2025-11-17T15:27:35-06:00 2024-12-31 990 2024-01-01 391705111 HHU XTRA CARE INC HHUX 6082421516 2802 WALTON COMMONS LANE MADISON WI 53718 STEPHANIE KING VP-FINANCE 6082421516 2025-11-17 0 2024 2025-03-06 01:10:19Z SEE SCHEDULE O DG GLOEDE 2802 WALTON COMMONS LANE MADISON WI 53718 5998087 0 X WWW.SSMHEALTH.COM/HEALTH-AT-HOME X 1990 WI TO PROVIDE HOME INFUSION, PHARMACY, DRUG, ENTERNAL THERAPY, VACCINATIONS, AND OTHER WELLNESS SERVICES. 4 0 20 161 0 0 70393 65585 5062218 5932502 0 0 0 0 5132611 5998087 0 0 0 0 1409125 1423028 0 0 0 3708788 4409955 5117913 5832983 14698 165104 2069601 1950909 264013 279015 1805588 1671894 PROMOTE OPTIMAL HEALTH AND QUALITY OF LIFE TO THOSE WE SERVE THROUGH OUR EXCEPTIONAL, COMPREHENSIVE CARE AT HOME AND IN THE COMMUNITY. 0 0 5041746 0 5932502 HHU XTRA CARE, INC. PROVIDES INFUSION PHARMACY AND DRUG THERAPY, ORAL PAIN MEDICATION TO HOSPICE PATIENTS, ENTERAL NUTRITION THERAPY, TELEHEALTH MONITORING FOR PATIENTS WITH CHRONIC HEALTH CONDITIONS TO REDUCE HOSPITAL RE-ADMISSIONS, SAFE PROGRAM AND VACCINATIONS.ADDITIONALLY, HHU XTRA CARE, INC. PROVIDES MEAL DELIVERY FOR HOMEBOUND INDIVIDUALS IN SOUTHERN WISCONSIN. 5041746 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 20 1 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 WI X KARI KRUEGER 6082421516 2802 WALTON COMMONS LANE MADISON WI 53718 DENISE GLOEDE DIRECTOR, PRES-POST ACUTE 1.00 50.00 X X 0 443308 152008 STEVEN SMOOT DIR, VP & COO OF SSM HEALTH 1.00 50.00 X X 0 2364935 1119698 KEVIN SMITH DIR, TREASURER & CFO OF SSM HEALTH 1.00 50.00 X X 0 1050477 627081 DOUGLAS LONG DIR, SECRETARY & CLO OF SSM HEALTH 1.00 50.00 X X 0 1587150 700771 EMILY SALLOWS PHARMACIST 40.00 0.00 X 109539 0 21537 NICOLE SHARROW PHARMACIST 40.00 0.00 X 118805 0 21977 CHRIS THORNOCK FORMER OFFICER 1.00 50.00 X 0 687041 219796 228344 6132911 2862868 2 1 1 0 CARDINAL HEALTH INC 7000 CARDINAL PLACE DUBLIN OH 43017 MEDICAL SERVICES 540983 MCKESSON MEDICAL SURGICAL INC 9954 MAYLAND DR STE 4000 HENRICO VA 23233 MEDICAL SERVICES 350071 2 65585 65585 NET PATIENT SERVICE RE 621610 5931864 5931864 638 638 5932502 5998087 5932502 0 0 1120633 819244 301389 54506 39847 14659 163821 119762 44059 84068 61458 22610 272496 262922 9574 289 91 198 628286 619297 8989 65358 65358 131025 52146 78879 5384 5058 326 45 45 343866 45860 298006 2572 2572 6795 6795 MEDICAL SUPPLIES 2941107 2941086 21 LICENSES, DUES & SUBSCR 7053 6999 54 BANK SERVICE CHARGES 5678 5678 OTHER EXPENSES 1 1 5832983 5041746 791237 0 708111 1429251 163812 213233 620 0 233645 195059 4978 38586 1192080 269839 2069601 1950909 264013 279015 264013 279015 X 1805588 1671894 1805588 1671894 2069601 1950909 X 165104 -298798 X 0 1 X 1 0 X 136094 165729 250236 70393 65585 688037 6337594 5650600 5726878 5062218 5932502 28709792 6473688 5816329 5977114 5132611 5998087 29397829 0 0 0 29397829 924 924 924 924 6474612 5816329 5977114 5132611 5998087 29398753 1.00000 0.99990 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36180 1206 34974 62458 62458 0 135007 131395 3612 38586 DUE FROM AFFILIATES 269839 269839 X PART X, LINE 2: HHU XTRA CARE, INC'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 