Schedule II - Valuation and Qualifying Accounts (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Allowance for Doubtful Accounts and Bilinig Adjustments
Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at beginning of year	$ 6,682	$ 4,404	$ 2,465
Provisions	10,788	10,486	6,680
Deductions	(9,377)	(8,208)	(4,741)
Balance at end of year	8,093	6,682	4,404
Allowance for Workers' Compensation and Medical Malpractice Loss Reserves
Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at beginning of year	15,020	15,564	17,123
Provisions	2,693	2,117	2,211
Deductions	(1,929)	(2,661)	(3,770)
Balance at end of year	$ 15,784	$ 15,020	$ 15,564

A roll forward is a reconciliation of a concept from the beginning of a period to the end of a period.

No definition available.

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- Definition

Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 4
-Subparagraph (SX 210.12-09)
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690

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- Definition

Amount of increase in the allowances and reserves, which consist of the valuation and qualifying accounts that are either netted against the cost of an asset or that reflect a liability established to represent expected future costs, from charges to costs and expenses.

+ References

+ Details

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- Definition

Total of the deductions in a given period to allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, representing receivables written off as uncollectible and portions of the reserves utilized, respectively.

+ References

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