XML 58 R42.htm IDEA: XBRL DOCUMENT v2.4.0.6
Summary of Significant Accounting Policies and Practices (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Property, Plant and Equipment [Line Items]      
Interest rate of convertible senior notes 2.00% 2.00% 2.00%
Range of notification period for managed care contracts containing a termination clause 30 to 180 days    
Summary of Significant Accounting Policies and Practices (Textual) [Abstract]      
Cash equivalents $ 539,512 $ 741,835  
Impairment of long-lived assets 0 0 0
Point of time at which final settlement of the experience rebate payable with the state of Texas is submitted after the contract period ends 334 days    
Premium tax rate minimum 1.75%    
Premium tax rate maximum 7.50%    
General length of a managed care contract one- to two-years    
Advertising and related marketing expense $ 15,092 $ 5,084 $ 6,245
Georgia [Member]
     
Revenue, Major Customer [Line Items]      
Percentage of premium revenues generated through contract(s) with the state 12.00%    
Tennessee [Member]
     
Revenue, Major Customer [Line Items]      
Percentage of premium revenues generated through contract(s) with the state 14.00%    
Texas [Member]
     
Revenue, Major Customer [Line Items]      
Percentage of premium revenues generated through contract(s) with the state 22.00%    
Maryland [Member]
     
Revenue, Major Customer [Line Items]      
Percentage of premium revenues generated through contract(s) with the state 11.00%    
7.5% Senior Notes due November 15, 2019 [Member]
     
Property, Plant and Equipment [Line Items]      
Interest rate of convertible senior notes 7.50%    
Leasehold improvements [Member]
     
Property, Plant and Equipment [Line Items]      
Property and equipment, minimum depreciable life 3    
Property and equipment, maximum depreciable life 15    
Furniture and fixtures [Member]
     
Property, Plant and Equipment [Line Items]      
Property and equipment, average depreciable life 7    
Equipment [Member]
     
Property, Plant and Equipment [Line Items]      
Property and equipment, minimum depreciable life 3    
Property and equipment, maximum depreciable life 5    
Software [Member]
     
Property, Plant and Equipment [Line Items]      
Property and equipment, minimum depreciable life 3    
Property and equipment, maximum depreciable life 10