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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