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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.