Quarterly report pursuant to Section 13 or 15(d)

Consolidated Statements Of Cash Flows

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Consolidated Statements Of Cash Flows (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Cash flows from operating activities:    
Net earnings (loss) $ (15,934) $ 79,099
Adjustments to reconcile net earnings (loss) to net cash provided by operating activities    
Depreciation and amortization 49,892 43,055
Stock compensation expense 18,417 13,263
Debt extinguishment costs 0 8,488
Impairment loss 28,033 0
Gain on sale of investment in convertible note (17,880) 0
Gain (Loss) on Sale of Investments (1,460) (213)
Deferred income taxes (19,318) (223)
Changes in assets and liabilities    
Premium and related receivables (139,414) (13,306)
Other current assets (23,487) (6,667)
Other assets 1,918 (1,230)
Medical claims liabilites 374,046 40,476
Unearned revenue 122,077 (65,183)
Accounts payable and accrued expenses (59,872) (11,414)
Other operating activities (9,736) 3,528
Net cash (used in) provided by operating activities 307,282 89,673
Cash flows from investing activities:    
Capital expenditures (70,601) (56,938)
Purchases of investments (501,958) (201,145)
Sales and maturities of investments 434,009 180,124
Investments in acquisitions, net of cash acquired 0 (3,192)
Net cash used in investing activities (138,550) (81,151)
Cash flows from financing activities:    
Proceeds from exercise of stock options 11,686 13,582
Proceeds from borrowings 215,000 419,183
Payment of long-term debt (177,422) (415,475)
Excess tax benefits from stock compensation 6,049 1,632
Common stock repurchases (2,154) (1,280)
Contribution from noncontrolling interest 1,032 569
Debt issue costs 0 (9,242)
Net cash provided by financing activities 54,191 8,969
Net (decrease) increase in cash and cash equivalents 222,923 17,491
Cash and cash equivalents, beginning of period 573,698 434,166
Cash and cash equivalents, end of period 796,621 451,657
Supplemental disclosures of cash flow information:    
Interest paid 12,127 16,097
Income taxes paid $ 34,001 $ 49,996