Accrued Professional Liabilities

3 Months Ended

Mar. 31, 2015

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. A substantial portion of the professional liability loss risks are being provided by a third-party insurer which is fully reinsured by the Company's 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, which are not discounted.

At March 31, 2015, the Company's accrued professional liabilities are presented in the accompanying consolidated balance sheets as a component of other accrued liabilities and other long-term liabilities as follows (in thousands):



	March 31, 2015
Estimated losses under self-insured programs	$	26,199
Incurred but not reported losses	31,342
Total accrued professional liabilities	57,541
Less estimated losses payable within one year	10,957
Total	$	46,584

The changes to the Company's estimated losses under self-insured programs as of March 31, 2015 were as follows (in thousands):



Balance at December 31, 2014	$	53,785
Assumed liabilities through acquisitions	4,301
Provision related to current period reserves	3,300
Payments for current period reserves	(1,551		)
Payments for prior period reserves	(2,294		)
Balance at March 31, 2015	$	57,541