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Benefits seen for financially distressed hospitals, but affiliation increases risk for closure among financially stable hospitals

Hospitals in low-income and rural communities less likely to receive stroke certification than those in general communities

Despite overall improvement in treatment and survival from 2005 to 2015, findings reveal persisting disparities across race and sex

Higher air pollution exposure particularly associated with cardiometabolic disease clusters

Findings seen regardless of cause of family member’s death and peaked in the first week after death