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Accrued Professional Liabilities - Schedule of Accrued Professional Liability (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Payables and Accruals [Abstract] |  |  |
Balance at beginning of year | $ 151,397 | $ 128,799 | $ 138,643
Liabilities recognized, offset by insurance Receivable | 3,922 | 10,354 |
Provision (adjustment) for losses related to Current year | 45,674 | 42,733 | 37,203
Provision (adjustment) for losses related to Prior years | (1,551) | (7,766) | (7,087)
Total provision for losses | 44,123 | 34,967 | 30,116
Claim payments related to Current year | (59) | (33) | (50)
Claim payments related to Prior years | (24,580) | (22,690) | (39,910)
Total payments | (24,639) | (22,723) | (39,960)
Balance at end of year | $ 174,803 | $ 151,397 | $ 128,799

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- Definition Accrued professional liabilities assumed through acquisition. + References No definition available. + Details
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- Definition Malpractice loss contingency accrual undiscounted excluding retained professional liabilities related to anesthesiology and radiology operations. + References No definition available. + Details
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- Definition Malpractice loss contingency provision for losses. + References No definition available. + Details
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- Definition Provision (adjustment) for losses related to current year. + References No definition available. + Details
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- Definition Amount of loss recognized for asserted and unasserted malpractice claims. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=121557415&loc=d3e14326-108349 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 30 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68049836&loc=d3e5870-115623 + Details
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- Definition Amount of increase in asserted and unasserted malpractice claims that were originally recognized in a prior period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=121557415&loc=d3e14326-108349 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 30 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68049836&loc=d3e5870-115623 + Details
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- Definition Amount of costs associated with malpractice claims and insurance premiums incurred during an accounting period, less insurance recoveries and returns of previously paid premiums. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=121557415&loc=d3e14326-108349 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 450 -Section 30 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68049836&loc=d3e5870-115623 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 720 -Section 25 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68060100&loc=d3e8578-115644 + Details
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