Commitments and Contingencies (Tables)

12 Months Ended

Dec. 31, 2022

Commitments and Contingencies Disclosure [Abstract]

Schedule of Changes in General and Professional Liability and Workers Compensation Reserves

Below is a schedule showing the changes in our general and professional liability and workers’ compensation reserves during the three years ended December 31, 2022 (amount in thousands):

	General and
	Professional			Workers’
	Liability			Compensation			Total
Balance at January 1, 2020	$	241,820		$	81,004		$	322,824
Plus: Accrued insurance expense, net of commercial    premiums paid		91,518			67,705			159,223
Less: Payments made in settlement of self-insured claims		(69,559	)		(43,524	)		(113,083	)
Balance at January 1, 2021		263,779			105,185			368,964
Plus: Accrued insurance expense, net of commercial    premiums paid		129,690			56,525			186,215
Less: Payments made in settlement of self-insured claims		(44,776	)		(46,725	)		(91,501	)
Balance at January 1, 2022		348,693			114,985			463,678
Plus: Accrued insurance expense, net of commercial    premiums paid		111,763			62,960			174,723
Less: Payments made in settlement of self-insured claims		(88,556	)		(53,429	)		(141,985	)
Balance at December 31, 2022	$	371,900		$	124,516		$	496,416