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Commitments and Contingencies (Tables)
9 Months Ended
Sep. 30, 2017
Commitments and Contingencies Disclosure [Abstract]  
Schedule of principal contractual commitments outstanding under capital leases
The following table summarizes our principal contractual commitments outstanding under our capital leases at September 30, 2017 for the next five years, and in total thereafter (in thousands):
Remainder of 2017
$
100

2018
398

2019
398

2020
398

2021
398

Thereafter
255

Total minimum lease payments
1,947

Less: Amount representing interest
(176
)
Present value of capital lease obligations
1,771

Less current portion of capital lease obligations
(306
)
Total long-term capital lease obligations
$
1,465

Expenses and losses incurred but not reported
We have appropriately recognized estimated expenses and liabilities related to these policies for losses incurred but not reported to us or our insurance carrier as follows at the dates indicated (in thousands):
 
September 30,
 
December 31,
 
2017
 
2016
Estimated expenses and liabilities
$
1,573

 
$
2,657

Accrued medical claims
Medical accrual amounts were as follows at the dates indicated (in thousands):
 
September 30,
 
December 31,
 
2017
 
2016
Accrued medical claims
$
1,424

 
$
1,411