Accrued Professional Liabilities (Tables)

12 Months Ended

Dec. 31, 2016

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, 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