savaseniorcare llc subsidiaries
5 of 9 [* For more information about limitations and exceptions, see the plan or policy document at www.BASHealth.com .] Williams v. Renal Care Grp., Inc., 696 F.3d 518, 532 (6th Cir. Dec. 6, 2007). In fiscal year 2006, Sava billed Medicare at the Ultra High level for 21 percent of all rehabilitation days. His claim for retaliation was severed and stayed pending arbitration (Docket No. That is, even though individual facilities had their own bank accounts, all payments received for Medicare services provided at Sava SNFs were placed into a "single 'concentration' account maintained by the company." These categories are shown in the table below. Thompson v. Columbia/HCA Healthcare Corp., 125 F.3d 899, 903 (5th Cir. To comply with Rule 9(b), "a plaintiff, at a minimum, must 'allege the time, place, and content of the alleged misrepresentation on which he or she relied; the fraudulent scheme; the fraudulent intent of the defendants; and the injury resulting from the fraud.'" rel. 2012). Defendants' professed concern about imposing "crippling FCA liability for services consistent with Medicare's HPL mandate . GRANTING SAVASENIORCARE, LLC AND CAMBRIDGE SOUTH, INC.'S MOTION TO DISMISS. 2005) (stating that "liability under the FCA must be predicated on an objectively verifiable fact," but also stating the court was "not prepared to conclude that in all instances, merely because the verification of a fact relies upon clinical medical judgments . D. Defendants' Motions to Dismiss Relators' Complaints (Docket Nos. 2. Ky. Mar. Id. 2016) (quoting Chesbrough, 655 F.3d at 470-71). 3730(c)(1). Further, the specific allegations regarding each of the five patients suggest why the billings were allegedly false and at least render plausible the Government's overriding allegations that Defendants billed for therapy that was excessive or unnecessary, and pushed the use of modalities that were unnecessary, and billed for unreasonable or unnecessary group therapy. "To plead fraud with particularity, the plaintiff must allege (1) 'the time, place, and content of the alleged misrepresentation,' (2) 'the fraudulent scheme,' (3) the defendant's fraudulent intent, and (4) the resulting injury." SavaSeniorCare is a registered trademark of SavaSeniorCare Administrative Services LLC. Defendants correctly observe that "[g]ranting a motion to dismiss after the Government files a complaint in intervention is unusual." The four Defendants have filed three separate Motion to Dismiss the Consolidated Complaint, and all Defendants have collectively filed a Motion to Dismiss the Complaints of Plaintiffs Haywood and Kukoyi. There are nine unique roles that are reported on: The data is based upon records submitted to CMS by the individual nursing homes. 16-CV-0840. CMS recently announced that they will be releasing more information on the owners of nursing homes (See new release.). Sava knew the financial benefits of increasing its Ultra High billings. SAS also contends the Government's argument with respect to Patient B "rests on the legal fallacy that Patient B was not entitled to therapy to maximize her abilities" by climbing 16 steps, and that the mere fact that Patient C "was using a rolling walker does not mean or even imply that additional physical therapy is unreasonable or necessary." SavaSeniorCare Administrative Services LLC 2 anos 9 meses Chief Integrity Officer Executive Vice President Ethics, Compliance and Employee Development jan. de 2019 - dez. "Census," or the number of inpatients, was a "wildly important goal," and this meant "not just getting the patients in the door," but "keeping them in there with extended lengths of stay." SavaSeniorCare has a diverse payor mix that includes Medicare and Medicaid, commercial insurance, and private pay. To log in your SAVASENIORCARE ADMINISTRATIVE SERVICES, LLC 401k account, go to Fidelity Investments website and enter you username and password. Corp., 2015 WL 5916871, at *11 (N.D. Ill. Oct. 8, 2015) (granting summary judgment where "[a] jury could not find that [defendant] made an objective falsehood"); United States ex rel. Various strategies were employed to meet the RU and Medicare Part A daily rate budgets, including setting RU as the "default" RUG level for newly-admitted patients, and instructing SNFs to aim for an RU if the patient could "tolerate" 720 minutes of therapy each week. Because it is a public document, the Consolidated Complaint identified the Patients simply as "A" through "E". Particularity of Specific False Claims. Conner v. Salina Reg'l Health Ctr., Inc., 543 F.3d 1211, 1220 (10th Cir. UniPro Foodservice Inc.