Commitments and Contingencies (Table)

12 Months Ended

Dec. 31, 2016

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, 2016 (amount in thousands):

	General and
	Professional			Workers’
	Liability			Compensation			Total
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 January 1, 2016		203,973			67,503			271,476
Liabilities assumed in acquisition		0			661			661
Plus: Accrued insurance expense, net of commercial    premiums paid		54,671			29,967			84,638
Less: Payments made in settlement of self-insured claims		(51,185	)		(30,775	)		(81,960	)
Balance at December 31, 2016	$	207,459		$	67,356		$	274,815

(a) General and professional liability amount is net of adjustment recorded during 2014, as discussed below.