Accrued Professional Liability (Tables)

12 Months Ended

Dec. 31, 2013

Health Care Organizations [Abstract]

Schedule of Accrued Professional Liability

The activity related to the Company’s total accrued professional liability for the years ended December 31, 2013, 2012 and 2011 is as follows (in thousands):

	Years Ended December 31,
	2013			2012			2011
Balance at beginning of year	$	137,036		$	122,847		$	111,662
Provision (adjustment) for losses related to:
Current year		41,235			35,441			33,031
Prior years		(8,100	)		(8,119	)		(10,099	)
Total provision for losses		33,135			27,322			22,932
Claim payments related to:
Current year		(741	)		(569	)		(221	)
Prior years		(10,739	)		(12,564	)		(11,526	)
Total payments		(11,480	)		(13,133	)		(11,747	)
Balance at end of year	$	158,691		$	137,036		$	122,847