Civic Intelligence

The Monroe Clinic Inc

EIN 39-0808509 • 501(c)3 • Monroe, WI

Profile

Working together to achieve the highest standards in healthcare, we create healthy communities through god's healing spirit. Vision: exceptional health care. An exceptional experience.

515 22nd AvenueMonroe, WI 53566

www.monroeclinic.org

Siviq Scores

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

Liabilities / Assets

43rd percentile

0.23x

Higher debt load relative to assets than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

34th percentile

0.30x

Higher debt load relative to revenue than 34% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

67th percentile

10%

Higher net margin than 67% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

94th percentile

$3,484,633

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

36th percentile

2.8%

Faster asset growth than 36% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

54th percentile

8.0%

Faster revenue growth than 54% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$310,379,799

Up $8,495,442 (+2.8%) from 2023

Liabilities

Up

$71,754,696

Up $30,291,940 (+73%) from 2023

Net Assets

Down

$238,625,103

Down $21,796,498 (-8.4%) from 2023

Revenue

Up

$237,133,051

Up $17,629,641 (+8.0%) from 2023

Expenses

Up

$212,382,763

Up $4,012,761 (+1.9%) from 2023

Net Income

Up

$24,750,288

Up $13,616,880 (+122%) from 2023

Trend Graphs

Balance Sheet Trend

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

$600M$400M$200M$0Assets 2010: $232,081,395Liabilities 2010: $108,443,366Net Assets 2010: $123,638,0292010Assets 2011: $238,050,691Liabilities 2011: $109,077,457Net Assets 2011: $128,973,2342011Assets 2012: $244,550,154Liabilities 2012: $107,867,139Net Assets 2012: $136,683,0152012Assets 2013: $254,726,229Liabilities 2013: $105,814,903Net Assets 2013: $148,911,3262013Assets 2014: $264,790,166Liabilities 2014: $104,589,203Net Assets 2014: $160,200,9632014Assets 2015: $271,535,083Liabilities 2015: $102,143,118Net Assets 2015: $169,391,9652015Assets 2016: $270,507,743Liabilities 2016: $99,356,045Net Assets 2016: $171,151,6982016Assets 2017: $282,069,217Liabilities 2017: $97,750,164Net Assets 2017: $184,319,0532017Assets 2018: $290,834,327Liabilities 2018: $95,931,711Net Assets 2018: $194,902,6162018Assets 2019: $341,623,775Liabilities 2019: $127,279,064Net Assets 2019: $214,344,7112019Assets 2020: $368,180,054Liabilities 2020: $138,233,791Net Assets 2020: $229,946,2632020Assets 2021: $409,600,640Liabilities 2021: $158,726,688Net Assets 2021: $250,873,9522021Assets 2022: $323,716,950Liabilities 2022: $84,849,318Net Assets 2022: $238,867,6322022Assets 2023: $301,884,357Liabilities 2023: $41,462,756Net Assets 2023: $260,421,6012023Assets 2024: $310,379,799Liabilities 2024: $71,754,696Net Assets 2024: $238,625,1032024

Highlighted filing

2024

Assets$310,379,799
Liabilities$71,754,696
Net Assets$238,625,103

Operations Trend

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

$300M$200M$100M$0Expenses 2010: $142,700,4972010Expenses 2011: $147,555,8552011Revenue 2012: $161,165,365Expenses 2012: $157,534,645Net Income 2012: $3,630,7202012Revenue 2013: $170,839,072Expenses 2013: $165,192,376Net Income 2013: $5,646,6962013Revenue 2014: $176,599,749Expenses 2014: $165,525,724Net Income 2014: $11,074,0252014Revenue 2015: $177,818,503Expenses 2015: $168,341,731Net Income 2015: $9,476,7722015Revenue 2016: $168,295,255Expenses 2016: $166,105,300Net Income 2016: $2,189,9552016Revenue 2017: $174,954,745Expenses 2017: $169,577,754Net Income 2017: $5,376,9912017Revenue 2018: $190,079,144Expenses 2018: $175,021,509Net Income 2018: $15,057,6352018Revenue 2019: $196,142,701Expenses 2019: $178,567,142Net Income 2019: $17,575,5592019Revenue 2020: $192,194,935Expenses 2020: $184,090,289Net Income 2020: $8,104,6462020Revenue 2021: $215,841,279Expenses 2021: $199,442,934Net Income 2021: $16,398,3452021Revenue 2022: $206,504,084Expenses 2022: $203,695,768Net Income 2022: $2,808,3162022Revenue 2023: $219,503,410Expenses 2023: $208,370,002Net Income 2023: $11,133,4082023Revenue 2024: $237,133,051Expenses 2024: $212,382,763Net Income 2024: $24,750,2882024