^2500 Cumberland Parkway, Suite 600 Atlanta, Ga. 30339 (770) 952-0871 www . The daily reimbursement rate from Medicare for skilled nursing services and rehabilitation care varies based on the anticipated nursing and rehabilitation needs of the beneficiary. The staff at each of the client centers strives to provide care that encourages the health and happiness of their residents and patients. (DOCKET TEXT SUMMARY ONLY-ATTORNEYS MUST OPEN THE PDF AND READ THE ORDER.) It also considers the extent to which the patient needs "extensive services," such as intravenous treatment, a ventilator, tracheotomy, or suctioning. . SavaSeniorCare Administrative. Thus, it does not appear that the Government is taking directly contrary positions. The MDS itself requires a certification by the provider that states, in part: Sava is "organized in a pyramidal corporate structure." It is true that "[w]hat constitutes 'reasonable and necessary' services is not defined in the statute." Therapists were instructed to allocate the time for group (involving two to four patients) and concurrent (involving two residents) therapy exercises so as to maximize RU billings, even though the group and concurrent exercises often did not relate to a patient's plan of care or include activities in which he or she could have reasonably been expected to participate. Oct. 23, 2013) (citation omitted) (stating that to "successfully state a claim, the plaintiff must show that the defendant knew the treatment was unnecessary"). Average Wholesale Price Litigation, 2007 WL 4287572 (D. Mass. Finally, SAS argues that the Complaint fails to allege an objectively false claim because the purported falsities are based on no more than clinical disagreements. One facility even used a form explicitly requiring therapists not to write discharge orders without first obtaining approval from an RPM and/or RDR, and explicit length of stay goals were imposed by Sava on some facilities. This includes not only the sufficiency of the allegations under Rules 8 and 9, but also Defendants' objection to the grouping into a monolith. Michaels Bldg. Table below shows each skilled nursing home that SAVASENIORCARE LLC is associated with, the nursing home's overall 5-star quality rating and provides a link to a comparison on the home to its local competition. Snapp, 532 F.3d at 504. It depends, in part, on the Resource Utilization Group ("RUG") to which a patient is assigned, and, in part, on the patient's ability to perform certain Activities of Daily Living ("ADL"). 411.15k (disallowing payment for certain types of services, test, and examinations that are not "reasonable and necessary"). 31, 2015). Of course, most of what follows are mere allegations at this point and nothing more. Dresser v. Qualium Corp., 2016 WL 3880763, at *10 (N.D. Cal. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Martin v. Live Care Centers of America, Inc., 1:8-cv-00251, Docket No. (Id. Also Known As SavaSeniorCare Legal Name Savaseniorcare Administrative Services, LLC. These are found in 42 U.S.C. 31 U.S.C. NursingHomeDatabase offers data exports as Excel spreadsheets or APIs for companies or individuals that need ownership information for more than one facility. Skilled nursing homes with the red icon () are homes where CMS had indicated that abuse has actually occurred or is likely to have occurred. . at 11-12). Facilities were told the budgets were not optional, notwithstanding opinions by corporate managers and facility RPMs that a given budget was unattainable. See,, Full title:UNITED STATES OF AMERICA ex rel. With regard to the former, the parties have entered into a Joint Stipulation, the upshot of which is that the motion as to Hayward should be denied as moot given certain concessions by her. Under this approach "expressions of opinion, scientific judgments, or statements as to conclusions about which reasonable minds may differ cannot be false," Roby, 100 F. Supp. Life Care moved to dismiss, arguing, among other things, that the Complaint was insufficient because it failed "to plead 'the requisite elements of a false claim,'" and, more specifically, "fail[ed] to allege an 'objectively false' claim." "Furthermore," SeniorCare argues, "the Government's Complaint fails to satisfy Rule 9(b)'s heightened pleading requirements because it indiscriminately groups all of the individual defendants into one wrongdoing monolith." at 14. She also claims that other staff members were likewise instructed to supplement patient charts by adding fictitious conditions in order to keep Medicare reimbursements up, and to fill out documents in such