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Accrued Professional Liabilities (Tables)
 12 Months Ended
Dec. 31, 2020
Health Care Organizations [Abstract]  
Schedule of Accrued Professional Liability
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