Medical payables (Tables)

12 Months Ended

Dec. 31, 2015

Health Care Organizations [Abstract]

Components of Changes in Healthcare Costs Payable

The following table shows the components of changes in the healthcare costs payable for the year ended December 31, 2015 and 2014:

	December 31,
	2015		2014
Healthcare costs payable, beginning of the year	$	214,405	$	172,310
Add: Components of incurred healthcare costs
Current year		1,587,036		1,572,723
Prior years		1,523		3,429
Total incurred healthcare costs		1,588,559		1,576,152
Less: Claims paid
Current year		1,397,378		1,378,137
Prior years		192,945		155,920
Total claims paid		1,590,323		1,534,057
Healthcare costs payable, end of the year	$	212,641	$	214,405