Medical payables (Tables)

12 Months Ended

Dec. 31, 2013

Components of Changes in Health Care Costs Payable

The following table shows the components of changes in the health care costs payable for the year ended December 31, 2013:

	Year ended December 31, 2013
Health care costs payable, beginning of the year	$	119,512
Acquisitions and other adjustments		26,575
Add: Components of incurred health care costs
Current year		1,329,887
Prior years		(16,587	)
Total incurred health care costs		1,313,300
Less: Claims paid
Current year		1,169,455
Prior years		117,622
Total claims paid		1,287,077
Health care costs payable, end of the year	$	172,310