v2.4.0.8
Consolidated Statements Of Cash Flows (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Cash flows from operating activities:    
Net earnings $ 159,624 $ 110,836
Adjustments to reconcile net earnings (loss) to net cash provided by (used in) operating activities    
Depreciation and amortization 65,008 50,220
Stock compensation expense 34,613 27,252
Deferred income taxes (64,931) 1,626
Changes in assets and liabilities    
Premium and related receivables (243,032) (58,587)
Other current assets (24,678) (19,133)
Other assets (51,625) (65,397)
Medical claims liabilites 476,414 103,895
Unearned revenue 54,000 7,976
Accounts payable and accrued expenses 427,128 48,840
Other operating activities 21,213 4,142
Net cash provided by operating activities 853,734 211,670
Cash flows from investing activities:    
Capital expenditures (68,528) (46,383)
Purchases of investments (738,474) (666,016)
Sales and maturities of investments 319,711 451,034
Investments in acquisitions, net of cash acquired (94,154) (62,773)
Net cash used in investing activities (581,445) (324,138)
Cash flows from financing activities:    
Proceeds from exercise of stock options 5,472 7,674
Proceeds from borrowings 1,385,000 30,000
Payment of long-term debt (1,117,576) (40,842)
Proceeds from stock offering 0 15,225
Excess tax benefits from stock compensation 6,903 1,140
Common stock repurchases (5,632) (5,677)
Contribution from noncontrolling interest 5,407 5,864
Debt issue costs (6,475) (3,587)
Net cash provided by financing activities 273,099 9,797
Effect of exchange rate changes on cash and cash equivalents (489) 0
Net increase (decrease) in cash and cash equivalents 544,899 (102,671)
Cash and cash equivalents, beginning of period 1,038,073 843,952
Cash and cash equivalents, end of period 1,582,972 741,281
Supplemental disclosures of cash flow information:    
Interest paid 17,902 16,738
Health Insurer Fee Paid 126,187 0
Income taxes paid 167,283 40,921
Equity issued in connection with acquisition $ 190,412 $ 75,425