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Medical Liabilities (Tables) | 9 Months Ended
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Sep. 30, 2019
Disclosure of Medical Liabilities [Abstract] |
Medical Liabilities | The Company’s medical liabilities consisted of the following:
| September 30, 2019 |  | December 31, 2018
Balance, beginning of period | $ | 33,641,701 |  |  | $ | 63,972,318 |
Acquired (see Note 3) | 26,404,372 |  |  | — |
Claims paid for previous period | (49,164,084 | ) |  | (36,549,348 | )
Incurred health care costs | 178,472,645 |  |  | 209,002,961 |
Claims paid for current period | (135,580,214 | ) |  | (167,537,480 | )
Payment to CMS based on APAACO 2017 year settlement | — |  |  | (34,464,826 | )
Adjustments | 45,227 |  |  | (781,924 | )
Balance, end of period | $ | 53,819,647 |  |  | $ | 33,641,701 |

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