Community Health Partners Regional Foundation

EIN 34-1504558 • 501(c)3

Profile

The primary exempt purpose of community health partners regional foundation is to provide financial support to community health partners regional medical center and its related facilities, thereby extending the healing ministry of jesus and improving the health of our communities with emphasis on people who are poor and underserved. These activities reflect our core organizational values of compassion, excellence, human dignity, justice, sacredness of life and service.

3700 Kolbe Road44053

n/A

Siviq Scores

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

No value available

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

Source year 2013

0.00x

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

501(c)3 • $1M-$5M nonprofits • Source year 2013

38%

Higher net margin than 85% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2013

$423,164

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 9.4% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2013

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2012 to 2013

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet

Liabilities / AssetsScore unavailable

Assets

Down

Down $22,107,288 (-100%) from 2012

Liabilities

Down

Down $284,266 (-100%) from 2012

Net Assets

Down

Down $21,823,022 (-100%) from 2012

Operations

Liabilities / Revenue20th percentile Net Margin85th percentile

Revenue

$4,483,228

No earlier filing loaded for comparison.

Expenses

$2,758,626

Up $490,851 (+22%) from 2012

Net Income

$1,724,602

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

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

Highlighted filing

2013

Assets$0

Liabilities$0

Net Assets$0

Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

Highlighted filing

2013

Revenue$4,483,228

Expenses$2,758,626

Net Income$1,724,602

Open 2013 Filing

Filings

Most recent year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing

Assets: $0
Liabilities: $0
Net assets: $0
Revenue: $4,483,228
Expenses: $2,758,626
Net income: $1,724,602

	Balance Sheet			Operations
Year	Assets	Liabilities	Net Assets	Revenue	Expenses	Net Income
2013Detailed filing. Detailed filing data is available for this year.	$0.00	$0.00	$0.00	$4.48	$2.76	$1.72
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.	$22.1	$0.28	$21.8		$2.27
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.	$21.5	$0.09	$21.4		$2.19
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.	$18.2	$0.12	$18.0		$2.09

Latest Filing Detail

Jump To

Filing Snapshot

Filing Period: Jan 1, 2013 to Dec 31, 2013
Signed: Nov 5, 2014
Return Version: 2013v3.1
Gross Receipts: $4,498,708

Mission and Program Overview

Mission

Provide financial support to the chp regional medical center and its related facilities, thereby extending the healing ministry of jesus and improving the health of our communities with emphasis on the poor.

Balance Sheet Detail

Line	Beginning	End	Change
Assets
Investments in Publicly Traded Securities	$17,360,788	$0	▼ $17,360,788
Pledges and Grants Receivable	$380,410	$0	▼ $380,410
Cash and Non-Interest-Bearing Accounts	$94,401	$0	▼ $94,401
Accounts Receivable	$47,200	-	-
Prepaid Expenses and Deferred Charges	$2,076	$0	▼ $2,076
Receivable From Disqualified Prsn	$0	$0	→ $0
Receivables From Officers Etc	$0	$0	→ $0
Investments Other Securities	$0	$0	→ $0
Investments Program Related	$0	$0	→ $0
Land, Buildings, and Equipment, Net	$0	$0	→ $0
Loans From Officers Directors	$0	$0	→ $0
Total Assets	$22,107,288	$0	▼ $22,107,288
Other Assets Total	$4,222,413	$0	▼ $4,222,413
Liabilities
Accounts Payable and Accrued Expenses	$282,579	$0	▼ $282,579
Grants Payable	$1,687	$0	▼ $1,687
Other Liabilities	$0	$0	→ $0
Total Liabilities	$284,266	$0	▼ $284,266
Net Assets / Fund Balance
Permanently Rstr Net Assets	$9,411,974	-	-
Temporarily Rstr Net Assets	$8,736,590	-	-
Unrestricted Net Assets	$3,674,458	-	-
Total Net Assets Fund Balance	$21,823,022	$0	▼ $21,823,022
Total Liabilities and Net Assets / Fund Balance	$22,107,288	$0	▼ $22,107,288

