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Derivative Instruments and Hedging Activity - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified
12 Months Ended 3 Months Ended 12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Sep. 30, 2013
Gambro AB
Jun. 30, 2013
Gambro AB
Dec. 31, 2013
Gambro AB
Dec. 31, 2013
Foreign exchange contract
Dec. 31, 2012
Foreign exchange contract
Dec. 31, 2013
Interest rate contract
Jun. 30, 2013
Interest rate contract
Dec. 31, 2012
Interest rate contract
Dec. 31, 2013
Fair value hedges
Dec. 31, 2012
Fair value hedges
Dec. 31, 2012
Terminated Fair Value Hedge
Dec. 31, 2013
Total notional amount of undesignated derivative instruments
Dec. 31, 2012
Total notional amount of undesignated derivative instruments
Jun. 30, 2013
Total notional amount of undesignated derivative instruments
Gambro AB
Mar. 31, 2013
Total notional amount of undesignated derivative instruments
Gambro AB
Derivative Instruments and Hedging Activities Disclosures [Line Items]                                  
Derivative notional amount           $ 2,100.0 $ 1,500.0 $ 0 $ 1,000.0 $ 250.0 $ 1,200.0 $ 500.0 $ 175.0 $ 381.0 $ 3,200.0 $ 1,500.0 $ 3,700.0
Maximum length of time hedge in cash flow hedge 24 months                                
Gain on Cash Flow Hedge 5                                
Gain on Interest rate contracts designated as cash flow hedge 11                                
Remaining deferred net loss to be amortized to net interest expense 6                                
Deferred gain amortized over the remaining term of the hedged item   21                              
Gambro derivative (gain) loss     (20) 55 23                        
(Gain) loss on hedged item in fair value hedge (46) 11                              
Deferred, net after-tax gains on derivative instruments $ 3