Sanford Health, Group Return in Sioux Falls, South Dakota (SD)

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Sanford Health, Group Return
Employer Identification Number (EIN)460462161
Name of OrganizationSanford Health
Secondary NameGroup Return
AddressPO BOX 5039, Sioux Falls, SD 57117-5039
SubsectionCharitable Organization
Ruling Date03/2001
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationAssociation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2010
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 - Group return
Asset Amount$721,276,979
Amount of Income$1,040,242,737
Form 990 Revenue Amount$1,038,063,979
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Community Health Systems


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Amount of income in 2010: $1,040,242,737
Sanford Health, Group Return: 

 $1,040,242,737
Other organizations performing similar types of work: 

 $6,009,868

Assets in 2010: $721,276,979
This organization: 

 $721,276,979
Other organizations performing similar types of work: 

 $5,695,221

Expenses in 2007: $821,820,834
This organization: 

 $821,820,834
Other organizations performing similar types of work: 

 $59,364,005

Income to expenses ratio in 2007: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2007: 86.7%
This organization: 

 86.7%
Other organizations performing similar types of work: 

 86.5%

Number of employees in 2007: 8,779
Sanford Health, Group Return: 

 8,779
Other organizations performing similar types of work: 

 748

Employees paid over $50,000 in 2007: 21.3%
This organization: 

 21.3%
Other organizations performing similar types of work: 

 31.8%

Grants share in income in 2007: 0.4%
This organization: 

 0.4%
Other organizations performing similar types of work: 

 0.3%

Financial snapshot ($)

Revenue for 2007

Assets at end of 2007

Expenses for 2007

Functional Expenses for 2007 ($)