Asset Categories

Asset	Book Value	Depreciation	Basis
Buildings	$0	-	-
Other Land Buildings	$0	-	-
Land	$0	-	-
Equipment	$0	-	-
Leasehold Improvements	$0	-	-

Endowment Activity

Period	Beginning	Contrib.	Gain/Loss	Other Uses	End
2013	$9,411,974	$6,865	▲ $21,870	-	$9,440,709
2012	$9,366,668	$30,903	▲ $14,403	-	$9,411,974
2011	$7,332,025	$3,125	▲ $2,031,518	-	$9,366,668
2010	$7,312,444	$19,581	-	-	$7,332,025
2009	$7,298,839	$13,605	-	-	$7,312,444

Compensation and Service Providers

Top Officer Pay97th percentile

Employees

Name	Title	Full / Part Time	Other	Total
Scott Pember	Foundation President	FT	$101,115	$101,115

Board Members and Trustees

Name	Title
Heidi Freas	Chair
Susan Bowers	Board Member, President - Amc
Edwin Oley	Board Member, President - Community Rmc
James a Leone	Vice Chair
Charles a Horton	Board Member
Donald R Cole	Board Member
Jane Baran	Board Member
Kim Plzak	Board Member
Laura Butrey	Board Member
Maria I Zolli	Board Member
Mary Lynn Sertich	Board Member
Randall Fortin	Board Member
Sr Anne Victory Hm	Board Member
Rick Schneider	Secretary
Homer Virden	Treasurer

Revenue and Support

Revenue Composition

Contributions and Grants: $914,028
Program Service Revenue: $0
Investment Income: $3,483,195
Other Revenue: $86,005
All Other Contributions: $893,403
Change in Net Assets: $1,724,602

Expenses and Functional Allocation

Major Expense Lines

Line Item	Amount
Grants and Similar Amounts Paid	$2,320,503
Salaries, Compensation, and Employee Benefits	$320,864
Total Fundraising Expense	$267,189
Other Expenses	$117,259
Professional Fundraising Fees	$0

Functional Expense Allocation

Line Item	Program	Management	Fundraising	Total
Grants to Domestic Orgs	$2,238,728	-	-	$2,238,728
Other Salaries and Wages	$51,092	$51,092	$153,275	$255,459
Grants to Domestic Individuals	$81,775	-	-	$81,775
Fees for Services Other	$13,447	$13,447	$40,341	$67,235
Payroll Taxes	$13,081	$13,081	$39,243	$65,405
Office Expenses	$6,163	$6,163	$18,491	$30,817
Other Expenses	$1,684	$1,684	$5,054	$8,422
Travel	-	-	$5,062	$5,062
Total Functional Expenses	$2,405,970	$85,467	$267,189	$2,758,626

International Activity

Grant and Assistance Recipients

Recipient	Location	Category	Purpose	Amount
34-0714704	-	501(c)(3)	Mission Support and Capital Items	$1,834,732
27-0071694	-	501(c)(3)	Mission Support and Capital Items	$23,455
34-0864230	-	501(c)(3)	Mission Support and Capital Items	$6,500

Fundraising, Events, and Gaming

Fundraising activities: Yes
Gaming activities: No
Professional fundraiser used: No

Fundraising and Gaming Totals

Line Item	Amount
Fundraising Gross Income	$100,482
Fundraising Direct Expenses	$15,480
Professional Fundraising Fees	$0

Fundraising Events

Event	Gross Receipts	Gross Revenue	Direct Expenses	Net Income
Event 1	$67,065	$58,065	$1,503	$56,562
Event 2	$54,042	$42,417	$386	$42,031
Total Events	$121,107	$100,482	$15,480	$85,002

Political and Lobbying Activity

Political campaign activity: No
Lobbying activity: No

Insider Transactions and Loans

Loans and Receivables

Line Item	Beginning	End	Change
Loans from Officers, Directors, Trustees, and Key Employees	$0	$0	→ $0
Receivables from Disqualified Persons	$0	$0	→ $0
Receivables from Officers, Directors, Trustees, and Key Employees	$0	$0	→ $0

Related Organizations and Partnerships

Related Tax-Exempt Organizations

Organization	Location	Activity	Code	Public Charity	Controlled
31-1161086	-	Healthcare System Parent	501(c)(3)	11 - Type III - FI	No
20-1072726	-	Fundraising	501(c)(3)	7	No
20-8943658	-	Hud Parent	501(c)(3)	9	No
31-6046304	-	Retirement Trust	501(c)(3)	8	No
27-0071694	-	Market Parent	501(c)(3)	11 - Type II	No
34-0714704	-	Hospital	501(c)(3)	3	No
34-0864230	-	Hospital	501(c)(3)	3	No
34-1504558	-	Foundation	501(c)(3)	11 - Type III - FI	No
34-1268828	-	Medical Office Rental	501(c)(3)	9	No
36-4504991	-	Medical Office Rental	501(c)(3)	11 - Type II	No
31-1063783	-	Market Parent	501(c)(3)	11 - Type III - FI	No
31-1217563	-	Foundation	501(c)(3)	7	No
31-1091597	-	Hospital	501(c)(3)	3	No
31-0537085	-	Hospital	501(c)(3)	3	No
31-0538532	-	Hospital	501(c)(3)	3	No
31-0830955	-	Hospital	501(c)(3)	3	No
31-1308729	-	Retirement Home	501(c)(3)	9	No
61-1318326	-	Retirement Home	501(c)(3)	9	No
31-1332491	-	Retirement Home	501(c)(3)	9	No
31-1222942	-	Low Income Housing	501(c)(3)	7	No
20-2934871	-	Services to the Poor	501(c)(3)	7	No
30-0272454	-	Market Parent	501(c)(3)	11 - Type III - FI	No
31-0785684	-	Hospital	501(c)(3)	3	No
31-1443778	-	Foundation	501(c)(3)	7	No
31-1181984	-	Hospital	501(c)(3)	3	No
26-0698515	-	Medical Information Exchange	501(c)(3)	9	No
34-6827136	-	Indigent Medical Care	501(c)(3)	11 - Type I	No
34-1344482	-	Market Parent	501(c)(3)	11 - Type III - FI	No
30-0699825	-	Title Holding Company	501(c)(2)	N/a	No
34-4445373	-	Hospital	501(c)(3)	3	No
31-1556401	-	Hospital	501(c)(3)	3	No
34-1587572	-	Home Healthcare	501(c)(3)	9	No
34-1726619	-	Medical College	501(c)(3)	2	No
14-1963204	-	Foundation	501(c)(3)	11 - Type I	No
34-4431174	-	Hospital	501(c)(3)	3	No
34-1499894	-	Foundation	501(c)(3)	11 - Type III - FI	No
34-1577110	-	Hospital	501(c)(3)	3	No
11-3742347	-	Foundation	501(c)(3)	11 - Type III - FI	No
34-4428250	-	Hospital	501(c)(3)	3	No
23-7393213	-	Foundation	501(c)(3)	11 - Type III - FI	No
34-1354653	-	Medical Transportation	501(c)(3)	11 - Type II	No
34-1693671	-	Hospital	501(c)(3)	3	No
34-1383325	-	Medical Office Rental	501(c)(3)	11 - Type II	No
34-1363204	-	Health Services	501(c)(3)	9	No
34-1105619	-	Hospital	501(c)(3)	3	No
34-1368429	-	Foundation	501(c)(3)	11 - Type III - FI	No
34-1937267	-	Medical Lab Services	501(c)(3)	11 - Type III - FI	No
34-0505560	-	Hospital	501(c)(3)	3	No
34-1013695	-	Nursing Home	501(c)(3)	9	No
34-1288745	-	Hospice Services	501(c)(3)	9	No
34-1826978	-	Foundation	501(c)(3)	11 - Type III - FI	No
34-1894783	-	Nursing Home	501(c)(3)	9	No
34-6556121	-	Fundraising	501(c)(3)	9	No
61-0600313	-	Hospital	501(c)(3)	3	No
61-1258960	-	Foundation	501(c)(3)	7	No
61-0927805	-	Fundraising	501(c)(3)	11 - Type III - FI	No
61-0927491	-	Hospital	501(c)(3)	3	No
32-0026557	-	Foundation	501(c)(3)	11 - Type III - FI	No
73-1627534	-	Market Parent	501(c)(3)	11 - Type I	No
23-2813196	-	Market Parent	501(c)(3)	11 - Type III - FI	No
24-0795625	-	Hospital	501(c)(3)	3	No
23-2322809	-	Hospital	501(c)(3)	3	No
46-3055925	-	Market Parent	501(c)(3)	11 - Type III - FI	No
34-0922268	-	Hmo	501(c)(3)	9	No

