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Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Dec. 31, 2016
Oct. 01, 2010
Health Insurance Costs [Abstract]              
Number of days in advance of the beginning of a reporting quarter United establishes cash funding rates     90 days        
Required accumulated cash surplus $ 9,000   $ 9,000   $ 9,000    
Required deposit equal to approximately one day of claims funding activity 5,100   5,100        
Amount which plan costs were less than the net premiums paid and owed 12,300   12,300        
Prepaid health insurance, current 3,300   3,300        
Premiums owed to United 19,000   19,000        
Benefits costs incurred (reduced) related to run-off (1,900)   (1,900)        
Workers' Compensation Costs [Abstract]              
Company's maximum economic burden for the first layer of claims per occurrence             $ 1,000
Company's maximum aggregate economic burden for claims in excess of 1 million per policy year             $ 5,000
Decrease Increase in accrued workers' compensation costs for changes in estimated losses     $ (10,900) $ (8,000)      
U.S. Treasury rates that correspond with the weighted average estimated claim payout period (in hundredths)     2.50% 1.50%      
Incurred but not paid workers compensation liabilities [Abstract]              
Beginning balance, January 1,     $ 207,630 $ 183,928      
Accrued claims     33,260 34,242      
Present value discount     (3,360) (2,008)      
Paid claims     (21,686) (20,044)      
Ending balance 215,844 $ 196,118 215,844 196,118      
Current portion of accrued claims 41,827 41,703 41,827 41,703      
Long-term portion of accrued claims 174,017 154,415 174,017 154,415 166,493    
Workers compensation administrative fees accrued 3,500   3,500        
Undiscounted accrued workers' compensation costs     $ 230,400 207,200      
Time period incurred claims expected to be paid recorded as restricted cash     1 year        
Time period incurred claims expected to be paid, included in deposits, a long-term asset     Greater than 1 year        
Restricted cash 41,827 41,703 $ 41,827 41,703 41,137 $ 42,637  
Deposits workers compensation 165,150 157,850 $ 165,150 157,850 $ 154,215 $ 143,938  
Time period estimate of incurred claim costs to be paid included in short-term liabilities     1 year        
Time period incurred claims expected to be paid, included in long-term liabilities     Greater than 1 year        
Disaggregation of Revenue [Line Items]              
Revenue, Net 922,295 795,552 $ 1,936,667 1,678,216      
Northeast [Member]              
Disaggregation of Revenue [Line Items]              
Revenue, Net 239,278 204,285 511,642 440,385      
Southeast [Member]              
Disaggregation of Revenue [Line Items]              
Revenue, Net 108,264 92,049 223,452 190,855      
Central [Member]              
Disaggregation of Revenue [Line Items]              
Revenue, Net 153,025 131,099 321,092 273,876      
Southwest [Member]              
Disaggregation of Revenue [Line Items]              
Revenue, Net 213,920 185,094 446,785 389,201      
West [Member]              
Disaggregation of Revenue [Line Items]              
Revenue, Net 194,986 170,452 407,605 357,896      
Other Revenues [Member]              
Disaggregation of Revenue [Line Items]              
Revenue, Net $ 12,822 $ 12,573 $ 26,091 $ 26,003