The hospital administrators at New Hope, County General, and City East recently received notice of an impending state inspection of their facilities. Under new guidelines established to improve the overall health care system, state inspectors will be assessing the efficiency of each hospital. The staff at New Hope has suggested a mutual assistance program in preparation for the inspections and have proposed using DEA as a means to assess the efficiency of each facility. The data collected thus far is summarized in the following table. All data reflects averages compiled over the past six months. 
Based on the following formulation, is City East efficient? If not, what input and output values should they aspire to in order to become efficient? 
Definitions:
Marketing Strategy
A marketing strategy is a business's overall game plan for reaching prospective consumers and turning them into customers of their products or services.
Profitable Customer Relationships
The ongoing connections a business cultivates with individuals or other businesses that result in a mutually beneficial exchange, ideally leading to repeat business and increased profitability.
Value Map
A visual tool used to compare the value propositions of different products or services in the market, analyzing factors such as price, quality, and performance.
Specific Customer Needs
Particular requirements or desires of consumers that businesses aim to meet with their products or services.
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