Accrued Professional Liabilities

6 Months Ended

Jun. 30, 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 June 30, 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):



	June 30, 2015
Estimated losses under self-insured programs	$	28,080
Incurred but not reported losses	32,769
Total accrued professional liabilities	60,849
Less estimated losses payable within one year	11,641
Total	$	49,208

The changes to the Company's estimated losses under self-insured programs as of June 30, 2015 were as follows (in thousands):



Balance at December 31, 2014	$	53,785
Assumed liabilities through acquisitions	4,289
Provision related to current period reserves	10,554
Payments for current period reserves	(1,624		)
Benefit related to changes in prior period reserves	(902		)
Payments for prior period reserves	(5,253		)
Balance at June 30, 2015	$	60,849