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Components of Income Tax Expense (Detail) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Current:      
Federal $ 188,302us-gaap_CurrentFederalTaxExpenseBenefit $ 334,258us-gaap_CurrentFederalTaxExpenseBenefit $ 239,232us-gaap_CurrentFederalTaxExpenseBenefit
State 30,789us-gaap_CurrentStateAndLocalTaxExpenseBenefit 68,715us-gaap_CurrentStateAndLocalTaxExpenseBenefit 49,178us-gaap_CurrentStateAndLocalTaxExpenseBenefit
International 1,687us-gaap_CurrentForeignTaxExpenseBenefit 1,764us-gaap_CurrentForeignTaxExpenseBenefit 660us-gaap_CurrentForeignTaxExpenseBenefit
Total current income tax 220,778us-gaap_CurrentIncomeTaxExpenseBenefit 404,737us-gaap_CurrentIncomeTaxExpenseBenefit 289,070us-gaap_CurrentIncomeTaxExpenseBenefit
Deferred:      
Federal 192,267us-gaap_DeferredFederalIncomeTaxExpenseBenefit (6,695)us-gaap_DeferredFederalIncomeTaxExpenseBenefit 64,195us-gaap_DeferredFederalIncomeTaxExpenseBenefit
State 32,360us-gaap_DeferredStateAndLocalIncomeTaxExpenseBenefit (8,941)us-gaap_DeferredStateAndLocalIncomeTaxExpenseBenefit 6,498us-gaap_DeferredStateAndLocalIncomeTaxExpenseBenefit
International 938us-gaap_DeferredForeignIncomeTaxExpenseBenefit 746us-gaap_DeferredForeignIncomeTaxExpenseBenefit  
Total deferred income tax 225,565us-gaap_DeferredIncomeTaxesAndTaxCredits (14,890)us-gaap_DeferredIncomeTaxesAndTaxCredits 70,693us-gaap_DeferredIncomeTaxesAndTaxCredits
Income Tax Expense (Benefit), Continuing Operations and Discontinued Operations, Total $ 446,343dva_IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations $ 389,847dva_IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations $ 359,763dva_IncomeTaxExpenseBenefitContinuingOperationsAndDiscontinuedOperations