Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ASIAN ASSOCIATION OF UTAH |
870333555 | 7 | No | 300,000 | 0 | |
| (B)
ASSOCIATION FOR UTAH COMMUNITY HEALTH |
870430946 | 7 | No | 584,000 | 0 | |
| (C)
BIG BROTHERS BIG SISTERS OF UTAH |
870336168 | 7 | No | 41,895 | 0 | |
| (D)
BOYS & GIRLS CLUBS OF GREATER SALT LAKE |
870304654 | 7 | No | 29,310 | 0 | |
| (E)
BOYS & GIRLS CLUBS OF UTAH COUNTY INC |
870293260 | 7 | No | 225,000 | 0 | |
| (F)
BOYS & GIRLS CLUBS OF WEBER-DAVIS |
870660689 | 7 | No | 119,210 | 0 | |
| (G)
CACHE REFUGEE AND IMMIGRANT CONNECTION |
471525678 | 7 | No | 50,000 | 0 | |
| (H)
CENTRAL UTAH HEALTH DEPARTMENT |
870629869 | 6 | No | 252,900 | 0 | |
| (I)
CENTRO HISPANO |
870676172 | 7 | No | 193,800 | 0 | |
| (J)
CITIZENS AGAINST PHYSICAL AND SEXUAL ABUSE |
870413330 | 7 | No | 289,500 | 0 | |
| (K)
COMMUNITY HEALTH CENTERS INC |
742412898 | 7 | No | 1,280,000 | 0 | |
| (L)
COMMUNITY NURSING SERVICES |
870212459 | 3 | No | 44,700 | 0 | |
| (M)
DOVE CENTER INC |
870529095 | 7 | No | 254,291 | 0 | |
| (N)
EYE CARE FOR KIDS |
870675404 | 10 | No | 46,300 | 0 | |
| (O)
FAMILY HEALTH SERVICES CORPORATION |
820371093 | 10 | No | 46,800 | 0 | |
| (P)
FIT TO RECOVER INC |
470998466 | 10 | No | 38,676 | 0 | |
| (Q)
FRIENDS FOR SIGHT |
876126811 | 10 | No | 36,600 | 0 | |
| (R)
GET HEALTHY UTAH |
821612963 | 7 | No | 17,450 | 0 | |
| (S)
GUADALUPE CENTER EDUCATIONAL PROGRAMS INC |
870299521 | 7 | No | 288,300 | 0 | |
| (T)
HOUSE OF HOPE |
870255206 | 7 | No | 17,320 | 0 | |
| (U)
IHC HEALTH SERVICES INC |
942854057 | 3 | Yes | 1,541,000 | 0 | |
| (V)
JEWISH FAMILY SERVICE |
870227089 | 7 | No | 48,050 | 0 | |
| (W)
LATINO BEHAVIORAL HEALTH SERVICES |
465038499 | 10 | No | 291,300 | 0 | |
| (X)
MIDTOWN COMMUNITY HEALTH CENTER INC |
870540039 | 7 | No | 385,000 | 0 | |
| (Y)
MOUNTAINLANDS COMMUNITY HEALTH CENTER |
870515716 | 7 | No | 600,000 | 0 | |
| (Z)
NEIGHBORHOOD HOUSE ASSOCIATION |
870212462 | 7 | No | 48,650 | 0 | |
| (AA)
NORTH SANPETE SCHOOL DISTRICT |
876000513 | 6 | No | 44,718 | 0 | |
| (AB)
PROJECT CONNECTION |
831948572 | 10 | No | 42,850 | 0 | |
| (AC)
SAFE HARBOR CRISIS CENTER |
870516562 | 7 | No | 46,250 | 0 | |
| (AD)
SALT LAKE COUNTY YOUTH SERVICES |
876000316 | 6 | No | 37,280 | 0 | |
| (AE)
SALT LAKE DONATED DENTAL SERVICES |
870482710 | 10 | No | 33,600 | 0 | |
| (AF)
SOUTH VALLEY SANCTUARY INC |
870543219 | 7 | No | 45,250 | 0 | |
| (AG)
SOUTHWEST UTAH COMMUNITY HEALTH CENTER |
352163112 | 10 | No | 275,000 | 0 | |
| (AH)
SUCCESS IN EDUCATION FOUNDATION |
453567196 | 7 | No | 50,000 | 0 | |
| (AI)
THE CENTER FOR EQUITY OPPORTUNITY AND BELONGING |
922067566 | 10 | No | 50,000 | 0 | |
| (AJ)
THE FAMILY PLACE UTAH |
