Commitments and Contingencies (Tables)

12 Months Ended

Dec. 31, 2023

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, 2023 (amount in thousands):

	General and
	Professional			Workers’
	Liability			Compensation			Total
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 January 1, 2023		371,900			124,516			496,416
Plus: Accrued insurance expense, net of commercial    premiums paid		127,445			56,017			183,462
Less: Payments made in settlement of self-insured claims		(67,860	)		(50,229	)		(118,089	)
Balance at December 31, 2023	$	431,485		$	130,304		$	561,789