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    <mods:mods xmlns:mods="http://www.loc.gov/mods/v3" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-8.xsd"><mods:titleInfo><mods:title>Financial Performance of Critical Access Hospital and Rural Hospitals Depends on System Affiliation</mods:title></mods:titleInfo><mods:typeOfResource authority="primo">technical_reports</mods:typeOfResource><mods:abstract>US hospitals are characterized by “haves” and “have-not” hospitals. As highlighted in&#13;
previous research, this characterization extends to critical access hospitals (CAHs). &#13;
Using hospital cost report data over the 2016 to 2022 period, CAHs that were affiliated with&#13;
health systems had higher financial and operating margins than independent CAHs. We&#13;
examine if these differences also exist for rural hospitals and in 2023. While many rural&#13;
hospitals are CAHs, many rural hospitals exceed the 25 bed threshold CAHs are limited to.</mods:abstract><mods:name><mods:namePart>Christopher Liu</mods:namePart><mods:role><mods:roleTerm authority="marcrelator" authorityURI="http://id.loc.gov/vocabulary/relators" valueURI="http://id.loc.gov/vocabulary/relators/aut">Author</mods:roleTerm></mods:role></mods:name><mods:name><mods:namePart>Christopher Whaley</mods:namePart><mods:role><mods:roleTerm authority="marcrelator" authorityURI="http://id.loc.gov/vocabulary/relators" valueURI="http://id.loc.gov/vocabulary/relators/aut">Author</mods:roleTerm></mods:role></mods:name><mods:originInfo><mods:dateCreated>2025</mods:dateCreated></mods:originInfo><mods:subject authority="local"><mods:topic>Critical Access Hospitals</mods:topic></mods:subject><mods:subject authority="local"><mods:topic>Rural Hospitals</mods:topic></mods:subject><mods:genre>Policy Brief</mods:genre><mods:accessCondition type="use and reproduction">All rights reserved</mods:accessCondition><mods:accessCondition type="rights statement" xlink:href="http://rightsstatements.org/vocab/InC/1.0/">In Copyright</mods:accessCondition><mods:accessCondition type="restriction on access">All Rights Reserved</mods:accessCondition><mods:identifier type="doi">10.26300/vtce-7v38</mods:identifier></mods:mods>