870398053 | 7 | No | 47,800 | 0 | |
| (AK)
THE LEARNING CENTER FOR FAMILIES |
870525653 | 7 | No | 30,000 | 0 | |
| (AL)
THE SHARING PLACE |
870514353 | 7 | No | 141,900 | 0 | |
| (AM)
TRAUMA-INFORMED UTAH |
863369536 | 7 | No | 89,312 | 0 | |
| (AN)
UNITED WAY OF CENTRAL AND SOUTHERN UTAH |
942851681 | 7 | No | 45,800 | 0 | |
| (AO)
UTAH AIDS FOUNDATION |
870455172 | 7 | No | 48,272 | 0 | |
| (AP)
UTAH HEALTH & HUMAN RIGHTS PROJECT |
203901845 | 7 | No | 45,000 | 0 | |
| (AQ)
UTAH HEALTH POLICY PROJECT |
870684606 | 7 | No | 47,950 | 0 | |
| (AR)
UTAH PARTNERS FOR HEALTH |
270021804 | 10 | No | 316,400 | 0 | |
| (AS)
UTAH STATE UNIVERSITY |
876000528 | 6 | No | 30,000 | 0 | |
| (AT)
VALLEY MENTAL HEALTH INCORPORATED |
942938348 | 7 | No | 147,500 | 0 | |
| (AU)
VOLUNTEERS OF AMERICA UTAH |
943008720 | 7 | No | 125,000 | 0 | |
| (AV)
WASATCH HOMELESS HEALTH CARE |
870569356 | 7 | No | 247,850 | 0 | |
| (AW)
WAYNE COMMUNITY HEALTH CENTER INC |
870342259 | 3 | No | 44,300 | 0 | |
| (AX)
WEBER SCHOOL DISTRICT |
876000534 | 6 | No | 5,000,000 | 0 | |
| (AY)
WEBER STATE UNIVERSITY |
876000535 | 6 | No | 129,900 | 0 | |
| (AZ)
YMCA OF NORTHERN UTAH |
870212472 | 10 | No | 50,000 | 0 | |
|
Total 52
|
14,281,984 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1: | SUPPORTED ORGANIZATIONS OF THE FILING ENTITY ARE DESIGNATED BY CLASS IN ACCORDANCE WITH ITS ARTICLES OF INCORPORATION. THE ARTICLES STATE THAT THE PURPOSE OF THE ORGANIZATION IS CONDUCTING OR SUPPORTING ACTIVITIES FOR THE BENEFIT OF OR TO CARRY OUT THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF IHC HEALTH SERVICES, INC. ONE OF THE SUPPORTED ORGANIZATIONS, IHC HEALTH SERVICES, INC., IS RELATED TO THE FILING ORGANIZATION (SEE SCHEDULE R) AND HAS HAD AN ONGOING AND HISTORIC RELATIONSHIP SINCE THE FILING ENTITY WAS ORGANIZED IN 1983. |
| FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 2: | DETERMINATIONS OF 509(A)(1) OR (2) WERE BASED ON REPRESENTATIONS MADE BY THE RECIPIENT ENTITIES ON THEIR MOST RECENTLY FILED FORMS 990. |
| FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A: | AS PART OF A FORMAL GRANT APPLICATION AND REVIEW PROCESS, SEVERAL ENTITIES WERE ADDED TO/DELETED FROM THE LIST OF THE SUPPORTED ORGANIZATIONS REPORTED ON THE PRIOR YEAR RETURN. SINCE ALL OF THE NEWLY ADDED ORGANIZATIONS ARE PART OF THE CHARITABLE CLASS AS IT IS DESCRIBED IN THE ARTICLES OF INCORPORATION, THEY ARE NOT LISTED INDIVIDUALLY HERE. DETAILS REGARDING EACH RECIPIENT ENTITY, INCLUDING THE NAME AND ADDRESS OF THE ORGANIZATION, THE AMOUNT GRANTED, AND THE BOARD-APPROVED PURPOSE OF THE GRANT, ARE REPORTED ON SCHEDULE I OF THIS RETURN. BY FORMAL RESOLUTION, THE GOVERNING BODY APPROVED THE GRANTS UNDER THE AUTHORITY OF AND IN FURTHERANCE OF THE FILING ORGANIZATION'S PURPOSE AS STATED IN THE ARTICLES OF INCORPORATION. |
