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Commitments and Contingencies (Tables)
12 Months Ended
Dec. 31, 2017
Commitments and Contingencies Disclosure [Abstract]  
Schedule of principal contractual commitments outstanding under our capital leases
The following table summarizes our principal contractual commitments outstanding under our capital leases at December 31, 2017 for the next five years, and in total thereafter (in thousands):
2018
$
398

2019
398

2020
398

2021
398

2022
255

Thereafter

Total minimum lease payments
1,847

Less: Amount representing interest
(158
)
Present value of capital lease obligations
1,689

Less current portion of capital lease obligations
(338
)
Total long-term capital lease obligations
$
1,351

Rental expense
Rental expense was as follows for the periods indicated (in thousands):
 
Year Ended December 31,
 
2017
 
2016
 
2015
 
 
 
 
 
 
Rental expense
$
12,073

 
$
11,314

 
$
11,168

Long-term non-cancelable operating leases and terminal arrangements for the next five years
At December 31, 2017, rental obligations under non-cancelable operating leases and terminal arrangements with terms in excess of one year for the next five years and thereafter are payable as follows (in thousands):
 
 
2018
 
2019
 
2020
 
2021
 
2022
 
Thereafter
 
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating leases
 
$
2,758

 
$
463

 
$
68

 
$
63

 
$
32

 
$
23

 
$
3,407

Schedule of 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. The amount of pre-funded insurance premiums left to cover potential future losses totaled as follows at the dates indicated (in thousands):
 
December 31,
 
2017
 
2016
 
 
 
 
Pre-funded premiums for losses incurred but not reported
$
988

 
$
2,657

Schedule of accrued medical claims
Medical accrual amounts were as follows at the dates indicated (in thousands):
 
December 31,
 
2017
 
2016
 
 
 
 
Accrued medical claims
$
1,329

 
$
1,411