Civic Intelligence

Hawaii Medical Association

EIN 99-0067306 • 501(c)6 • Honolulu, HI

Profile

Hawaii medical association is dedicated to serving physicians, their patients and community through representation, advocacy, and public service. Core activities: advocacy, education

1360 S Beretania St 200Honolulu, HI 96814

hawaiimedicalassociation.org/DEFAULT.ASPX

Siviq Scores

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

Liabilities / Assets

25th percentile

0.02x

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

501(c)6 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

36th percentile

0.08x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)6 • $1M-$5M nonprofits • Source year 2024

Net Margin

4th percentile

-34%

Higher net margin than 4% of similar nonprofits.

501(c)6 • $1M-$5M 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

66th percentile

11%

Faster asset growth than 66% of similar nonprofits.

501(c)6 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

6th percentile

-23%

Faster revenue growth than 6% of similar nonprofits.

501(c)6 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,261,677

Up $125,314 (+11%) from 2023

Liabilities

Up

$26,982

Up $8,461 (+46%) from 2023

Net Assets

Up

$1,234,695

Up $116,853 (+10%) from 2023

Revenue

Down

$344,475

Down $101,670 (-23%) from 2023

Expenses

Up

$460,732

Up $41,899 (+10%) from 2023

Net Income

Down

-$116,257

Down $143,569 (-526%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2010: $734,755Liabilities 2010: $268,928Net Assets 2010: $465,8272010Assets 2011: $681,193Liabilities 2011: $134,911Net Assets 2011: $546,2822011Assets 2012: $759,878Liabilities 2012: $117,625Net Assets 2012: $642,2532012Assets 2013: $885,652Liabilities 2013: $157,636Net Assets 2013: $728,0162013Assets 2014: $927,942Liabilities 2014: $159,139Net Assets 2014: $768,8032014Assets 2015: $790,926Liabilities 2015: $112,352Net Assets 2015: $678,5742015Assets 2016: $677,923Liabilities 2016: $107,301Net Assets 2016: $570,6222016Assets 2017: $720,863Liabilities 2017: $166,267Net Assets 2017: $554,5962017Assets 2018: $628,530Liabilities 2018: $101,335Net Assets 2018: $527,1952018Assets 2019: $796,593Liabilities 2019: $127,741Net Assets 2019: $668,8522019Assets 2020: $561,528Liabilities 2020: $78,778Net Assets 2020: $482,7502020Assets 2021: $1,031,092Liabilities 2021: $152,083Net Assets 2021: $879,0092021Assets 2022: $983,825Liabilities 2022: $82,293Net Assets 2022: $901,5322022Assets 2023: $1,136,363Liabilities 2023: $18,521Net Assets 2023: $1,117,8422023Assets 2024: $1,261,677Liabilities 2024: $26,982Net Assets 2024: $1,234,6952024

Highlighted filing

2024

Assets$1,261,677
Liabilities$26,982
Net Assets$1,234,695

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $501,5502010Expenses 2011: $438,0492011Expenses 2012: $446,3012012Revenue 2013: $593,106Expenses 2013: $513,502Net Income 2013: $79,6042013Revenue 2014: $742,728Expenses 2014: $704,628Net Income 2014: $38,1002014Revenue 2015: $493,179Expenses 2015: $581,881Net Income 2015: -$88,7022015Revenue 2016: $510,103Expenses 2016: $620,026Net Income 2016: -$109,9232016Revenue 2017: $630,438Expenses 2017: $651,922Net Income 2017: -$21,4842017Revenue 2018: $550,856Expenses 2018: $578,267Net Income 2018: -$27,4112018Revenue 2019: $391,484Expenses 2019: $406,208Net Income 2019: -$14,7242019Revenue 2020: $272,369Expenses 2020: $357,948Net Income 2020: -$85,5792020Revenue 2021: $825,194Expenses 2021: $328,737Net Income 2021: $496,4572021Revenue 2022: $475,804Expenses 2022: $530,138Net Income 2022: -$54,3342022Revenue 2023: $446,145Expenses 2023: $418,833Net Income 2023: $27,3122023Revenue 2024: $344,475Expenses 2024: $460,732Net Income 2024: -$116,2572024

