Civic Intelligence

Hudson Valley Cardiovascular Practice PC

EIN 46-3756713 • 501(c)3 • Poughkeepsie, NY

Profile

Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.

1 Columbia StreetPoughkeepsie, NY 12601

www.nuvancehealth.org

Siviq Scores

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

Liabilities / Assets

96th percentile

1.13x

Higher debt load relative to assets than 96% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

81st percentile

1.45x

Higher debt load relative to revenue than 81% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

26th percentile

-2.3%

Higher net margin than 26% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

93rd percentile

$1,649,792

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

94th percentile

49%

Faster asset growth than 94% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Revenue Growth

53rd percentile

8.6%

Faster revenue growth than 53% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Assets

Up

$83,420,996

Up $25,464,363 (+44%) from 2023

Liabilities

Up

$94,354,950

Up $26,958,024 (+40%) from 2023

Net Assets

Down

-$10,933,954

Down $1,493,661 (-16%) from 2023

Revenue

Up

$64,908,453

Up $8,915,617 (+16%) from 2023

Expenses

Up

$66,402,114

Up $5,541,806 (+9.1%) from 2023

Net Income

Up

-$1,493,661

Up $3,373,811 (+69%) from 2023

Trend Graphs

Balance Sheet Trend

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

$100M$50M$0-$50MAssets 2014: $13,341,398Liabilities 2014: $21,140,453Net Assets 2014: -$7,799,0552014Assets 2015: $9,124,424Liabilities 2015: $16,928,461Net Assets 2015: -$7,804,0372015Assets 2016: $10,171,135Liabilities 2016: $17,970,973Net Assets 2016: -$7,799,8382016Assets 2017: $12,132,767Liabilities 2017: $19,932,602Net Assets 2017: -$7,799,8352017Assets 2018: $14,982,137Liabilities 2018: $22,781,969Net Assets 2018: -$7,799,8322018Assets 2019: $14,271,622Liabilities 2019: $22,071,629Net Assets 2019: -$7,800,0072019Assets 2020: $15,329,648Liabilities 2020: $24,461,947Net Assets 2020: -$9,132,2992020Assets 2021: $50,537,643Liabilities 2021: $56,939,003Net Assets 2021: -$6,401,3602021Assets 2022: $37,454,411Liabilities 2022: $42,027,232Net Assets 2022: -$4,572,8212022Assets 2023: $57,956,633Liabilities 2023: $67,396,926Net Assets 2023: -$9,440,2932023Assets 2024: $83,420,996Liabilities 2024: $94,354,950Net Assets 2024: -$10,933,9542024

Highlighted filing

2024

Assets$83,420,996
Liabilities$94,354,950
Net Assets-$10,933,954

Operations Trend

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

$100M$50M$0-$50MRevenue 2014: $28,140,150Expenses 2014: $39,607,458Net Income 2014: -$11,467,3082014Revenue 2015: $21,116,372Expenses 2015: $35,474,619Net Income 2015: -$14,358,2472015Revenue 2016: $25,814,819Expenses 2016: $37,714,582Net Income 2016: -$11,899,7632016Revenue 2017: $27,221,656Expenses 2017: $41,037,745Net Income 2017: -$13,816,0892017Revenue 2018: $29,664,750Expenses 2018: $41,902,005Net Income 2018: -$12,237,2552018Revenue 2019: $23,522,685Expenses 2019: $38,131,531Net Income 2019: -$14,608,8462019Revenue 2020: $43,703,701Expenses 2020: $45,035,993Net Income 2020: -$1,332,2922020Revenue 2021: $54,008,950Expenses 2021: $50,963,597Net Income 2021: $3,045,3532021Revenue 2022: $55,077,693Expenses 2022: $53,249,154Net Income 2022: $1,828,5392022Revenue 2023: $55,992,836Expenses 2023: $60,860,308Net Income 2023: -$4,867,4722023Revenue 2024: $64,908,453Expenses 2024: $66,402,114Net Income 2024: -$1,493,6612024

Highlighted filing

2024

Revenue$64,908,453
Expenses$66,402,114
Net Income-$1,493,661

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 8, 2025
Return Version
2023v6.0
Gross Receipts
$64,908,453
Mission and Program Overview

Mission

The mission statement of the health quest system and its affiliated organizations is to deliver exceptional healthcare to the communities we serve by pursuing the highest standards of quality, safety, service and compassion.

Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$2,673,597$2,339,397▼ $334,200
Accounts Receivable$1,287,669$2,255,408▲ $967,739
Land, Buildings, and Equipment, Net$2,003,671$1,944,986▼ $58,685
Cash and Non-Interest-Bearing Accounts$4,214,515$430,386▼ $3,784,129
Prepaid Expenses and Deferred Charges$162,207$249,469▲ $87,262
Savings and Temporary Cash Investments$0--
Other Notes and Loans Receivable, Net$0--
Pledges and Grants Receivable$0--
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0--
Rtn Earn Endowment Incm Other Fnds$0--
Cap Stk Tr Prin Current Funds$0--
Inventories for Sale or Use$0--
Loans From Officers Directors$0$0→ $0
Total Assets$57,956,633$83,420,996▲ $25,464,363
Other Assets Total$47,614,974$76,201,350▲ $28,586,376
Liabilities
Other Liabilities$60,197,430$85,320,683▲ $25,123,253
Accounts Payable and Accrued Expenses$7,199,496$9,034,267▲ $1,834,771
Grants Payable$0--
Mortgage Notes Payable Secured by Investment Property$0--
Unsecured Notes Loans Payable$0--
Deferred Revenue$0--
Escrow Account Liability$0--
Tax Exempt Bond Liabilities$0--
Total Liabilities$67,396,926$94,354,950▲ $26,958,024
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0--
Net Assets Without Donor Restrictions$-9,440,293$-10,933,954▼ $1,493,661
Total Net Assets Fund Balance$-9,440,293$-10,933,954▼ $1,493,661
Total Liabilities and Net Assets / Fund Balance$57,956,633$83,420,996▲ $25,464,363

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$946,311$3,664,266$4,610,577
Buildings$964,710$643,321$1,608,031
Other Land Buildings$33,965-$33,965
Other Assets Org$491,069--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Rajeev L Narayan MdPhysician InterventionalFT$1,118,727$135,490$1,254,217
Anthony J Patrello MdPhysician InterventionalFT$1,132,305$110,410$1,242,715
M Zubair Jafar MdPhysician InterventionalFT$1,113,925$120,372$1,234,297
Ali Hammoud MdPhysician ClinicalFT$1,107,482$103,542$1,211,024
Joseph W Christiana MdPhysician- ClinicalFT$1,079,813$115,210$1,195,023
DANIEL J O'DEA MDFormer PresidentFT$469,326$97,599$566,925

Board Members and Trustees

NameTitle
Mark K Warshofsky MdSVP & Sys. Chairman Heart & Vasc. Inst.
Daniel DebarbaCHIEF FINANCIAL OFFICER; TREASURER
Denise GeorgeFormer Corporate Secretary
Christopher M Lehrach MdHvcp Pres/chief Physician Executive
Kelly StockVP Heart & Vascular Institute
Revenue and Support

