v2.4.0.8

Segment Information (Details) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2013 segments | Dec. 31, 2012 | Dec. 31, 2011
Number of reportable segments |  |  |  |  |  |  |  |  | 2 |  |
Premium and service revenues from external or internal customers | $ 2,931,740 | $ 2,795,569 | $ 2,610,538 | $ 2,525,482 | $ 2,272,050 | $ 2,308,075 | $ 1,967,362 | $ 1,562,809 | $ 10,863,329 | $ 8,110,296 | $ 5,211,477
Premium and service revenues |  |  |  |  |  |  |  |  | 10,526,040 | 7,681,631 | 5,051,902
Earnings (loss) from operations |  |  |  |  |  |  |  |  | 277,417 | 107,966 | 203,803
Total assets | 3,529,300 |  |  |  | 2,773,905 |  |  |  | 3,529,300 | 2,773,905 |
External Customer [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 10,526,040 | 7,681,631 | 5,051,902
Internal Customer [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 0 | 0 | 0
Operating Segments [Member] | Medicaid Managed Care [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues |  |  |  |  |  |  |  |  | 9,781,814 | 7,212,039 | 4,636,239
Earnings (loss) from operations |  |  |  |  |  |  |  |  | 197,844 | 62,867 | 161,890
Total assets | 2,817,519 |  |  |  | 2,163,347 |  |  |  | 2,817,519 | 2,163,347 | 1,709,271
Operating Segments [Member] | Specialty Services [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues |  |  |  |  |  |  |  |  | 2,932,520 | 2,107,007 | 1,190,474
Earnings (loss) from operations |  |  |  |  |  |  |  |  | 79,573 | 45,099 | 41,913
Total assets | 595,964 |  |  |  | 371,265 |  |  |  | 595,964 | 371,265 | 383,259
Operating Segments [Member] | External Customer [Member] | Medicaid Managed Care [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 9,740,720 | 7,124,720 | 4,571,430
Operating Segments [Member] | External Customer [Member] | Specialty Services [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 785,320 | 556,911 | 480,472
Operating Segments [Member] | Internal Customer [Member] | Medicaid Managed Care [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 41,094 | 87,319 | 64,809
Operating Segments [Member] | Internal Customer [Member] | Specialty Services [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 2,147,200 | 1,550,096 | 710,002
Intersegment Eliminations [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues |  |  |  |  |  |  |  |  | (2,188,294) | (1,637,415) | (774,811)
Earnings (loss) from operations |  |  |  |  |  |  |  |  | 0 | 0 | 0
Total assets | 0 |  |  |  |  |  |  | 0 | 0 |  | 0
Intersegment Eliminations [Member] | External Customer [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | 0 | 0 | 0
Intersegment Eliminations [Member] | Internal Customer [Member] |  |  |  |  |  |  |  |  |  |  |
Premium and service revenues from external or internal customers |  |  |  |  |  |  |  |  | (2,188,294) | (1,637,415) | (774,811)
Continuing Operations [Member] |  |  |  |  |  |  |  |  |  |  |
Total assets | $ 3,413,483 |  |  |  | $ 2,534,612 |  |  |  | $ 3,413,483 | $ 2,534,612 | $ 2,092,530

X
- Definition Premiums earned on the income statement for all insurance and reinsurance contracts after subtracting any amounts ceded to another insurer and adding premiums assumed from other insurers, plus aggregate revenue during the period from services rendered in the normal course of business, after deducting allowances and discounts. Premium and service revenues exclude Premium Tax Revenue. + References No definition available. + Details
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- Definition Sum of the carrying amounts as of the balance sheet date of all assets that are recognized. Assets are probable future economic benefits obtained or controlled by an entity as a result of past transactions or events. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.18) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 12 -Article 7 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 18 -Article 5 + Details
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- Definition Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements. + References No definition available. + Details
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- Definition Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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