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Commitments and Contingencies (Tables)
 9 Months Ended
Sep. 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 September 30, 2012 and 2011 is as follows (in thousands):
 
For the Three Months Ended
September 30, 2012
 
For the Nine Months Ended
September 30, 2012
 
Professional
Liability
 
Workers’
Compensation
 
Total
 
Professional
Liability
 
Workers’
Compensation
 
Total
Gross balance, beginning of period
$
118,506

 
$
87,942

 
$
206,448

 
$
120,856

 
$
87,241

 
$
208,097

Less: anticipated insurance recoveries
(2,388
)
 
(22,268
)
 
(24,656
)
 
(2,390
)
 
(21,930
)
 
(24,320
)
Net balance, beginning of period
$
116,118

 
$
65,674

 
$
181,792

 
$
118,466

 
$
65,311

 
$
183,777

 
 
 
 
 
 
 
 
 
 
 
 
Current year provision, continuing operations
8,135

 
7,102

 
15,237

 
23,770

 
19,974

 
43,744

Current year provision, discontinued operations
467

 
326

 
793

 
1,501

 
1,177

 
2,678

Claims paid, continuing operations
(4,819
)
 
(3,775
)
 
(8,594
)
 
(17,933
)
 
(12,678
)
 
(30,611
)
Claims paid, discontinued operations
(1,664
)
 
(613
)
 
(2,277
)
 
(5,847
)
 
(1,598
)
 
(7,445
)
Amounts paid for administrative services and other
(649
)
 
(1,674
)
 
(2,323
)
 
(2,369
)
 
(5,146
)
 
(7,515
)
 
 
 
 
 
 
 
 
 
 
 
 
Net balance, end of period
$
117,588

 
$
67,040

 
$
184,628

 
$
117,588

 
$
67,040

 
$
184,628

Plus: anticipated insurance recoveries
2,388

 
22,268

 
24,656

 
2,388

 
22,268

 
24,656

Gross balance, end of period
$
119,976

 
$
89,308

 
$
209,284

 
$
119,976

 
$
89,308

 
$
209,284


 
For the Three Months Ended
September 30, 2011
 
For the Nine Months Ended
September 30, 2011
 
Professional
Liability
 
Workers’
Compensation
 
Total
 
Professional
Liability
 
Workers’
Compensation
 
Total
Gross balance, beginning of period
$
109,315

 
$
96,186

 
$
205,501

 
$
113,971

 
$
96,585

 
$
210,556

Less: anticipated insurance recoveries
(2,273
)
 
(26,150
)
 
(28,423
)
 
(2,100
)
 
(28,100
)
 
(30,200
)
Net balance, beginning of period
$
107,042

 
$
70,036

 
$
177,078

 
$
111,871

 
$
68,485

 
$
180,356

 
 
 
 
 
 
 
 
 
 
 
 
Current year provision, continuing operations
7,664

 
6,881

 
14,545

 
23,012

 
20,631

 
43,643

Current year provision, discontinued operations
482

 
388

 
870

 
1,431

 
1,180

 
2,611

Claims paid, continuing operations
(6,382
)
 
(3,709
)
 
(10,091
)
 
(24,174
)
 
(12,425
)
 
(36,599
)
Claims paid, discontinued operations
(604
)
 
(515
)
 
(1,119
)
 
(2,330
)
 
(1,378
)
 
(3,708
)
Amounts paid for administrative services and other
(788
)
 
(1,718
)
 
(2,506
)
 
(2,396
)
 
(5,130
)
 
(7,526
)
 
 
 
 
 
 
 
 
 
 
 
 
Net balance, end of period
$
107,414

 
$
71,363

 
$
178,777

 
$
107,414

 
$
71,363

 
$
178,777

Plus: anticipated insurance recoveries
2,273

 
26,150

 
28,423

 
2,273

 
26,150

 
28,423

Gross balance, end of period
$
109,687

 
$
97,513

 
$
207,200

 
$
109,687

 
$
97,513

 
$
207,200
Summary of Assets and Liabilites Related To Insurance Risks
A summary of the assets and liabilities related to insurance risks at September 30, 2012 and December 31, 2011 is as indicated below (in thousands):
 
 
September 30, 2012
 
 
 
December 31, 2011
 
 
Professional
Liability
 
Workers’
Compensation
 
Total
 
|
|
 
Professional
Liability
 
Workers’
Compensation
 
Total
Assets:
 
 
 
 
 
 
 
|
 
 
 
 
 
 
Restricted cash (1)
 
 
 
 
 
|
 
 
 
 
 
 
Current
 
$
5,725

 
$
8,330

 
$
14,055

 
|
 
$
6,254

 
$
9,332

 
$
15,586

Non-current
 
—

 
—

 
—

 
|
 
—

 
—

 
—

 
 
$
5,725

 
$
8,330

 
$
14,055

 
|
 
$
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
 
$
8,113

 
$
30,598

 
$
38,711

 
|
 
$
8,644

 
$
31,262

 
$
39,906

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Liabilities:
 
 
 
 
 
|
 
 
 
 
 
 
Self-insurance liabilities (3)(4)
 
 
 
 
 
|
 
 
 
 
 
 
Current
 
$
29,442

 
$
21,618

 
$
51,060

 
|
 
$
28,758

 
$
22,074

 
$
50,832

Non-current
 
90,534

 
67,690

 
158,224

 
|
 
92,099

 
65,168

 
157,267

Total Liabilities
 
$
119,976

 
$
89,308

 
$
209,284

 
|
 
$
120,857

 
$
87,242

 
$
208,099