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)

v2.4.0.8
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, 2013
Dec. 31, 2012
Income Tax Disclosure [Abstract]    
Medical claims liability and other accruals $ 53,943 $ 37,413
State net operating loss carry forward 9,530 9,055
Stock compensation 14,223 12,615
Other 30,199 20,573
Deferred tax assets 107,895 79,656
Valuation allowance (8,119) (8,180)
Net deferred tax assests 99,776 71,476
Intangible assets 18,278 12,441
Prepaid assets and other 5,621 4,767
Depreciation and amortization 30,411 31,741
Other 1,615 5,624
Deferred Tax Liabilities 55,925 54,573
Net deferred tax assets $ 43,851 $ 16,903