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Medical Liabilities (Tables) | 12 Months Ended
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Dec. 31, 2017
Disclosure of Medical Liabilities [Abstract] |
Medical Liabilities | Medical liabilities consisted of the following:
Years ended December 31, |  | 2017 |  | 2016 |
Balance, beginning of year |  | $ | 18,957,465 |  | $ | 16,011,519 |
Medical liabilities assumed from Merger |  |  | 39,353,540 |  |  | - |
Claims paid for previous year |  |  | (23,075,516) |  |  | (14,501,482) |
Incurred health care costs |  |  | 121,846,375 |  |  | 98,906,764 |
Claims paid for current year |  |  | (92,476,160) |  |  | (84,520,493) |
Adjustments |  |  | (633,386) |  |  | 3,061,157 |
Balance, end of year |  | $ | 63,972,318 |  | $ | 18,957,465 |

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