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Accrued Professional Liability (Tables)
 12 Months Ended
Dec. 31, 2014
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, 2014, 2013 and 2012 is as follows (in thousands):

 

     Years Ended December 31,  
     2014      2013      2012  

Balance at beginning of year

    $ 158,691       $ 137,036       $ 122,847   

Provision (adjustment) for losses related to:

         

Current year

      39,386         41,235         35,441   

Prior years

      (16,125 )       (8,100 )       (8,119 ) 
  

 

 

     

 

 

     

 

 

  

Total provision for losses

   23,261      33,135      27,322   

Claim payments related to:

Current year

   (293 )    (741 )    (569 ) 

Prior years

   (13,290 )    (10,739 )    (12,564 ) 
  

 

 

     

 

 

     

 

 

  

Total payments

   (13,583 )    (11,480 )    (13,133 ) 
  

 

 

     

 

 

     

 

 

  

Balance at end of year

 $ 168,369    $ 158,691    $ 137,036