Accrued Professional Liabilities

12 Months Ended

Dec. 31, 2014

Accrued Professional Liabilities

The Company maintains professional liability insurance policies with third-party insurers generally on a claims-made basis, subject to self-insured retention, exclusions and other restrictions. The Company’s self-insured retention under its professional liability insurance program is also maintained through a wholly-owned captive insurance subsidiary. The Company records an estimate of liabilities for self-insured amounts and claims incurred but not reported based on an actuarial valuation using historical loss patterns and are not discounted.

At December 31, 2014, the Company had total accrued professional liabilities of $53.8 million, which are included in other accrued liabilities and other long-term liabilities in the accompanying consolidated balance sheets and consisted of the following (in thousands):



	2014
Estimated losses under self-insured programs	$	25,337
Incurred but not reported losses	28,448
Total accrued professional liabilities	53,785
Less estimated losses payable within one year	11,983
Total	$	41,802

The changes to the Company's estimated losses under self-insured programs as of December 31, 2014 were as follows (in thousands):



Balance at December 31, 2013	$	1,171
Assumed liabilities through acquisitions	53,512
Provision related to current period reserves	5,423
Payments for current period reserves	(1,595		)
Benefit related to changes in prior period reserves	(661		)
Payments for prior period reserves	(6,055		)
Other, net	1,990
Balance at December 31, 2014	$	53,785