v2.4.1.9

Long-term Debt - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 1 Months Ended
--- | --- | ---
Mar. 31, 2015 | Mar. 31, 2014 | Apr. 30, 2015
Debt Instrument [Line Items] |  |  |
Unrealized loss on interest rate swap and cap agreements | $ (5,760)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax | $ (2,505)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax |
Overall weighted average effective interest rate on Senior Secured Credit Facilities | 3.44%dva_LineOfCreditWeightedAverageInterestRate |  |
Weighted average effective interest rate | 4.48%us-gaap_DebtInstrumentInterestRateDuringPeriod |  |
Overall weighted average effective interest rate | 4.47%us-gaap_LongtermDebtWeightedAverageInterestRate |  |
HealthCare Partners (HCP) |  |  |
Debt Instrument [Line Items] |  |  |
Outstanding letters of credit | 1,000 us-gaap_LettersOfCreditOutstandingAmount / us-gaap_StatementBusinessSegmentsAxis = dva_HealthcarePartnersMember |  |
Revolving Credit Facility |  |  |
Debt Instrument [Line Items] |  |  |
Undrawn revolving credit facilities | 1,000,000 us-gaap_LineOfCreditFacilityRemainingBorrowingCapacity / us-gaap_CreditFacilityAxis = us-gaap_RevolvingCreditFacilityMember |  |
Letter of Credit |  |  |
Debt Instrument [Line Items] |  |  |
Outstanding letters of credit | 95,000 us-gaap_LettersOfCreditOutstandingAmount / us-gaap_CreditFacilityAxis = us-gaap_LetterOfCreditMember |  |
Interest rate cap agreements |  |  |
Debt Instrument [Line Items] |  |  |
Interest rate agreements, notional amount | 3,500,000 us-gaap_DerivativeAssetNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |
Derivative, expiration date | Jun. 30, 2018 |  |
Fair value of assets | 6,820 us-gaap_DerivativeFairValueOfDerivativeAsset / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |
Unrealized loss on interest rate swap and cap agreements | (5,521)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember |  |
Interest rate cap agreements | London Interbank Offered Rate (LIBOR) |  |  |
Debt Instrument [Line Items] |  |  |
Debt instrument, variable interest rate margin | 3.50%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |
Senior Notes 5.0 Percent Due 2025 | Subsequent Event |  |  |
Debt Instrument [Line Items] |  |  |
Senior notes, principal balance |  |  | 1,500,000 us-gaap_DebtInstrumentFaceAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointZeroPercentDueTwentyTwentyFiveMember / us-gaap_SubsequentEventTypeAxis = us-gaap_SubsequentEventMember
Senior notes, interest rate |  |  | 5.00%us-gaap_DebtInstrumentInterestRateStatedPercentage / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointZeroPercentDueTwentyTwentyFiveMember / us-gaap_SubsequentEventTypeAxis = us-gaap_SubsequentEventMember
Senior notes, due date |  |  | 2025
Senior notes interest payment, first required payment date |  |  | Nov. 01, 2015
Senior Notes 6.625 Percent | Subsequent Event |  |  |
Debt Instrument [Line Items] |  |  |
Senior notes, principal balance |  |  | 775,000 us-gaap_DebtInstrumentFaceAmount / us-gaap_DebtInstrumentAxis = dva_SeniorNotesSixPointSixTwoFivePercentMember / us-gaap_SubsequentEventTypeAxis = us-gaap_SubsequentEventMember
Maximum | Senior Notes 5.0 Percent Due 2025 | Subsequent Event |  |  |
Debt Instrument [Line Items] |  |  |
Percentage of notes that may be redeemed prior to May 1, 2018 |  |  | 35.00%dva_DebtInstrumentRedemptionPercentage / us-gaap_DebtInstrumentAxis = dva_SeniorNotesFivePointZeroPercentDueTwentyTwentyFiveMember / us-gaap_RangeAxis = us-gaap_MaximumMember / us-gaap_SubsequentEventTypeAxis = us-gaap_SubsequentEventMember
Term Loan A |  |  |
Debt Instrument [Line Items] |  |  |
Debt instrument, annual principal payment | 12,500 us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Term Loan A | London Interbank Offered Rate (LIBOR) |  |  |
Debt Instrument [Line Items] |  |  |
Debt instrument, variable interest rate margin | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |
Term Loan A | Interest rate swap agreements |  |  |
Debt Instrument [Line Items] |  |  |
Interest rate agreements, notional amount | 831,250 us-gaap_DerivativeAssetNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Fixed interest rate, lower limit | 0.49%us-gaap_DerivativeLowerFixedInterestRateRange / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Fixed interest rate, upper limit | 0.52%us-gaap_DerivativeHigherFixedInterestRateRange / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Weighted average effective interest rate | 2.26%dva_WeightedAverageInterestRateOnHedgedPortionOfSeniorSecuredCreditFacility / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Debt instrument, variable interest rate margin | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Derivative, expiration date | Sep. 30, 2016 |  |
Debt expense recognized | 722 us-gaap_InterestExpenseDebt / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Fair value of liability, net | (148)us-gaap_DerivativeFairValueOfDerivativeNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Unrealized pre-tax losses in other comprehensive income | (1,439)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodBeforeTax / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Term Loan A | Interest rate swap agreements | Not Designated as Hedging Instrument |  |  |
Debt Instrument [Line Items] |  |  |
Interest rate agreements, notional amount | 131,250 us-gaap_DerivativeAssetNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_HedgingDesignationAxis = us-gaap_NondesignatedMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Debt instrument, variable interest rate margin | 1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_HedgingDesignationAxis = us-gaap_NondesignatedMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanAMember |  |
Term Loan B |  |  |
Debt Instrument [Line Items] |  |  |
