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Medical payables (Tables)
6 Months Ended
Jun. 30, 2017
Health Care Organizations [Abstract]  
Components of Changes in Health Care Costs Payable
The following table shows the components of changes in health care costs payable for the six months ended June 30, 2017
 
Six months ended
 
June 30, 2017
Healthcare costs payable, beginning of the period
$
214,275

Add: Components of incurred health care costs
 

Current year
991,818

Prior years
(6,838
)
Total incurred health care costs
984,980

Less: Claims paid
 

Current year
727,814

Prior years
186,623

Total claims paid
914,437

Healthcare costs payable, end of the period
$
284,818