Highlighted filing

2024

Revenue$344,475
Expenses$460,732
Net Income-$116,257

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.26$0.03$1.23$0.34$0.46$0.12
2023Detailed filing. Detailed filing data is available for this year.$1.14$0.02$1.12$0.45$0.42$0.03
2022Detailed filing. Detailed filing data is available for this year.$0.98$0.08$0.90$0.48$0.53$0.05
2021Detailed filing. Detailed filing data is available for this year.$1.03$0.15$0.88$0.83$0.33$0.50
2020Detailed filing. Detailed filing data is available for this year.$0.56$0.08$0.48$0.27$0.36$0.09
2019Detailed filing. Detailed filing data is available for this year.$0.80$0.13$0.67$0.39$0.41$0.01
2018Detailed filing. Detailed filing data is available for this year.$0.63$0.10$0.53$0.55$0.58$0.03
2017Detailed filing. Detailed filing data is available for this year.$0.72$0.17$0.55$0.63$0.65$0.02
2016Detailed filing. Detailed filing data is available for this year.$0.68$0.11$0.57$0.51$0.62$0.11
2015Detailed filing. Detailed filing data is available for this year.$0.79$0.11$0.68$0.49$0.58$0.09
2014Detailed filing. Detailed filing data is available for this year.$0.93$0.16$0.77$0.74$0.70$0.04
2013Detailed filing. Detailed filing data is available for this year.$0.89$0.16$0.73$0.59$0.51$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.76$0.12$0.64$0.45
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.68$0.13$0.55$0.44
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.73$0.27$0.47$0.50
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$482,332
Mission and Program Overview

Mission

Hma is dedicated to serving physicians, their patients and community through representation, advocacy, and public service. Core activities: advocacy, education

To promote high standards within the medical profession for the betterment of public health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,117,842$1,234,695▲ $116,853
Investments Other Securities$608,650$843,103▲ $234,453
Land, Buildings, and Equipment, Net$298,641$290,578▼ $8,063
Cash and Non-Interest-Bearing Accounts$221,627$122,301▼ $99,326
Accounts Receivable$6,562$4,312▼ $2,250
Prepaid Expenses and Deferred Charges$178$0▼ $178
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,136,363$1,261,677▲ $125,314
Other Assets Total$705$1,383▲ $678
Liabilities
Other Liabilities$9,461$16,174▲ $6,713
Accounts Payable and Accrued Expenses$9,060$10,623▲ $1,563
Deferred Revenue-$185-
Total Liabilities$18,521$26,982▲ $8,461
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,117,842$1,234,695▲ $116,853
Total Liabilities and Net Assets / Fund Balance$1,136,363$1,261,677▲ $125,314

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$290,578$23,852$314,430
Equipment$0$19,944$19,944
Other Securities$8,731--
Closely Held Equity Interests$834,372--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Marc AlexanderExecutive DirectorFT$102,000$102,000