Income-Producing Activities for 2007

Revenue, Expenses, and Changes in Net Assets or Fund Balances
2000200120032004200520062007
Total revenue$380,821,626$447,503,485$587,548,779$630,725,309$735,452,565$782,203,945$856,867,970
Contributions, gifts, grants, and similar amounts received$1,099,464$1,169,924$1,953,434$3,186,279$38,282,532$4,191,205$3,796,425
Contributions to donor advised funds$0$0
Direct public support$563,648$594,453$108,828$462,633$34,750,009$1,257,443$1,066,656
Indirect public support$0$145,183$762,662$779,591$862,041$892,761$965,503
Government contributions (grants)$535,816$430,288$1,081,944$1,944,055$2,670,482$2,041,001$1,764,266
Program service revenue including government fees and contracts$365,639,932$432,111,554$575,491,055$612,459,305$680,610,700$759,461,503$836,155,694
Membership dues and assessments$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$748,663$655,884$328,821$367,728$1,093,014$2,210,707$1,711,377
Dividends and interest from securities$915,452$963,347$0$0$0$0$1,510,780
Net rental income or (loss)$969,512$956,826$-50,920$-337,874$-407,392$-140,407$-91,842
Gross rents$969,512$956,826$1,432,503$1,556,221$1,598,715$1,128,982$1,134,573
Less: rental expenses$0$0$1,483,423$1,894,095$2,006,107$1,269,389$1,226,415
Other investment income$57,170$27,450$1,008,868$1,401,833$1,102,705$1,414,609$22,651
Gain or (loss) from sales of assets other than inventory$-48,200$-659,922$-3,832,501$-376,560$811,946$-196,516$-620,168
Gross amount from sales of assets other than inventory$0$0$21,385,397$92,950$5,949,082$208,823$38,120
Less: cost or other basis and sales expenses$48,200$659,922$25,217,898$469,510$5,137,136$405,339$658,288
Net income or (loss) from special events and activities$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0
Other revenue$11,439,633$12,278,422$12,650,022$14,024,598$13,959,060$15,262,844$14,383,053
Total expenses$362,678,925$426,119,167$562,157,742$600,807,205$664,389,331$748,769,817$821,820,834
Program services$313,772,664$369,355,443$500,051,459$533,996,241$588,232,272$650,429,728$712,456,938
Management and general$48,906,261$56,763,724$62,106,283$66,810,964$76,157,059$98,340,089$109,363,896
Fundraising$0$0$0$0$0$0$0
Payments to affiliates$0$0$0$0$0$0$0
Net assets or fund balances at end of year$211,370,515$216,479,200$228,956,856$227,352,843$316,057,330$290,493,724$256,750,275
Excess or (deficit) for the year$18,142,701$21,384,318$25,391,037$29,918,104$71,063,234$33,434,128$35,047,136
Net assets or fund balances at beginning of year$185,397,088$211,370,515$224,210,989$228,956,856$227,352,843$316,057,330$290,493,724
Other changes in net assets or fund balances$7,830,726$-16,275,633$-20,645,170$-31,522,117$17,641,253$-58,997,734$-68,790,585
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$821,820,834$712,456,938$109,363,896$0
Grants paid from donor advised funds$0
Other grants and allocations$124,568
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$18,741,971$15,482,385$3,259,586$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$370,163,149$342,242,193$27,920,956$0
Pension plan contributions not included above$11,848,820$10,958,361$890,459$0
Employee benefits not included above$39,704,680$33,677,551$6,027,129$0
Payroll taxes$25,638,537$23,082,464$2,556,073$0
Professional fundraising fees$0$0$0$0
Accounting fees$748,314$8,511$739,803$0
Legal fees$154,518$3,602$150,916$0
Supplies$121,735,928$117,405,372$4,330,556$0
Telephone$1,542,194$1,117,793$424,401$0
Postage and shipping$1,283,067$1,061,616$221,451$0
Occupancy$20,131,565$14,263,268$5,868,297$0
Equipment rental and maintenance$17,436,003$16,400,656$1,035,347$0
Printing and publications$243,168$43,719$199,449$0
Travel$2,455,846$1,978,731$477,115$0
Conferences, conventions, and meetings$1,731,633$1,455,102$276,531$0
Interest$9,149,790$6,356,611$2,793,179$0
Depreciation, depletion, etc.$32,660,809$24,984,590$7,676,219$0
Other expenses not covered above$146,326,274$101,809,845$44,516,429$0
Balance Sheets
2000200120032004200520062007
Total assets$388,890,586$436,827,253$429,507,606$535,155,197$617,622,375$662,000,803$616,941,684
Cash - non-interest-bearing$2,570,298$6,073,268$8,844,761$2,397,956$10,866,358$2,208,696$2,795,834
Savings and temporary cash investments$10,761,076$13,617,389$20,814,762$29,013,976$65,602,646$54,400,248$22,140,366
