Civic Intelligence

Fairfield Memorial Hospital Foundation

EIN 37-1185754 • 501(c)3 • Fairfield, IL

Profile

Enhance the healthcare services of fairfield memorial hospital, a 501(c)(3) organization. This is accomplished by accepting donations of property and funds and conducting fundraising activities to assist the hospital in purchasing new equipment, building facilities, and educating the public it serves.

PO Box 437Fairfield, IL 62837

www.fairfieldmemorial.org

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

4th percentile

-110%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

82nd percentile

$85,178

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 30.9% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

8th percentile

-39%

Faster asset growth than 8% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

94th percentile

157%

Faster revenue growth than 94% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$467,770

Down $303,548 (-39%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$467,770

Down $303,548 (-39%) from 2023

Revenue

Up

$276,043

Up $168,424 (+157%) from 2023

Expenses

Up

$579,591

Up $575,781 (+15112%) from 2023

Net Income

Down

-$303,548

Down $407,357 (-392%) from 2023

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2021: $591,644Liabilities 2021: $0Net Assets 2021: $591,6442021Assets 2022: $667,509Liabilities 2022: $0Net Assets 2022: $667,5092022Assets 2023: $771,318Liabilities 2023: $0Net Assets 2023: $771,3182023Assets 2024: $467,770Liabilities 2024: $0Net Assets 2024: $467,7702024

Highlighted filing

2024

Assets$467,770
Liabilities$0
Net Assets$467,770

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2021: $317,843Expenses 2021: $273,490Net Income 2021: $44,3532021Revenue 2022: $88,790Expenses 2022: $12,925Net Income 2022: $75,8652022Revenue 2023: $107,619Expenses 2023: $3,810Net Income 2023: $103,8092023Revenue 2024: $276,043Expenses 2024: $579,591Net Income 2024: -$303,5482024

Highlighted filing

2024

Revenue$276,043
Expenses$579,591
Net Income-$303,548

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Jan 13, 2025
Return Version
2023v6.0
Gross Receipts
$919,163
Mission and Program Overview

Mission

Enhance the healthcare services of fairfield memorial hospital, a 501(c)(3) organization. This is accomplished by accepting donations of property and funds and conducting fundraising activities to assist the hospital in purchasing new equipment, building facilities, and educating the public it serves.

Support fairfield memorial hospital, a 501(c)(3) organization, by assisting in fundraising to support the maintenance and operations of its healthcare programs, which are provided to the public without consideration of the ability to pay for services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Other Notes and Loans Receivable, Net-$300,000-
Investments in Publicly Traded Securities$469,626$112,286▼ $357,340
Savings and Temporary Cash Investments$301,692$55,484▼ $246,208
Total Assets$771,318$467,770▼ $303,548
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$771,318$467,770▼ $303,548
Total Net Assets Fund Balance$771,318$467,770▼ $303,548
Total Liabilities and Net Assets / Fund Balance$771,318$467,770▼ $303,548
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Amy GrayExecutive DirectorPT$85,178$85,178

Board Members and Trustees

NameTitle
Paul BruinsmaPresident
Chris ConradVice-president
Dana WilsonDirector
Doug SkaggsDirector
Henry SimmersDirector
Libby LingafelterDirector
Marty VaughanDirector
Matt RushDirector
Morgan DoggettDirector
Tim SullivanDirector
Susan SuddarthExecutive Director
Michelle GarnerSecretary
Matthew HefleyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$118,612
Program Service Revenue
$0
Investment Income
$161,678
Other Revenue
$-4,247
All Other Contributions
$102,317
Change in Net Assets
$-303,548

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded7$100,937Quoted Fair Market Value (FMV) of Security
Total Noncash Contributions7$100,937-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$572,781
Other Expenses$6,810
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$572,781--$572,781
Fees for Service Investment Mgmnt Fees-$3,491-$3,491
Fees for Services Accounting-$3,100-$3,100
Fees for Services Other-$115-$115
Other Expenses-$104-$104
Total Functional Expenses$572,781$6,810$0$579,591
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Fairfield Memorial Hospital AssocationFairfield, IL501(c)(3)THE FAIRFIELD MEMORIAL HOSPITAL FOUNDATION WAS ORGANIZED TO SUPPORT THE FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION, BY RAISING FUNDS TO ASSIST THE HOSPITAL IN PURCHASING NEW EQUIPMENT, BUILDING/RENOVATING FACILITIES AND EDUCATING THE PUBLIC REGARDING HEALTHCARE PROGRAMS. DURING FYE JUNE 30, 2024, THE FOUNDATION CONTRIBUTED FUNDS TOTALING $200,000 FOR HOSPITAL OPERATING EXPENSES, $100,936 TO THE HOSPITAL'S BUILDING PROJECT, $264,415 TO THE HOSPITAL FOR AN ANESTHESIA MACHINE AND $7,430 TO REPLACE A PORTABLE TENT.$572,781
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$7,497
Fundraising Gross Income$3,250
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$19,545$3,250-$3,250
Total Events$19,545$3,250$7,497$-4,247
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
Audit committee
No
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
No
Conflict-of-interest policy
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The form 990 is provided to all directors for review and inquiry at a regular director's meeting prior to its filing.