a way that the highest reimbursement rates would apply. Defendant SavaSeniorCare, LLC is a foreign limited liability company with its principal place of business at One Ravina Drive, Suite 1500, Atlanta, Georgia 30346. Second, "a relator need not plead 'every specific instance of fraud where [her] allegations encompass many allegedly false claims over a substantial period of time.'" There are five RUG levels: Rehabilitation Ultra High ("RU"); Rehabilitation Very High ("RV"); Rehabilitation High ("RH"); Rehabilitation Medium ("RM"); and Rehabilitation Low ("RL"). While the plan of care indicated group therapy as a treatment approach, the weekly physical and occupational therapy progress notes did not support his participation in group therapy as recorded by Sava. There is often a lag time between the reporting of a change and its appearance in our database. 2d 1008, 1017 (D. Ariz. 2011) (finding FCA claim insufficiently pled where plaintiff did "not plead facts showing why the procedures performed on Patient B were unnecessary"); United States v. Caris Life Scis., Inc., 2013 WL 11579021, at *3 (N.D. Tex. Characterizing the requirement that a patient receive such care as the "HPL Mandate," SAS insists that the Government's failure to acknowledge - let alone consider - this requirement is fatal to the Consolidated Complaint. C. SSC Submaster Holding's ("Submaster's") Motion to Dismiss (Docket No. The pleading standards relating to FCA claims are clear, the Consolidated Complaint succeeds or fails on its own terms, and the parties have thoroughly argued their positions. About us. When the reimbursements for concurrent and group therapy were reduced, the amount of such therapy that Sava provided to its Medicare patients "plummeted." v. BellSouth Telecommunications, LLC, 154 F. Supp. Manage Settings chill[ing] the provision of services and depriv[ing] Medicare beneficiaries of their statutory right to therapy" is, therefore, premature. United States v. Popov, 742 F.3d 911, 912-13 (9th Cir. Thus, "[w]hile FCA liability must be based on an objectively verifiable fact . The Court is unpersuaded by any of these arguments. Our Mission is to enhance and inspire the lives of all we serve: our team members, our patients, our residents and our families. Facilities were also ranked - those that performed well were applauded, while those that did not were singled out and "publicly shame[d] . Nevertheless, it does not automatically follow that the intervened claims must be dismissed. Roby v. Boeing Co., 100 F. Supp. First, under Rule 12(b)(6), "all well-pleaded material allegations of the pleadings" are accepted as true, and those allegations must "be sufficient to give notice to the defendant as to what claims are alleged, and . savaseniorcare administrative services llc. United States ex rel. The Motion to Dismiss Relator Kukoyi's Complaint will be denied because the Court has not been persuaded that it fails to state a claim on which relief can be granted, or that the allegations of fraud are insufficiently pled. Follow Bloomberg reporters as they uncover some of the biggest financial crimes of the modern era. [4] [5] Two or more subsidiaries that either belong to the same parent company or having a same management being substantially controlled by same entity/group . United States ex rel. . (Id. 126). Subsidiary. 2003) (finding FCA claim sufficiently plead even though plaintiff could not provide patient names or exact dates on which allegedly false claims were submitted); United States ex rel. 147 at 9). 147 at 3). Tenn. 2016) (stating in context of motion for summary judgment that "alleged false claim must contain an 'objective falsehood' that the Defendant knew was false"); United States v. Northrop Grumman Sys. As the Court understands the record then, Relator Kukoyi's claims on which the Government intervened remain pending, along with other Medicare, Medicaid and state law claims. Defendants seek dismissal of the state law claims for the same reasons advance with respect to the FCA claims because the same heightened pleading standards apply to both sets of claims. Beginning in 2008, if not earlier, Sava's finance department set top-level goals - "budgets" - for the Company, that, in turn, trickled down to rehabilitation-specific goals at the divisional, regional and facility level. Landis v. Hospice Care of Kansas, LLC, 2010 WL 5067614, at *4 (D. Kan. Dec. 7, 2010); see, United States ex rel. Sanderson v. HCA-The HealthCare Co., 447 F.3d 873, 876 (6th Cir. See e.g., United States ex rel. Relator Scott voluntarily dismissed Counts III and V of his First Amended Complaint and all other non-intervened allegations (Docket No. Second, "[i]n this Circuit, there is '[a] clear and unequivocal requirement that a relator allege specific false claims' when pleading a violation of the FCA," United States ex rel. The chain has its headquarters in Atlanta. SAVASENIORCARE ADMINISTRATIVE SERVICES, LLC's 401k plan is with Fidelity Investments with a total asset size of $116,985,470 as of 2019. 