Revenue Composition

Contributions and Grants
$431
Program Service Revenue
$64,832,515
Investment Income
$5,406
Other Revenue
$70,101
Change in Net Assets
$-1,493,661
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$59,288,837
Other Expenses$7,113,277
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$51,423,595$797,040-$52,220,635
Other Employee Benefits$3,712,455$57,541-$3,769,996
Fees for Services Other$1,961,653$30,405$0$1,992,058
Payroll Taxes$1,746,318$27,067-$1,773,385
Pension Plan Contributions$1,351,515$20,948-$1,372,463
Information Technology$1,201,791$18,627-$1,220,418
Depreciation Depletion$974,683$15,107-$989,790
Insurance$550,771$71,942-$622,713
Office Expenses$298,167$4,621-$302,788
Occupancy$216,689$3,359-$220,048
Comp Disqual Persons$150,033$2,325-$152,358
Other Expenses$126,744$1,966-$128,710
Advertising$120,880$1,874-$122,754
Fees for Services Accounting-$103,448-$103,448
Travel$65,796$1,020-$66,816
Fees for Services Legal-$65,158-$65,158
Fees for Service Investment Mgmnt Fees-$63,200-$63,200
Conferences and Meetings$12,955$201-$13,156
Fees for Services Management-$3,946-$3,946
Total Functional Expenses$65,098,232$1,303,882$0$66,402,114
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
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 Related Parties$79,979,387
457 Plan Liability$4,159,496
Lease Liability$1,181,800
Third Party Liability-
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
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 14 RECORD RETENTION POLICY

The organization follows a record retention policy that has been approved by the audit committee, not the full board.

Form 990, Part VI, Line 1A INDEPENDENT TRUSTEES

There are no independent trustees. Hudson valley cardiovascular practice, pc ("hvcp") is a single shareholder corporation. Hvcp is part of an integrated delivery system that does have a more than majority independent board. Further, this governance structure has not changed relative to independence since it was recognized as exempt by the irs after it was organized.

Form 990, Part VI, Line 15 Process for Determining Compensation

An annual Letter of Reasonableness is presented to the Executive Compensation Committee of the Board of Directors by Willis Towers Watson as consultant to the Board. In this annual assessment of the reasonableness of the total remuneration packages provided to select executives, an opinion is rendered with respect to the reasonableness of potential target and maximum total remuneration provided to the included executives for each fiscal year. A bi-annual Letter of Reasonableness for physician compensation is also presented to the Executive Compensation Committee by Korn Ferry Hay as a consultant to the Board. This assessment of the reasonableness of the total remuneration packages provided to physicians is rendered with respect to the reasonableness of potential target and maximum total remuneration provided to each physician.

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

Hvcp is a sole shareholder stock corporation with stock issued to the president christopher m. Lehrach, md. Hvcp is an affiliate of health quest systems, inc. Nuvance health is the sole member of health quest systems, inc. On february 28, 2024, nuvance health entered into an affiliation agreement with northwell health, inc. ("northwell"), pursuant to which northwell or an affiliated entity would become the active parent and sole corporate member of nuvance health. This transaction was subject to the receipt of regulatory approvals and the satisfaction of closing conditions. Effective may 1, 2025, the parties closed the transaction and northwell, inc. (which is the ultimate sole corporate member of northwell) became the sole corporate member of northwell health system, inc., which became the parent entity of nuvance health.

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

Christopher m. Lehrach, md is the sole shareholder and board member of the organization and serves as the nominee of health quest systems ("hqs"). Hqs (the parent), through this relationship, retains ultimate authority to approve/make large governance decisions such as termination, merger or large capital expenditures.

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

The forms 990 for nuvance health and affiliated entities are prepared by the nuvance health tax department with assistance from various departments throughout the organization. The returns are reviewed by management and an independent accounting firm. A complete draft is then posted to an intranet site for nuvance health board members, the ultimate parent of the organization, to review the returns prior to filing. The forms 990 are then signed and filed with the irs.

