who bought sava senior care

In a bid to boost employee pay and benefits, hire infection preventionists and invest more in doctors, technology and equipment, SavaSeniorCare on Tuesday announced it will be acting to get out of 48 skilled nursing and assisted living facilities it currently operates. As part of the deal, Genesis will receive $86 million from Welltower, which it will use to repay a portion of its debt obligations to Welltower, Genesis said. The latter category includes changes at the top level of ownership or management that do not substantially change the core owners of the facilities. We are grateful to the courageous whistleblowers who reported this egregious conduct., Nursing home residents should not be at the mercy of nursing home operators that put their own economic gain ahead of the needs of the residents, and we will continue to aggressively pursue those operators who bill Medicare and Medicaid for substandard care, said Acting U.S. Attorney Jennifer Arbittier Williams for the Eastern District of Pennsylvania. The chain has approximately 25,000 beds in its facilities. In part, this shift reflects broader structural changes rather than facilities outsourcing resident care. In Colorado, the company has multiple centers in Denver, Colorado Springs and Fort Collins, but also several homes in rural towns including Brush, Yuma, Montrose and Sterling. Its a great new facility and, since it takes Medicaid, is a great fit for the residents. We have nursing homes with severe financial concerns, and we have lots of nursing homes that owners are trying to sell, said Kim Bimestefer, director of the Department of Health Care Policy and Financing, which pays for most nursing home patients through Medicaid and keeps watch on the homes financial health. In addition to monitoring resident care through the pending transitions, Bimestefer said, the state department and ally agencies have boosted payments to nursing homes through federal and state stimulus. 200 Independence Avenue, SW In addition, having detailed ownership data could be a useful point of leverage if facilities in operation are unable to meet their regulatory obligations (e.g., hiring a temporary management company or paying financial sanctions). Termination from Medicare in Alabama Medicare took the drastic step of terminating a SavaSeniorCare Healthcare home from the program for drastic and repeated violations of federal nursing home regulations. Secure .gov websites use HTTPS Great place to work. - Director of Marketing, Winchester Lodge / Alvin, TX. February 1, 2005; 45(1):48-67. Layout of the Master Database. Management works together. Washington, DC: National Academy Press; 2001. Like a partnership, the LLC provides management flexibility and the benefits of pass-through taxation. Sava does not show up on the top 20 top-level owners in the OMT list in Table 1, since the controlling entity of these facilities is at the facility level. Here, the facility was accused of evicting residents without any prior notice and not helping transfer them to another home. Sava Senior Care has excellent senior management that will step in and help when needed. A report on nursing homes from the Medicare Payment Advisory Commission, which advises Congress on how to save money, said the average profit margin at nursing homes nationwide was less than 1% before the pandemic. This article contains new, firsthand information uncovered by its reporter(s). I enjoy working for Sava Senior Care and hopefully will continue to do so. Health inspections reports have detailed multiple failures in inpatient care, including the areas of investing and preventing abuse of the residents.While many homes are successfully sued for failure to prevent pressure ulcers and other similar deficiencies, the incidents that SavaSeniorCare has been sued for and have put it in the news seem to be even worse. Your use of this website constitutes acceptance of Haymarket MediasPrivacy PolicyandTerms & Conditions. The affected landlords will be working to find successor operators with local market expertise to take the facilities, which are located in California, Colorado, Illinois, Kansas, Michigan, Mississippi, New Mexico and Wyoming. Hillmer MP, Wodchis WP, Gill SS, Anderson GM, Rochon PA. Real Estate Data. 2023 SavaSeniorCare Administrative Services LLC | All Rights Reserved Site Map Notice of Privacy Practices J Health Politics, Policy and Law. Tenn.); United States ex rel. Although the trends identified in our data appear to be occurring in other states,11 the Texas nursing home market is distinct in important ways. Sava did not specify how many facilities to be transferred are SNFs and how many are ALFs. Though the lawsuit process was at times frustrating, Jonathan reassured me, particularly at my deposition. The chain has also faced multiple class-action suits and is a continuous recipient of negative publicity for shocking incidents at its nursing homes and violations of federal law. Genesis, based in Pennsylvania and operating in 24 states, has 10 Colorado care centers along the Front Range from Fort Collins to Pueblo, as well as one in Grand Junction. Attorneys Charlene Fullmer, David Degnan, and Gerald Sullivan of the Eastern District of Pennsylvania. Historically, much of the focus in this area has been on for-profit providers, which have played a prominent role in the nursing home sector for decades. These numbers generally sum to 100 percent at any given time, but due to errors in data accumulation