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Commitments and Contingencies (Tables)
3 Months Ended
Mar. 31, 2016
Commitments and Contingencies [Abstract]  
Schedule of expenses and losses incurred but not reported
The Company has appropriately recognized estimated expenses liabilities related to these policies for losses incurred but not reported to the Company or its insurance carrier as follows (in thousands):

   
March 31,
  
December 31,
 
   
2016
  
2015
 
Estimated expenses and liabilities
 $2,243  $2,086 
Schedule of accrued medical claims
Medical accrued amounts are as follows (in thousands):

   
March 31,
  
December 31,
 
   
2016
  
2015
 
Accrued medical claims
 $1,668  $1,107