OR 2024. X 1 1 0 1 0 0 0 0 0 0 0 STEVEN SMOOT DIR, VP & COO OF SSM HEALTH 0 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 DOUGLAS LONG DIR, SECRETARY & CLO OF SSM HEALTH 0 813979 0 583198 0 189973 0 676547 0 24224 0 2287921 0 583198 KEVIN SMITH DIR, TREASURER & CFO OF SSM HEALTH 0 1034519 0 0 0 15958 0 586407 0 40674 0 1677558 0 0 CHRIS THORNOCK FORMER OFFICER 0 496678 0 163799 0 26564 0 182671 0 37125 0 906837 0 163799 DENISE GLOEDE DIRECTOR, PRES-POST ACUTE 0 335268 0 104719 0 3321 0 120243 0 31765 0 595316 0 104719 PART I, LINE 1A AN INDIVIDUAL LISTED ON PART VII OF THE FORM 990 RECEIVED A TAX INDEMNIFICATION/GROSS-UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, THE PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT - $159,608 CHRIS THORNOCK - $21,693 FORM 990, PART I, ITEM C DBA: SSM HEALTH AT HOME INFUSION PHARMACY DBA: SSM HEALTH AT HOME COMMUNITY HEALTH FORM 990, PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 4 HHU XTRA CARE, INC.'S AMENDMENTS AND RESTATEMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS WERE APPROVED BY THE SSM HEALTH CARE CORPORATION BOARD OF DIRECTORS IN DECEMBER 2023 AND WERE APPROVED IN MARCH 2024 BY THE HHU XTRA CARE, INC. BOARD OF DIRECTORS. THE BELOW IS A SUMMARY OF THE CHANGES MADE: - THE ARTICLES OF INCORPORATION AND BYLAWS WERE UPDATED SO THAT HHU XTRA CARE WOULD MOVE FROM HAVING SPONSORS TO SOLE MEMBERS AND A SELF-PERPETUATING BOARD. - THE SOLE MEMBER OF HHU XTRA CARE, INC. WAS CHANGED FROM ITS PREVIOUS SPONSORS TO SSM HEALTH BUSINESSES, A TAX-EXEMPT CORPORATION UNDER SSM HEALTH CARE CORPORATION THAT ACTS AS THE PARENT OF THE LONG-TERM CARE AND HOME HEALTH DIVISION OF SSM HEALTH. - THE BYLAWS WERE CHANGED TO ALIGN WITH OTHER SSM HEALTH BYLAWS REGARDING THE COMPOSITION OF THE BOARD OF DIRECTORS. - THE CHAIR AND VICE CHAIR POSITIONS ON THE BOARD OF DIRECTORS AND STANDING COMMITTEES WERE ELIMINATED. - THE BOARD OF DIRECTORS IS NOW COMPOSED OF FOUR EX-OFFICIO DIRECTORS AND ALIGN WITH THE BOARD OF DIRECTORS FOR THE SOLE MEMBER, SSM HEALTH BUSINESSES. - PERMISSION WAS GRANTED FOR THE VICE PRESIDENT, TREASURER AND SECRETARY OF THE BOARD OF DIRECTORS TO APPOINT A DESIGNEE. - ARTICLE VI WAS AMENDED TO PERMIT THE BOARD OF DIRECTORS TO APPOINT COMMITTEES. FORM 990, PART VI, SECTION A, LINE 6 THROUGH MARCH 26, 2024, SSM HEALTH ST. CLARE HOSPITAL - BARABOO, BARABOO, WISCONSIN AND SSM HEALTH ST. MARY'S HOSPITAL - MADISON, MADISON, WISCONSIN ARE SPONSORING HOSPITALS OF THE ORGANIZATION AND HAVE THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY. FROM TIME TO TIME CONTRIBUTIONS OF CERTAIN ASSETS OF THE CORPORATION MAY BE MADE TO ITS SPONSORING HOSPITALS. UPON DISSOLUTION OF THE CORPORATION, ANY LIQUIDATING DISTRIBUTIONS OF THE CORPORATION'S ASSETS WILL BE MADE TO THE ORGANIZATION'S SPONSORING HOSPITALS. AS OF MARCH 26, 2024, THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH BUSINESSES. SSM HEALTH BUSINESS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT SERVES AS THE PARENT ENTITY OF THE POST-ACUTE DIVISION. BOTH HHU XTRA CARE, INC. AND SSM HEALTH BUSINESSES ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THROUGH MARCH 