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Commitments and Contingencies (Table) | 12 Months Ended
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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.

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