Commitments and Contingencies (Table)

12 Months Ended

Dec. 31, 2015

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, 2015 (amount in thousands):

	General and
	Professional			Workers’
	Liability			Compensation			Total
Balance at January 1, 2013	$	278,599		$	65,954		$	344,553
Plus: Accrued insurance expense, net of commercial    premiums paid (a)		(35,182	)		31,361			(3,821	)
Less: Payments made in settlement of self-insured claims		(37,127	)		(33,517	)		(70,644	)
Balance at January 1, 2014		206,290			63,798			270,088
Plus: Accrued insurance expense, net of commercial    premiums paid (a)		22,601			36,675			59,276
Less: Payments made in settlement of self-insured claims		(35,987	)		(33,659	)		(69,646	)
Balance at January 1, 2015		192,904			66,814			259,718
Plus: Accrued insurance expense, net of commercial    premiums paid		58,460			32,435			90,895
Less: Payments made in settlement of self-insured claims		(47,391	)		(31,746	)		(79,137	)
Balance at December 31, 2015	$	203,973		$	67,503		$	271,476

(a) General and professional liability amounts are net of adjustments recorded during 2014 and 2013, as discussed below.