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However, first, we are acknowledging that the phrase current year numerator in the context of line 20 must refer to a different value than the numerator of the current year resident to bed ratio in line 19, which states, Enter the current year resident to bed ratio by dividing line 18 by line 4. In the context of Medicare GME affiliation agreements in line 20, the current year numerator cannot refer to line 18, as line 18 represents the current year IRB ratio with various adjustments, including the FTEs in new programs from line 16, and FTEs displaced by hospital or program closure on line 17