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Accrued Professional Liabilities (Tables)
 12 Months Ended
Dec. 31, 2018
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, 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