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Outstanding principal balances |  | 483,100dva_DebtInstrumentFaceAmountCashTenderPurchase / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember |  |  |  |
Aggregate debt principal balances |  | 775,000us-gaap_DebtInstrumentFaceAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember |  |  |  |
Redemption of total amount of debt including principal and interest |  | 512,400us-gaap_ExtinguishmentOfDebtAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember |  |  |  |
Debt instrument, redemption price ratio |  | 1,051.25dva_DebtInstrumentRedemptionPriceRatio / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember |  |  |  |
Cash tender premium for redemption |  | 24,800us-gaap_RedemptionPremium / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember |  |  |  |
Fees, discounts and other professional expenses |  | 81,600us-gaap_PaymentsOfDebtExtinguishmentCosts / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember |  |  |  |
Senior Notes 6.375 Percent Due 2018 | Debt Instrument, Redemption, Period One |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Aggregate debt principal balances |  |  |  |  | 188us-gaap_DebtInstrumentFaceAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DebtInstrumentRedemptionPeriodAxis = us-gaap_DebtInstrumentRedemptionPeriodOneMember |
Redemption of total amount of debt including principal and interest |  |  |  |  | 194us-gaap_ExtinguishmentOfDebtAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DebtInstrumentRedemptionPeriodAxis = us-gaap_DebtInstrumentRedemptionPeriodOneMember |
Debt instrument, redemption price ratio |  |  |  |  | 1,021.25dva_DebtInstrumentRedemptionPriceRatio / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DebtInstrumentRedemptionPeriodAxis = us-gaap_DebtInstrumentRedemptionPeriodOneMember |
Cash tender premium for redemption |  |  |  |  | 4us-gaap_RedemptionPremium / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DebtInstrumentRedemptionPeriodAxis = us-gaap_DebtInstrumentRedemptionPeriodOneMember |
Senior Notes 6.375 Percent Due 2018 | Derivative Instrument 2 |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Aggregate debt principal balances |  |  |  |  | 291,719us-gaap_DebtInstrumentFaceAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember |
Redemption of total amount of debt including principal and interest |  |  |  |  | 309,954us-gaap_ExtinguishmentOfDebtAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember |
Debt instrument, redemption price ratio |  |  |  |  | 1,047.81dva_DebtInstrumentRedemptionPriceRatio / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember |
Cash tender premium for redemption |  |  |  |  | $ 13,947us-gaap_RedemptionPremium / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointThreeSevenFivePercentDueTwentyEighteenMember / us-gaap_DerivativeByNatureAxis = dva_DerivativeInstrumentTwoMember |
London Interbank Offered Rate (LIBOR) |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |  |  |
London Interbank Offered Rate (LIBOR) | Term Loan A |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_TermLoanAMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |  |
London Interbank Offered Rate (LIBOR) | Term Loan B | Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 2.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_RangeAxis = us-gaap_MaximumMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |  |
London Interbank Offered Rate (LIBOR) | Term Loan B | Minimum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  | 2.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_TermLoanBMember / us-gaap_RangeAxis = us-gaap_MinimumMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |  |
London Interbank Offered Rate (LIBOR) | New Term Loan A |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  |  | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |
London Interbank Offered Rate (LIBOR) | New Term Loan A | Maximum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate | 2.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_RangeAxis = us-gaap_MaximumMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |  |  |
London Interbank Offered Rate (LIBOR) | New Term Loan A | Minimum |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate | 1.50%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanAMember / us-gaap_RangeAxis = us-gaap_MinimumMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |  |  |
London Interbank Offered Rate (LIBOR) | New Term Loan B |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |
Debt instrument, variable interest rate |  |  | 2.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DebtInstrumentAxis = dva_NewTermLoanBMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |  |

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- Definition The interest rate on the LIBOR component of the Company's capped term loan debt + References No definition available. + Details
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- Definition This line represents the weighted average effective interest rate on the senior secured credit facilities. + References No definition available. + Details
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- Definition This represents the weighted average effective interest rate on the hedged portion of the senior secured credit facility. + References No definition available. + Details
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- Definition Aggregate notional amount specified by the derivative(s). Expressed as an absolute value. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Article 12 -Section 13 -Sentence Column B + Details
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- Definition Amount of noncash expense included in interest expense to issue debt and obtain financing associated with the related debt instruments. Alternate captions include noncash interest expense. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.8) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 8 -Article 5 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph 8 -Article 9 + Details
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- Definition Date the debt agreement requires the first payment to be made, in CCYY-MM-DD format. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 22 -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6479336&loc=d3e64711-112823 + Details
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- Definition Contractual interest rate for funds borrowed, under the debt agreement. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 22 -Article 5 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Description of the interest rate as being fixed or variable, and, if variable, identification of the index or rate on which the interest rate is based and the number of points or percentage added to that index or rate to set the rate, and other pertinent information, such as frequency of rate resets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 22 -Article 5 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Percentage price of original principal amount of debt at which debt can be redeemed by the issuer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -Subparagraph e -URI http://asc.fasb.org/extlink&oid=6479336&loc=d3e64711-112823 + Details
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- Definition Period of time between issuance and maturity of debt instrument, in PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
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