Debt instrument, annual principal payment | 8,750 us-gaap_DebtInstrumentAnnualPrincipalPayment / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |
LIBOR interest rate for interest cap | 2.50%dva_DebtInstrumentInterestRatePercentageAboveLiborRate / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |
Term Loan B | London Interbank Offered Rate (LIBOR) |  |  |
Debt Instrument [Line Items] |  |  |
Debt instrument, variable interest rate margin | 2.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1 / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember / us-gaap_VariableRateAxis = us-gaap_LondonInterbankOfferedRateLIBORMember |  |
Term Loan B | Interest rate cap agreements |  |  |
Debt Instrument [Line Items] |  |  |
Interest rate agreements, notional amount | 2,735,000 us-gaap_DerivativeAssetNotionalAmount / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |
Derivative, expiration date | Sep. 30, 2016 |  |
Debt expense recognized | 610 us-gaap_InterestExpenseDebt / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |
Fair value of assets | 357 us-gaap_DerivativeFairValueOfDerivativeAsset / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |
Unrealized loss on interest rate swap and cap agreements | $ (1,236)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |
LIBOR interest rate for interest cap | 2.50%dva_DebtInstrumentInterestRatePercentageAboveLiborRate / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_LongtermDebtTypeAxis = dva_TermLoanBMember |  |

X
- 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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- Definition Debt instrument maturity date year. + References No definition available. + Details
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- Definition Debt instrument redemption percentage. + 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 Amount of the total principal payments made during the annual reporting period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -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 + Details
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- Definition Percentage points added to the reference rate to compute the variable rate on the debt instrument. + References No definition available. + 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 Face (par) amount of debt instrument at time of issuance. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28551-108399 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 55 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=34725769&loc=d3e28878-108400 + Details
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- Definition The average effective interest rate during the reporting period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28551-108399 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 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 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 Nominal or face amount used to calculate payments on the derivative asset. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 1B -URI http://asc.fasb.org/extlink&oid=35706170&loc=SL5580258-113959 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=35706170&loc=SL5579245-113959 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Notional Amount -URI http://asc.fasb.org/extlink&oid=6519104 + Details
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- Definition Fair value, before effects of master netting arrangements, of a financial asset or other contract with one or more underlyings, notional amount or payment provision or both, and the contract can be net settled by means outside the contract or delivery of an asset. Includes assets elected not to be offset. Excludes assets not subject to a master netting arrangement. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 20 -Section 50 -Paragraph 3 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=34720828&loc=SL20225862-175312 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 4B -Subparagraph (a),(c) -URI http://asc.fasb.org/extlink&oid=35706170&loc=SL5624163-113959 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 20 -Section 55 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=36459792&loc=SL20226000-175313 + Details
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- Definition Fair value of the assets less the liabilities of a derivative or group of derivatives. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 10 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=35750535&loc=d3e13433-108611 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 45 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=6945355&loc=d3e41228-113958 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=35750535&loc=d3e13495-108611 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 45 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=6945355&loc=d3e41271-113958 + Details
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- Definition High end of the range of fixed interest rates when a range is presented for a group of interest rate derivatives. + References No definition available. + Details
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- Definition Amount before tax of increase (decrease) in accumulated gain (loss) from derivative instruments designated and qualifying as the effective portion of cash flow hedges and an entity's share of an equity investee's increase (decrease) in deferred hedging gain (loss). + 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 (d) -URI http://asc.fasb.org/extlink&oid=36458714&loc=SL7669646-108580 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 30 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6441202&loc=d3e80720-113993 + Details
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