Board Members and Trustees

NameTitle
Angela Pratt MdImmediate Past President
Elizabeth Ignacio MdPresident
Nadine Tenn-salle MdPresident Elect
Angela Pratt MdAma Delegate
Jerry Van Meter MdAma Delegate
F Don Parsa MdHnl At-large-councilor
S Kalani Brady MdHnl At-large-councilor
F Don Parsa MdHonolulu County Delegate
S Kalani Brady MdHonolulu County Delegate
Bernard Robinson MdHonolulu County Pres
VacantMaui County Delegate
Chloe MccreeryMedical Student Delegate
Justin WongMedical Student Delegate
Jerry Garcia MdNeighbor Island At-large
Michael Russon MdNeighbor Island At-large
Thomas Kosasa MdSecretary
Cynthia Goto MdSpecialty Delegate
Helen K Blaisdell-brennan MdSpecialty Delegate
Kenneth Chang MdSpecialty Delegate
Laeton Pang MdSpecialty Delegate
Will Scruggs MdSpecialty Delegate
Jerris Hedges MdTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$269,270
Program Service Revenue
$7,182
Investment Income
$4,205
Other Revenue
$63,818
All Other Contributions
$64,800
Change in Net Assets
$-116,257
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$315,642
Salaries, Compensation, and Employee Benefits$134,384
Grants and Similar Amounts Paid$10,706
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees---$102,000
Occupancy---$80,000
Fees for Services Lobbying---$57,539
Travel---$27,918
All Other Expenses---$26,698
Other Salaries and Wages---$17,976
Fees for Services Management---$16,930
Insurance---$15,196
Payroll Taxes---$14,408
Grants to Domestic Orgs---$10,706
Other Expenses---$8,638
Fees for Services Accounting---$8,377
Depreciation Depletion---$8,062
Fees for Services Other---$4,763
Office Expenses---$2,916
Fees for Services Legal---$41
Interest---$6
Total Functional Expenses$0$0$0$460,732
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$137,857
Fundraising Gross Income$121,000
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Ola Pono Ike Event$281,000$121,000$76,554$44,446
Total Events$281,000$121,000$137,857$-16,857
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes

Reported Spending and Taxes

Line ItemAmount
Total Nondeductible Lobbying and Political Cost$268,033
Current Year Nondeductible Lobbying and Political Cost$57,539
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Dues Net Payable$12,770
Other Payables$2,963
Garnishment$441
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

There are active, special, service, emeritus or retired members. Active members shall be limited to those members who are licensed to practice medicine and surgery in the state of hawaii and who are entitled to exercise the rights of membership in their component societies, including the right to vote. Special members in the association shall be limited to those members who are special members of the component societies. They shall have the same rights and privileges as active members, except the right to vote and hold office. Service members are commissioned medical officers who are members of a component society of the association shall have the same rights and privileges as active members. Retired members are physicians who are retired from active clinical or administrative practice of medicine. Retired members shall have the right to serve on committees and vote but need to maintain their licenses to practice medicine and surgery. Emeritus members are physicians who are over age 75 and have at least 15 previous consecutive years of membership in good standing in the hma. Emeritus members shall have the right to serve on committees and vote. Honorary membership may be granted by the action of council to distinguished members of the profession.

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

The council shall be the executive and administrative body of the association. The council shall consist of the councilors, officers of the association, delegate(s) and alternate delegates to the american medical association and presidents of each component society. Each component society (the hawaii county medical society, the honolulu county medical society, the kauai county medical society and the maui county medical society) shall have one councilor for every 50 activity members and fraction thereof on the council. In addition, there shall be 6 at-large councilors. The councilors shall be nominated and elected by the respective component society. The at-large councilors shall be elected by the general membership. Officers of the association shall be elected by the general membership. The officers shall be the president, president-elect, secretary, treasurer, and immediate past president. The officers of the association constitute the executive committee who has the authority to act for the council when not in session.

Form 990, Part VI, Section B, Line 10B

Each local chapter, branch, or affiliate has its own federal ei#, written policies, governing documents and procedures, and its own separate board of directors.

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

For 2024 a copy of the form 990 was provided to certain members of the executive committee and finance committee prior to filing. The preparer and finance committee are scheduled to meet to review the form 990 with them.

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

Annual disclosure statements are collected from each officer/director.

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

The executive director's compensation is determined by the board of directors and finance committee. An independent contractor compiled salary comparability data for the board of directors and finance committee to review. However, the committee has not yet approved any salary increase.

Form 990, Part VI, Section C, Line 18

Availability of governing and other documents; these documents are available to current members online through the organization's website.

Form 990, Part VI, Section C, Line 19

Availability of governing and other documents are not made available to the general public.

