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Check out that FRED chart again by KeoughCharles05

Here's 2019:
Q1 - 292,687
Q2 - 296,186
Q3 - 298,790
Q4 - 304,222
============
1,191,885

Here's 2020:
Q1 - 290,147
Q2 - 285,193
Q3 - 312,298
Q4 - 325,705
============
1,213,343

Your other citation looks at net patient revenue. That looks at what they're able to generate from patient-based payors. It excludes charitable contributions and government grants.

I stand by my statement.