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Accrued Professional Liability (Tables) | 12 Months Ended
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Dec. 31, 2013
Health Care Organizations [Abstract] |
Schedule of Accrued Professional Liability | The activity related to the Company’s total accrued professional liability for the years ended December 31, 2013, 2012 and 2011 is as follows (in thousands):
|  | Years Ended December 31, |
|  | 2013 |  |  | 2012 |  |  | 2011 |
Balance at beginning of year |  | $ | 137,036 |  |  | $ | 122,847 |  |  | $ | 111,662 |
Provision (adjustment) for losses related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | 41,235 |  |  |  | 35,441 |  |  |  | 33,031 |
Prior years |  |  | (8,100 | ) |  |  | (8,119 | ) |  |  | (10,099 | )
Total provision for losses |  |  | 33,135 |  |  |  | 27,322 |  |  |  | 22,932 |
Claim payments related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | (741 | ) |  |  | (569 | ) |  |  | (221 | )
Prior years |  |  | (10,739 | ) |  |  | (12,564 | ) |  |  | (11,526 | )
Total payments |  |  | (11,480 | ) |  |  | (13,133 | ) |  |  | (11,747 | )
Balance at end of year |  | $ | 158,691 |  |  | $ | 137,036 |  |  | $ | 122,847 |

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