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Commitments and Contingencies (Tables)
 6 Months Ended
Jun. 30, 2012
Commitments and Contingencies [Abstract]  
Schedule of Self Insurance Reserve
Activity in our professional liability and workers’ compensation self-insurance reserves as of and for the periods ended June 30, 2012 and 2011 is as follows (in thousands):
 
For the Three Months Ended
June 30, 2012
 
For the Six Months Ended
June 30, 2012
 
Professional
Liability
 
Workers’
Compensation
 
Total
 
Professional
Liability
 
Workers’
Compensation
 
Total
Gross balance, beginning of period
$
118,626

 
$
87,542

 
$
206,168

 
$
120,856

 
$
87,241

 
$
208,097

Less: anticipated insurance recoveries
(2,390
)
 
(21,930
)
 
(24,320
)
 
(2,390
)
 
(21,930
)
 
(24,320
)
Net balance, beginning of period
$
116,236

 
$
65,612

 
$
181,848

 
$
118,466

 
$
65,311

 
$
183,777

 
 
 
 
 
 
 
 
 
 
 
 
Current year provision, continuing operations
7,500

 
5,690

 
13,190

 
15,635

 
12,872

 
28,507

Current year provision, discontinued operations
567

 
526

 
1,093

 
1,034

 
851

 
1,885

Claims paid, continuing operations
(6,695
)
 
(4,077
)
 
(10,772
)
 
(13,114
)
 
(8,903
)
 
(22,017
)
Claims paid, discontinued operations
(914
)
 
(615
)
 
(1,529
)
 
(4,183
)
 
(985
)
 
(5,168
)
Amounts paid for administrative services and other
(576
)
 
(1,462
)
 
(2,038
)
 
(1,720
)
 
(3,472
)
 
(5,192
)
 
 
 
 
 
 
 
 
 
 
 
 
Net balance, end of period
$
116,118

 
$
65,674

 
$
181,792

 
$
116,118

 
$
65,674

 
$
181,792

Plus: anticipated insurance recoveries
2,388

 
22,268

 
24,656

 
2,388

 
22,268

 
24,656

Gross balance, end of period
$
118,506

 
$
87,942

 
$
206,448

 
$
118,506

 
$
87,942

 
$
206,448


 
For the Three Months Ended
June 30, 2011
 
For the Six Months Ended
June 30, 2011
 
Professional
Liability
 
Workers’
Compensation
 
Total
 
Professional
Liability
 
Workers’
Compensation
 
Total
Gross balance, beginning of period
$
110,742

 
$
97,775

 
$
208,517

 
$
113,971

 
$
96,585

 
$
210,556

Less: anticipated insurance recoveries
(2,100
)
 
(28,100
)
 
(30,200
)
 
(2,100
)
 
(28,100
)
 
(30,200
)
Net balance, beginning of period
$
108,642

 
$
69,675

 
$
178,317

 
$
111,871

 
$
68,485

 
$
180,356

 
 
 
 
 
 
 
 
 
 
 
 
Current year provision, continuing operations
8,375

 
6,166

 
14,541

 
15,348

 
13,750

 
29,098

Current year provision, discontinued operations
482

 
408

 
890

 
949

 
792

 
1,741

Claims paid, continuing operations
(8,277
)
 
(4,049
)
 
(12,326
)
 
(17,792
)
 
(8,716
)
 
(26,508
)
Claims paid, discontinued operations
(1,380
)
 
(497
)
 
(1,877
)
 
(1,726
)
 
(863
)
 
(2,589
)
Amounts paid for administrative services and other
(800
)
 
(1,667
)
 
(2,467
)
 
(1,608
)
 
(3,412
)
 
(5,020
)
 
 
 
 
 
 
 
 
 
 
 
 
Net balance, end of period
$
107,042

 
$
70,036

 
$
177,078

 
$
107,042

 
$
70,036

 
$
177,078

Plus: anticipated insurance recoveries
2,273

 
26,150

 
28,423

 
2,273

 
26,150

 
28,423

Gross balance, end of period
$
109,315

 
$
96,186

 
$
205,501

 
$
109,315

 
$
96,186

 
$
205,501
Summary of Assets and Liabilites Related To Insurance Risks
A summary of the assets and liabilities related to insurance risks at June 30, 2012 and December 31, 2011 is as indicated below (in thousands):
 
 
June 30, 2012
 
 
 
December 31, 2011
 
 
Professional
Liability
 
Workers’
Compensation
 
Total
 
|
|
 
Professional
Liability
 
Workers’
Compensation
 
Total
Assets:
 
 
 
 
 
 
 
|
 
 
 
 
 
 
Restricted cash (1)
 
 
 
 
 
|
 
 
 
 
 
 
Current
 
$
5,458

 
$
8,523

 
$
13,981

 
|
 
$
6,254

 
$
9,332

 
$
15,586

Non-current
 
—

 
—

 
—

 
|
 
—

 
—

 
—

 
 
$
5,458

 
$
8,523

 
$
13,981

 
|
 
$
6,254

 
$
9,332

 
$
15,586

 
 
 
 
 
 
 
 
|
 
 
 
 
 
 
Anticipated insurance recoveries (2)
 
 
 
|
 
 
 
 
 
 
Current
 
$
483

 
$
2,820

 
$
3,303

 
|
 
$
524

 
$
2,730

 
$
3,254

Non-current
 
1,905

 
19,448

 
21,353

 
|
 
1,866

 
19,200

 
21,066

 
 
$
2,388

 
$
22,268

 
$
24,656

 
|
 
$
2,390

 
$
21,930

 
$
24,320

Total Assets
 
$
7,846

 
$
30,791

 
$
38,637

 
|
 
$
8,644

 
$
31,262

 
$
39,906

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Liabilities:
 
 
 
 
 
|
 
 
 
 
 
 
Self-insurance liabilities (3)(4)
 
 
 
 
 
|
 
 
 
 
 
 
Current
 
$
29,946

 
$
21,454

 
$
51,400

 
|
 
$
28,758

 
$
22,074

 
$
50,832

Non-current
 
88,560

 
66,488

 
155,048

 
|
 
92,099

 
65,168

 
157,267

Total Liabilities
 
$
118,506

 
$
87,942

 
$
206,448

 
|
 
$
120,857

 
$
87,242

 
$
208,099