Form 990, Part VI, Section B, Line 15A

The foundation's executive director is a shared employee with the fairfield memorial hospital association and is paid entirely by the fairfield memorial hospital association. The executive director's compensation is determined by the ceo of the fairfield memorial hospital association, utilizing its standard procedures regarding performance evaluations and consideration of industry data. Documentation of compensation decisions are maintained in the employee's personnel file.

Form 990, Part VI, Section C, Line 19

The foundation makes its governing documents, financial statements and form 990 available to the public, upon request, from the executive director at her office located at 303 nw 11th st. Fairfield, il.

Filing and Contact Details

Filer

Filer Name
Fairfield Memorial Hospital Foundation
EIN
37-1185754
Phone
6188422611
Address
PO BOX 437, FAIRFIELD, IL 62837

Signing Officer

Name
Chris Conard
Title
Vice President
Phone
6188422611
Signed
2025-01-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Chris Conard
Formed
1985
Legal Domicile
Il
Voting Board Members
13
Independent Board Members
13
Employees
0
Volunteers
30

Preparer

Firm
Fairfield National Bank
Address
220 E MAIN ST, FAIRFIELD, IL 62837
Preparer
Bradley D Jesop
Phone
6188422183
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IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0301692
IRS990/SavingsAndTempCashInvstGrp/EOYAmt055484
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0GOLF FUNDRAISER CONDUCTED PRIMARILY BY VOLUNTEERS - 2019 AMOUNT: $ 4,124. 2020 AMOUNT: $ 600. 2021 AMOUNT: $ 2,400. 2022 AMOUNT: $ 4,200. 2023 AMOUNT: $ 3,250.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0118612
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt092771
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt067671
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0272165
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt040311
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0591530
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt018184
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt012237
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt010863
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt09190
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt011890
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt062364
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt03250
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt04200
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt02400
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt0600
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt04124
IRS990ScheduleA/OtherIncome170Grp/TotalAmt014574
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.31200
IRS990ScheduleA/PublicSupportPY170Pct00.38260
IRS990ScheduleA/PublicSupportTotal170Amt0208587
IRS990ScheduleA/SubstantialContributorsTotAmt0382943
IRS990ScheduleA/ThirtyThrPctSuprtTestsPY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0118612
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt092771
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt067671
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0272165
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt040311
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0591530
IRS990ScheduleA/TotalSupportAmt0668468
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt016295
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt016295
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt07497
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt019545
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt019545
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt03250
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt03250
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-4247
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt02597
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt02597
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt04900
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt04900
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt0572781
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0THE FAIRFIELD MEMORIAL HOSPITAL FOUNDATION WAS ORGANIZED TO SUPPORT THE FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION, BY RAISING FUNDS TO ASSIST THE HOSPITAL IN PURCHASING NEW EQUIPMENT, BUILDING/RENOVATING FACILITIES AND EDUCATING THE PUBLIC REGARDING HEALTHCARE PROGRAMS. DURING FYE JUNE 30, 2024, THE FOUNDATION CONTRIBUTED FUNDS TOTALING $200,000 FOR HOSPITAL OPERATING EXPENSES, $100,936 TO THE HOSPITAL'S BUILDING PROJECT, $264,415 TO THE HOSPITAL FOR AN ANESTHESIA MACHINE AND $7,430 TO REPLACE A PORTABLE TENT.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0FAIRFIELD MEMORIAL HOSPITAL ASSOCATION
IRS990ScheduleI/RecipientTable/RecipientEIN0370661202
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0303 NW 11TH STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0FAIRFIELD
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IL
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd062837
IRS990/ScheduleJRequiredInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd00
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/ContributionCnt07
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/MethodOfDeterminingRevenuesTxt0QUOTED FMV OF SECURITY
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/NonCashCheckboxInd0X
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/NoncashContributionsRptF990Amt0100937
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS PROVIDED TO ALL DIRECTORS FOR REVIEW AND INQUIRY AT A REGULAR DIRECTOR'S MEETING PRIOR TO ITS FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION'S EXECUTIVE DIRECTOR IS A SHARED EMPLOYEE WITH THE FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION AND IS PAID ENTIRELY BY THE FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION. THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE CEO OF THE FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION, UTILIZING ITS STANDARD PROCEDURES REGARDING PERFORMANCE EVALUATIONS AND CONSIDERATION OF INDUSTRY DATA. DOCUMENTATION OF COMPENSATION DECISIONS ARE MAINTAINED IN THE EMPLOYEE'S PERSONNEL FILE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND FORM 990 AVAILABLE TO THE PUBLIC, UPON REQUEST, FROM THE EXECUTIVE DIRECTOR AT HER OFFICE LOCATED AT 303 NW 11TH ST. FAIRFIELD, IL.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0370661202
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0303 NW 11TH ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0FAIRFIELD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd062837
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd01
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0572781
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt1300000
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0AMOUNT OF CASH GRANTS
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1AMOUNT OF CASH LOANED
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0B
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1D
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IL
IRS990/SubjectToExcsTaxNetInvstIncInd00

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