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Medical Liabilities
 9 Months Ended
Sep. 30, 2019
Disclosure of Medical Liabilities [Abstract]  
Medical Liabilities
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