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

Officers, trustees/directors, key employees and other disqualified persons are required to complete a conflict-of-interest questionnaire annually. Responses are reviewed by the chief compliance, audit & privacy officer. Also, they are required to disclose any conflict to the board or directly to the chairman prior to any meeting. After a potential conflict of interest is disclosed along with all related material facts, the board proceeds to discuss and determine through a majority vote of the disinterested members whether an actual conflict or duality of interest exists. If the interested person is present at the start of the discussion, he or she may answer questions related to the matter and provide additional, relevant facts but is required to leave the meeting during deliberations regarding whether an actual conflict or duality of interest exists.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

Nuvance health's executive total rewards philosophy is designed to align with the company's strategic direction, and to reinforce its core mission, vision and values. In order to achieve its overall performance objectives, nuvance health provides total rewards programs that recognize executives for performing work well to ensure the achievement of company goals. These programs serve to promote the attraction, engagement, and retention of talented executives throughout their careers with nuvance health. The total rewards programs are designed to be parket competitive, compliant with regulatory guidelines reflective of best practices, and differentiated to create strong competitive advantage. Total rewards programs are reviewed on an ongoing basis to ensure continued marked competitiveness, relevant value to executives, and fiscal responsibility. Total rewards for nuvance health executives consists of key components of compensation and benefits. Overall executive rewards program will emphasize performance based elements, whereby targeted levels of compensation will only be achieved if the organization and individual achieve stretch goals and objectives. Based on the labor markets for talent for executive roles, nuvance health will utilize a weighted blend of both national comparably sized health care provider market data with a +25% geographic differential applied (differential to be validated on a periodic basis) at two thirds weight and national comparably sized general industry data, for identified roles where skill sets overlap at one third weight. Geographic differential reflects the observed and reported executive compensation differential between nuvance health's operating region and the borader national health care provider market. Nuvance health's total rewards philosophy and practices are targeted at the 50th percentile of the relevant market for base salary, and 62.5th percentile for total cash and total direct (where available) compensation elements if target performance is achieved under variable compensation programs. Nuvance health's committee has discretion to position individual levels above or below this targeted competitive positioning, based on such factors as positioning to market, high demand skillsets and difficult to fill or critical to the organization's strategy and success. Our governance promotes consistency and equity; provides clarity and guidance to decision-makers; ensures standard processes and procedures for assessing, calibrating, administering, and delivering effective total rewards throughout the nuvance health system. Oversight and governance of the executive compensation philosophy and programs for eligible executives/disqualified individuals (currently ceo, president and tiers 1 and 2) will be at the compensation committee of the board level and will follow a structured and rigorous process to ensure compliance with intermediate sanctions under irs guidelines. Compensation review and approval process is identical to the process for the ceo. An annual letter of reasonableness is presented to the executive compensation committee of the board of directors by willis towers watson as consultant to the board. In this annual assessment of the reasonableness of the total remuneration packages provided to select executives, an opinion is rendered with respect to the reasonableness of potential target and maximum total remuneration provided to the included executives for each fiscal year. A bi-annual letter of reasonableness for physician compensation is also presented to the executive compensation committee by korn ferry hay as a consultant to the board. This assessment of the reasonableness of the total remuneration packages provided to physicians is rendered with respect to the reasonableness of potential target and maximum total remuneration provided to each physician.

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

The governing documents, policies and financial statements for the affiliate are available to the public upon request. The documents are provided either electronically or paper copies. In addition, certain financial information is available on various websites due to regulatory filings such as the 990.

Form 990, Part VII, Section A ADDITIONAL INFORMATION

For those officers and top 5 employees, for which 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount. Note: all amounts in column f, of part vii, "estimated amount of other compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

OTHER REVENUE - Total Revenue: 24450, Related or Exempt Function Revenue: 24450, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Hudson Valley Cardiovascular Practice PC
EIN
46-3756713
Phone
8454759500
Address
1 COLUMBIA STREET, Poughkeepsie, NY 12601

Signing Officer

Name
Daniel Debarba
Title
CFO & Treasurer
Signed
2025-08-08
Discuss with paid preparer
Yes

Organization Details

Formed
2013
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
237
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
200 CLARENDON STREET, BOSTON, MA 02116-5072
Preparer
George Pagano
Phone
6172662000
Supplemental Narrative

Financial Statement Notes

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

As of september 30, 2024, there are no unrecognized tax benefits resulting from uncertain tax positions.

