Civic Intelligence

Coxhealth Foundation

EIN 43-6810485 • 501(c)3 • Springfield, MO

Profile

The mission of the coxhealth foundation is to facilitate through philanthropy the quality health care, education and research provided by coxhealth. See schedule o for additional information.

3525 S National Ave 204Springfield, MO 65807

www.coxhealthfoundation.com

Siviq Scores

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

Liabilities / Assets

25th percentile

0.04x

Higher debt load relative to assets than 25% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

38th percentile

0.18x

Higher debt load relative to revenue than 38% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

73rd percentile

17%

Higher net margin than 73% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

31st percentile

0.4%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

38th percentile

2.7%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$34,222,304

Up $145,733 (+0.4%) from 2023

Liabilities

Down

$1,490,432

Down $26,127 (-1.7%) from 2023

Net Assets

Up

$32,731,872

Up $171,860 (+0.5%) from 2023

Revenue

Up

$8,404,379

Up $220,754 (+2.7%) from 2023

Expenses

Up

$6,968,317

Up $2,076,541 (+42%) from 2023

Net Income

Down

$1,436,062

Down $1,855,787 (-56%) from 2023

Trend Graphs

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2011: $19,127,219Liabilities 2011: $170,948Net Assets 2011: $18,956,2712011Assets 2012: $19,697,679Liabilities 2012: $140,322Net Assets 2012: $19,557,3572012Assets 2013: $24,327,818Liabilities 2013: $313,698Net Assets 2013: $24,014,1202013Assets 2014: $26,774,542Liabilities 2014: $1,705,832Net Assets 2014: $25,068,7102014Assets 2015: $22,679,966Liabilities 2015: $344,170Net Assets 2015: $22,335,7962015Assets 2016: $23,779,491Liabilities 2016: $347,138Net Assets 2016: $23,432,3532016Assets 2017: $26,427,478Liabilities 2017: $1,323,234Net Assets 2017: $25,104,2442017Assets 2018: $28,199,602Liabilities 2018: $1,096,244Net Assets 2018: $27,103,3582018Assets 2019: $32,459,774Liabilities 2019: $998,152Net Assets 2019: $31,461,6222019Assets 2020: $31,120,712Liabilities 2020: $912,374Net Assets 2020: $30,208,3382020Assets 2021: $33,244,463Liabilities 2021: $1,051,726Net Assets 2021: $32,192,7372021Assets 2022: $30,986,632Liabilities 2022: $864,006Net Assets 2022: $30,122,6262022Assets 2023: $34,076,571Liabilities 2023: $1,516,559Net Assets 2023: $32,560,0122023Assets 2024: $34,222,304Liabilities 2024: $1,490,432Net Assets 2024: $32,731,8722024

Highlighted filing

2024

Assets$34,222,304
Liabilities$1,490,432
Net Assets$32,731,872

Operations Trend

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

$15M$10M$5.0M$0Expenses 2011: $2,399,3252011Revenue 2012: $3,027,262Expenses 2012: $2,641,109Net Income 2012: $386,1532012Revenue 2013: $6,447,530Expenses 2013: $2,205,665Net Income 2013: $4,241,8652013Revenue 2014: $5,296,455Expenses 2014: $4,120,064Net Income 2014: $1,176,3912014Revenue 2015: $9,241,278Expenses 2015: $6,633,742Net Income 2015: $2,607,5362015Revenue 2016: $6,854,776Expenses 2016: $4,864,737Net Income 2016: $1,990,0392016Revenue 2017: $6,184,494Expenses 2017: $3,290,860Net Income 2017: $2,893,6342017Revenue 2018: $5,907,067Expenses 2018: $3,561,960Net Income 2018: $2,345,1072018Revenue 2019: $10,937,862Expenses 2019: $4,091,194Net Income 2019: $6,846,6682019Revenue 2020: $11,255,823Expenses 2020: $6,226,265Net Income 2020: $5,029,5582020Revenue 2021: $11,374,415Expenses 2021: $7,270,891Net Income 2021: $4,103,5242021Revenue 2022: $11,539,557Expenses 2022: $8,776,707Net Income 2022: $2,762,8502022Revenue 2023: $8,183,625Expenses 2023: $4,891,776Net Income 2023: $3,291,8492023Revenue 2024: $8,404,379Expenses 2024: $6,968,317Net Income 2024: $1,436,0622024

