Accrued Professional Liabilities

9 Months Ended

Sep. 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 September 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):



	September 30, 2015		December 31, 2014
Estimated losses under self-insured programs	$	29,153	$	25,337
Incurred but not reported losses	32,931		28,448
Total accrued professional liabilities	62,084		53,785
Less estimated losses payable within one year	12,606		11,983
Total	$	49,478	$	41,802

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



Balance at December 31, 2014	$	53,785
Assumed liabilities through acquisitions	4,957
Provision related to current period reserves	14,591
Payments for current period reserves	(2,567		)
Benefit related to changes in prior period reserves	(902		)
Payments for prior period reserves	(7,780		)
Balance at September 30, 2015	$	62,084