. St. Joseph's Hospital began operations in December 2016 and had patient service revenues totaling $950,000 (based on customary rates) for the month. Of this, $120,000 is billed to patients, representing their insurance deduct- ibles and co-payments. The balance is billed to third-party payers, including insurance companies and government health care agencies. St. Joseph esti- mates that 20 percent of these third-party payer charges will be deducted by contractual adjustment. The Hospital's fiscal year ends on December 31