Highlighted filing

2024

Revenue$237,133,051
Expenses$212,382,763
Net Income$24,750,288

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$310$71.8$239$237$212$24.8
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$302$41.5$260$220$208$11.1
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$324$84.8$239$207$204$2.81
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$410$159$251$216$199$16.4
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$368$138$230$192$184$8.10
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$342$127$214$196$179$17.6
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$291$95.9$195$190$175$15.1
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$282$97.8$184$175$170$5.38
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$271$99.4$171$168$166$2.19
2015Detailed filing. Detailed filing data is available for this year.$272$102$169$178$168$9.48
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$265$105$160$177$166$11.1
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$255$106$149$171$165$5.65
2012Summary only. Only limited summary data is available for this year.$245$108$137$161$158$3.63
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$238$109$129$148
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$232$108$124$143
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$237,287,431
Mission and Program Overview

Mission

Working together to achieve the highest standards in healthcare, we create healthy communities through god's healing spirit. Vision: exceptional healthcare; exceptional experience.

The monroe clinic, inc. Provides healthcare services to the communities in and surrounding green county, wi and stephenson county, il. Medical services are provided regardless of an individual's ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$131,710,870$144,288,925▲ $12,578,055
Land, Buildings, and Equipment, Net$118,621,274$117,711,876▼ $909,398
Accounts Receivable$33,246,150$40,926,959▲ $7,680,809
Inventories for Sale or Use$3,364,510$3,628,375▲ $263,865
Investments Program Related$11,629,485$885,868▼ $10,743,617
Prepaid Expenses and Deferred Charges$378,344$542,774▲ $164,430
Intangible Assets$381,119$255,336▼ $125,783
Cash and Non-Interest-Bearing Accounts$662,261$8,892▼ $653,369
Total Assets$301,884,357$310,379,799▲ $8,495,442
Other Assets Total$1,890,344$2,130,794▲ $240,450
Liabilities
Other Liabilities$24,445,569$57,436,557▲ $32,990,988
Accounts Payable and Accrued Expenses$16,995,506$14,295,606▼ $2,699,900
Deferred Revenue$21,681$22,533▲ $852
Total Liabilities$41,462,756$71,754,696▲ $30,291,940
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$251,320,674$238,625,103▼ $12,695,571
Net Assets With Donor Restrictions$9,100,927$0▼ $9,100,927
Total Net Assets Fund Balance$260,421,601$238,625,103▼ $21,796,498
Total Liabilities and Net Assets / Fund Balance$301,884,357$310,379,799▲ $8,495,442

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$89,859,760$33,402,457$123,262,217
Equipment$17,328,015$26,123,067$43,451,082
Leasehold Improvements$4,661,399$3,673,646$8,335,045
Land$3,002,692-$3,002,692
Other Land Buildings$2,860,010-$2,860,010
Other Securities$144,288,925--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$6,870,697$89,901▲ $812,852-$7,773,451
2023$5,893,458$94,138▲ $1,058,980$175,879$6,870,697
2022$5,168,051$747,841▲ $137,457$159,891$5,893,458
2021$5,489,706$252,166▲ $843,308$1,417,129$5,168,051
2020$4,610,640$29,793▲ $849,273-$5,489,706
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sunil PenesettiPhysicianFT$1,038,186$69,107$1,107,293
Arif AhmadPhysicianFT$839,150$107,621$946,771
Richard HuntsmanPhysicianFT$865,898$78,124$944,022
Gurmeet SinghPhysicianFT$817,428$89,092$906,520
Dana DollPhysicianFT$780,471$66,253$846,724
Chelsea HardacreVP Patient Care Svcs, CNOFT$229,114$102,561$331,675

Board Members and Trustees

NameTitle
Wesley SparkmanDirector, Chairperson
Wayne MatzkeDirector, Vice Chairperson
Steven SmootVice President, COO at Ssm
Joan KarstenDirector
Mark HolzmanDirector
Olivia OtteDirector
Pat Leitzen FyeDirector
Peng HerDirector
Sr Rhea EmmerDirector
Theodore Miller MdDirector
Jennifer Maskel MdDirector, Physician at Ssm Health
Matthew Pogodzinski MdDirector, Physician at Ssm Health
Suzanne AndersonDirector, Regional Preside
Thomas KirschbaumAssistant Secretary
Randall CombsFormer Officer
Douglas LongSecretary, CLO at Ssm Health
Kevin SmithTreasurer, CFO at Ssm Health

Highest Paid Contractors

ContractorServicesLocationCompensation
Trimedx Holdings LLCClinical Engineering Services5451 LAKEVIEW PARKWAY S DR, Indianapolis, IN 46268$846,964
Owens & Minor Distribution INCMedical Services10900 NUCKOLS ROAD SUITE 400, Glen Allen, VA 23060$754,902
Chg Companies INCHealthcare Staffing Services7259 S BINGHAM JUNCTION BLVD, Midvale, UT 84047$342,226
Medtronic USA InMedical Services710 MEDTRONIC PKWY NE, Minneapolis, MN 55432$333,306
Siemens Medical Solutions USA INCMedical Services40 LIBERTY BLVD, Malvern, PA 19355-1418$316,542
Revenue and Support