Highlighted filing

2024

Revenue$8,404,379
Expenses$6,968,317
Net Income$1,436,062

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.2$1.49$32.7$8.40$6.97$1.44
2023Summary only. Only limited summary data is available for this year.$34.1$1.52$32.6$8.18$4.89$3.29
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.0$0.86$30.1$11.5$8.78$2.76
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.2$1.05$32.2$11.4$7.27$4.10
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.1$0.91$30.2$11.3$6.23$5.03
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.5$1.00$31.5$10.9$4.09$6.85
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.2$1.10$27.1$5.91$3.56$2.35
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.4$1.32$25.1$6.18$3.29$2.89
2016Detailed filing. Detailed filing data is available for this year.$23.8$0.35$23.4$6.85$4.86$1.99
2015Detailed filing. Detailed filing data is available for this year.$22.7$0.34$22.3$9.24$6.63$2.61
2014Detailed filing. Detailed filing data is available for this year.$26.8$1.71$25.1$5.30$4.12$1.18
2013Summary only. Only limited summary data is available for this year.$24.3$0.31$24.0$6.45$2.21$4.24
2012Summary only. Only limited summary data is available for this year.$19.7$0.14$19.6$3.03$2.64$0.39
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.1$0.17$19.0$2.40
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 15, 2025
Return Version
2023v6.0
Gross Receipts
$8,969,219
Mission and Program Overview

Mission

The mission of the coxhealth foundation is to facilitate through philanthropy the quality health care, education and research provided by coxhealth. See schedule o for additional information.

The mission of the coxhealth foundation is to facilitate through philanthropy the quality health care, education and research provided by coxhealth.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$29,462,147$30,826,865▲ $1,364,718
Pledges and Grants Receivable$2,104,547$1,947,047▼ $157,500
Savings and Temporary Cash Investments$2,509,877$1,448,392▼ $1,061,485
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$34,076,571$34,222,304▲ $145,733
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$804,256$790,548▼ $13,708
Other Liabilities$695,038$699,884▲ $4,846
Accounts Payable and Accrued Expenses$17,265$0▼ $17,265
Total Liabilities$1,516,559$1,490,432▼ $26,127
Net Assets / Fund Balance
Net Assets With Donor Restrictions$30,618,031$30,483,011▼ $135,020
Net Assets Without Donor Restrictions$1,941,981$2,248,861▲ $306,880
Total Net Assets Fund Balance$32,560,012$32,731,872▲ $171,860
Total Liabilities and Net Assets / Fund Balance$34,076,571$34,222,304▲ $145,733

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$7,297,962$403,240▲ $177,332$344,511$7,497,173
2022$6,997,616$515,769▲ $174,491$120,246$7,297,962
2021$7,364,333$616,655▲ $166,412$1,061,407$6,997,616
2020$6,169,204$1,417,098▲ $167,942$164,300$7,364,333
2019$6,020,212$367,651▲ $146,700$183,063$6,169,204
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Billie WerbeckSecretaryFT$49,870$49,870

