CONSOLIDATED BALANCE SHEETS (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Current Assets:
Cash and cash equivalents	$ 368,273	$ 203,187
Restricted cash	165,166	236,696
Accounts receivable, less allowance for doubtful accounts of $5,447 and $ 4,763 at December 31, 2013 and September 30, 2014, respectively	302,682	238,185
Short-term investments (restricted investments of $117,674 and $128,043 at December 31, 2013 and September 30, 2014 respectively)	150,558	175,883
Deferred income taxes	36,090	37,530
Pharmaceutical inventory	40,899	49,609
Other current assets (restricted deposits of $25,009 and $32,692 at December 31,2013 and September 30, 2014, respectively)	67,172	48,268
Total Current Assets	1,130,840	989,358
Property and equipment, net	175,521	172,333
Restricted long-term investments	50,866	32,430
Other long-term assets	11,601	7,197
Goodwill	566,106	488,206
Other intangible assets, net	140,313	69,694
Total Assets	2,075,247	1,759,218
Current Liabilities:
Accounts payable	65,382	42,853
Accrued liabilities	121,408	134,652
Medical claims payable	281,133	228,341
Other medical liabilities	54,338	67,416
Current maturities of long-term debt and capital lease obligations	15,484	3,005
Total Current Liabilities	537,745	476,267
Long-term debt and capital lease obligations	258,868	23,720
Deferred income taxes	43,069	42,046
Tax contingencies	14,217	32,343
Contingent consideration	47,941
Deferred credits and other long-term liabilities	21,744	17,803
Total Liabilities	923,584	592,179
Redeemable non-controlling interest	7,200	10,554
Preferred stock, par value $.01 per share Authorized-10,000 shares at December 31, 2013 and September 30, 2014-Issued and outstanding-none
Other Stockholders' Equity:
Additional paid-in capital	994,728	922,325
Retained earnings	1,158,332	1,100,493
Accumulated other comprehensive loss	(91)	(93)
Ordinary common stock in treasury, at cost, 19,735 shares and 22,188 shares at December 31, 2013 and September 30, 2014, respectively	(1,009,004)	(866,714)
Total Stockholders' Equity	1,144,463	1,156,485
Total Liabilities, Redeemable Non-Controlling Interest and Stockholders' Equity	2,075,247	1,759,218
Ordinary common stock
Current Liabilities:
Common stock	498	474
Multi-Vote common stock
Current Liabilities:
Common stock