Medical Liabilities

12 Months Ended

Dec. 31, 2018

Disclosure of Medical Liabilities [Abstract]

Medical Liabilities

10. Medical Liabilities

Medical liabilities consisted of the following:

Years ended December 31,	2018			2017
Balance, beginning of year	$	63,972,318		$	18,957,465
Medical liabilities assumed from Merger		-			39,353,540
Claims paid for previous year		(36,549,348	)		(23,075,516	)
Incurred health care costs		209,002,961			121,846,375
Claims paid for current year		(167,537,480	)		(92,476,160	)
Payment to CMS based on APAACO 2017 year settlement		(34,464,826	)		-
Adjustments		(781,924	)		(633,386	)
Balance, end of year	$	33,641,701		$	63,972,318