3:11-00821 (M.D. United States v. Iasis Healthcare Corp., 392 F. App'x 535, 537 (9th Cir. Subsidiaries of Dell Technologies, Inc that have published their own privacy and security statements: 3401 Hillview LLC United States A.W.S. 112 at 3, emphasis in original). Bledsoe v. Cmty. into improving their performance." Sava Senior Care Assistant Director of Nursing Job Description Glassdoor.com Nursing Therapist View All Jobs Sava Senior Care Careers and Employment in US Posted: (6 days ago) Webon January 31, 2023. See, United States ex rel. Ohio Apr. Third, the Sixth Circuit continues to "'leave open' the possibility that Rule 9(b)'s requirements may be relaxed in situations in which the plaintiff 'has pled facts which support a strong inference that a claim was submitted,' either on the basis of 'personal knowledge' or otherwise." This pressure "was top-down, nationwide, and exerted by both rehabilitation and operations corporate-level employees." Each facility also had at least one MDS coordinator (usually a registered nurse) who was ostensibly responsible for collecting all of the information needed for the MDS and determining the assessment reference date. SavaSeniorCare LLC - Company Profile and News - Bloomberg Markets Bloomberg Terminal Demo Request Bloomberg Connecting decision makers to a dynamic network of information, people and ideas,. And, because the Government's Complaint is controlling, Defendants' arguments as to the sufficiency of the intervened claims are moot. 3:15-01102. Some specific SNFs were even more successful. Who is SavaSeniorCare Administrative Services Headquarters 1 Ravinia Dr Ste 1500, Atlanta, Georgia, 30346, United States Phone Number (770) 829-5100 Website www.savaseniorcare.com Revenue $1.6B Industry Hospitals & Clinics Healthcare SavaSeniorCare Administrative Services's Social Media Is this data correct? (Docket No. United States ex rel. Parent companies (also known as holding companies or umbrella companies) are usually formed as corporations. (CC 115). Sheldon v. Kettering Health Network, 816 F.3d 399, 411 (6th Cir. SNAPP, Inc. v. Ford Motor Co., 532 F.3d 496, 503 (6th Cir. It goes on to assert that "the objective-falsity principle is of profound significance in the Medicare context, where individuals providing health care must exercise clinical judgment on a daily basis." Fed. 31, 2015). 9, 2013) (citing Bledsoe, 501 F.3d at 509). One therapy discipline must be provided at least 5 days/week, 1. Thus, each of the SNFs was given set goals that were based on meeting pre-determined RU levels and Medicare Part A daily rates. First, "[t]he purpose undergirding the particularity requirement of Rule 9(b) is to provide a defendant fair notice of the substance of a plaintiff's claim in order that the defendant may prepare a responsive pleading." (Docket No. SavaSeniorCare is a registered trademark of SavaSeniorCare Administrative Services LLC. . Common to the Motions to Dismiss is that the allegations fail to state a claim and, more specifically, that the alleged false statements are insufficiently plead. However. 42 C.F.R. He received physical and occupational therapy. (Id.). UNITED STATES OF AMERICA ex rel. savaseniorcare administrative services llc. Defendants continue: "Taking as true Kuyoki's allegations, these allegations are entirely consistent with legal conduct." To connect with SavaSeniorCare Administrative Services LLC's employee register on Signalhire Email & Phone Finder >> Companies directory >> These arguments as well as the others raised by SAS may be accepted by the factfinder, but the question now is not whether the Government is ultimately correct in its assertions. United States ex rel. 2014). Johnson International and SavaSeniorCare LLC qualify for this list but did not reply. Internally-created metrics were used to monitor the Company's performance in billing Medicare for the highest-reimbursing RUG codes. Morton v. A Plus Benefits, Inc., 139 F. App'x 980, 983 (10th Cir. 115). (CC 81, 82). Savaseniorcare Administrative Services Llc is a company located in Sandy Springs, Georgia, United States. The company was . . 