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Accrued Professional Liability (Tables) | 12 Months Ended
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Dec. 31, 2011
Accrued Professional Liability [Abstract] |
Schedule Of Accrued Professional Liability |
|  | Years Ended December 31, |
|  | 2011 |  |  | 2010 |  |  | 2009 |
Balance at beginning of year |  | $ | 40,672 |  |  | $ | 41,355 |  |  | $ | 36,366 |
Provision (adjustment) for losses related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | 18,645 |  |  |  | 17,256 |  |  |  | 16,497 |
Prior years |  |  | (4,283 | ) |  |  | (4,029 | ) |  |  | (3,519 | )
Total provision for losses |  |  | 14,362 |  |  |  | 13,227 |  |  |  | 12,978 |
Claim payments related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | (221 | ) |  |  | (553 | ) |  |  | (568 | )
Prior years |  |  | (11,526 | ) |  |  | (13,357 | ) |  |  | (7,421 | )
Total payments |  |  | (11,747 | ) |  |  | (13,910 | ) |  |  | (7,989 | )
Balance at end of year |  | $ | 43,287 |  |  | $ | 40,672 |  |  | $ | 41,355 |

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