XML 28 R15.htm IDEA: XBRL DOCUMENT
v3.6.0.2

Accrued Professional Liabilities | 12 Months Ended
--- | ---
Dec. 31, 2016
Health Care Organizations [Abstract] |
Accrued Professional Liabilities | 9. Accrued Professional Liabilities: At December 31, 2016 and 2015, the Company’s total accrued professional liabilities of $202.1 million and $202.5 million, respectively, includes incurred but not reported loss reserves of $128.1 million and $135.1 million, respectively, and loss reserves for reported claims associated with self-insured retention amounts through the Company’s wholly owned captive insurance subsidiary of $74.0 million and $67.4 million, respectively. The activity related to the Company’s total accrued professional liability for the years ended December 31, 2016, 2015 and 2014 is as follows (in thousands):
|  | Years Ended December 31, |
|  | 2016 |  |  | 2015 |  |  | 2014 |
Balance at beginning of year |  | $ | 202,527 |  |  | $ | 168,369 |  |  | $ | 158,691 |
Assumed liabilities through acquisition |  |  | — |  |  |  | 35,968 |  |  |  | — |
Provision (adjustment) for losses related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | 38,129 |  |  |  | 39,204 |  |  |  | 39,386 |
Prior years |  |  | (25,428 | ) |  |  | (25,797 | ) |  |  | (16,125 | )
Total provision for losses |  |  | 12,701 |  |  |  | 13,407 |  |  |  | 23,261 |
Claim payments related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | (766 | ) |  |  | (1,382 | ) |  |  | (293 | )
Prior years |  |  | (12,410 | ) |  |  | (13,835 | ) |  |  | (13,290 | )
Total payments |  |  | (13,176 | ) |  |  | (15,217 | ) |  |  | (13,583 | )
Balance at end of year |  | $ | 202,052 |  |  | $ | 202,527 |  |  | $ | 168,369 |
The net decrease in the Company’s total accrued professional liability for the year ended December 31, 2016 is primarily related to overall favorable trends in the Company’s claims experience. The net increase in 2015 was primarily attributable to the assumption of a professional liability program in connection with an acquisition.

X
- References No definition available. + Details
Name: | us-gaap_HealthCareOrganizationsAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for the accrual for malpractice loss contingencies (general and professional liability) which may include the policy used for accruing the loss contingency, the nature and amount of any accrual, and any significant estimate used to determine the accrual. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6491354&loc=d3e6052-115624 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14557-108349 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14326-108349 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 10 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14615-108349 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14453-108349 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14435-108349 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6491354&loc=d3e6049-115624 Reference 8: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14472-108349 Reference 9: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14394-108349 + Details
Name: | us-gaap_MalpracticeLossContingencyDisclosureTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration