Commitments and Contingencies (Tables)

12 Months Ended

Dec. 31, 2021

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, 2021 (amount in thousands):

	General and
	Professional			Workers’
	Liability			Compensation			Total
Balance at January 1, 2019	$	243,051		$	71,890		$	314,941
Plus: Accrued insurance expense, net of commercial    premiums paid		56,452			49,220			105,672
Less: Payments made in settlement of self-insured claims		(57,683	)		(40,106	)		(97,789	)
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 December 31, 2021	$	348,693		$	114,985		$	463,678