Board Members and Trustees

NameTitle
Ken TeagueChair
Steve EdwardsFormer President & CEO
Lisa AlexanderPresident
Max D BuetowPresident & CEO
John FosterVice Chair
Andy BartholomyBoard Member
Charles E Woodall Iii MdBoard Member
Cindy WaitesBoard Member
David TudorBoard Member
Donna BeckettBoard Member
Jeanette HutchesonBoard Member
Jose M DominguezBoard Member
Mary Beth HartmanBoard Member
Rick BeamanBoard Member
Russell DettenBoard Member
Sam CliftonBoard Member
Tyler WatskeyBoard Member
Jacob M McwayEvp, Coxhealth CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$7,597,800
Program Service Revenue
$0
Investment Income
$824,911
Other Revenue
$-18,332
All Other Contributions
$4,009,096
Change in Net Assets
$1,436,062

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded3$210,754None
Total Noncash Contributions3$210,754-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$6,463,355
Other Expenses$504,962
Total Fundraising Expense$491,888
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$5,706,136--$5,706,136
Grants to Domestic Orgs$757,219--$757,219
Other Expenses--$491,888$491,888
Fees for Services Accounting-$6,630-$6,630
Fees for Service Investment Mgmnt Fees-$6,444-$6,444
Total Functional Expenses$6,463,355$13,074$491,888$6,968,317
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Lester E Cox Medical CentersSpringfield, MO501(c)(3)Support$575,028
Cox Monett HospitalMonett, MO501(c)(3)Support$83,779
CoxhealthSpringfield, MO501(c)(3)Support$50,341
Cox Barton County HospitalSpringfield, MO501(c)(3)Support$47,863
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$83,566
Fundraising Gross Income$59,009
Gaming Gross Income$6,225
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
MVP3 Golf Tournament$183,360$35,765$12,274$23,491
Colo Rectal Awareness Party, Dinner and Casino Night$175,252$17,117$9,340$7,777
Total Events$476,153$59,009$83,566$-24,557
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$699,884
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
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
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, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS

Board members who receive compensation and officers are employed by coxhealth and its affiliates and therefore share a business relationship.

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

Coxhealth foundation shall have one member which shall be lester e. Cox medical centers (member), which is a controlled subsidiary of a parent corporation known as coxhealth (parent).

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

The member and parent shall exercise their powers and fulfill their responsibilities as specified in the articles of incorporation and the bylaws. The following reserved powers may be exercised by the parent without prior action by the board. Said reserved powers are: (a) to establish and change the business purposes, mission, vision or values of coxhealth foundation; (b) approve the adoption, or permit the adoption of, any new, or any changes to any existing, long-term or master institutional plans of the coxhealth foundation; (c) approve the adoption of the annual operating budget of the coxhealth foundation; (d) to approve amendments to the articles of incorporation of coxhealth foundation as provided therein; (e) to approve amendments to the bylaws; (f) to approve the adoption of and any revision to the charters for all committees established by the board; (g) to appoint and remove the directors or honorary directors of coxhealth foundation, subject to the requirements of article five, and to appoint and remove the officers of the board and coxhealth foundation; (h) to approve the appointment and removal of the president of coxhealth foundation; (i) to appoint the auditor and the corporate counsel for coxhealth foundation and its controlled subsidiaries or remotely controlled subsidiaries; (j) to establish centralized employee benefit, insurance, investment, financing, marketing, legal, corporate compliance, performance assessment and improvement and other operational and support programs; to require the participation of coxhealth foundation in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of coxhealth foundation; (k) authorize or permit the coxhealth foundation to engage in, or enter into, any transaction providing for the sale, lease, exchange, mortgage, pledge, creation of a security interest in or disposition of all or substantially all of its assets; (l) approve, or permit the approval of, any contributions or grants by coxhealth foundation to any affiliate or subsidiary of member; (m) authorize or permit the coxhealth foundation to enter into or perform any contract or engage in any transaction not specified above which involves the expenditure of a sum greater than twenty-five thousand and no/100 dollars ($25,000.00); (n) approve or permit the borrowing of money by the coxhealth foundation; (o) to approve the acquisition or disposition by coxhealth foundation of another legal entity or an interest in another legal entity; (p) approve the adoption, or permit the adoption of, a plan of dissolution of the coxhealth foundation; (q) approve the adoption, or permit the adoption of, a plan of merger or consolidation of the coxhealth foundation with another legally defined non-profit coxhealth foundation; (r) to approve the merger, consolidation or dissolution of coxhealthfoundation or the sale of all or substantially all of the assets of coxhealth foundation; (s) to approve the organization, acquisition, formation of a controlled subsidiary, remotely controlled subsidiary, affiliate, or legally defined non-profit organization; (t) to determine the extent to which and the manner in which the powers described in this section which are reserved to the parent with respect to coxhealth foundation are to be included in the governing documents of any controlled subsidiary or remotely controlled subsidiary and exercised with respect to any controlled subsidiary or any remotely controlled subsidiary.