Filing and Contact Details

Filer

Filer Name
Hawaii Medical Association
EIN
99-0067306
Phone
8085367703
Address
1360 S BERETANIA ST 200, HONOLULU, HI 96814

Signing Officer

Name
Thomas Kosasa Md
Title
Secretary
Phone
8085367702
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas Kosasa Md
Formed
1973
Legal Domicile
Hi
Voting Board Members
23
Independent Board Members
23
Employees
4
Volunteers
0

Preparer

Firm
Kkdly LLC
Address
745 FORT ST STE 2100, HONOLULU, HI 96813
Preparer
Guy S Nishihira
Phone
8085213962
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

We continued to expand our web-based resources, including dedicated pages on public policy issues such as prior authorization, general excise tax reform, and ongoing nitta vs. Hmsa court case. We filed an amicus brief with the ama on the latter in 2024.

FORM 990, PART XI, LINE 9:

Change in net book value of investment in hma dev. 234,110. Deposit -1,000.

Raw XML AppendixShowing 400 of 647 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/ActivityOrMissionDesc0TO PROMOTE HIGH STANDARDS WITHIN THE MEDICAL PROFESSION FOR THE BETTERMENT OF PUBLIC HEALTH.
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IRS990/Desc0LEGISLATIVE ACTIVITIES: PROVIDE LOBBYING, GOVERNMENT RELATIONS, AND LEGISLATIVE AWARENESS SERVICES PRIMARILY FOR HMA MEMBERS (APPROXIMATELY 379), AND NON-MEMBER PHYSICIANS (UP TO APPROX. 2700 ADDITIONAL PHYSICIANS). INCLUDES INTRODUCING HEALTH CARE LEGISLATION AT THE STATE LEGISLATURE; PROVIDING TESTIMONY ON PROPOSED LEGISLATION; INFORMING PHYSICIANS, THE PUBLIC, AND THE GOVERNMENT ON KEY HEALTH ISSUES.
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IRS990/Form990PartVIISectionAGrp/PersonNm9MICHAEL RUSSON MD
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IRS990/Form990PartVIISectionAGrp/PersonNm11JERRY GARCIA MD
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IRS990/Form990PartVIISectionAGrp/PersonNm13HELEN K BLAISDELL-BRENNAN MD
IRS990/Form990PartVIISectionAGrp/PersonNm14KENNETH CHANG MD
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IRS990/Form990PartVIISectionAGrp/PersonNm20JERRY VAN METER MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4TREASURER
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IRS990/Form990PartVIISectionAGrp/TitleTxt6HNL AT-LARGE-COUNCILOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7HONOLULU COUNTY PRES
IRS990/Form990PartVIISectionAGrp/TitleTxt8HNL AT-LARGE-COUNCILOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9NEIGHBOR ISLAND AT-LARGE
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IRS990/Form990PartVIISectionAGrp/TitleTxt11NEIGHBOR ISLAND AT-LARGE
IRS990/Form990PartVIISectionAGrp/TitleTxt12HONOLULU COUNTY DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt13SPECIALTY DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt14SPECIALTY DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt15AMA DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt16SPECIALTY DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt17HONOLULU COUNTY DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt18MAUI COUNTY DELEGATE
