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Accrued Professional Liability: (Tables)
 12 Months Ended
Dec. 31, 2012
Schedule of Accrued Professional Liability

The activity related to the Company’s total accrued professional liability for the years ended December 31, 2012, 2011 and 2010 is as follows (in thousands):

 

     Years Ended December 31,  
     2012     2011     2010  

Balance at beginning of year

    $ 122,847      $ 111,662      $ 109,628   

Provision (adjustment) for losses related to:

       

Current year

      35,441        33,031        27,086   

Prior years

      (8,119 )      (10,099 )      (11,142 ) 
  

 

 

    

 

 

    

 

 

  

Total provision for losses

      27,322        22,932        15,944   

Claim payments related to:

       

Current year

      (569 )      (221 )      (553 ) 

Prior years

      (12,564 )      (11,526 )      (13,357 ) 
  

 

 

    

 

 

    

 

 

  

Total payments

      (13,133 )      (11,747 )      (13,910 ) 
  

 

 

    

 

 

    

 

 

  

Balance at end of year

    $ 137,036      $ 122,847      $ 111,662