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

The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, the form 990 is first reviewed by members of top management. Once they have approved the draft, a final copy is provided to the board of directors via email.

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

Coxhealth officers, directors and key employees, as well as officers, directors and key employees of the coxhealth affiliates and/or committees with delegated authority to make decisions, are annually required to disclose potential conflicts of interest following the corporate compliance policy, set forth below. In addition, the lester e. Cox medical centers bylaws contain a conflict of interest provision to ensure board members make decisions that are conflict free, or if a conflict is present, that it is fully disclosed for the board's consideration. Coxhealth's employees and board members must avoid all activities, associations or interests that create a conflict of interest. Conflicts of interest for employees must be reported to the corporate integrity department. A file will be maintained of all reported conflicts of interest. For medical staff members, the conflict of interest process may be accessed through the medical staff office. For board members, the conflict of interest process is handled through a sub-committee of the board with the assistance of the executive office and is defined in the board bylaws. If any officer or director is found to have a conflict of interest, such person shall neither vote nor use his or her influence to affect any decision relating to the conflict, and such person should not be included in determining whether a quorum participated in the decision. Such person is permitted to briefly state his or her position on the matter, and answer pertinent questions about it, if his or her knowledge or expertise could assist those participating in the decision. For vendors, the policy is distributed at their first contract with lester e. Cox medical centers.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The president's compensation is periodically reviewed by an independent consultant using comparability data. The consultant's recommendations are presented to and discussed with the board of directors. This review is documented in board minutes.

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

Organization documents will be made available upon written request for a legitimate business or fundraising purpose (as determined by top management). Documents may be viewed at the foundation's office.

Form 990, Part VII, Section A BOARD MEMBER COMPENSATION

Russell detten, m.d., jose dominguez, m.d., and charles woodall, iii, m.d., are employees of lester e. Cox medical centers, a related organization. Their compensation is related to thier roles as employees. No board members receive compensation for their duties as board members. Coxhealth foundation president lisa alexander receives her compensation from lester e. Cox medical centers, but her time spent is related to coxhealth foundation. Coxhealth foundation files no w-2s and any employees or independent contractors providing services to coxhealth foundation are reported by lester e. Cox medical centers.

Filing and Contact Details

Filer

Filer Name
Coxhealth Foundation
EIN
43-6810485
Phone
4172697150
Address
3525 S NATIONAL AVE 204, SPRINGFIELD, MO 65807

Signing Officer

Name
Lisa Alexander
Title
President
Phone
4172697109
Signed
2025-08-15
Discuss with paid preparer
Yes

Organization Details

Formed
1998
Legal Domicile
Mo
Voting Board Members
14
Independent Board Members
11
Employees
0
Volunteers
100

