Custer                              Population Estimate 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        11,985
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        12,000
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        11,961
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        11,866
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Total Operating Revenue 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        83,417,344
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        67,259,529
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        65,794,449
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        54,819,161
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        56,862,662
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        49,331,974
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        49,126,924
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        42,696,464
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        46,910,594
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        37,704,046
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Total Operating Margin 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        7,837,896
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        867,642
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        6,844,332
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        -176,691
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        1,448,163
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        -706,330
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        3,963,712
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        1,238,461
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        4,198,512
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        -2,614,135
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Net Profit 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        14,734,771
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        5,546,942
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        14,777,007
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        7,909,692
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        6,037,498
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        2,395,567
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        4,928,617
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        2,679,643
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        5,539,905
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        -2,049,175
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Total Patient Discharges 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        1,160
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        1,040
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        1,139
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        1,085
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        1,500
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        1,468
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        1,177
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        1,248
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        1,291
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        1,296
                                     | 
                                    
                                        Discharges
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Net Fixed Assets 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        76,185,499
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        68,363,330
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        46,165,899
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        34,559,982
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        25,933,536
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        17,917,939
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        15,362,572
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        14,984,158
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        14,194,300
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        12,388,852
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Long Term Liabilities 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        3,981
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        13,066
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        24,340
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        35,580
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        46,545
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Custer                              Total Beds 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        20
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        20
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        21
                                     | 
                                    
                                        Beds
                                     |