Revenue Composition

Contributions and Grants
$250,763
Program Service Revenue
$223,364,255
Investment Income
$10,584,158
Other Revenue
$2,933,875
Change in Net Assets
$24,750,288
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$108,094,689
Other Expenses$103,963,928
Grants and Similar Amounts Paid$324,146
Total Fundraising Expense$3,464
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$82,566,696$3,329,674-$85,896,370
Payments to Affiliates$15,294,075$4,423,772-$19,717,847
Fees for Services Other$12,534,461$265,824-$12,800,285
Other Employee Benefits$11,946,066$481,750-$12,427,816
Depreciation Depletion$7,910,145$297,506-$8,207,651
Information Technology$6,777,135--$6,777,135
Payroll Taxes$5,057,788$203,966-$5,261,754
Pension Plan Contributions$4,333,973$174,776-$4,508,749
Fees for Services Management$3,227,054$137,695-$3,364,749
Occupancy$2,548,920$554,940-$3,103,860
Office Expenses$1,345,934$115,809$2,991$1,464,734
Insurance$21,000$820,384-$841,384
Travel$394,437$23,362-$417,799
Grants to Domestic Orgs$324,146--$324,146
Conferences and Meetings$120,677$20,426$473$141,576
Fees for Services Legal$169$46,383-$46,552
Other Expenses$41,572$183,614-$41,572
Advertising$8,896$347-$9,243
All Other Expenses-$6,050-$6,050
Total Functional Expenses$197,236,586$15,142,713$3,464$212,382,763
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Freeport Ministry Fellowship AllianceFreeport, IL501(c)(3)General Purpose$32,557
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payable$53,165,350
Third Party Payables$4,005,742
Operating Right-of-use Liabilities$265,465
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
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, Section A, Line 4

In 2024, the monroe clinic, inc. Upated its bylaws for the following changes: - change to the size of the board of directors and number of ex officio directors - change to terms and term limits for board of directors members - change to officer positions and method for appointment - change to the committees for the hospital operating entity.

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is ssm health care of wisconsin, inc. Ssm health care of wisconsin, inc, is a nonprofit 501(c)(3) organization. Both the monroe clinic and ssm health care of wisconsin, inc. Are part of the integrated health care system known as ssm health.

Form 990, Part VI, Section A, Line 7A

The member has the power to appoint additional, successor or replacement members and to appoint and remove the appointed directors and the ex officio directors.

Form 990, Part VI, Section A, Line 7B

The following powers are reserved for ssm health care corporation (ssmhcc), the sole member of ssm health care of wisconsin, inc., the sole member of the monroe clinic, inc.: a. To establish and change the mission, philosophy and values of the corporation; b. To appoint additional, successor or replacement members; c. To appoint and remove the chief executive officer of any operating division of the corporation; d. To approve amendments to the articles of incorporation of the corporation as provided therein; e. To approve amendments to the bylaws of the corporation; f. To approve the merger, consolidation or dissolution of the corporation; g. To approve the formation of a controlled subsidiary or a remotely controlled subsidiary; h. To approve the sale of all or substantially all of the assets of the corporation; i. To approve the acquisition or disposition by the corporation of another legal entity or an interest in another legal entity; j. To authorize or approve the acquisition or disposition by the corporation of real property or any interest in real property; k. To establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; to require the participation of the corporation in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of the corporation in connection with such programs; l. To approve the operating and capital budgets of the corporation; m. To appoint the auditor and corporate counsel for the corporation; n. To authorize and approve borrowing money and entering into financial guaranties by the corporation, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the corporation; o. To require the corporation to transfer assets, including but not limited to cash, to ssmhcc or to any other entity exempt from federal income tax as an organization described in 501(c)(3) of the internal revenue code of 1986, as amended, or the corresponding provision of any future united states internal revenue law, which is controlled by ssmhcc, to the extent necessary to accomplish the mission, goals and objectives of ssmhcc as determined by ssmhcc; p. To approve the transfer of assets by the corporation to any entity other than ssmhcc, other than transfers made in the ordinary course of operations of the corporation which will not require ssmhcc approval; and q. To determine the extent to which and the manner in which the powers described in this section which are reserved to ssmhcc with respect to the corporation are to be included in the governing documents of any controlled subsidiary, remotely controlled subsidiary or non-controlled subsidiary and exercised with respect to any controlled subsidiary, any remotely controlled subsidiary or any non-controlled subsidiary.

Form 990, Part VI, Section A, Line 8B

The organization does not have any committees with authority to act on behalf of the governing body.