26, 2024, THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS. EACH OF THE SPONSORING HOSPITALS SHALL BE ENTITLED TO APPOINT ONE DIRECTOR EXCEPT ST. MARY'S HOSPITAL MEDICAL CENTER WHICH SHALL BE ENTITLED TO APPOINT TWO DIRECTORS. NOTICE OF THE NAME AND ADDRESS OF EACH APPOINTEE SHALL BE MADE BY THE SPONSORS TO THE SECRETARY OF THE ORGANIZATION. EACH DIRECTOR SERVES AT THE PLEASURE OF HIS OR HER APPOINTING SPONSOR AND MAY BE REMOVED AND REPLACED AT ANY TIME BY A WRITTEN NOTICE FROM THE APPOINTING SPONSOR TO THE SECRETARY OF THE CORPORATION. ONE POSITION ON THE BOARD OF DIRECTORS SHALL BE RESERVED FOR A VISITING NURSE SERVICE REPRESENTATIVE. ANY VACANCY IN THE REPRESENTATIVE POSITION SHALL BE FILLED BY THE BOARD IN THE FOLLOWING FASHION: THE VISITING NURSE SERVICE FOUNDATION OR ANOTHER LOCAL NON-PROFIT ORGANIZATION SHALL PROPOSE A LIST OF THREE NOMINEES TO FILL THE VACANT POSITION. THE BOARD OF DIRECTORS SHALL SELECT A PERSON FROM THE LIST. AS OF MARCH 26, 2024, SSM HEALTH CARE CORPORATION, THE ULTIMATE PARENT OF HHU XTRA CARE, INC. AND ITS PARENT SSM HEALTH BUSINESSES, HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B AS OF MARCH 26, 2024, THE FOLLOWING POWERS ARE RESERVED TO SSM HEALTH CARE CORPORATION, THE SOLE MEMBER OF SSM HEALTH BUSINESSES, THE SOLE MEMBER OF HHU XTRA CARE, INC: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION; B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS; C. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION; D. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN; E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; G. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; H. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; I. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; J. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY; K. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS; L. TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; M. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION; N. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION; O. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO SSMHCC OR TO ANY OTHER ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY SSMHCC, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF SSMHCC AS DETERMINED BY SSMHCC; P. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN SSMHCC, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE SSMHCC APPROVAL; AND Q. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO SSMHCC WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C A WRITTEN CONFLICT OF INTEREST AND INSIDER TRANSACTION POLICY EXISTS WHICH REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER, TRUSTEE OR COMMITTEE MEMBER TO DISCLOSE ON AN ANNUAL BASIS TO THE DESIGNATED AUTHORITY A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DESIGNATED AUTHORITY ENSURES THAT ALL STATEMENTS ARE COMPLETED, REVIEWS THEM FOR CONFLICTS, AND SUBMITS TO THE BOARD FOR REVIEW ANY CONFLICT OF INTEREST DISCLOSURE STATEMENTS THAT DISCLOSE ACTUAL OR POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -298,798. 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