| PLABi | = | fraction of the payment rate that is labor related,20 |
| WAGEINDEXi | = | the wage index for the hospital's MSA or rural portion of State, |
| COLAi | = | cost of living adjustment (which is one everywhere except in Hawaii and Alaska), |
| DSHi | = | operating cost payment factor for disproportionate share, and |
| TEACHi | = | operating cost payment factors for the indirect cost of medical education (TEACHi = 1.89* ((1+ (interns+residents)/beds)**.405-1)). |
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