v2.4.0.8

Income Taxes Income Taxes (Tables) | 12 Months Ended
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Dec. 31, 2013
Income Taxes [Abstract] |
Consolidated Income Tax Expense | The consolidated income tax expense consists of the following for the years ended December 31:
| 2013 |  | 2012 |  | 2011
Current provision: |  |  |  |  |
Federal | $ | 120,858 |  |  | $ | 47,528 |  |  | $ | 63,388 |
State and local | 5,857 |  |  | (4,368 | ) |  | 5,157 |
Total current provision | 126,715 |  |  | 43,160 |  |  | 68,545 |
Deferred provision | (19,635 | ) |  | 4,252 |  |  | 2,142 |
Total provision for income taxes | $ | 107,080 |  |  | $ | 47,412 |  |  | $ | 70,687 |
Reconciliation Of The Tax Provision At The U.S. Federal Statutory Rate To The Provision For Income Taxes | The reconciliation of the tax provision at the U.S. Federal Statutory Rate to the provision for income taxes is as follows:
| 2013 |  | 2012 |  | 2011
Earnings from continuing operations, before income tax expense | $ | 268,917 |  |  | $ | 122,791 |  |  | $ | 188,350 |
Less flow through noncontrolling interest | 960 |  |  | (2,539 | ) |  | (2,855 | )
Earnings from continuing operations, less noncontrolling interest, before income tax expense | 267,957 |  |  | 125,330 |  |  | 191,205 |
Tax provision at the U.S. federal statutory rate | 93,785 |  |  | 43,866 |  |  | 66,922 |
State income taxes, net of federal income tax benefit | 2,871 |  |  | (2,288 | ) |  | 3,381 |
Nondeductible goodwill impairment | — |  |  | 8,487 |  |  | — |
Nondeductible compensation | 12,519 |  |  | 1,108 |  |  | 2,705 |
Other, net | (2,095 | ) |  | (3,761 | ) |  | (2,321 | )
Income tax expense | $ | 107,080 |  |  | $ | 47,412 |  |  | $ | 70,687 |
Tax Effects Of Temporary Differences Which Give Rise To Deferred Tax Assets And Liabilities | The tax effects of temporary differences which give rise to deferred tax assets and liabilities are presented below for the years ended December 31:
| 2013 |  | 2012
Deferred tax assets: |  |  |
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 assets | $ | 99,776 |  |  | $ | 71,476 |
Deferred tax liabilities: |  |  |
Intangible assets | $ | 18,278 |  |  | $ | 12,441 |
Prepaid assets | 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 |
Reserve For Uncertain Tax Positions | The Company maintains a reserve for uncertain tax positions that may be challenged by a tax authority. A roll-forward of the reserve is as follows:
| 2013 |  | 2012
Gross unrecognized tax benefits, beginning of period | $ | 7,870 |  |  | $ | 13,552 |
Gross increases: |  |  |
Current year tax positions | 338 |  |  | 4,107 |
Prior year tax positions | 164 |  |  | 451 |
Gross decreases: |  |  |
Prior year tax positions | — |  |  | (9,925 | )
Settlements | (4,390 | ) |  | (53 | )
Statute of limitation lapses | (708 | ) |  | (262 | )
Gross unrecognized tax benefits, end of period | $ | 3,274 |  |  | $ | 7,870 |

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- Definition Tabular disclosure of the components of income tax expense attributable to continuing operations for each year presented including, but not limited to: current tax expense (benefit), deferred tax expense (benefit), investment tax credits, government grants, the benefits of operating loss carryforwards, tax expense that results from allocating certain tax benefits either directly to contributed capital or to reduce goodwill or other noncurrent intangible assets of an acquired entity, adjustments of a deferred tax liability or asset for enacted changes in tax laws or rates or a change in the tax status of the entity, and adjustments of the beginning-of-the-year balances of a valuation allowance because of a change in circumstances that causes a change in judgment about the realizability of the related deferred tax asset in future years. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32639-109319 + Details
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- Definition Tabular disclosure of the components of net deferred tax asset or liability recognized in an entity's statement of financial position, including the following: the total of all deferred tax liabilities, the total of all deferred tax assets, the total valuation allowance recognized for deferred tax assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32537-109319 + Details
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- Definition Tabular disclosure of the reconciliation using percentage or dollar amounts of the reported amount of income tax expense attributable to continuing operations for the year to the amount of income tax expense that would result from applying domestic federal statutory tax rates to pretax income from continuing operations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32687-109319 + Details
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- Definition Tabular disclosure of tax positions taken in the tax returns filed or to be filed for which it is more likely than not that the tax position will not be sustained upon examination by taxing authorities (i.e., uncertain tax positions) and other types of income tax contingencies, including: (1) the policy on classification of interest and penalties; (2) a tabular reconciliation of the total amounts of unrecognized tax benefits at the beginning and end of the period; the total amount(s) of: (3) unrecognized tax benefits that, if recognized, would affect the effective tax rate, and (4) interest and penalties recognized in each of the income statement and balance sheet; (5) for positions for which it is reasonably possible that the total amounts unrecognized will significantly change within 12 months of the reporting date the: (i) nature of the uncertainty, (ii) nature of the event that could occur that would cause the change, and (iii) an estimate of the range of the reasonably possible change or a statement that an estimate of the range cannot be made; and (6) a description of tax years that remain subject to examination by major tax jurisdictions. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32718-109319 + Details
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