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Self Insurance Reserves (Tables)
12 Months Ended
Dec. 31, 2019
Self-Insurance Reserves [Abstract]  
Schedule of Liability for Future Policy Benefits, by Product Segment

The following table represents activity in our insurance reserves as of and for the years ended December 31, 2019 and 2018:
 
 
General and Professional Liability
 
 
 
 
 
 
 
 
Workers' Compensation
 
 
 
 
 
 
 
Health
 
Total
Balance January 1, 2018
$
40,934

 
$
27,079

 
$
4,723

 
$
72,736

Current year provisions
22,028

 
12,990

 
43,441

 
78,459

Claims paid and direct expenses
(18,391
)
 
(11,987
)
 
(42,341
)
 
(72,719
)
Change in long-term insurance losses recoverable
795

 
780

 

 
1,575

Balance December 31, 2018
$
45,366


$
28,862


$
5,823


$
80,051

Current year provisions
25,718

 
13,479


45,498


84,695

Claims paid and direct expenses
(21,369
)
 
(12,684
)

(44,357
)

(78,410
)
Change in long-term insurance losses recoverable
353

 
677




1,030

Balance December 31, 2019
$
50,068

 
$
30,334

 
$
6,964

 
$
87,366