v2.4.1.9

Comprehensive Income (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
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Mar. 31, 2015 | Mar. 31, 2014
Comprehensive Income (Loss) [Line Items] |  |
Beginning balance | $ (25,017)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax |
Unrealized (losses) gains net | 382 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax | 331 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
Reclassification from accumulated other comprehensive income into net income | (257)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax | (340)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax
Reclassification from accumulated other comprehensive income into net income net of tax | (157)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax | (207)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax
Ending balance | (47,625)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax |
Interest rate swaps and cap agreements |  |
Comprehensive Income (Loss) [Line Items] |  |
Beginning balance | (1,795)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | (2,344)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Unrealized (losses) gains | (9,451)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | (4,111)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Related income tax benefit (expense) | 3,691 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | 1,606 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Unrealized (losses) gains net | (5,760)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | (2,505)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Reclassification from accumulated other comprehensive income into net income | 1,332 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | 5,513 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Related income tax (expense) benefit | (520)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | (2,154)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Reclassification from accumulated other comprehensive income into net income net of tax | 812 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | 3,359 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Ending balance | (6,743)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember | (1,490)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InterestRateSwapsCrossCurrencySwapsAndInterestRateCapAgreementsMember
Investment securities |  |
Comprehensive Income (Loss) [Line Items] |  |
Beginning balance | 3,151 us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | 3,120 us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Unrealized (losses) gains | 544 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | 530 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Related income tax benefit (expense) | (162)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | (199)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Unrealized (losses) gains net | 382 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | 331 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Reclassification from accumulated other comprehensive income into net income | (257)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | (340)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Related income tax (expense) benefit | 100 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | 133 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Reclassification from accumulated other comprehensive income into net income net of tax | (157)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | (207)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Ending balance | 3,376 us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember | 3,244 us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_InvestmentSecuritiesMember
Foreign currency translation adjustments |  |
Comprehensive Income (Loss) [Line Items] |  |
Beginning balance | (26,373)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember | (3,421)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember
Unrealized (losses) gains | (17,885)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember | 28 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember
Unrealized (losses) gains net | (17,885)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember | 28 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember
Ending balance | (44,258)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember | (3,393)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = dva_ForeignCurrencyTranslationAdjustmentsMember
Accumulated other comprehensive income (loss) |  |
Comprehensive Income (Loss) [Line Items] |  |
Beginning balance | (25,017)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | (2,645)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Unrealized (losses) gains | (26,792)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | (3,553)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Related income tax benefit (expense) | 3,529 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | 1,407 us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Unrealized (losses) gains net | (23,263)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | (2,146)us-gaap_OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Reclassification from accumulated other comprehensive income into net income | 1,075 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | 5,173 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesBeforeTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Related income tax (expense) benefit | (420)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | (2,021)us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Reclassification from accumulated other comprehensive income into net income net of tax | 655 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | 3,152 us-gaap_OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember
Ending balance | $ (47,625)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember | $ (1,639)us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax / us-gaap_StatementEquityComponentsAxis = us-gaap_AccumulatedOtherComprehensiveIncomeMember

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- Definition Accumulated change in equity from transactions and other events and circumstances from non-owner sources, net of tax effect, at period end. Excludes Net Income (Loss), and accumulated changes in equity from transactions resulting from investments by owners and distributions to owners. Includes foreign currency translation items, certain pension adjustments, unrealized gains and losses on certain investments in debt and equity securities, other than temporary impairment (OTTI) losses related to factors other than credit losses on available-for-sale and held-to-maturity debt securities that an entity does not intend to sell and it is not more likely than not that the entity will be required to sell before recovery of the amortized cost basis, as well as changes in the fair value of derivatives related to the effective portion of a designated cash flow hedge. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e637-108580 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 14 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e681-108580 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 14A -URI http://asc.fasb.org/extlink&oid=36458714&loc=SL7669686-108580 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 31 -Article 5 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Article 3 + Details
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- Definition Amount before tax of reclassification adjustment from accumulated other comprehensive income for unrealized gain (loss) realized upon the sale of available-for-sale securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 9 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=27724398&loc=d3e27357-111563 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e637-108580 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e689-108580 + Details
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- Definition Amount after tax of reclassification adjustment from accumulated other comprehensive income for unrealized gain (loss) realized upon the sale of available-for-sale securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 9 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=27724398&loc=d3e27357-111563 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e637-108580 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e689-108580 + Details
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- Definition Amount of tax expense (benefit) of reclassification adjustment from accumulated other comprehensive income for unrealized gain (loss) realized upon the sale of available-for-sale securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 9 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=27724398&loc=d3e27357-111563 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e640-108580 + Details
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- Definition Amount before tax and reclassification adjustments of unrealized holding gain (loss) on available-for-sale securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=36458714&loc=d3e637-108580 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 10A -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=36458714&loc=SL7669646-108580 + Details
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