Civic Intelligence

Hh Medstar Health Inc

EIN 52-1542230 • 501(c)3 • Columbia, MD

Profile

The mission of MedStar Health, Inc. (MedStar) is to serve our patients, those who care for them and our communities. MedStar is the controlling entity of an integrated health services organization (the System) offering a wide variety of healthcare services to residents of Maryland and the Washington, D.C. region (comprising Baltimore City, eleven counties in Maryland, the District of Columbia, and northern Virginia). MedStar Health is the regions largest health system and one of the largest employers in Maryland and Washington, D.C., with approximately 31,000 associates and approximately 6,400 affiliated physicians. Through our hospitals, outpatient facilities, physician organizations, and other health-related organizations, the System offers a broad continuum of healthcare services, including primary care, acute care (secondary, tertiary and quaternary), emergency, trauma and urgent care, adult burn care, rehabilitation (hospital-based and outpatient), post-acute care, ambulatory surg

10980 Grantchester WayColumbia, MD 21044

n/A

Siviq Scores

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

Liabilities / Assets

93rd percentile

0.92x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.20x

Higher debt load relative to revenue than 20% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

13th percentile

-3.4%

Higher net margin than 13% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

90th percentile

$7,189,835

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

45th percentile

6.6%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

61st percentile

13%

Faster revenue growth than 61% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$444,322,279

Up $71,196,756 (+19%) from 2022

Liabilities

Down

$384,041,190

Down $81,211,117 (-17%) from 2022

Net Assets

Up

$60,281,089

Up $152,407,873 (+165%) from 2022

Revenue

Up

$1,892,413,752

Up $538,615,143 (+40%) from 2022

Expenses

Up

$1,936,243,925

Up $540,418,627 (+39%) from 2022

Net Income

Down

-$43,830,173

Down $1,803,484 (-4.3%) from 2022

Trend Graphs

Balance Sheet Trend

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

$1.0B$500M$0-$500MAssets 2010: $35,669,652Liabilities 2010: $228,569,691Net Assets 2010: -$192,900,0392010Assets 2011: $70,248,431Liabilities 2011: $211,761,623Net Assets 2011: -$141,513,1922011Assets 2012: $75,764,249Liabilities 2012: $347,066,278Net Assets 2012: -$271,302,0292012Assets 2013: $106,543,265Liabilities 2013: $277,463,473Net Assets 2013: -$170,920,2082013Assets 2014: $54,966,953Liabilities 2014: $339,004,118Net Assets 2014: -$284,037,1652014Assets 2015: $119,027,554Liabilities 2015: $345,188,187Net Assets 2015: -$226,160,6332015Assets 2016: $142,092,689Liabilities 2016: $440,086,474Net Assets 2016: -$297,993,7852016Assets 2017: $144,962,655Liabilities 2017: $443,158,001Net Assets 2017: -$298,195,3462017Assets 2018: $124,886,779Liabilities 2018: $360,065,227Net Assets 2018: -$235,178,4482018Assets 2019: $212,143,612Liabilities 2019: $444,965,043Net Assets 2019: -$232,821,4312019Assets 2020: $274,382,303Liabilities 2020: $603,499,379Net Assets 2020: -$329,117,0762020Assets 2021: $303,491,180Liabilities 2021: $559,695,398Net Assets 2021: -$256,204,2182021Assets 2022: $373,125,523Liabilities 2022: $465,252,307Net Assets 2022: -$92,126,7842022Assets 2023: $444,322,279Liabilities 2023: $384,041,190Net Assets 2023: $60,281,0892023

