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Accrued Professional Liability (Tables)
 12 Months Ended
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