Self-Insurance Reserves

12 Months Ended

Dec. 31, 2017

Self-Insurance Reserves [Abstract]

Insurance Disclosure [Text Block]

SELF INSURANCE RESERVES

The following table represents activity in our insurance reserves as of and for the years ended December 31, 2017 and 2016:

	General and Professional Liability
				Workers' Compensation
							Health			Total
Balance January 1, 2016	30,710			20,219			5,074			$	56,003
Current year provisions	23,149			12,887			38,151			74,187
Claims paid and direct expenses	(18,186		)	(10,290		)	(37,586		)	(66,062		)
Change in long-term insurance losses recoverable	637			586			—			1,223
Balance December 31, 2016	36,310			23,402			5,639			65,351
Current year provisions	20,396			15,202			53,796			89,394
Claims paid and direct expenses	(16,133		)	(12,455		)	(54,712		)	(83,300		)
Change in long-term insurance losses recoverable	361			930			—			1,291
Balance December 31, 2017	$	40,934		$	27,079		$	4,723		$	72,736

Included in long-term insurance losses recoverable as of December 31, 2017 and 2016, are anticipated insurance recoveries related to the Company's general and professional liability claims that are recorded on a gross rather than net basis in accordance with GAAP.