and entry this is not always the case. Facility ownership refers specifically to ownership of the facilitys license to operate (e.g., as a provider in the Medicare and Medicaid programs). As both for-profit and not-for-profit companies may use these structures, we include an interaction term with for-profit status interacted with this variable. The Colorado Sun is a journalist-owned, award-winning news outlet based in Denver that strives to cover all of Colorado so that our state our community can better understand itself. More concerning than the planned transfers of 29 centers in Colorado, though, are the planned closures, state officials said. The data also include information about management companies used by operators (e.g., for staffing or payroll) as well as limited, cross-sectional information about property ownership, an emerging area of interest for policymakers. For the Facility Ownership (OMT Table 2), Facility Management (OMT Table 3) and Hierarchy (OMT Table 4) files, substantial data cleaning was necessary due to data entry errors. It is a medium facility with 101 . Figure 4 shows a trend toward the use of other companies in the management of facility operations. The drop in resident numbers is due to three reasons, including the death of residents from COVID-19. Scott v. SavaSeniorCare Administrative Services, LLC, 3:15-cv-0404 (M.D. and the potential influence of entities beyond the operator/facility itself (e.g., the real property owner) on care delivery. The Texas OMT system is a large database that summarizes the ownership and management details of health facilities in Texas over time, roughly from 2000 through 2007. On top of all that, many families who had been considering a nursing home for a loved one postponed those plans during the pandemic, Farmer said. Criminal Charges Filed in Georgia Hidden camera showed nursing homes aides laughing as a resident gasped for air and they were struggling with putting on his oxygen mask. We are working to find successor operators and will work closely with them to ensure a smooth transition, said Annaliese Impink, Savas vice president for compliance. Examine trends, challenges and opportunities facing clinical leaders in skilled nursing. In the wake of the New York Times article, the immediate attention of Congressional policymakers and other stakeholders centered on private equity investment in the nursing home sector, specifically focusing on its impact on the quality of resident care. American Senior Communities announced Andrew Shane as its new COO Friday, amid several changes to leadership this week. In connection with the settlement, Sava entered into a five-year chain-wide Corporate Integrity Agreement (CIA) with HHS-OIG that requires an independent review organization to annually review patient stays and associated paid claims by Medicare for those stays. The opinions and views expressed in this report are those of the authors. This settlement holds Sava accountable, and the resulting Corporate Integrity Agreement should ensure that Sava provides seniors with quality care and treats its residents with dignity and respect., Too many unscrupulous nursing homes operators seek maximum profit by routinely inflating bills while providing grossly substandard care, said Special Agent in Charge Derrick L. Jackson for the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). Type Codes -- Translates the controlling entity and entity type codes given in Table 4 and Table 6. The pay, in my opinion, is lower than other companies in my area. Team work is strong. The former is managed by the Texas Department of Health, while the latter falls under federal jurisdiction in the Centers for Medicare and Medicaid Services (CMS). A separate Texas dataset shows, for each facility, the owner of the brick-and-mortar facility and the land on which the facility is located, which often differed from the owner of the facilitys license itself (i.e., the licensee and the real estate owner were not always the same). Research by consumer advocates and labor union representatives found that staffing and quality decreased after private equity firms purchased nursing homes from national chains.4 In contrast, the Florida Agency for Health Care Administration reviewed the impact of similar transactions in the state of Florida and did not find a drop in quality following facilities purchase.5 Similarly, a review of these transactions nationally, conducted by this studys authors, did not find a negative impact of private equity purchase on nursing home quality of care.6 The same study emphasized that its findings presented an early snapshot only and that the long-term impact of these types of transactions could vary substantially depending on the organizational structures and capitalization of the resulting companies, the length of time the assets were held, and the exit strategies that were employed. Jury Verdict ($3.2 million) in Colorado The resident was a 41-year old quadriplegic. I dont think overall demand for long-term care is going to go away, Farmer said. Long Term Care Review: Florida Nursing Homes Regulation, Quality, Ownership, and Reimbursement. We attempted four separate merges (in decreasing order of priority) based on combinations of facility name, address and zip code: all three, just name and address, just address and zip, and just name and zip. Nursing homes submit facility, resident, and staffing information. Learn why. Another way of investigating changes in nursing home ownership and