Highlighted filing

2023

Assets$444,322,279
Liabilities$384,041,190
Net Assets$60,281,089

Operations Trend

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

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2010: $148,271,7642010Expenses 2011: $163,617,9472011Expenses 2012: $225,845,9212012Expenses 2013: $253,693,7892013Revenue 2014: $282,332,100Expenses 2014: $299,927,503Net Income 2014: -$17,595,4032014Revenue 2015: $453,968,106Expenses 2015: $488,329,343Net Income 2015: -$34,361,2372015Revenue 2016: $445,916,431Expenses 2016: $484,693,981Net Income 2016: -$38,777,5502016Revenue 2017: $506,742,182Expenses 2017: $568,635,262Net Income 2017: -$61,893,0802017Revenue 2018: $549,203,746Expenses 2018: $595,997,722Net Income 2018: -$46,793,9762018Revenue 2019: $704,261,099Expenses 2019: $746,397,909Net Income 2019: -$42,136,8102019Revenue 2020: $721,475,371Expenses 2020: $776,088,792Net Income 2020: -$54,613,4212020Revenue 2021: $865,504,764Expenses 2021: $923,753,630Net Income 2021: -$58,248,8662021Revenue 2022: $1,353,798,609Expenses 2022: $1,395,825,298Net Income 2022: -$42,026,6892022Revenue 2023: $1,892,413,752Expenses 2023: $1,936,243,925Net Income 2023: -$43,830,1732023

Highlighted filing

2023

Revenue$1,892,413,752
Expenses$1,936,243,925
Net Income-$43,830,173

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$444$384$60.3$1,892$1,936$43.8
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$373$465$92.1$1,354$1,396$42.0
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$303$560$256$866$924$58.2
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$274$603$329$721$776$54.6
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$212$445$233$704$746$42.1
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$125$360$235$549$596$46.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$145$443$298$507$569$61.9
2016Detailed filing. Detailed filing data is available for this year.$142$440$298$446$485$38.8
2015Detailed filing. Detailed filing data is available for this year.$119$345$226$454$488$34.4
2014Detailed filing. Detailed filing data is available for this year.$55.0$339$284$282$300$17.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$107$277$171$254
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$75.8$347$271$226
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$70.2$212$142$164
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.7$229$193$148
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 11, 2022
Return Version
2020v4.2
Gross Receipts
$866,180,712
Mission and Program Overview

Mission

Plan, develop, coordinate, direct and manage an integrated healthcare system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$95,843,697$111,435,572▲ $15,591,875
Accounts Receivable$53,126,194$69,107,378▲ $15,981,184
Cash and Non-Interest-Bearing Accounts$31,616,043$47,670,084▲ $16,054,041
Prepaid Expenses and Deferred Charges$34,126,645$28,556,324▼ $5,570,321
Investments Other Securities$1,226,525$1,976,525▲ $750,000
Inventories for Sale or Use$47,071$1,965,985▲ $1,918,914
Intangible Assets$1,595,676$1,595,676→ $0
Other Notes and Loans Receivable, Net$18,138$18,138→ $0
Total Assets$274,382,303$303,491,180▲ $29,108,877
Other Assets Total$56,782,314$41,165,498▼ $15,616,816
Liabilities
Accounts Payable and Accrued Expenses$212,359,004$296,511,859▲ $84,152,855
Other Liabilities$356,566,940$209,513,709▼ $147,053,231
Deferred Revenue$34,573,435$53,669,830▲ $19,096,395
Total Liabilities$603,499,379$559,695,398▼ $43,803,981
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-329,117,076$-256,204,218▲ $72,912,858
Total Net Assets Fund Balance$-329,117,076$-256,204,218▲ $72,912,858
Total Liabilities and Net Assets / Fund Balance$274,382,303$303,491,180▲ $29,108,877

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$74,487,804$13,854,842$88,342,646
Equipment$20,182,189$26,915,284$47,097,473
Leasehold Improvements$11,235,039$3,269,663$14,504,702
Land$3,973,926-$3,973,926
Buildings$1,556,614$189,513$1,746,127
Other Assets Org$55,568--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Edward AulisiPhysicianFT$1,841,668$1,412,038$3,253,706
David JordanPhysician Executive Director MmgFT$1,639,357$305,064$1,944,421
Fred Mo MdProf. of Ortho. Surgery & Spine SpecialistFT$1,824,811$29,217$1,854,028
Fred Mo MdProf. of Ortho. Surgery & Spine Spec-$759,937$1,094,091$1,854,028
Jean-marc Voyadzis MdDirector Spinal OncologyFT$1,193,444$578,050$1,771,494
Christopher RichterPhysicianFT$1,438,695$300,025$1,738,720
Richard GoldbergMmg PresidentFT$718,361$823,874$1,542,235

