Accrued Professional Liabilities (Tables)

12 Months Ended

Dec. 31, 2019

Health Care Organizations [Abstract]

Schedule of Accrued Professional Liability

The activity related to the Company’s total accrued professional liability for the years ended December 31, 2019, 2018, and 2017 is as follows (in thousands):

	Years Ended December 31,
	2019			2018			2017
Balance at beginning of year	$	243,991		$	250,187		$	202,052
Assumed liabilities through acquisition		—			1,276			20,716
Provision (adjustment) for losses related to:
Current year		57,495			34,483			41,291
Prior years		23,191			10,299			9,983
Total provision for losses		80,686			44,782			51,274
Claim payments related to:
Current year		(3,044	)		(555	)		(712	)
Prior years		(49,873	)		(51,699	)		(23,143	)
Total payments		(52,917	)		(52,254	)		(23,855	)
Balance at end of year	$	271,760		$	243,991		$	250,187