December 31,

2021

2020

2019

Medical claims and related payables, beginning of the year

$

164,161

$

121,779

$

101,967

Components of incurred costs related to:

Current year

1,645,137

1,026,940

728,610

Prior years

2,522

(5,063

)

(3,236

)

Discontinued operations - current year

1,234

85,732

125,795

Discontinued operations - prior years

(2,099

)

(1,543

)

(1,945

)

1,646,794

1,106,066

849,224

Claims paid related to:

Current year

(1,416,404

)

(870,979

)

(627,422

)

Prior years

(151,128

)

(94,868

)

(76,049

)

Discontinued operations - current year

(1,234

)

(80,754

)

(108,531

)

Discontinued operations - prior years

(3,175

)

(17,083

)

(17,410

)

(1,571,941

)

(1,063,684

)

(829,412

)

Medical claims and related payables, end of the year

$

239,014

$

164,161

$

121,779