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Accrued Professional Liabilities | 12 Months Ended
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Dec. 31, 2018
Health Care Organizations [Abstract] |
Accrued Professional Liabilities | 9. Accrued Professional Liabilities: At December 31, 2018 and 2017, the Company’s total accrued professional liabilities of $244.0 million and $250.2 million, respectively, included incurred but not reported loss reserves of $139.1 million and $138.5 million, respectively, and loss reserves for reported claims of $104.9 million and $111.7 million, respectively. Of the total liability, $34.9 million is classified as a current liability within accounts payable and accrued expenses in the Consolidated Balance Sheet. In addition, there is a corresponding insurance receivable of $16.7 million recorded as a component of other assets for certain professional liability claims that are covered by third-party insurance policies. The activity related to the Company’s total accrued professional liability for the years ended December 31, 2018, 2017 and 2016 is as follows (in thousands):
|  | Years Ended December 31, |
|  | 2018 |  |  | 2017 |  |  | 2016 |
Balance at beginning of year |  | $ | 250,187 |  |  | $ | 202,052 |  |  | $ | 202,527 |
Assumed liabilities through acquisition |  |  | 1,276 |  |  |  | 20,716 |  |  |  | — |
Provision (adjustment) for losses related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | 34,483 |  |  |  | 41,291 |  |  |  | 38,129 |
Prior years |  |  | 10,299 |  |  |  | 9,983 |  |  |  | (25,428 | )
Total provision for losses |  |  | 44,782 |  |  |  | 51,274 |  |  |  | 12,701 |
Claim payments related to: |  |  |  |  |  |  |  |  |  |  |  |
Current year |  |  | (555 | ) |  |  | (712 | ) |  |  | (766 | )
Prior years |  |  | (51,699 | ) |  |  | (23,143 | ) |  |  | (12,410 | )
Total payments |  |  | (52,254 | ) |  |  | (23,855 | ) |  |  | (13,176 | )
Balance at end of year |  | $ | 243,991 |  |  | $ | 250,187 |  |  | $ | 202,052 |
The net decrease in the Company’s total accrued professional liability for the year ended December 31, 2018 was primarily related to an increase in claims payments made in the current year, partially offset by overall unfavorable trends in the Company’s claims experience that impacted its provision for losses. The net increase in the Company’s total accrued professional liability for the year ended December 31, 2017 was primarily related to overall unfavorable trends in the Company’s claims experience that impacted its provision for losses and growth in the program from acquisitions.

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- 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://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -URI http://asc.fasb.org/topic&trid=2127136 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -URI http://asc.fasb.org/subtopic&trid=2289286 + Details
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