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Accrued Professional Liabilities | 12 Months Ended
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Dec. 31, 2023
Health Care Organizations [Abstract] |
Accrued Professional Liabilities | 12. Accrued Professional Liabilities: At December 31, 2023 and 2022, the Company’s total accrued professional liabilities of $283.3 million and $307.9 million, respectively, included incurred but not reported loss reserves of $178.1 million and $215.5 million, respectively, and loss reserves for reported claims of $105.2 million and $92.4 million, respectively. Of the total liability at December 31, 2023, $32.0 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 $33.2 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, 2023, 2022, and 2021 is as follows (in thousands):
|  | Years Ended December 31, |
|  | 2023 |  |  | 2022 |  |  | 2021 |
Balance at beginning of year |  | $ | 199,561 |  |  | $ | 190,127 |  |  | $ | 174,803 |
Liabilities recognized, offset by insurance receivable |  |  | (5,510 | ) |  |  | (2,692 | ) |  |  | (2,299 | )
Provision (adjustment) for losses related to: |  |  |  |  |  |  |  |  |
Current year |  |  | 55,144 |  |  |  | 53,180 |  |  |  | 56,016 |
Prior years |  |  | (7,551 | ) |  |  | (4,056 | ) |  |  | (14,231 | )
Total provision for losses |  |  | 47,593 |  |  |  | 49,124 |  |  |  | 41,785 |
Claim payments related to: |  |  |  |  |  |  |  |  |
Current year |  |  | (97 | ) |  |  | (73 | ) |  |  | (59 | )
Prior years |  |  | (38,951 | ) |  |  | (36,925 | ) |  |  | (24,103 | )
Total payments |  |  | (39,048 | ) |  |  | (36,998 | ) |  |  | (24,162 | )
Balance at end of year |  | $ | 202,596 |  |  | $ | 199,561 |  |  | $ | 190,127 |
The net increases in the Company’s total accrued professional liability for the years ended December 31, 2023 and 2022 were primarily related to certain changes in the Company’s claims experience that impacted its provision for losses.

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- Definition The entire disclosure for the accrual for malpractice loss contingencies (general and professional liability) which may include the policy used for accruing the loss contingency, the nature and amount of any accrual, and any significant estimate used to determine the accrual. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 954 -SubTopic 450 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//954-450/tableOfContent + Details
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