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Accrued Professional Liabilities (Tables) | 12 Months Ended
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Dec. 31, 2017
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, 2017, 2016 and 2015 is as follows (in thousands):
|  | Years Ended December 31, |
|  | 2017 |  |  | 2016 |  |  | 2015 |
Balance at beginning of year |  | $ | 202,052 |  |  | $ | 202,527 |  |  | $ | 168,369 |
Assumed liabilities through acquisition |  |  | 20,716 |  |  |  | — |  |  |  | 35,968 |
Provision (adjustment) for losses related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | 41,291 |  |  |  | 38,129 |  |  |  | 39,204 |
Prior years |  |  | 9,983 |  |  |  | (25,428 | ) |  |  | (25,797 | )
Total provision for losses |  |  | 51,274 |  |  |  | 12,701 |  |  |  | 13,407 |
Claim payments related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | (712 | ) |  |  | (766 | ) |  |  | (1,382 | )
Prior years |  |  | (23,143 | ) |  |  | (12,410 | ) |  |  | (13,835 | )
Total payments |  |  | (23,855 | ) |  |  | (13,176 | ) |  |  | (15,217 | )
Balance at end of year |  | $ | 250,187 |  |  | $ | 202,052 |  |  | $ | 202,527 |

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