Accounts receivable less allowance for doubtful accounts$68,854,733$72,611,434$74,124,375$85,766,376$95,163,259$113,377,526$113,668,669
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0
Grants receivable$0$0$0$12,625$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$1,598,098$1,767,331$0$0$53,333$2,220$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$1,498,987$2,047,243$5,550,096$6,131,215$8,897,871$5,168,864$5,203,750
Inventories for sale or use$3,477,778$3,834,043$3,378,264$4,181,222$4,784,464$5,332,926$5,736,742
Prepaid expenses and deferred charges$22,028,744$28,099,366$42,378,725$43,316,186$37,826,301$18,123,011$7,988,107
Investments - publicly-traded securities$2,500,000$70,136,705
Investments - other securities$1,016,297$1,343,686$2,500,000$0$9,749,387$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0
Investments - other$20,896,144$31,904,837$28,710,751$29,197,511$28,258,761$33,189,681$8,373,601
Land, buildings, and equipment less accumulated depreciation$216,008,793$247,673,818$224,338,040$262,742,131$307,200,886$313,044,764$359,234,166
Other assets, including program-related investments$40,179,638$27,854,841$18,867,832$72,395,999$49,219,109$114,652,867$21,663,744
Total liabilities$177,520,071$220,348,053$200,550,750$307,802,354$301,565,045$371,507,079$360,191,409
Accounts payable and accrued expenses$37,257,055$54,018,703$62,252,399$78,677,010$93,538,896$79,105,242$84,655,272
Grants payable$0$0$0$0$0$0$79,659
Deferred revenue$0$0$84,168$205,076$18,257,646$689,729$461,691
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0
Tax-exempt bond liabilities$130,423,844$151,376,415$119,019,244$184,106,709$183,963,477$254,198,932$249,125,427
Mortgages and other notes payable$1,394,219$1,394,219$1,841,640$6,317,148$5,180,026$4,565,301$3,761,208
Other liabilities$8,444,953$13,558,716$17,353,299$38,496,411$625,000$32,947,875$22,108,152
Total liabilities and net assets/fund balances$388,890,586$436,827,253$429,507,606$535,155,197$617,622,375$662,000,803$616,941,684
Total net assets or fund balances$211,370,515$216,479,200$228,956,856$227,352,843$316,057,330$290,493,724$256,750,275
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2000200120032004200520062007
Total revenue$380,821,626$0$0$630,725,309$0$0$0
Total revenue, gains, and other support per audited financial statements$431,527,000$0$0$630,725,309$0$0$0
Other expenses$82,782,000$0$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0
Other$82,782,000$0$0$0$0$0$0
Other revenue$32,076,626$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0
Other$32,076,626$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2000200120032004200520062007
Total expenses$362,678,925$0$0$600,807,205$0$0$0
Total expenses and losses per audited financial statements$423,748,000$0$0$600,807,205$0$0$0
Other revenue$94,368,000$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0
Other$94,368,000$0$0$0$0$0$0
Other expenses$33,298,925$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0
Other$33,298,925$0$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
60$398,099$31,945$0
60$468,199$55,141$0
60$177,717$33,376$0
60$298,810$36,522$0
60$212,171$22,328$0
60$337,930$46,613$3,328
60$273,962$43,328$6,260
60$158,102$31,163$0
60$295,969$48,977$7,655
60$199,024$32,657$0
60$319,324$38,844$0
60$176,082$13,671$0
60$251,762$23,977$0
60$442,325$65,175$0
60$525,679$102,446$14,130
60$157,991$23,706$0
60$459,638$34,936$0
60$246,695$31,759$0
60$162,254$13,861$0
60$293,631$27,984$0
60$182,988$25,960$0
60$1,136,216$36,838$0
60$273,811$29,213$0
60$527,619$46,774$0
60$432,512$19,465$0
60$677,280$45,045$0
60$412,320$61,085$0
60$1,675,841$42,467$0
60$1,243,805$54,248$0
60$1,535,861$48,086$0
60$281,829$34,816$0
60$316,948$35,891$0
60$693,486$52,840$0
60$1,141,951$54,279$0
60$294,708$31,692$0
60$320,795$79,951$2,372
60$212,678$35,155$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings77
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20068,779
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$8,308,897$6,931,734$837,830,914
Program service revenue
Program service revenue 1000000$000$0$512,915,745
Program service revenue 2000000$000$0$9,292,443
Program service revenue 3000000$000$0$5,342,926
Program service revenue 4000000$000$0$3,127,766
