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Commitments and Contingencies (Tables) | 12 Months Ended
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Dec. 31, 2023
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, 2023 (amount in thousands):
|  | General and |  |  |  |  |  |  |
|  | Professional |  |  | Workers’ |  |  |  |
|  | Liability |  |  | Compensation |  |  | Total |
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 January 1, 2022 |  |  | 348,693 |  |  |  | 114,985 |  |  |  | 463,678 |
Plus: Accrued insurance expense, net of commercial premiums paid |  |  | 111,763 |  |  |  | 62,960 |  |  |  | 174,723 |
Less: Payments made in settlement of self-insured claims |  |  | (88,556 | ) |  |  | (53,429 | ) |  |  | (141,985 | )
Balance at January 1, 2023 |  |  | 371,900 |  |  |  | 124,516 |  |  |  | 496,416 |
Plus: Accrued insurance expense, net of commercial premiums paid |  |  | 127,445 |  |  |  | 56,017 |  |  |  | 183,462 |
Less: Payments made in settlement of self-insured claims |  |  | (67,860 | ) |  |  | (50,229 | ) |  |  | (118,089 | )
Balance at December 31, 2023 |  | $ | 431,485 |  |  | $ | 130,304 |  |  | $ | 561,789 |

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