Accrued Professional Liabilities (Tables)

12 Months Ended

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