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Accrued Professional Liabilities
 12 Months Ended
Dec. 31, 2020
Health Care Organizations [Abstract]  
Accrued Professional Liabilities
12.
Accrued Professional Liabilities:
At December 31, 2020 and 2019, the Company’s total accrued professional liabilities of $315.9 milli
o
n and $249.6 million, respectively, included incurred but not reported loss reserves of $222.9 million and $187.6 million, respectively, and loss reserves for reported claims of $93.0 million and $84.2 million, respectively. Of the total liability, $50.6 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 $61.4 million recorded as a component of other assets for certain professional liability claims that are covered by third-party insurance policies. These reserves include the accrued professional liabilities for the Company’s continuing operations as
 
reflected in the table below as
well as certain retained professional liabilities related to the Company’s former anesthesiology and radiology medical groups that were divested in 2020.
The activity related to the Company’s accrued professional liability for continuing operations, excluding the retained professional liabilities related to the Company’s former anesthesiology and radiology medical groups, for the years ended December 31, 2020, 2019, and 2018 is as follows (in thousands):
 
    
Years Ended December 31,
  
    
2020
     
2019
     
2018
  
Balance at beginning of year
    $ 151,397      $ 128,799      $ 138,643  
Liabilities recognized, offset by insurance
R
eceivable
      3,922        10,354        —    
Provision (adjustment) for losses related to:
                           
Current year
      45,674        42,733        37,203  
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 ) 
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  
    
 
 
     
 
 
     
 
 
  
 
The net increase
s
in the Company’s total accrued professional liability for the years ended December 31, 2020 and 2019 were primarily related to overall unfavorable trends in the Company’s claims experience that impacted its provision for losses.