Board Members and Trustees

NameTitle
Kenneth a SametPresident/director
Eric R WagnerVice President/director
Stephen Rt Evans MdDirector
Michael J CurranTreasurer/director
Oliver M JohnsonVP/secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Ntt Data Services LLCIt Services7950 LEGACY DRIVE SUITE 900, Plano, TX 75024$37,998,559
Cerner CorporationIt ServicesPO BOX 594, Orem, UT 84059-0594$27,714,952
Cerner Health Services INCIt Services2800 ROCKCREEK PKWY, Kansas City, MO 64117$9,305,628
One Medical Group PCMedical ServicesONE EMBARCADERO CENTER STE 1900, San Francisco, CA 94111$3,305,796
AdvocateBilling/collection ServicesPO BOX 3190, Dublin, OH 43016$2,524,765
Revenue and Support

Revenue Composition

Contributions and Grants
$10,735,995
Program Service Revenue
$786,394,439
Investment Income
$-671,893
Other Revenue
$69,046,223
All Other Contributions
$344,690
Change in Net Assets
$-58,248,866
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$587,362,873
Other Expenses$336,390,757
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$374,056,778$125,935,231-$499,992,009
Fees for Services Other$63,936,490$15,960,164-$79,896,654
Payroll Taxes$28,080,754$10,237,971-$38,318,725
Other Employee Benefits$13,903,058$21,872,552-$35,775,610
Occupancy$13,179,649$13,500,088-$26,679,737
Fees for Services Management$2,394,831$22,529,820-$24,924,651
Office Expenses$9,477,012$2,541,344-$12,018,356
Pension Plan Contributions$6,808,974$4,925,320-$11,734,294
Depreciation Depletion$6,964,159$2,278,341-$9,242,500
Information Technology-$7,891,728-$7,891,728
All Other Expenses$5,000,065$2,280,853-$7,280,918
Insurance$6,181,918$376,095-$6,558,013
Travel$1,413,666$214,652-$1,628,318
Current Officers, Directors, Trustees, and Key Employees$1,140,745$401,490-$1,542,235
Advertising$230,049$921,227-$1,151,276
Conferences and Meetings$602,398$34,920-$637,318
Interest$439,153$16,105-$455,258
Other Expenses$77,755$21,201-$98,956
Fees for Services Legal$3,308$29,237-$32,545
Fees for Services Accounting$500--$500
Total Functional Expenses$616,142,005$307,611,625$0$923,753,630
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
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pension Liability$152,451,781
Operating Lease Liability$31,633,129
Credit Patient Balances A/r$9,743,944
Capital Lease Liability$8,830,357
Intercompany Payables$4,631,262
Other Liabilities$1,603,644
Workers Comp Liability$619,592
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
Yes
Other officer compensation reviewed
Yes
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 6

Organization members the organization is an affiliate and subsidiary of medstar health, inc. Medstar health, inc., or one of its affiliates and subsidiaries, is the sole member of the organization.

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

Description of members as an affiliate and subsidiary of medstar health, inc., the organization may recommend person(s) for membership on the organization's governing body. Any such recommendation by the organization is subject to approval by the governance committee of the board of directors of medstar health, inc. The board of medstar health, inc. Has delegated certain approval authority to the governance committee and the president & ceo of medstar health, inc.

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

Approval of decisions of the governing body as an affiliate and subsidiary of medstar health, inc., the bylaws of the organization are subject to certain reserved powers, which provide that the sole member of the organization must approve certain decisions, including but not limited to matters concerning the sale or purchase of real or personal property, capital budgets, strategic planning, investments, and corporate governance.