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 ORGANIZATION'S MISSION AND MOST SIGNIFICANT ACTIVITY

The coxhealth foundation raises funds to align with the mission of coxhealth through support of patient care and services, health education, facilities, technologies and programs that impact the health of the ozarks community. Each contribution to the foundation creates the following benefits: -supports services for the indigent and uninsured by providing financial assistance through the 32 patient service funds which include but is not limited to the bethlehem fund for high-risk mothers, the good samaritan fund for those unable to meet inpatient hospital charges, free colonoscopies for the un and under insure from the colorectal cancer prevention fund, and support in other service lines like cancer, cardiac and nuero for things patients need to be well, but are unable to afford. At coxhealth, health care is provided without prejudice and regardless of the patient's ability to pay. - provides funding for educational training to include resident physicians, clinical and non clinical staff and nursing/health science students at cox college through various scholarship and endowment funds. - assists the community by providing programs on maternal health, classes on diabetes education and chronic disease management as well as in cardiovascular care and nuero health and other areas as the need is identified. Builds new, expanded facilities to create greater access to care and supports state-of-the-art equipment to offer innovative clinical treatments and procedures in areas such as cancer, heart disease, rehabilitation and more.

Form 990, Part III, Line 4A-4C Description of program services

(Expenses $ 599,166 including grants of $ 599,166)(Revenue $ 0) THE COXHEALTH FOUNDATION ADDITIONALLY PROVIDED $272,287 IN SCHOLARSHIPS FOR HEALTH PROFESSIONS AND $268, 703 IN FUNDS FOR PATIENT AND STAFF EDUCATION AS WELL AS RAISING FUNDS FOR PATIENT SERVICES FUNDS FOR THE FUTURE NEEDS OF PATIENTS FOR THEIR CARE AND SPECIAL MEDICAL NEEDS.

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

Transfer to affiliate - -1755891; change in beneficial interest in trust - 14929;

Financial Statement Notes

Schedule D, Part I, Line 1(A) DONOR ADVISED FUNDS:

The glauser oncology fund is a donor advised fund that exists to enhance service, clinical awareness, and technological advances at the hulston cancer center at coxhealth.

Schedule D, Part V, Line 4 INTENDED USE OF ENDOWMENTS:

The organization has 29 endowment funds which include monies donated to be used for specific expenses, and the income from each fund is to be spent on specific services and program functions on a fund-by-fund basis. Endowment funds held by the organization are intended for but not limited to expenditures relating to cancer services, health education, purchase of equipment and indigent care. These services and functions benefit coxhealth and its affiliates, as well as scholarships for individuals pursuing degrees.

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS:

Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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IRS990/MissionDesc0THE MISSION OF THE COXHEALTH FOUNDATION IS TO FACILITATE THROUGH PHILANTHROPY THE QUALITY HEALTH CARE, EDUCATION AND RESEARCH PROVIDED BY COXHEALTH. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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IRS990/ProgSrvcAccomActy2Grp/Desc0THE SECOND LARGEST PROGRAM WAS OUR FACILITY PROGRAM. THE COXHEALTH FOUNDATION RAISES FUNDS TO EXPAND AND IMPROVE PATIENT FACILITIES TO ALLOW THE ORGANIZATION TO BETTER SERVE OUR COMMUNITY WITH IMPROVED ACCESS, THROUGH MODERN, TECHNOLOGICALLY ADVANCED LOCATIONS.
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IRS990/ProgSrvcAccomActy3Grp/Desc0THE THIRD LARGEST PROGRAM WAS OUR PATIENT SERVICES. THIS REPRESENTS DIRECT FINANCIAL SUPPORT FOR PATIENT CARE INCLUDING MONTHLY GRANTS FOR INPATIENT CARE, DAILY DISTRIBUTIONS FOR MEDICATIONS, TRAVEL ASSISTANCE, SPECIAL NEEDS, SUPPORT FOR ITEMS LIKE MASTECTOMY SUPPLIES, NUTRITIONAL SUPPLEMENTS, MEAL VOUCHERS WHILE RECEIVING CARE, BREAST PUMPS, PREVENTION SCREENINGS, FREE COLONOSCOPIES, LIFELINE SERVICES FOR THE ELDERLY, SUPPORT FOR HOSPICE PATIENTS, REHAB CARE FOR TRAUMA AND CARDIAC PATIENTS, SUPPORT FOR STROKE CARE AND MORE.
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