Annual report pursuant to Section 13 and 15(d)

Income Taxes (Tax Effects Of Temporary Differences Which Give Rise To Deferred Tax Assets And Liabilities) (Details)

v2.4.0.6
Income Taxes (Tax Effects Of Temporary Differences Which Give Rise To Deferred Tax Assets And Liabilities) (Details) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2012
Dec. 31, 2011
Income Tax Disclosure [Abstract]    
Medical claims liability and other accruals $ 52,838 $ 46,222
State net operating loss carry forward 9,055 8,761
Stock compensation 12,615 13,234
Other 20,573 8,723
Deferred tax assets 95,081 76,940
Valuation allowance (8,325) (8,521)
Net deferred tax assests 86,756 68,419
Intangible assets 12,441 10,756
Prepaid assets and other 4,767 4,508
Depreciation and amortization 31,742 31,398
Other 5,855 6,777
Deferred Tax Liabilities 54,805 53,439
Net deferred tax assets $ 31,951 $ 14,980