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Medical Liabilities (Tables) | 12 Months Ended
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Dec. 31, 2018
Disclosure of Medical Liabilities [Abstract] |
Medical Liabilities | Medical liabilities consisted of the following:
Years ended December 31, |  | 2018 |  |  | 2017 |
Balance, beginning of year |  | $ | 63,972,318 |  |  | $ | 18,957,465 |
Medical liabilities assumed from Merger |  |  | - |  |  |  | 39,353,540 |
Claims paid for previous year |  |  | (36,549,348 | ) |  |  | (23,075,516 | )
Incurred health care costs |  |  | 209,002,961 |  |  |  | 121,846,375 |
Claims paid for current year |  |  | (167,537,480 | ) |  |  | (92,476,160 | )
Payment to CMS based on APAACO 2017 year settlement |  |  | (34,464,826 | ) |  |  | - |
Adjustments |  |  | (781,924 | ) |  |  | (633,386 | )
Balance, end of year |  | $ | 33,641,701 |  |  | $ | 63,972,318 |

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