| FORM 990, SCHEDULE A, PART IV, SECTION C, LINE 1: | TWO OF THE FILING ORGANIZATION'S ELEVEN BOARD MEMBERS THAT SERVED DURING THE YEAR, ARE ALSO ON THE BOARD OF IHC HEALTH SERVICES, INC., WHICH IS AMONG THE LARGEST OF THE FILING ORGANIZATION'S SUPPORTED ORGANIZATIONS. TWO OF THE FIVE OFFICERS OF THE FILING ENTITY ARE EMPLOYEES OF THIS SUPPORTED ORGANIZATION. ADDITIONALLY, THE FILING ORGANIZATION IS HOUSED IN THE SUPPORTED ORGANIZATION'S FACILITIES, STAFFED BY ITS EMPLOYEES, AND WOULD HAVE LITTLE ABILITY TO OPERATE INDEPENDENTLY. |
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| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1: | THE MISSION OF INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. IS TO IMPROVE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME, UNINSURED OR MEDICALLY UNDERREPRESENTED POPULATIONS IN UTAH AND SOUTHERN IDAHO THROUGH IDENTIFYING AND SUPPORTING EXISTING HEALTHCARE PROGRAMS THAT PROVIDE DIRECT MEDICAL, DENTAL AND MENTAL HEALTHCARE TO THESE POPULATIONS. THE INTERMOUNTAIN COMMUNITY CARE FOUNDATION ALSO SUPPORTS ACCESS TO HEALTHCARE SERVICES AND PROGRAMS THAT IMPROVE THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING EDUCATION. |
| FORM 990, PART VI, SECTION A, LINE 2 | ROBERT W. ALLEN / MEGAN MAHNCKE / GREG J. MATIS / COLIN QUINCY - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN RELATED TAX-EXEMPT ORGANIZATIONS) ROBERT W. ALLEN / DENEECE G. HUFTALIN- BUSINESS RELATIONSHIP (TRUSTEES OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | PURSUANT TO THE APPROVED BYLAWS, THE FILING ORGANIZATION'S TRUSTEES ARE ELECTED BY THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE GOVERNING BOARD REVIEWED THE FORM 990 DURING ITS ANNUAL MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER, DIRECTOR, AND TRUSTEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY IHC HEALTH SERVICES, INC.'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT OF IHC HEALTH SERVICES, INC. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE OF THE INDIVIDUAL'S ROLE WITH THE FILING ORGANIZATION OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. |
| FORM 990, PART VI, SECTION B, LINE 15 | INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. DID NOT COMPENSATE ANY OFFICER, DIRECTOR, OR TRUSTEE. COMPENSATION AMOUNTS LISTED ON PART VII WERE PAID BY RELATED ORGANIZATIONS AND WERE DETERMINED IN ACCORDANCE WITH ESTABLISHED IRS GUIDELINES, INCLUDING REVIEWS AND APPROVALS BY INDEPENDENT PERSONS, USE OF COMPARABLE DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. |
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