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

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IRS990/Form990PartVIISectionAGrp/PersonNm1DANIEL DEBARBA
IRS990/Form990PartVIISectionAGrp/PersonNm2KELLY STOCK
IRS990/Form990PartVIISectionAGrp/PersonNm3MARK K WARSHOFSKY MD
IRS990/Form990PartVIISectionAGrp/PersonNm4ALI HAMMOUD MD
IRS990/Form990PartVIISectionAGrp/PersonNm5ANTHONY J PATRELLO MD
IRS990/Form990PartVIISectionAGrp/PersonNm6JOSEPH W CHRISTIANA MD
IRS990/Form990PartVIISectionAGrp/PersonNm7M ZUBAIR JAFAR MD
IRS990/Form990PartVIISectionAGrp/PersonNm8RAJEEV L NARAYAN MD
IRS990/Form990PartVIISectionAGrp/PersonNm9DANIEL J O'DEA MD
IRS990/Form990PartVIISectionAGrp/PersonNm10DENISE GEORGE
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IRS990/Form990PartVIISectionAGrp/TitleTxt0HVCP PRES/CHIEF PHYSICIAN EXECUTIVE
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHIEF FINANCIAL OFFICER; TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2VP HEART & VASCULAR INSTITUTE
IRS990/Form990PartVIISectionAGrp/TitleTxt3SVP & SYS. CHAIRMAN HEART & VASC. INST.
IRS990/Form990PartVIISectionAGrp/TitleTxt4PHYSICIAN CLINICAL
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN INTERVENTIONAL
IRS990/Form990PartVIISectionAGrp/TitleTxt6PHYSICIAN- CLINICAL
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHYSICIAN INTERVENTIONAL
IRS990/Form990PartVIISectionAGrp/TitleTxt8PHYSICIAN INTERVENTIONAL
IRS990/Form990PartVIISectionAGrp/TitleTxt9FORMER PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt10FORMER CORPORATE SECRETARY
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IRS990/MissionDesc0IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE.
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IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0CHRISTOPHER LEHRACH MD
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION - MEDICAL RECORD, COLUMN A - 1045.0, COLUMN B - , COLUMN C - , COLUMN D - 178.0, COLUMN E - , COLUMN F - 1223.0; DESCRIPTION - MOUNTAINSIDE EKG, COLUMN A - , COLUMN B - 4396.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 4396.0; DESCRIPTION - QUALITY INCENTIVE, COLUMN A - 656251.0, COLUMN B - 14339.0, COLUMN C - 90714.0, COLUMN D - 61126.0, COLUMN E - , COLUMN F - 822430.0; DESCRIPTION - RESEARCH REVENUE, COLUMN A - 111352.0, COLUMN B - 151730.0, COLUMN C - 111589.0, COLUMN D - 77974.0, COLUMN E - 127212.0, COLUMN F - 579857.0; DESCRIPTION - OTHER REVENUE, COLUMN A - 950.0, COLUMN B - 1823.0, COLUMN C - 15400.0, COLUMN D - 33667.0, COLUMN E - 31004.0, COLUMN F - 82844.0; DESCRIPTION - EMPLOYEE RETENTION CREDIT, COLUMN A - , COLUMN B - , COLUMN C - 829149.0, COLUMN D - 385829.0, COLUMN E - , COLUMN F - 1214978.0; DESCRIPTION - PURCHASE DISCOUNT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 1187.0, COLUMN E - , COLUMN F - 1187.0; DESCRIPTION - CARDIAC SERVICES TO SNF'S, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 29000.0, COLUMN F - 29000.0; DESCRIPTION - PAYOR INCENTIVES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 10097.0, COLUMN F - 10097.0;
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part III, Line 12 Other Income
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