Civic Intelligence

Humc Medical Observation Pa

EIN 27-2371424 • 501(c)3 • Edison, NJ

Profile

To serve as the physician services component of a tax-exempt integrated healthcare delivery system which includes hackensack university medical center ("hackensackumc"). Hackensackumc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay.

C/O Tax Dept 399 Thornall Street 2NEdison, NJ 08837

www.hackensackumc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2023

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2023

Net Margin

89th percentile

50%

Higher net margin than 89% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2023

Top Officer Pay

100th percentile

$1,237,100

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 30927.5% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2023

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2022 to 2023

Assets

Down

$168,831

Down $2,372 (-1.4%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$168,831

Down $2,372 (-1.4%) from 2021

Revenue

Flat

$0

Flat from 2021

Expenses

Up

$2,000

Up $2,000 from 2021

Net Income

Down

-$2,000

Down $2,000 from 2021

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0Assets 2013: $994,365Liabilities 2013: $994,365Net Assets 2013: $02013Assets 2015: $3,694,907Liabilities 2015: $3,694,907Net Assets 2015: $02015Assets 2016: $2,889,427Liabilities 2016: $2,889,427Net Assets 2016: $02016Assets 2018: $167,612Liabilities 2018: $167,612Net Assets 2018: $02018Assets 2019: $110,849Liabilities 2019: $110,849Net Assets 2019: $02019Assets 2020: $102,019Liabilities 2020: $102,019Net Assets 2020: $02020Assets 2021: $171,203Liabilities 2021: $0Net Assets 2021: $171,2032021Assets 2022: $168,831Liabilities 2022: $0Net Assets 2022: $168,8312022

Highlighted filing

2022

Assets$168,831
Liabilities$0
Net Assets$168,831

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2013: $1,060,049Expenses 2013: $1,060,049Net Income 2013: $02013Revenue 2015: $1,306,247Expenses 2015: $1,306,247Net Income 2015: $02015Revenue 2016: $1,618,208Expenses 2016: $1,618,208Net Income 2016: $02016Revenue 2018: $2,029,779Expenses 2018: $2,029,779Net Income 2018: $02018Revenue 2019: $1,827,194Expenses 2019: $1,827,194Net Income 2019: $02019Revenue 2020: $1,648,604Expenses 2020: $1,648,604Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $2,000Net Income 2022: -$2,0002022

Highlighted filing

2022

Revenue$0
Expenses$2,000
Net Income-$2,000

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 13, 2023
Return Version
2022v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

To serve as the physician services component of a tax-exempt healthcare delivery network and to thereby promote, support & further the charitable purposes, programs & services of hmh hospitals corp.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Assets Total$171,203$168,831▼ $2,372
Total Assets$171,203$168,831▼ $2,372
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$171,203$168,831▼ $2,372
Total Net Assets Fund Balance$171,203$168,831▼ $2,372
Total Liabilities and Net Assets / Fund Balance$171,203$168,831▼ $2,372

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$168,831--
Compensation and Service Providers

Employees

NameTitleOtherTotal
James Clarke MdPresident - Trustee$1,138,204$1,138,204

Board Members and Trustees

NameTitle
James Clarke Md-
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,000
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$0$2,000$0$2,000
Total Functional Expenses$0$2,000$0$2,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Humc Medical Observation Pa
EIN
27-2371424
Phone
9088396787
Address
C/O TAX DEPT 399 THORNALL STREET 2N, EDISON, NJ 08837

Signing Officer

Name
James Derosa
Title
Evp, Finance
Phone
9088396787
Signed
2023-11-13

Organization Details

Principal Officer
James Clarke Md
Formed
2010
Legal Domicile
Nj
Voting Board Members
1
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Pt VI, Line 6

Hhmh hospitals corporation is the sole member of this organization which exists through a physician nominee agreement due to state of new jersey corporate practice of medicine prohibitions. Hmh hospitals corporation has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.

Pt VI, Line 7A

See response to part vi, question 6 above.

Pt VI, Line 7B

See response to part vi, question 6 above.

Pt VI, Line 11B

This organization is operated by hackensack meridian health, inc. ("hmh"); a tax-exempt integrated healthcare delivery network. Hmh's finance personnel prepared and reviewed the federal form 990, which was then reviewed by other appropriate internal staff for accuracy. Hmh's board of trustees designated the audit and compliance committee ("acc") to review the form 990 of hmh organizations. The form 990 was provided to the members of the acc for review. The portions of the form 990 providing compensation disclosures were also provided to the boards executive and physician compensation committee for review. The portions of the form 990 providing compensation disclosures were also provided to the boards executive and physician compensation committee for review. The form 990 was also provided to each voting member of hmh's governing body, its board of trustees, prior to filing with the internal revenue service. The hmh board of trustees has the final governing authority over the subsidiaries of hmh.