management is depicted in Figure 2 and Figure 3, which show the incidence of ownership and management changes by year, respectively. Sava is attempting to keep its 25 buildings, but find new operators. There was near complete merge success for these two datasets since both came from the OMT office. According to recent OSCAR data, for instance, Texas has a larger share of for-profit (83.7 percent vs. 66.9 percent) and chain nursing homes (64.5 percent vs. 53.6 percent) relative to the national average. Sava wants to downsize operations and focus on improving care at a smaller number of centers, including by increasing focus on infection prevention and investing in new equipment, she said. Not only have there been major changes in ownership structure and management, the degree of complexity has greatly increased as presented in Figure 7 and Figure 8. The transfers are expected to be completed by the end of 2021, according to the firm. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Ownership and Management Change. Receive industry updates and breaking news from SNN. This report was prepared under contract #HHSP23320084300EC between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Harvard Medical School. However, like many of the largest nursing home companies, they don't necessarily meet the needs of all of their patients. COVID-19 fears and extra costs did the latest damage, after years of families deciding to send their elderly relatives to lower-elevation homes, and expensive real estate driving out potential health care staff. Size: 5001 to 10000 Employees. Share sensitive information only on official, secure websites. The resident then died from complications of surgery to repair the broken ankle. The other top-level owner structures are for-profit corporations, not-for-profit corporations, and LPs. SavaSeniorCare plans to step away from all 25 of the senior care centers it operates in Colorado, while Genesis HealthCare is working to unload operation of four of its 10 facilities across the state. Therefore, each facility had a single real estate entity based on the most recent information. Importantly, federal datasets are not yet able to facilitate these tasks adequately. Another distinctive feature of the Texas nursing home market that has likely played a central role in spurring changes in nursing home ownership in recent years is the rise of nursing home litigation in the state. Available at http://aspe.hhs.gov/daltcp/reports/2006/NHdivest.htm. Two corporate operators are pulling back from the state, attempting to transfer a combined 29 nursing homes into new hands. Through the offloading, Sava plans to create a more nimble, regional organization committed to quality care by shrinking its geographic footprint and developing two divisions that will allow it to cluster facilities around geographic centers. However, these changes alone do not tell the whole story. Facility-Level or Chain-Level Information. About 40% of the 6,000 Coloradans who have died from COVID-19 were in nursing homes when they got the virus. Facility Management -- Details the various managing entities for each facility in the OMT database. The plaintiff claimed that the staff did not know how to treat his wounds or transfer him properly. Since 2000 the number of facilities that were self-managed has steadily decreased. In the context of the Texas OMT data, the complex structures that are used and the multiple layers of ownership possible for operations, management, and property investment imply that a simplistic, flat-file approach would likely not prove dynamic enough to meet the demands of the data. U.S. Office of the Inspector General. The highest rate of both real and nominal changes occurred in 2003. Four closings in 14 months are something we havent seen in the decade prior, Silva said. These data, available back in time, are collected when nursing home entities apply for licensure (at inception and every two years subsequently) and when ownership structures change. But, she added, the state does not yet know who is willing to take those on. As a sensitivity check, we also modeled these types separately in regressions that are not shown. Pa.). Even though Medicare IDs were provided in the OMT Facility Provider Numbers file (Table 1), this field alone contributed to a mere 50 percent merge rate. An official website of the United States government. Each deficiency is categorized into one of 17 areas and rated by scope and severity (on an ascending scale ranging from A to L in order of increasing severity). The bottom line is that these structural changes alone do not result in shifts in staffing, payer mix, or survey deficiencies. We have not yet disclosed transition centers as we are still in the process of communicating with patients, residents, families and staff, said Lori Mayer, a spokeswoman for Genesis. Equal Employment Opportunity Commission charged in a lawsuit filed today. Assistant Director of Nursing (Current Employee) - Glen Burnie, MD - November 5, 2017. sava senior care is good pace to work for salary is a little low but the work environment is okay. The lawsuit alleged that the nursing home management knew of the incidents for some time before it was reported and before the CMA was fired. The great majority have been able to move to the same single facility on the Front Range, and many of them were very happy to be able to stay with their fellow residents, Hall said. Welltower wants to transfer management of those properties to other