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
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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

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