Program service revenue 5000000$000$0$5,755,835
$0$0$512,915,745
$0$0$3,127,766
$0$0$2,752,535
$0$0$696,323
$0$0$2,306,977
$0$0$9,292,443
$0$0$5,342,926
Medicare/Medicaid payments000000$000$0$299,720,979
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$1,711,377$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$1,510,780$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$-91,842$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$22,651
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$-620,168$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenueMedical and diagnostic laboratories$8,308,897Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$4,421,587$1,652,569
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
460388597100%$8,478,064$9,192,937
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$2,235,799$41,190$0
$1,772,524$64,873$0
$1,791,575$44,072$0
$1,728,603$42,114$0
$1,719,096$42,107$0
Total number of other employees paid over $50,0001,826
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$20,445
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
Enter the total number of donor advised funds owned at the end of the tax year$0
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isNot controlled by disqualified persons/supports non private foundation
Type of supporting organizationType I
Information about the supported organizations
Employer identification number (EIN)Name of organizationType of organizationIs the supported organization listed in the supporting organization's governing documents?Amount of support
311527032Sanford, Sanford HealthYes$32,616,544
Total$32,616,544
Support Schedule
1999200020022003200420052006
Total$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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6Meridian Health System Inc, Group Return1350 Campus Parkway, Neptune, NJ 07753-6821NJ1996-09$1,424,545,971
7Wakemed3000 New Bern Ave, Raleigh, NC 27610-1231NC2010-10$1,316,811,525
8Novant Health Inc2085 Frntis Plz Blvd, Winston Salem, NC 27103-5614NC1984-08$1,221,454,160
9Sanford Health, Group ReturnPO BOX 5039, Sioux Falls, SD 57117-5039SD2001-03$1,040,242,737
10Cumberland County Hospital System Inc, Cape Fear Valley Medical CenterPO BOX 2000, Fayetteville, NC 28302-2000NC1969-02$1,023,560,960
11Partners Healthcare System Inc529 Main St Ste 310, Charlestown, MA 02129-1116MA2010-11$762,333,087
12Sutter Health2200 River Plaza Dr, Sacramento, CA 95833-4134CA1982-02$760,898,287
13Aurora Health Care IncPO BOX 341880, Milwaukee, WI 53234-1880WI2010-05$746,443,554
14Partners Healthcare System Inc, Massachusetts Gen Physicians Org529 Main St Ste 510, Charlestown, MA 02129-1116MA2010-11$621,576,734
15Community Health Network Of Connecticut Inc11 Fairfield Blvd, Wallingford, CT 06492-1828CT1998-02$598,895,538
16Summa Health System, Summa Akron City-St Thomas Hospital525 E Market St, Akron, OH 44304-1619OH2011-05$597,338,262
17Fall River Health Services1201 Highway 71 S, Hot Springs, SD 57747-8800SD1999-06$13,149,004
18Good Samaritan-Sanford Community Health Services4800 W 57th St, Sioux Falls, SD 57108-2239SD1999-03$2,790,401
19Sanford, Sanford ClinicPO BOX 5039, Sioux Falls, SD 57117-5039SD2011-04$0
20Sanford, Sanford Usd Medical CenterPO BOX 5039, Sioux Falls, SD 57117-5039SD2011-04$0
Number of organizations performing similar types of work
Alabama5
Arkansas4
California24
Colorado9
Connecticut5
District of Columbia1
Delaware2
Florida10
Georgia21
Hawaii9
Iowa1
Idaho5
Illinois20
Indiana6
Kansas8
Kentucky7
Louisiana4
Massachusetts62
Maryland4
Maine4
Michigan15
Minnesota16
Missouri12
Mississippi3
Montana3
North Carolina22
North Dakota14
Nebraska4
New Hampshire3
New Jersey32
New Mexico2
New York27
Ohio23
Oklahoma6
Oregon4
Pennsylvania37
Rhode Island4
South Carolina2
South Dakota9
Tennessee3
Texas46
Utah2
Virginia32
Vermont2
Washington6
Wisconsin9
West Virginia8
Wyoming1
International1
Total559
All affiliated organizations
AffiliationNameAddressStateEstablishedTotal Income
CentralSanford, Sanford HealthPO BOX 5039, Sioux Falls, SD 57117-5039SD2001-03$74,149,181
SubordinateSanford Health, Group ReturnPO BOX 5039, Sioux Falls, SD 57117-5039SD2001-03$1,040,242,737
Number of affiliated organizations
South Dakota2
Total2

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