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Accrued Professional Liabilities
 12 Months Ended
Dec. 31, 2019
Health Care Organizations [Abstract]  
Accrued Professional Liabilities
11.
Accrued Professional Liabilities:
At December 31, 2019 and 2018, the Company’s total accrued professional liabilities of $271.8 million and $244.0 million, respectively, included incurred but not reported loss reserves of $187.3 million and
$139.1 million, respectively, and loss reserves for reported claims of $84.5 million and $104.9 million, respectively. Of the total liability, $44.9 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 $29.8 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, 2019, 2018, and 2017 is as follows (in thousands):
 
Years Ended December 31,
 
  
2019
 
  
2018
 
  
2017
 
Balance at beginning of year
  $
243,991
    $
250,187
    $
202,052
 
Assumed liabilities through acquisition
   
—  
     
1,276
     
20,716
 
Provision (adjustment) for losses related to:
   
     
     
 
Current year
   
57,495
     
34,483
     
41,291
 
Prior years
   
23,191
     
10,299
     
9,983
 
                         
Total provision for losses
   
80,686
     
44,782
     
51,274
 
Claim payments related to:
   
     
     
 
Current year
   
(3,044
 )    
(555
 )    
(712
 )
Prior years
   
(49,873
 )    
(51,699
 )    
(23,143
 )
                         
Total payments
   
(52,917
 )    
(52,254
 )    
(23,855
 )
                         
Balance at end of year
  $
271,760
    $
243,991
    $
250,187
 
                         
The net increase in the Company’s total accrued professional liability for the year ended December 31, 2019 was primarily related to overall unfavorable trends in the Company’s claims experience that impacted its provision for losses. 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.