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Yes, they get room and board and scholarships, while you and I have to pay student loans; but our loans pay back our professors, cafeteria workers, and registrars offices. The net contributions (contribution minus scholarship, room and board) of Cadillac Williams and Ronnie Brown paid for Tommy Tuberville to own the largest house in the state of Alabama.
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Simplifying somewhat, we start with data which includes information on patients death or survival, and correlates that, using so-called regression analysis, with some observed characteristics  mostly specific health conditions and demographic characteristics.  So we can say, for example, that a 55 year old male lung cancer patient has on average an X% chance of dying. Express that on a hospital level, and you have expected deaths.  “Excess” deaths (or “excess” survival) are just the difference between actual deaths and the number predicted by the regression model for each individual hospital.  A hospital with no excess deaths is one that performs exactly as the model predicts.
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