Adams                               Population Estimate 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        64,441
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        64,556
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        65,064
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        65,614
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Total Operating Revenue 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        562,019,400
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        522,375,596
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        500,770,622
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        432,754,760
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        411,512,600
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        408,275,137
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        362,719,100
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        327,850,118
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        316,315,811
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        289,111,343
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Total Operating Margin 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        -54,806,917
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        -68,880,051
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        -24,142,350
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        -8,093,395
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        8,496,837
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        17,915,865
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        11,134,369
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        6,517,620
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        -287,921
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        829,521
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Net Profit 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        25,728,233
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        -58,520,265
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        58,732,998
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        43,055,925
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        42,498,623
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        50,545,775
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        46,166,181
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        29,863,010
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        15,161,938
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        26,149,075
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Total Patient Discharges 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        13,515
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        12,933
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        13,052
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        12,389
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        11,606
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        12,588
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        11,871
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        11,183
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        10,323
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        10,090
                                     | 
                                    
                                        Discharges
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Net Fixed Assets 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        340,558,383
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        317,894,709
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        319,395,169
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        305,679,076
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        251,183,954
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        219,735,077
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        212,280,490
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        196,936,293
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        185,926,410
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        160,297,126
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Long Term Liabilities 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        169,631,586
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        148,077,417
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        149,404,581
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        187,702,876
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        187,854,303
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        137,078,660
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        161,425,081
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        174,779,481
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        191,053,837
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        168,784,024
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Adams                               Total Beds 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        284
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        284
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        264
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        264
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        223
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        223
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        203
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        203
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        203
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        164
                                     | 
                                    
                                        Beds
                                     |