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QUARTERLY FINANCIAL DATA (UNAUDITED) (Details) (USD $)
3 Months Ended 12 Months Ended
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Quarterly Financial Information Disclosure [Abstract]                      
Operating revenues $ 3,445,817,000 $ 3,457,783,000 $ 3,517,796,000 $ 3,691,967,000 [1] $ 3,129,156,000 $ 2,975,543,000 $ 3,033,046,000 [2] $ 3,048,938,000 $ 14,113,363,000 $ 12,186,683,000 $ 11,587,916,000
Operating earnings 178,534,000 159,478,000 145,203,000 276,476,000 [1] 148,943,000 192,613,000 355,101,000 [2] 171,473,000 759,691,000 868,130,000 689,285,000
Earnings before income taxes 191,086,000 167,078,000 151,018,000 275,353,000 [1] 143,557,000 187,299,000 356,341,000 [2] 170,904,000      
Net earnings 119,341,000 105,259,000 91,743,000 170,719,000 [1] 85,696,000 122,681,000 224,495,000 [2] 110,233,000 487,063,000 543,105,000 438,616,000
Basic earnings per common share (in dollars per share) $ 0.89 $ 0.79 $ 0.65 $ 1.21 [1] $ 0.60 $ 0.84 $ 1.51 [2] $ 0.74 $ 3.54 $ 3.70 $ 2.96
Diluted earnings per common share (in dollars per share) $ 0.88 $ 0.78 $ 0.65 $ 1.20 [1] $ 0.60 $ 0.83 $ 1.50 [2] $ 0.73 $ 3.52 $ 3.67 $ 2.94
RADV Release       133,000,000         132,977,000 0 0
Amount released in settlement of legal matter             $ 159,300,000        
[1] During the quarter ended March 31, 2012, CMS announced which contract years are subject to the CMS RADV audits and other core areas of the audit methodology. As a result of these changes, the Company recorded a non-recurring pre-tax adjustment to earnings of $133.0 million during the first quarter of 2012. See Note A, Organization and Summary of Significant Accounting Policies, to the consolidated financial statements for additional information.
[2] On May 27, 2011, the court entered an order of final approval of a settlement and, accordingly, the Company recorded a non-recurring pre-tax adjustment that increased earnings of $159.3 million in the second quarter of 2011.