Accrued Professional Liability (Tables)

12 Months Ended

Dec. 31, 2015

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, 2015, 2014 and 2013 is as follows (in thousands):


	Years Ended December 31,
	2015			2014			2013
Balance at beginning of year	$	168,369		$	158,691		$	137,036
Assumed liabilities through acquisition		35,968			—			—

Provision (adjustment) for losses related to:
Current year		39,204			39,386			41,235
Prior years		(25,797	)		(16,125	)		(8,100	)

Total provision for losses		13,407			23,261			33,135

Claim payments related to:
Current year		(1,382	)		(293	)		(741	)
Prior years		(13,835	)		(13,290	)		(10,739	)

Total payments		(15,217	)		(13,583	)		(11,480	)

Balance at end of year	$	202,527		$	168,369		$	158,691