SELF INSURANCE LIABILITIES The following table represents activity in our insurance liabilities as of and for the years ended December 31, 2022 and 2021: | | | | | | | | | | | | | | | | | | | | | Amount | Balance January 1, 2021 | | | | | | | $ | 96,798 | | Current year provisions | | | | | | | 114,907 | | Claims paid and direct expenses | | | | | | | (101,183) | | Change in long-term insurance losses recoverable | | | | | | | (383) | | Balance December 31, 2021 | | | | | | | $ | 110,139 | | Current year provisions | | | | | | | 115,793 | | Claims paid and direct expenses | | | | | | | (98,007) | | Change in long-term insurance losses recoverable | | | | | | | 3,757 | | Balance December 31, 2022 | | | | | | | $ | 131,682 | |
Included in the table above are accrued general liability and professional malpractice liabilities on an undiscounted basis, net of anticipated insurance recoveries, of $87,000 and $69,748 as of December 31, 2022 and 2021, respectively. Included in long-term insurance losses recoverable as of December 31, 2022 and 2021 are anticipated insurance recoveries related to the Company's general and professional liability claims that are recorded on a gross rather than net basis in accordance with GAAP.
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