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Accrued Professional Liabilities (Tables)
6 Months Ended
Jun. 30, 2015
Payables and Accruals [Abstract]  
Schedule of Accrued Professional Liabilities
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

Schedule of Self Insurance Reserve Roll Forward
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