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We also removed the cost report data of 6 hospitals because these hospitals had cost report data that were not complete (missing aggregate OPPS payments, missing aggregate cost data, or missing both), so that all cost reports in the study would have both the payment and cost data necessary to calculate a PCR for each hospital, leading to an analytic file of 3,341 hospitals with cost report data

It is intended for research purposes only and is not approved for human consumption, diagnostic, or therapeutic use

During wave movement , the integrated time delay prevents too short switching distances

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