Find 
by implicit differentiation. 
Definitions:
Net Patient Service Revenue
The total revenue derived from patient services provided by a healthcare institution, net of any allowances for discounts and adjustments.
Third Party Payors
Entities (usually insurance companies or government agencies) that pay for healthcare services on behalf of patients.
Contractual Adjustments
Adjustments made to the gross amount of charges for services provided, primarily in healthcare, based on pre-negotiated agreements with payers or insurers.
Amounts Pledged
The values of assets that have been promised as security for a loan or obligation.
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