Related Partnerships and Joint Ventures

Organization	Location	Activity	Income	Assets	Ownership	Managing Partner
34-1898285	-	Laboratory Services	-	-	-	-
37-1567866	-	Ambulatory Surgery Center	-	-	-	-
34-1913433	-	Lab Services	-	-	-	-
34-1848147	-	Orthopedic Hospital	-	-	-	-
06-1644264	-	Dialysis Center	-	-	-	-
34-1817078	-	Healthcare Quality	-	-	-	-
26-1626482	-	Diagnostic Imaging	-	-	-	-
30-0023795	-	Lab Services	-	-	-	-
26-2989686	-	Radiation Therapy	-	-	-	-
27-1953122	-	Surgery Center	-	-	-	-
01-0724836	-	Orthopedic Surgery Center	-	-	-	-
61-1258960	-	Surgery Center	-	-	-	-

Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant: No
Annual disclosure for covered persons: Yes
Audit committee: Yes
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: No
Other officer compensation reviewed: No
Conflict-of-interest policy: Yes
Audited financial statements prepared: Yes
Key decisions subject to board approval: Yes
Management duties delegated: No

Governance Explanations

Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders

“Community health partners regional health system is the member of community health partners regional foundation.”

Form 990, Part VI, Sec A, Line 7A, Members or stockholders electing members of governing body

“Catholic health partners elects all trustees who have full voting rights.”

Form 990, Part VI, Sec A, Line 7B, Decisions requiring approval by members or stockholders

“Certain matters require approval of the chp corporate member, chp governing body, or chp ceo. The regulations of the organization describe the level of approval required for various decisions.”

Form 990, Part VI, Sec B, Line 11B, Review of form 990 by governing body

“The form 990 is prepared by the chp tax departmen, reviewed by management, and appoved by the board. Once the form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing.”

Form 990, Part VI, Sec B, Line 12C, Conflict of interest policy

“All board members are covered by the catholic health partners (chp) conflict of interest policy which requires disclosure on an annual basis. All potential conflicts of interest are reviewed by chp corporate compliance officer. At the beginning of each board meeting all board members are required to disclose any conflicts of interest. Board members determined to have a conflict of interest are prohibited from participating in deliberations and decision-making for the transaction in which the conflict exists.”

Form 990, Part VI, Sec C, Line 19, Required documents available to the public

“The system-wide conflict of interest policy and financial statements are posted on the catholic health partners website.”