Pt VI, Line 12C

Hackensack meridian health, inc., the tax-exempt parent organization of hackensack meridian health, a tax-exempt integrated health care delivery network, has adopted a network-wide conflict of interest policy which is applicable to all of its subsidiary organizations. The organizations regularly monitor and enforce compliance with the network's conflict of interest policy. Annually, all members of the board of trustees, officers and key employees of each organization are required to review the existing conflict of interest policy and complete a questionnaire with respect to any applicable transactions and relationships. The completed questionnaires are returned to the network's chief compliance officer for review. The chief compliance then prepares a summary of the completed questionnaires, and presents the summary to the network's governance and board development committee for its review, discussion and action (if needed). Any trustee, officer or key employee with a disclosed conflict would recuse themselves from participating in the governing body's deliberations and decisions of a transaction in question. During the year, the chief compliance officer in conjunction with the general counsel also monitors on-going transactions in light of the summary to ensure that any potential conflicts of interest are appropriately handled in compliance with the policy.

Pt VI, Line 15A

Reasonable compensation is determined by 1) a review of the physician's background and experience, including education, professional and administrative qualifications, research projects, publications, and community activities; 2) assigned responsibilities and administrative and clinical work volumes including off-hours on-call coverage; and 3) market demand for the physicians in the particular specialty. Then, a comparison of physician compensation to national benchmarks for physicians in similar positions is done. Compensation is benchmarked with widely used industry standards and published surveys, such as those of medical group management association and sullivan cotter, inc. The physician's position and proposed compensation, the comparability data relating to his or her medical specialty, opinions from compensation consultants, if indicated, and any other information deemed relevant for all new physicians and for changes in compensation for existing physicians are reviewed by a committee of hackensack meridian health, inc., to confirm fair market value. If a physician's proposed annual total cash compensation exceeds certain parameters specified by the executive and physician compensation committee (epcc) of the board of trustees of hackensack meridian health, an additional level of review and approval is completed by the epcc. Prior to review by the epcc, the independent national compensation consultant to hmh is engaged to provide a valuation opinion to assist the epcc in its assessment and determination of compensation. The epcc assesses the market data provided by an independent national compensation consulting firm and other appropriate information to determine the additional factors that support the fair market value of the proposed compensation, and the epcc then reaches a conclusion on the fair market value of the proposed compensation.

Pt VI, Line 15B

See response to part vi, question 15a above.

Pt VI, Line 19

The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new jersey department of the treasury.

Pt VII, Col (E)

Part vii and schedule j reflects a board member and an officer receiving compensation and benefits from a related organization. Please note this remuneration was for services rendered as a full-time employee of the related organization and not for services rendered as a voting member or officer of this organization's board of directors.

Pt XII, Line 2C

Pricewaterhouse coopers, l.l.p. Audited the consolidated financial statements of hackensack meridian health, inc. For the years ended december 31, 2022 and 2021, including this organization. Pricewaterhouse coopers, l.l.p. Issued an unqualified opinion with respect to the audited consolidated financial statements. The hackensack meridian health, inc. Audit and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization, and the selection of an independent auditor.

Pt XI

Form 990, part xi, line 9: internal equity transfer- ($372).