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

Process for reviewing form 990 the process for reviewing the form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed form 990 and accompanying instructions. In addition, senior executives reviewed the relevant sections of the form 990 with the following committees of the organization's governing body: finance, audit, governance, strategic planning, and executive compensation. Following these meetings, the governing body was provided a copy of the form 990 in its final form and given an opportunity to provide any input or comments relating to the form 990 prior to its filing.

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

Conflict of interest policy appointment of boards of directors medstar health (and its subsidiaries) require all nominated directors, prior to their appointment or election, to disclose the existence of (or potential existence of) any transaction with medstar that would result in a conflict of interest. Such disclosures (if any) are reviewed by the governance committee of the medstar health board of directors which determines how the matter should be resolved. Annual disclosures - all officers, directors, and senior managers all officers, directors and senior managers are required, not less than annually, to complete a survey of questions concerning any transactions or relationships which would or could represent a conflict of interest. Such disclosures (if any) related to directors are reviewed by the governance committee of the medstar health board of directors which determines how the matter should be resolved. Such disclosures (if any) related to officers and senior managers are reviewed by an appropriate executive who determines how the matter should be resolved. In addition, officers and directors of maryland hospitals and nursing centers are required to annually disclose additional information relating to potential conflicts of interest and such disclosures are reported to the maryland health services cost review commission (hscrc).

Form 990, Part VI, Section B, Line 15

Executive compensation policy the executive compensation committee of the board of directors of medstar health, inc. (the "committee") has oversight over the executive compensation program (the "program") of medstar health, inc. And its affiliates. Total compensation for the top management officials, officers and key employees of medstar health, inc. And its affiliates are reviewed and approved by the committee with assistance and guidance from an independent third party advisor. The members of the committee are independent from all of the participants in the program.the main objective of the program is to provide market competitive total compensation that is internally equitable and has a strong pay-for-performance linkage. Performance is evaluated at the system, operating unit, and individual levels. The overall total compensation philosophy is managed at the 75th percentile of the competitive market for comparable size (net revenue) and type (tax-exempt healthcare organizations). Where appropriate, additional industry data is considered (general business and/or taxable healthcare) for selected positions that can be recruited from or potentially lost to these industries (e.g., information technology, finance, etc.). The committee has engaged ernst & young llp ("e&y") to serve as an advisor on the reasonableness and competitiveness of the program. In determining reasonableness and competitiveness, e&y reviews market practices and trends, and makes recommendations related to the program. E&y utilizes information from custom surveys, national compensation surveys, proprietary databases, and client experiences to determine its final recommendations. E&y presents their findings and recommendations to the committee. The committee makes the final decisions on all of the compensation determinations of the program. All decisions made by the committee are contemporaneously documented.

Form 990, Part VI, Section C, Line 19

Financial statement availability medstar health posts its annual financial audit and quarterly financial reports to the electronic municipal market access (emma) system. The organization also e-mails its annual and quarterly disclosures to holders of the company's publicly traded debt. The company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices.

Filing and Contact Details

Filer

Filer Name
Hh Medstar Health Inc
EIN
52-1542230
Phone
4107726721
Address
10980 GRANTCHESTER WAY, COLUMBIA, MD 21044

Signing Officer

Name
Joel Bryan
Title
VP/treasurer
Phone
4107726721
Signed
2022-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth Samet
Formed
1987
Legal Domicile
Md
Voting Board Members
4
Independent Board Members
0
Employees
5,600
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
8350 BROAD STREET SUITE 900, MCLEAN, VA 22102
Preparer
Andrew Roe
Phone
7032868000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

