Medical Liabilities

12 Months Ended

Dec. 31, 2019

Disclosure of Medical Liabilities [Abstract]

Medical Liabilities

Medical Liabilities

Medical liabilities consisted of the following:

	December 31, 2019			December 31, 2018
Balance, beginning of year	$	33,641,701		$	63,972,318
Acquired (see Note 3)	27,474,440			—
Claims paid for previous year	(33,396,932		)	(36,549,348		)
Claims paid on acquired liabilities	(25,236,286		)	—
Incurred health care costs	274,670,676			209,002,961
Claims paid for current year	(218,564,072		)	(167,537,480		)
Payment to CMS	—			(34,464,826		)
Adjustments	135,155			(781,924		)
Balance, end of year	$	58,724,682		$	33,641,701