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Accrued Professional Liabilities (Tables)
12 Months Ended
Dec. 31, 2015
Payables and Accruals [Abstract]  
Schedule of Accrued Professional Liabilities
At December 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):
 
2015
 
2014
Estimated losses under self-insured programs
$
30,748

 
$
25,337

Incurred but not reported losses
36,166

 
28,448

Total accrued professional liabilities
66,914

 
53,785

Less estimated losses payable within one year
14,362

 
11,983

Total
$
52,552

 
$
41,802

Schedule of Self Insurance Reserve Roll Forward
The changes to the Company's estimated losses under self-insured programs as of December 31, 2015 and 2014 were as follows (in thousands):
 
2015
 
2014
Balance, beginning of year
$
53,785

 
$
1,171

Assumed liabilities through acquisitions
13,317

 
53,512

Provision related to current period reserves
15,943

 
5,423

Payments for current period reserves
(4,475
)
 
(1,595
)
Benefit related to changes in prior period reserves
(425
)
 
(661
)
Payments for prior period reserves
(8,863
)
 
(6,055
)
Other, net
(2,368
)
 
1,990

Balance, end of year
$
66,914

 
$
53,785