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Effects of Interest Rate Swap Agreements (Detail) (Cash Flow Hedging, USD $) In Thousands, unless otherwise specified
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3 Months Ended |
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Mar. 31, 2015
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Mar. 31, 2014
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| Derivative Instruments Gain Loss [Line Items] |
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| Amount of gains (losses) recognized in OCI on interest rate swap and cap agreements |
$ (5,760)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet |
$ (2,505)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet |
| Amount of losses reclassified from accumulated OCI into income |
(812)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet |
(3,359)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet |
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Interest rate swap agreements
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| Derivative Instruments Gain Loss [Line Items] |
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| Amount of gains (losses) recognized in OCI on interest rate swap and cap agreements |
(2,694)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
(2,764)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
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Interest rate swap agreements | Debt Expense (Including Refinancing Charges)
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| Derivative Instruments Gain Loss [Line Items] |
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| Amount of losses reclassified from accumulated OCI into income |
(722)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember / us-gaap_IncomeStatementLocationAxis = dva_DebtExpenseMember |
(4,006)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateSwapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember / us-gaap_IncomeStatementLocationAxis = dva_DebtExpenseMember |
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Interest rate cap agreements
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| Derivative Instruments Gain Loss [Line Items] |
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| Amount of gains (losses) recognized in OCI on interest rate swap and cap agreements |
(6,757)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
(1,347)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
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Interest rate cap agreements | Debt Expense (Including Refinancing Charges)
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| Derivative Instruments Gain Loss [Line Items] |
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| Amount of losses reclassified from accumulated OCI into income |
(610)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember / us-gaap_IncomeStatementLocationAxis = dva_DebtExpenseMember |
(1,507)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = us-gaap_InterestRateCapMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember / us-gaap_IncomeStatementLocationAxis = dva_DebtExpenseMember |
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Tax benefit
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| Derivative Instruments Gain Loss [Line Items] |
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| Amount of gains (losses) recognized in OCI on interest rate swap and cap agreements |
3,691us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = dva_IncomeTaxExpenseBenefitMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
1,606us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = dva_IncomeTaxExpenseBenefitMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
| Amount of losses reclassified from accumulated OCI into income |
$ 520us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = dva_IncomeTaxExpenseBenefitMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |
$ 2,154us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet / us-gaap_DerivativeInstrumentRiskAxis = dva_IncomeTaxExpenseBenefitMember / us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis = us-gaap_CashFlowHedgingMember |