Answer:
263.8
Step-by-step explanation:
There are 184 days from July 1 to December 31, including those end dates. So, the average daily census is the total days of service divided by the number of days:
(48,542 patient-days)/(184 days) = 263.8 patients
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That's an average utilization of 95.9%, suggesting that some days there were patients without beds.