Filing and Contact Details

Filer

EIN: 34-1504558
Phone: 4409603397

Signing Officer

Name: Robert Tonkinson
Title: Market CFO
Signed: 2014-11-05

Organization Details

Formed: 1987
Legal Domicile: Oh
Voting Board Members: 16
Independent Board Members: 13
Employees: 4
Volunteers: 13

Supplemental Narrative

Additional Explanations

Form 990 , Part XI, Line 9, Other changes in net assets or fund balances

“Change in value of king estate - 363379; fund balance transfer - -22867606;”

Financial Statement Notes

Schedule D, Part V, Line 4, Intended uses of endowment funds

“The endowment funds are permanently restricted funds which cannot be spent. The earnings from these funds are put into a temporarily restricted fund or an unrestricted fund at the donors request. The foundation uses these earnings to fund specific purposes for which the endowment was established by the donor. Amounts listed on investment earnings line represent endowment funds transferred from the allen medical center foundation in 2011 when this organization merged into the community health partners regional foundation.”

Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote

“The company [catholic health partners and affiliated entities] completed an analysis of its tax positions in accordance with applicable accounting guidance at december 31, 2013 and 2012, and determined that no amounts were required to be recognized in the consolidated financial statements at december 31, 2013 or 2012.”

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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt	7	1.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt	8	1.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt	12	1.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt	14	1.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt	15	1.00
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	4	X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	5	X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	7	X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	8	X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	10	X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	12	X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	13	X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd	15	X
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IRS990/Form990PartVIISectionAGrp/PersonNm	0	EDWIN OLEY
IRS990/Form990PartVIISectionAGrp/PersonNm	1	HEIDI FREAS
IRS990/Form990PartVIISectionAGrp/PersonNm	2	HOMER VIRDEN
IRS990/Form990PartVIISectionAGrp/PersonNm	3	JAMES A LEONE
IRS990/Form990PartVIISectionAGrp/PersonNm	4	RICK SCHNEIDER
IRS990/Form990PartVIISectionAGrp/PersonNm	5	SCOTT PEMBER
IRS990/Form990PartVIISectionAGrp/PersonNm	6	CHARLES A HORTON
IRS990/Form990PartVIISectionAGrp/PersonNm	7	DONALD R COLE
IRS990/Form990PartVIISectionAGrp/PersonNm	8	JANE BARAN
IRS990/Form990PartVIISectionAGrp/PersonNm	9	KIM PLZAK
IRS990/Form990PartVIISectionAGrp/PersonNm	10	LAURA BUTREY
IRS990/Form990PartVIISectionAGrp/PersonNm	11	MARIA I ZOLLI
IRS990/Form990PartVIISectionAGrp/PersonNm	12	MARY LYNN SERTICH
IRS990/Form990PartVIISectionAGrp/PersonNm	13	RANDALL FORTIN
IRS990/Form990PartVIISectionAGrp/PersonNm	14	SR ANNE VICTORY HM
IRS990/Form990PartVIISectionAGrp/PersonNm	15	SUSAN BOWERS
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt	14	0
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IRS990/Form990PartVIISectionAGrp/TitleTxt	0	BOARD MEMBER, PRESIDENT - COMMUNITY RMC
IRS990/Form990PartVIISectionAGrp/TitleTxt	1	CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt	2	TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt	3	VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt	4	SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt	5	FOUNDATION PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt	6	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	7	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	8	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	9	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	10	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	11	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	12	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	13	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	14	BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	15	BOARD MEMBER, PRESIDENT - AMC
IRS990/Form990ProvidedToGvrnBodyInd	0	true
IRS990/FormationYr	0	1987
IRS990/FormerOfcrEmployeesListedInd	0	false
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IRS990/MissionDesc	0	THE PRIMARY EXEMPT PURPOSE OF COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION IS TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER AND ITS RELATED FACILITIES, THEREBY EXTENDING THE HEALING MINISTRY OF JESUS AND IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDERSERVED. THESE ACTIVITIES REFLECT OUR CORE ORGANIZATIONAL VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.
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IRS990/OtherExpensesGrp/TotalAmt	1	4312
IRS990/OtherExpensesGrp/TotalAmt	2	8422
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IRS990/RoyaltiesGrp/TotalAmt	0	0
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt	0	0
IRS990ScheduleA/CertificationInd	0	X

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