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Schedule II - Valuation and Qualifying Accounts (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2015 | Dec. 31, 2014 | Dec. 31, 2013
Allowance for Doubtful Accounts and Bilinig Adjustments |  |  |
Movement in Valuation Allowances and Reserves [Roll Forward] |  |  |
Balance at beginning of year | $ 4,404 | $ 2,465 | $ 3,395
Provisions | 10,486 | 6,680 | 1,474
Deductions | (8,208) | (4,741) | (2,404)
Balance at end of year | 6,682 | 4,404 | 2,465
Allowance for Workers' Compensation and Medical Malpractice Loss Reserves |  |  |
Movement in Valuation Allowances and Reserves [Roll Forward] |  |  |
Balance at beginning of year | 15,564 | 17,123 | 17,037
Provisions | 2,117 | 2,211 | 5,850
Deductions | (2,661) | (3,770) | (5,764)
Balance at end of year | $ 15,020 | $ 15,564 | $ 17,123

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- Definition Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 09 -Article 12 + Details
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- Definition Total of the deductions in a given period to allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, representing receivables written off as uncollectible and portions of the reserves utilized, respectively. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 09 -Article 12 + Details
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