Lander                              Population Estimate 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        5,769
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        5,761
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        5,761
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        5,728
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Total Operating Revenue 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        12,467,901
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        11,607,717
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        10,103,407
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        10,518,415
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        11,413,543
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        10,923,781
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        9,456,705
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        9,251,950
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        7,303,032
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        7,425,664
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Total Operating Margin 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        -4,959,198
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        -3,391,605
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        -5,545,034
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        -5,081,663
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        -3,699,614
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        -4,102,537
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        -4,757,492
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        -5,783,461
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        -7,783,622
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        -6,365,421
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Net Profit 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        3,870,975
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        5,164,693
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        6,017,335
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        6,822,666
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        5,168,890
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        5,976,046
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        258,775
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        2,115,751
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        25,255
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        473,282
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Total Patient Discharges 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        15
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        24
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        36
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        55
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        44
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        38
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        28
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        53
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        27
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        24
                                     | 
                                    
                                        Discharges
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Net Fixed Assets 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        24,623,249
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        20,166,797
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        20,656,441
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        21,985,029
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        23,490,157
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        22,682,754
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        24,152,486
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        18,597,705
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        13,327,635
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        8,548,466
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Long Term Liabilities 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        14,719,506
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        14,154,568
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        13,128,326
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        13,777,301
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        14,120,077
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        14,526,791
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        16,521,679
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        14,682,934
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Lander                              Total Beds 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        5
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        7
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        7
                                     | 
                                    
                                        Beds
                                     |