Segment Information (Tables)

Segment information as of and for the year ended December 31, 2013, follows:



	Managed Care		Specialty Services		Eliminations			Consolidated Total
Premium and service revenues from external customers	$	9,740,720	$	785,320	$	—		$	10,526,040
Premium and service revenues from internal customers	41,094		2,147,200		(2,188,294		)	—
Total premium and service revenues	9,781,814		2,932,520		(2,188,294		)	10,526,040
Earnings from operations	197,844		79,573		—			277,417
Total assets	2,817,519		595,964		—			3,413,483

Segment information as of and for the year ended December 31, 2012, follows:



	Managed Care		Specialty Services		Eliminations			Consolidated Total
Premium and service revenues from external customers	$	7,124,720	$	556,911	$	—		$	7,681,631
Premium and service revenues from internal customers	87,319		1,550,096		(1,637,415		)	—
Total premium and service revenues	7,212,039		2,107,007		(1,637,415		)	7,681,631
Earnings from operations	62,867		45,099		—			107,966
Total assets	2,163,347		371,265		—			2,534,612

Segment information as of and for the year ended December 31, 2011, follows:



	Managed Care		Specialty Services		Eliminations			Consolidated Total
Premium and service revenues from external customers	$	4,571,430	$	480,472	$	—		$	5,051,902
Premium and service revenues from internal customers	64,809		710,002		(774,811		)	—
Total premium and service revenues	4,636,239		1,190,474		(774,811		)	5,051,902
Earnings from operations	161,890		41,913		—			203,803
Total assets	1,709,271		383,259		—			2,092,530

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

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