Commitments and Contingencies (Tables)

12 Months Ended

Dec. 31, 2024

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, 2024 (amount in thousands):

	General and
	Professional			Workers’
	Liability			Compensation			Total
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 January 1, 2024		431,485			130,304			561,789
Plus: Accrued insurance expense, net of commercial    premiums paid		184,110			70,284			254,394
Less: Payments made in settlement of self-insured claims		(128,707	)		(63,478	)		(192,185	)
Balance at December 31, 2024	$	486,888		$	137,110		$	623,998