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Accrued Professional Liabilities (Tables)
3 Months Ended
Mar. 31, 2016
Payables and Accruals [Abstract]  
Schedule of Accrued Professional Liabilities
At March 31, 2016 and 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):
 
March 31, 2016
 
December 31, 2015
Estimated losses under self-insured programs
$
30,227

 
$
30,748

Incurred but not reported losses
33,318

 
36,166

Total accrued professional liabilities
63,545

 
66,914

Less estimated losses payable within one year
14,319

 
14,362

Total
$
49,226

 
$
52,552

Schedule of Self Insurance Reserve Roll Forward
The changes to the Company's estimated losses under self-insured programs as of March 31, 2016 were as follows (in thousands):
Balance at December 31, 2015
$
66,914

Provision related to current period reserves
4,274

Payments for prior period reserves
(4,128
)
Other, net including post acquisition adjustments
(3,515
)
Balance at March 31, 2016
$
63,545