I was able to find it online for free, and thought it was pretty boring. But from what I have read online, the theory I most agree with is that the hospital was a purgatory and everyone was already dead. The good people went to Heaven (like the brunette girl and Harold, the old guy), but the bad people got eaten or taken or whatever by those creatures to Hell (I guess).
I don't know the significance of Edward Furlong's character other than he wasn't apart of the group and only the main guy could see him. I also don't know the significance of their files and whether that was just a metaphor or if all the characters were actually previous patients.
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