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Medical payables (Tables)
3 Months Ended
Mar. 31, 2017
Health Care Organizations [Abstract]  
Components of Changes in Health Care Costs Payable
The following table shows the components of changes in health care costs payable for the three months ended March 31, 2017: 
 
Three months ended
 
March 31, 2017
Healthcare costs payable, beginning of the period
$
214,275

Add: Components of incurred health care costs
 

Current year
467,683

Prior years
421

Total incurred health care costs
468,104

Less: Claims paid
 

Current year
247,723

Prior years
172,693

Total claims paid
420,416

Healthcare costs payable, end of the period
$
261,963