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IRS990/Form990PartVIISectionAGrp/TitleTxt20AMA DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt21MEDICAL STUDENT DELEGATE
IRS990/Form990PartVIISectionAGrp/TitleTxt22MEDICAL STUDENT DELEGATE
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IRS990/MissionDesc0HAWAII MEDICAL ASSOCIATION IS DEDICATED TO SERVING PHYSICIANS, THEIR PATIENTS AND COMMUNITY THROUGH REPRESENTATION, ADVOCACY, AND PUBLIC SERVICE. CORE ACTIVITIES: ADVOCACY, EDUCATION
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IRS990/ProgSrvcAccomActy2Grp/Desc0A. CME@HMA WAS SUSPENDED IN 2024. WE SHIFTED TO AN EMPHASIS ON SPECIAL PROGRAMS INCLUDING CONVERSATIONS AT HMA, WHICH FEATURES PHYSICIANS AND OTHER HEALTHCARE LEADERS BEING INTERVIEWED ON VARIOUS HEALTHCARE RELATED SUBJECTS. MOST OF OUR PROGRAMING IS THEN MADE AVAILABLE ON THE HMA YOUTUBE CHANNEL. PROGRAMS ARE USUALLY HELD ONSITE AND VIA ZOOM. SUPPORTS QUALITY PATIENT CARE THROUGH APPROPRIATE AND TIMELY EDUCATION FOR PHYSICIANS, WITH INFORMATION ABOUT CURRENT AND VITAL ISSURES OF MEDICINE AND MEDICAL PRACTICE FOR DOCTORS OF MEDICINE AND OSTEPATHY IN HAWAII AND THE PACIFIC BASIN. APPROXIMATELY 150 PERSONS PARTICIPATED IN THESE PROGRAMS IN 2024. IN 2024 WE EXPANDED OUR COLLABORATION WITH CLINICAL CARE OPTIONS TO SCALE ONLINE CME AND CONTINUED TO DELIVER DISCOUNTED, DEA MATE ACT-COMPLIANT OFFERINGS STATEWIDE.B. THE HAWAII MEDICAL ASSOCIATION (HMA) AND THE WASHINGTON STATE MEDICAL ASSOCIATION (WSMA) STARTED A NEW COLLABORATION, CALLED PACWEST CONTINUING EDUCATION ACCREDITATION COLLABORATIVE(PCEAC), WHICH WAS FORMED TO SUPPORT THE STATE MEDICAL SOCIETY (SMS) ACCREDITATION PROGRAMS ACCROSS THE NORTHWEST AND PACIFIC. THE COLLABORATION WENT INTO EFFECT JANUARY 1, 2023. ACCREDITATION DECISONS FOR CURRENTLY HMA- OR WSMA-ACCREDITED PROVIDERS IN ALASKA, AMERICAN SAMOA, GUAM, HAWAII, OREGON, AND WASHINGTON WILL NOW BE MADE THROUGH ONE COLLABORATIVE OF SURVEYORS AND COMMITTEE MEMBERS FROM ACCROSS THE NORTHWEST AND PACIFIC. ACCME WILL CONTINUE TO PROVIDE SUPPORT AND OVERSIGHT OF THE NEW ENTITY THROUGH THE RECOGNITION PROCESS. C. AS OF JANUARY 1, 2023, HMA HAS A COLLABORATION WITH HAWAII PACIFIC HEALTH AS A POINT PROVIDER FOR CME'S, ALTHOUGH WE HAVE SUSPENDED THE PROGRAM IN 2024.D. HMA STARTED A PODCAST PROGRM IN 2022 ENTITLED, HMA CONNECT, BRINING INTERVIEWS WITH PHYSICIANS AND OTHER IMPORTANT TO THE PROFESSION OF PHYSICIANS, INCLUDING THE INTERVIEWS FOR THE 2022 HAWAII ELECTIONS.E. HMA STARTED A NEW LIVE-VIDEO PROGRAM, CONVERSATIONS AT HMA, IN 2023 FEATURED INTERVIEWS AND DISCUSSIONS WITH PHYSICIANS AND OTHER HEALTHCARE LEADERS ON A VARIETY OF TOPICS OF INTEREST ESPECIALLY TO PHYSICIANS AND PATIENTS. MANY OF THESE, ALONG WITH PAST CME PROGRAMS, ARE ALSO AVAILABLE ON THE NEW HMA YOUTUBE CHANNEL.
IRS990/ProgSrvcAccomActy3Grp/Desc0THE ANNUAL MEETING WAS HELD ON OCTOBER 19, 2024, WITH 30 MEMBERS AND STAFF PRESENT. THERE ARE UP TO 20 VOTING MEMBERS ON THE HMA COUNCIL.
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