Financial Statement Notes

Pt X, Line 2

Pricewaterhouse coopers, l.l.p. Audited the consolidated financial statements of hackensack meridian health, inc. For the years ended december 31, 2022 and 2021. The following disclosure is included in the organization's income tax footnote included in the summary of significant accounting policies footnote of the 2022 audited consolidated financial statements that reports the organization's liability for uncertain tax positions under fin 48 (asc 740): all of the not-for-profit entities included in the consolidated financial statements are corporations as described in section 501(c)(3) of the internal revenue code ("code") and are exempt from federal income taxes on related income pursuant to section 501(a) of the code. These entities, except for the physician practices, are also exempt from state income taxes. Per the requirement to assess for tax uncertainty, management has determined that it does not have any significant uncertain tax positions required to be accrued or reported.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JAMES CLARKE MD
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTION 15A INCLUDED IN SCHEDULE O.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL(S) INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2 AS TAXABLE WAGES: JAMES CLARKE, MD, $107,141.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0HHMH HOSPITALS CORPORATION IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS. HMH HOSPITALS CORPORATION HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SEE RESPONSE TO PART VI, QUESTION 6 ABOVE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SEE RESPONSE TO PART VI, QUESTION 6 ABOVE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THIS ORGANIZATION IS OPERATED BY HACKENSACK MERIDIAN HEALTH, INC. ("HMH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. HMH'S FINANCE PERSONNEL PREPARED AND REVIEWED THE FEDERAL FORM 990, WHICH WAS THEN REVIEWED BY OTHER APPROPRIATE INTERNAL STAFF FOR ACCURACY. HMH'S BOARD OF TRUSTEES DESIGNATED THE AUDIT AND COMPLIANCE COMMITTEE ("ACC") TO REVIEW THE FORM 990 OF HMH ORGANIZATIONS. THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE ACC FOR REVIEW. THE PORTIONS OF THE FORM 990 PROVIDING COMPENSATION DISCLOSURES WERE ALSO PROVIDED TO THE BOARDS EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE FOR REVIEW. THE PORTIONS OF THE FORM 990 PROVIDING COMPENSATION DISCLOSURES WERE ALSO PROVIDED TO THE BOARDS EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE FOR REVIEW. THE FORM 990 WAS ALSO PROVIDED TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE HMH BOARD OF TRUSTEES HAS THE FINAL GOVERNING AUTHORITY OVER THE SUBSIDIARIES OF HMH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4HACKENSACK MERIDIAN HEALTH, INC., THE TAX-EXEMPT PARENT ORGANIZATION OF HACKENSACK MERIDIAN HEALTH, A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY NETWORK, HAS ADOPTED A NETWORK-WIDE CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THE NETWORK'S CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES OF EACH ORGANIZATION ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE WITH RESPECT TO ANY APPLICABLE TRANSACTIONS AND RELATIONSHIPS. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE NETWORK'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THE CHIEF COMPLIANCE THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE NETWORK'S GOVERNANCE AND BOARD DEVELOPMENT COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). ANY TRUSTEE, OFFICER OR KEY EMPLOYEE WITH A DISCLOSED CONFLICT WOULD RECUSE THEMSELVES FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS OF A TRANSACTION IN QUESTION. DURING THE YEAR, THE CHIEF COMPLIANCE OFFICER IN CONJUNCTION WITH THE GENERAL COUNSEL ALSO MONITORS ON-GOING TRANSACTIONS IN LIGHT OF THE SUMMARY TO ENSURE THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE APPROPRIATELY HANDLED IN COMPLIANCE WITH THE POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5REASONABLE COMPENSATION IS DETERMINED BY 1) A REVIEW OF THE PHYSICIAN'S BACKGROUND AND EXPERIENCE, INCLUDING EDUCATION, PROFESSIONAL AND ADMINISTRATIVE QUALIFICATIONS, RESEARCH PROJECTS, PUBLICATIONS, AND COMMUNITY ACTIVITIES; 2) ASSIGNED RESPONSIBILITIES AND ADMINISTRATIVE AND CLINICAL WORK VOLUMES INCLUDING OFF-HOURS ON-CALL COVERAGE; AND 3) MARKET DEMAND FOR THE PHYSICIANS IN THE PARTICULAR SPECIALTY. THEN, A COMPARISON OF PHYSICIAN COMPENSATION TO NATIONAL BENCHMARKS FOR PHYSICIANS IN SIMILAR POSITIONS IS DONE. COMPENSATION IS BENCHMARKED WITH WIDELY USED INDUSTRY STANDARDS AND PUBLISHED SURVEYS, SUCH AS THOSE OF MEDICAL GROUP MANAGEMENT ASSOCIATION AND SULLIVAN COTTER, INC. THE PHYSICIAN'S POSITION AND PROPOSED COMPENSATION, THE COMPARABILITY DATA RELATING TO HIS OR HER MEDICAL SPECIALTY, OPINIONS FROM COMPENSATION CONSULTANTS, IF INDICATED, AND ANY OTHER INFORMATION DEEMED RELEVANT FOR ALL NEW PHYSICIANS AND FOR CHANGES IN COMPENSATION FOR EXISTING PHYSICIANS ARE REVIEWED BY A COMMITTEE OF HACKENSACK MERIDIAN HEALTH, INC., TO CONFIRM FAIR MARKET VALUE. IF A PHYSICIAN'S PROPOSED ANNUAL TOTAL CASH COMPENSATION EXCEEDS CERTAIN PARAMETERS SPECIFIED BY THE EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE (EPCC) OF THE BOARD OF TRUSTEES OF HACKENSACK MERIDIAN HEALTH, AN ADDITIONAL LEVEL OF REVIEW AND APPROVAL IS COMPLETED BY THE EPCC. PRIOR TO REVIEW BY THE EPCC, THE INDEPENDENT NATIONAL COMPENSATION CONSULTANT TO HMH IS ENGAGED TO PROVIDE A VALUATION OPINION TO ASSIST THE EPCC IN ITS ASSESSMENT AND DETERMINATION OF COMPENSATION. THE EPCC ASSESSES THE MARKET DATA PROVIDED BY AN INDEPENDENT NATIONAL COMPENSATION CONSULTING FIRM AND OTHER APPROPRIATE INFORMATION TO DETERMINE THE ADDITIONAL FACTORS THAT SUPPORT THE FAIR MARKET VALUE OF THE PROPOSED COMPENSATION, AND THE EPCC THEN REACHES A CONCLUSION ON THE FAIR MARKET VALUE OF THE PROPOSED COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6SEE RESPONSE TO PART VI, QUESTION 15A ABOVE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8PART VII AND SCHEDULE J REFLECTS A BOARD MEMBER AND AN OFFICER RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEE OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, INCLUDING THIS ORGANIZATION. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE HACKENSACK MERIDIAN HEALTH, INC. AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10FORM 990, PART XI, LINE 9: INTERNAL EQUITY TRANSFER- ($372).
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Pt VI, Line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Pt VII, Col (E)
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Pt XII, Line 2c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Pt XI
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