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Self-Insured Liabilities
9 Months Ended
Sep. 30, 2025
Other Liabilities Disclosure [Abstract]  
Self-Insured Liabilities Self-Insured Liabilities
The liabilities for professional, general, workers’ compensation and occupational injury liability risks are based on actuarially
determined estimates. Liabilities for professional, general, workers’ compensation and occupational injury liability risks
represent the estimated ultimate cost of all reported and unreported losses incurred through the respective balance sheet dates.
The Company provides an accrual for actuarially determined claims reported but not paid and estimates of claims incurred
but not reported.
Professional and General Liability
The total costs for professional and general liability losses are based on the Company’s premiums and retention costs, and
were $64.2 million and $15.6 million for the three months ended September 30, 2025 and 2024, respectively, and $105.5
million and $50.5 million for the nine months ended September 30, 2025 and 2024, respectively. The Company experienced
an increase in its expense for professional and general liability insurance during the three and nine months ended September
30, 2025 primarily as a result of recording an accrual for loss contingencies associated with adverse claim developments in its
New Mexico market as described further in Note 9, Commitments and Contingencies.
Workers' Compensation and Occupational Injury Liability
The total costs for workers’ compensation liability insurance are based on the Company’s premiums and retention costs, and
were $2.4 million for each of the three months ended September 30, 2025 and 2024, and  $2.9 million and $5.7 million for
the nine months ended September 30, 2025 and 2024, respectively.