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Medical Liabilities (Tables)
 3 Months Ended
Mar. 31, 2019
Disclosure of Medical Liabilities [Abstract]  
Medical Liabilities
The Company’s medical liabilities consisted of the following:
 
 
 
March 31,

2019
 
 
December 31,

2018
 
 
 
 
 
 
 
 
Balance, beginning of period
 
$
33,641,701
 
 
$
63,972,318
 
Claims paid for previous period
 
 
(28,850,325
)
 
 
(36,549,348
)
Incurred health care costs
 
 
34,974,952
 
 
 
209,002,961
 
Claims paid for current period
 
 
(16,586,584
)
 
 
(167,537,480
)
Payment to CMS based on APAACO 2017 year settlement
 
 
-
 
 
 
(34,464,826
)
Adjustments
 
 
86,121
 
 
 
(781,924
)
 
 
 
 
 
 
 
 
 
 
Balance, end of period
 
$
23,265,865
 
 
$
33,641,701