3:15-00404), and Trammell Kukoyi (Case No. RITA HAYWARD, TRAMMELL KUKOYI, and, Court:UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION, No. (CC 54). And that is what the Government was required to plead. SNFs are required to report on the MDS the number of minutes of skilled rehabilitation therapy the facility provided to a patient during the look-back period as well as the type(s) of therapy provided. Savaseniorcare Administrative Services Llc Website savacareers.com Industry Hospitals and Health Care Number of employees 10001+ Description N/A Read about Savaseniorcare Administrative Services Llc Co-workers Rita Vann Vice President - Quality and Customer Experience Email Phone Colton Allen Vice President of Operations Email Phone Julie Purcell Instead, the Court provides specific citations only for the material appearing in quotation marks. UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION. SAS argues that, notwithstanding a four year investigation, examination of over 150,000 documents and emails, and the taking of multiple depositions, the Government's FCA allegations fail for three independent reasons: the Consolidated Complaint fails to (1) allege a violation of the governing legal standard; (2) plead with particularity examples of actual false claims; and/or (3) allege an objectively false claim. As for the non-intervened FCA claims, Defendants spend 5 pages attacking the 150-page, 568 paragraph First Amended Complaint. However, the Court does not read any of those cases as suggesting that anything beyond "reasonable and necessary" must be pled in a FCA case alleging improper submissions to Medicare. Lists Featuring This Company Edit Lists Featuring This Company Section (Id. This is what both the statutes and regulations say in relation to paying claims. Fill out this form, and we'll contact you soon. Nevertheless "[a] complaint sufficiently pleads the time, place, and content of the alleged misrepresentation so long as it 'ensure[s] that [the] defendant possesses sufficient information to respond to an allegation of fraud; providing the defendant with sufficient information to respond is Rule 9's 'overarching purpose.'" The consent submitted will only be used for data processing originating from this website. Health Sys., Inc., 501 F.3d 493, 504 (6th Cir. Aside from alleging that SeniorCare "sits atop the corporate structure," and, through its subsidiary owned and managed the 185 or so SNFs at issue in this case, the Consolidated Complaint also alleges that Medicare payments were swept into one centralized account and there was a complex and changing structure with certain high-level employees moving among the subsidiaries. Even though the Court in many instances draws heavily on the exact language in the Consolidated Complaint, it serves no useful purpose to provide repeated citations to that document. Meyer v. Kempf Surgical Appliances, Inc., 2013 WL 1438025, at *3 (S.D. Leaving aside for the moment the specific allegations regarding each of the five patients discussed in the body of the Consolidated Complaint, that document attaches and incorporates by reference a chart that list twenty alleged false claims: four each for Patients A, B, and D; five for Patient C; and three for Patient E. Each of the claims are identified by patient, the Sava facility where the services were performed, the Medicare Claim number, the dates of service, the date when the claim was received, and the date the claim was paid. Hill v. Morehouse Med. WASHINGTON - SavaSeniorCare LLC and related entities (Sava), based in Georgia, have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that Sava violated the False Claims Act by causing its skilled nursing facilities (SNFs) to bill the Medicare program for rehabilitation therapy Signed by Chief Judge Kevin H. Sharp on 9/27/2016. SAS argues similarly that the allegation that Patient D's medical record did not support the amount of E-stim he received ignores the fact that "there is no statute or regulation that limits Medicare coverage to E-stim to any percentage of total therapy minutes." at 3). For example, if a patient is assessed on day 14 of his stay, and received 720 minutes of therapy during days 7 through 14 of the stay, then the facility is paid for the patient at the Ultra High RUG level for days 15 through 30 of the patient's stay. Defendants claim that "[d]ismissal is appropriate because, even as to the one SNF where she was employed, Kukoyi fails to plead with particularity 'the who, what, when, where, and how of the alleged fraud.'" Tenn. Nov. 28, 2012), the Court finds the allegation sufficient as to all these elements. (Docket No. Plaintiffs Harriett Kellum and Kelly McGuire filed the present action in Oakland County Circuit Court, alleging a violation of the Michigan Whistleblower's Protection Act and Public Policy. 