The mission of medstar health, inc. (medstar health), a maryland corporation, is to serve our patients, those who care for them and our communities. Medstar health is the controlling entity of an integrated health services organization (the system) offering a wide variety of healthcare services to residents of maryland and the washington, d.c., region (comprising baltimore city, eleven counties in maryland, the district of columbia, and northern virginia). Medstar health is the region's largest health system and one of the largest employers in maryland and washington, d.c., with approximately 32,000 associates and 4,000 affiliated physicians. The system operates the largest home health business in the region with approximately 364,700 visits in fiscal year 2021. Medstar family choice, a medicaid managed care company, had approximately 170,000 covered lives as of june 30, 2021. In fiscal year 2021, medstar health hospitals had approximately 121,600 inpatient admissions and observation cases and approximately 5,855,200 outpatient visits, including approximately 386,000 emergency visits. Since march 2020, medstar health has cared for 1 in 4 covid-19 patients in the region. Operating as one medstar and aligning with guidance from the centers for disease control and prevention (cdc) and local departments of health, medstar health covid-19 preparations and response are guided by three critical drivers: providing a safe care environment for patients and associates; mitigating community spread of covid-19; and ensuring operational continuity to fulfill our core mission of caring for our communities. These efforts have evolved and transitioned in multiple way throughout the duration of the covid-19 pandemic, leading to a number of integrated care approaches in place today: utilization of medstar health urgent care, evisits and our digital capabilities to create access, rapid stand-up of testing sites, use of telehealth for primary care and follow-up visits, utilization of medstar health home care to safely manage the care continuum needs for patients, deployment of innovative laboratory approaches integrated with occupational health to better support associates managing through covid-19 exposures, stand-up of a buddy program where non-clinical associates take shifts to provide support services for nursing and care teams, establishment of community mobile units and clinics for covid-19 vaccinations/boosters, supply and maintain personal protective equipment (ppe), n95 respirators, covid-19 vaccines and boosters, execution of a mandatory covid-19 vaccination policy resulting in 99% of associates and physicians vaccinated against covid-19, and administration of more than 253,000 covid-19 vaccinations/boosters across the region.

FORM 990, PART XI, LINE 9:

Additional minimum pension liability 112,833,466. Equity transfers 18,328,258.

Financial Statement Notes

PART X, LINE 2:

Fin 48 footnote income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that includes the enactment date. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of change. The corporation accounts for uncertain tax positions in accordance with the fasb accounting standards codification (asc) topic 740, income taxes. There was no liability recorded for uncertain tax positions as of june 30, 2021.

Raw XML AppendixShowing 400 of 2,107 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.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0NTT DATA SERVICES LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1CERNER CORPORATION
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2CERNER HEALTH SERVICES INC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3ONE MEDICAL GROUP PC
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IRS990/Desc0HH MEDSTAR HEALTH, INC.'S LARGEST PROGRAM SERVICE IS TO PROVIDE MANAGEMENT AND SUPPORT TO MEDSTAR HEALTH, INC. AND ITS AFFILIATED ENTITIES. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, HH MEDSTAR HEALTH INCURRED $307.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING MANAGEMENT AND SUPPORT TO ITS AFFILIATED ENTITIES. THE PROGRAM SERVICE EXPENSES INCURRED BY THE ORGANIZATION RELATE TO CORPORATE SERVICE FUNCTIONS INCLUDING FINANCIAL SERVICES AND INFORMATION SYSTEMS.
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IRS990/ProgSrvcAccomActy2Grp/Desc0HH MEDSTAR HEALTH, INC. PROVIDES PHYSICIAN SERVICES THROUGH ITS PHYSICIAN PRACTICES TO MEDSTAR HEALTH, INC. AND ITS AFFILIATED ENTITIES. THESE PHYSICIAN PRACTICES SERVE AS PHYSICIAN PRACTICES TO EACH OF THE HOSPITALS (WHICH ARE INCLUDED IN HH MEDSTAR HEALTH INC.'S SUPPORTED ORGANIZATIONS) IN THE MEDSTAR HEALTH INTEGRATED HEALTH CARE SYSTEM.
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