Conduct a horizontal and vertical analysis for the data below.

2021 2020 2019 River Community Hospital: Statements Revenues of Operations and Net patient service revenue $ 148, 118 $ 121,765 $ 119,845 Changes in Net Assets Premium revenue 17,316 16,455 15,543 (in Thousands of Dollars) Other revenue 3,079 2, 704 2,397 Net operating revenue $168,513 $140,924 $ 137,785 Expenses Salaries and benefits $126,223 $102,334 $ 101,996 Supplies 20,568 18,673 17,854 Insurance 4,518 3,710 3,678 Purchased services 3, 189 2,603 2,543 Depreciation 3,965 2, 198 2,091 Interest 5,329 3,476 3,122 Total expenses $163,792 $132,994 $131,284 Operating Income $ 4,721 $ 7,930 $ 6,501 Nonoperating Income Contributions $ 243 $ 198 $ 151 Investment income 3,870 3,678 3,497 Total nonoperating income $ 4, 113 $ 3,876 $ 3,648 Copyright @ 2021. Health Administration Press. All rights reserved. Excess of revenues over $ 8,834 $ 11,806 $ 10, 149 expenses (net income)2021 2020 2019 Changes in Net Assets Without donor restrictions: Excess of revenues over expenses $ 8,834 $ 11,806 $ 10, 149 Increase in net assets without donor restrictions $ 8,834 $ 11,806 $ 10, 149 With donor restrictions: Gifts and bequests $ 1,466 $ 900 $ 466 Increase in net assets with donor restrictions $ 1,466 $ 900 $ 466 Increase in net assets $10,300 $12,706 $ 10,615 Net assets at beginning of year $ 54, 174 $41,468 $30,853 Net assets at end of year $64,474 $ 54, 174 $41,468.2 2021 2020 2019 ts Assets S) Current assets Cash and cash equivalents $ 16,468 $ 10,852 $ 8,765 Short-term investments 10,000 5,000 5,000 Net patient accounts receivable 28,509 25,927 24,504 Inventories 3,695 2,302 1,629 Total current assets $ 58,672 $ 44,081 $ 39,898 Long-term investments $ 18,059 $ 25,837 $ 17, 170 Net property and equipment 88,490 53, 149 53,394 Total assets $165,221 $123,067 $110,462 Liabilities and Equity Current liabilities Notes payable $ 4,334 $ 3,345 3,345 Accounts payable 5,022 6,933 7,899 Accrued expenses 6,069 5,037 4, 172 Total current liabilities $ 15,425 $ 15,315 $ 15,416 Long-term debt 85,322 53, 578 53,578 Total liabilities $ 100, 747 $ 68,893 $ 68,994 Net assets (equity) Without donor restrictions $ 56, 168 $ 46,434 $ 34, 162 With donor restrictions 8,306 7,740 7,306 Total net assets $ 64,474 $ 54, 174 $ 41,468 Total liabilities and net assets $165,221 $123,067 $110,462 Net Property and Equipment (thousands of dollars) 2021 2020 2019 Land $ 2,954 $ 2,035 $ 2,000 Buildings and equipment 115,595 77,208 75,290 Gross property and equipment $118,549 $ 79,243 $ 77,290 Less: Accumulated depreciation 30,059 26,094 23,896 Net property and equipment $ 88,490 $ 53, 149 $ 53,394 Copying and distribution of this PDF is prohibited without written perm2021 2020 Cash Flows from Operating Activities Operating income $ 4,721 $ 7,930 Adjustments Depreciation $ 3,965 $ 2, 198 Increase in net patient accounts receivable (2,582) (1,423) Increase in inventories (1,393) (673) Decrease in accounts payable (1,911) (966) Increase in accrued expenses 1,032 865 Net cash from operations $ 3,832 $ 7,931 Cash Flows from Investing Activities Capital expenditures ($39,306) ($ 1,953) Nonoperating income 4, 113 3,876 Purchase of short-term securities (5,000) 0 Purchase/sale of long-term securities 7,778 (8,667) Net cash from investing ($32,415) ($ 6,744) Cash Flows from Financing Activities Restricted gifts and bequests $ 1,466 $ 900 Proceeds from bank loan (notes payable) 989 0 Proceeds from issuance of long-term debt 31,744 0 Net cash from financing $34, 199 Net increase (decrease) in cash $ 5,616 $ 2,087 Cash and cash equivalents, beginning of year $10,852 $ 8,765 Cash and cash equivalents, end of year $16,468 $10,8522021 2020 2019 Medicare discharges 2,741 2,860 2,721 Total discharges 5,489 5,324 5,622 Outpatient visits 97, 141 86,798 85,232 Licensed beds 210 210 210 Staffed beds 178 197 193 Patient days 32,050 33,947 35,268 All-payer case mix index 1.3161 1.2993 1.2869 Full-time equivalents 619.3 625.8 610.8 2021 2020 2019 Operating Revenue Gross inpatient service $161,265 $155,243 $153,594 Gross outpatient service $221,718 $151, 113 $133,459 Gross patient service revenue $382,983 $306,356 $ 287,053 Contractual allowances $214,470 $165,432 $149,268 Net operating revenue $ 168,513 $140,924 $137,785 Operating Expenses Inpatient service $ 72,996 $ 70,218 $ 71,852 Outpatient service $ 90,796 $ 62,776 $ 59,432 Total operating expenses $ 163,792 $ 132,994 $131,284