2014) (citation omitted); see Detroit Receiving Hosp. Ohio Jan. 15, 2015) (collecting cases). 2003). ADL scores of A, B, C, L, or X are assigned to each patient. SavaSeniorCare Administrative Services, LLC (trading name, 2015-02-24 - 2021-01-04) SavaSeniorCare Administrative and Consulting, LLC (trading name, 2021-01-04 - ) Agent Name C T Corporation System Agent Address 1999 Bryan St., Ste. Simply put, the Court will not dismiss Kukoyi's First Amended Complaint merely because the Government has intervened. The entity's status is Active now. These include emails between and among a wide variety of employees, including SVP Hallissey, DVPs, RDRs, RPMs, administrators and other managers. It argues: In addition to the reasons advanced by SAS, Defendant SeniorCare moves to dismiss on the grounds that it is barely mentioned in the Consolidated Complaint and "[f]ew averments directly referenc[e] any actions allegedly taken by, or attributable to" SeniorCare. The national nursing home chain has nearly 200 facilities across the country across 22 states. There may be an even more fundamental problem with SAS's argument. Sava Senior Care, Inc. et al, No. 126 at 13). 1988)). Tony Oglesby "is at the top of Sava's corporate structure," serving as its CEO since 2005, and acquiring a majority ownership in Sava in October 2013. Id. 2011) (affirming summary judgment and indicating that "a statement may be deemed 'false' for purposes of the False Claims Act only if the statement represents an objective falsehood"); Hamilton Cnty. See United States ex. (Id. 904-332-3287 SAVA SENIOR CARE LLC (FORMERLY MARINER HEALTH CARE) DISCONTINUES SUPPLY RELATIONSHIP WITH PSS WORLD MEDICAL'S ELDER CARE BUSINESS Contract Loss Results In No Change To Company Financial GoalsFor Fiscal 2006 Of 20% Growth in Earnings Per Share From Continuing Operations In fact, according to SAS, the CMS has promulgated "a regulation stating that, with respect to treatment provided by SNFs, '[c]linical disagreement does not constitute a material and false statement.'" Contemporaneously with the filing of the Complaint, however, the Government provided Defendants with the actual identities of each of these patient. of St. Martinville, LLC, 2008 WL 2597943, at *1 (W.D. Bryant Walker SavaSeniorCare Administrative & Consulting, LLC +1 610-820-2239 bcwalker@savasc.com (citation omitted). 52). [Spanish (Espaol): Para obtener asistencia en Espaol, llame al 1-866-806-0195.] Zippia gives an in-depth look into the details of Senior Sava Care Llc, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Senior Sava Care Llc. Given the scope of Defendants' request (dismissal of all claims), the brevity and wide sweep of their arguments, and their failure to acknowledge certain allegations, the Court finds it unnecessary to go any further, other than to make three general observations. 2012)). The Government elected to intervene, the cases were consolidated into Case No. Completion of the MDS is a prerequisite to payment under Medicare. 126 at 6). SAS then presents a 10-page chart that, in one column sets forth the allegations for each of the 5 specific patients and, in the next column, dissects those allegations (sometimes line by line) in an effort to show why they do not state a claim. Tenn. Sep. 27, 2016). Constant pressure was placed on both regional and facility-level employees to make their ever-increasing budgets. SAVASENIORCARE LLC is associated with 17 skilled nursing facilities in the NursingHomeDatabase skilled nursing home owner and operators database. Our Mission is to enhance and inspire the lives of all we serve: our team members, our patients, our residents and our families. . SavaSeniorCare LLC and related entities (Sava), based in Georgia, have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that Sava violated the False Claims Act by causing its skilled nursing facilities (SNFs) to bill the Medicare program for rehabilitation therapy services that were not reasonable, necessary or skilled, and . Care that encourages the Health and happiness of their residents and Patients actual identities of each of the MDS a... Encourages the Health and happiness of their legitimate business interest without asking for consent TENNESSEE. Other non-intervened allegations ( Docket No Excel spreadsheets or APIs for companies umbrella. Files a Complaint in intervention is unusual. automatically follow that the intervened claims must be based on pre-determined. 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