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

The form 990 is prepared by the tax department of the parent organization, ssm health care corporation (ssm). The form 990 is reviewed by certain members of senior management. Any questions are addressed to the tax director of ssm prior to filing the form 990 with the internal revenue service. A copy of the form 990 is provided to the board of directors.

Form 990, Part VI, Section B, Line 12C

Board members are required to complete a conflict of interest disclosure statement annually. The president and secretary of the board oversee compliance with this requirement. All board members with an identified conflict of interest abstain from board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (coi) which much be completed on line. Periodically through the year, the entity's corporate responsibility contact person with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their coi so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.

Form 990, Part VI, Section B, Line 15

The organization's compensation plan is reviewed and approved at formal meetings of the compensation committee of the board of directors. The compensation committee is comprised of independent non-employee members who have no personal interest in the compensation arrangement to be reviewed and recommended by the compensation committee. The committee reviews comparable wisconsin and national compensation data and establishes base compensation at the comparable market median by the position as outlined in the compensation committee charter. Additionally, the committee has authority to retain a compensation consultant to assist the committee in evaluating senior management compensation.

Form 990, Part VI, Section C, Line 19

The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the ssm health system are made available to the public on ssm health's website. The organization's articles of incorporation are available on the missouri secretary of state's website. Copies of the form 990 and the organization's conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
The Monroe Clinic Inc
EIN
39-0808509
Phone
6083242000
Address
515 22ND AVENUE, MONROE, WI 53566
Doing Business As
The Monroe Clinic Home Care

Signing Officer

Name
Stephanie King
Title
VP Finance
Phone
6083242000
Signed
2025-11-17

Organization Details

Principal Officer
Jane Curran-meuli
Formed
1963
Legal Domicile
Wi
Voting Board Members
12
Independent Board Members
9
Employees
1,065
Volunteers
162
Supplemental Narrative

Additional Explanations

Form 990, Part I, Item C

Dba: monroe clinic hospice dba: ssm health at home

Form 990, Part V, Line 1A

All applicable 1099 and 1096 irs tax forms are reported and filed by a related organization, ssm health care corporation, ein 46-6029223.

FORM 990, PART XI, LINE 9:

Change in temporarily restricted net assets -6,456,487. Beneficial interest in foundation -4,201,674. Intercompany transfers -37,962,391.

Financial Statement Notes

PART V, LINE 4:

The operating endowment has been established to support the operating costs of the monroe clinic. The future of healthcare endowment has been established to provide funding for grants and programs that support the monroe clinic.

PART X, LINE 2:

The monroe clinic, inc.'s financial information is included in the consolidated audited financial statements of a related organization, ssm health (ssmh). Ssmh evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. There have been no uncertain tax positions recorded in 2024 or 2023.

Raw XML AppendixShowing 400 of 2,299 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt040926959
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE COMMUNITIES IN AND SURROUNDING GREEN COUNTY, WI AND STEPHENSON COUNTY, IL. MEDICAL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0347
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IRS990/Desc0SSM HEALTH MONROE HOSPITAL IS A STATE-OF-THE-ART, 58-BED FACILITY BUILT IN 2012. THE INPATIENT AND INTENSIVE CARE DEPARTMENTS ARE STAFFED BY A TEAM OF HOSPITALISTS AND AVERAGE APPROXIMATELY 2,500 INPATIENT ADMISSIONS PER YEAR. THE FAMILY BIRTH SUITES OFFER SEVEN LABOR-DELIVERY-RECOVERY (LDR) SUITES, FIVE MEDICAL/SURGICAL ROOMS AND ITS OWN OPERATING ROOM. SSM HEALTH MONROE HOSPITAL AVERAGES 430 BIRTHS PER YEAR. ADDITIONALLY, AN ADDED LEVEL OF INTENSIVE AND DIRECT PATIENT CARE OFFERED AT SSM HEALTH MONROE HOSPITAL IS E-ICU. BY ADDING E-ICU CAPABILITIES, BEDSIDE NURSES AND DOCTORS ARE SUPPORTED BY AND CAN COLLABORATE WITH EXPERTS AT UW HEALTH TO ENHANCE PATIENT OUTCOMES AND HELP ELIMINATE FUTURE HEALTH PROBLEMS. OTHER DEPARTMENTS HOUSED IN THE HOSPITAL BUILDING INCLUDE THE SURGICAL SERVICES, CARDIOLOGY, PHYSICAL THERAPY, MEDICAL IMAGING AND EMERGENCY SERVICES.SSM HEALTH MONROE CLINIC MEDICAL GROUP, ON THE MAIN CAMPUS, PROVIDES COMPREHENSIVE CARE IN OVER 25 SPECIALTIES.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR, REGIONAL PRESIDE
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IRS990/MissionDesc0WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE.
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