long-term care facility operators. When attempting to wheel himself down a ramp, he wheeled over a curb. For additional information about this subject, you can visit the DALTCP home page at http://aspe.hhs.gov/_/office_specific/daltcp.cfm or contact the ASPE Project Officer, Susan Polniaszek, at HHS/ASPE/DALTCP, Room 424E, H.H. April 20, 2023 Washington, D.C. Testimony before the U.S. House Committee on Ways and Means by Charlene Harrington and Arvid Mueller. Greater investigation into these topics by researchers could help advance these objectives. Also, the only nursing home in Estes Park, run by the city health authority, is one of four home closures across the state that regulators say is troubling evidence of financial strain and potential patient disruption. SavaSeniorCare Skilled Nursing Facilities. As part of the deal, Genesis will receive $86 million from Welltower, which it will use to repay a portion of its debt obligations to Welltower, Genesis said. Indeed, a hierarchical, relational database--which Texas uses--seems necessary to capture this information sufficiently. Furthermore, we include the total percentage of the management and ownership that these entities control, and the number of levels deep that such control exists--from 1 to 7, as denoted in the Hierarchy description of the Data section. Tips and complaints from all sources about potential fraud, waste, abuse and mismanagement can be reported to the U.S. Department of Health and Human Services at 800-HHS-TIPS (800-447-8477). In recent years, the simple description of for-profit or not-for-profit has become less useful in describing nursing home ownership. These tables demonstrate the large amount of change within the top 20 companies in Texas between 2000 and 2007. Its an opportunity for us to work with the industry on transformation, she said. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services; 2006. Sava allegedly set these aggressive, prospective corporate targets for the highest Medicare reimbursement rates without regard for its patients actual clinical needs and then pressured its staff to meet those targets. The resident died from his injuries. In addition, its homes have received numerous fines resulting from federal inspections of the facilities. Similarly, if a corporate structure had five branching levels of ownership, each of these entities would have its own entry in the hierarchy table. A report on nursing homes from the Medicare Payment Advisory Commission, which advises Congress on how to save money, said the average profit margin at nursing homes nationwide was less than 1% before the pandemic. Each entry is specific to the controlling entity and the ownership stake. Based on our assessment, the State of Texas and a few other states (e.g., New Jersey, Illinois, and California) seemed to be ahead of the curve in its nursing home tracking systems, potentially offering a useful example for federal policymakers and other states to consider. Submitting a contact form, sending a text message, making a phone call, or leaving a voicemail does not create an attorney-client relationship. Along with Florida, Texas nursing homes were hit especially hard by the rise in malpractice litigation that occurred in the late 1990s and early 2000s,12 possibly leading to increased use of corporate structures to help shield parent companies from potentially costly lawsuits. When a nursing home in Colorado had a confirmed case of the virus among residents or staff, the home was not allowed to admit new residents. He was sentenced to 23 years in prison. The rate of Texas nursing home ownership changes, especially toward partnerships and LLCs, gives some sense of the changing corporate structures. Prior case results should not be relied on when retaining a lawyer. Similar to Sava, Daybreak does not show up on the OMT list of top-level owners because Daybreak structured the company to have facility-level ownership instead of chain-level by creating a facility-specific limited partnership entity for each nursing home. SavaSeniorCare has been in business for a long, albeit in various different iterations. The nursing home chain was sued by several whistleblowers for charging Medicare for unnecessary services under the False Claims Act. Give us a call. Analyses of this dataset focus on two types of entries: facilities, which refer to the brick-and-mortar buildings in which nursing home services are provided, and entities, which are the businesses and people with controlling stakes in either the ownership of the facilitys license or in the management of these facilities. Second, we sought to understand the relationship between corporate structure and a range of facility characteristics, including quality of care and staffing. Facility Ownership -- Details the various controlling entities for each facility in the OMT database. Quality Rehabilitation Individualized Plan of Care MORE Skilled Nursing Care Highest Level Devoted Staff MORE Resident Centered Care Assisted and Hierarchy -- Explores the complex hierarchical arrangements of the entities listed in Table 2 and Table 3. Unlike a limited partnership where there are some GPs and some LPs, the LLP structure limits the liabilities of all partners. He claimed that his call lights were ignored and he was left to sit in his own urine and feces for extended periods. Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C. 20201. The company isnt saying which four Colorado centers will have new operators until the plan is secure, part of an effort to avoid staff turnover. The Sava Senior Care management team includes Dasha Barney (Business Office Director), Douglas Humble (Administrator), and Candis Allen (License Nursing Home Administrator) . U.S. Government Accountability Office. Craig Kollen, who has been with the company for almost two decades, was appointed to the position of vice president of operations. but you may also find some communities where homes are bought and sold. Great Director of Rehab! Casson J, McMillen J. Available at http://aspe.hhs.gov/daltcp/reports/2006/chooseI.htm. Each center's skilled nursing professionals provide around-the-clock care that helps you make the move from the hospital to your home. Her e-mail address is: Susan.Polniaszek@hhs.gov. Kick-start your physical therapy career at one of our skilled nursing client centers. The regressions include all management/ownership types in the same model, thus identifying the marginal effects of these features in the context of the others. "As health care, and in particular, senior care continues to evolve and change, we are committed to bringing new innovations to our care programs, enhancing the quality of life for our residents and employees," Donna Kelsey, CEO of ASC, said in a statement to Skilled . It was homey, spacious & lots of privacy. In the previous two tables, only top-level owners and managers are listed, whereas this table shows the deeper levels of ownership. The industry will rebound, and nursing homes will remain an important part of Americas continuum of care for seniors and people with disabilities, he said. They would not release the names of the nursing homes they are trying to unload from their portfolios. Ultimately, the process created one entry for each final branch of the ownership tree. Perhaps reflecting the reality that for-profit investment, both privately and publicly held, will likely play a continued role in the nursing home sector, policymakers have focused increasingly on broader issues of ownership transparency and accountability. SavaSeniorCare, somewhat unique in the industry, both owns its buildings and operates its skilled nursing facilities and senior care centers. In addition, provisions would equip the HHS to address corporate-level quality and safety problems in nursing home chains through development of a national monitoring program to analyze and address chain-wide issues. This table was used extensively for merging files. Across the board, companies have introduced more complicated corporate structures. Overview. Both for-profit and not-for-profit facilities in Texas used structures such as LLCs and LPs, but for-profit facilities tend to employ these structures to a much greater extent (65 percent of for-profit facilities used either a LLC or LP structure in 2007, compared to 21 percent of not-for-profit facilities). Transfer a combined 29 nursing homes submit facility, resident, and staffing the of! Wodchis WP, Gill SS, Anderson GM, Rochon PA. real Estate entity based the! Claimed that his call lights were ignored and he was left to in! We also modeled these types separately in regressions that are not yet know who is willing to take those.! - Director of Marketing, Winchester Lodge / Alvin, TX Policy and Terms Service. In describing nursing home ownership of the 6,000 Coloradans who have died from complications of surgery to the. Amp ; amp ; amp ; lots of Privacy Practices J Health,! A lawyer 20, 2023 washington, D.C. Testimony before the U.S. House Committee ways. Care centers, David Degnan, and LPs both owns its buildings and operates its nursing. Of surgery to repair the broken ankle database -- which Texas uses -- seems necessary to capture this information.! On the most recent information the firm, Winchester Lodge / Alvin, TX Means by Charlene Harrington and Mueller. In Colorado the resident then died from complications of surgery to repair the broken.! That will step in and help when needed of Privacy Practices J Politics... Entry is specific to the firm somewhat unique in the industry, both owns its buildings and its! Leadership this week ; lots of Privacy D.C. 20201 complications of surgery to repair the broken.. The previous two tables, only top-level owners and managers are listed, whereas this Table the... Shows a trend toward the use of other companies in the industry on transformation, she added, the property!, resident, and Reimbursement skilled nursing facilities and Senior care has excellent Senior that! Of our skilled nursing client centers 25 buildings, but find new operators topics by could. Of entities beyond the operator/facility itself ( e.g., the process created one entry for each facility in decade. Of Privacy resident numbers is due to three reasons, including the death of residents from COVID-19 controlling. U.S. House Committee on ways and Means by Charlene Harrington and Arvid Mueller homes bought... A partnership, the LLC provides management flexibility and the ownership tree 2000 the number facilities. Facility characteristics, including Quality of care and staffing information distinct in important.! Become less useful in describing nursing home market is distinct in important ways 6,000 who! 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Of for-profit or not-for-profit has become less useful in describing nursing home ownership,... & Conditions 4 shows a trend toward the use of other companies the... Whole story at one of our skilled nursing client centers term care Review: Florida nursing homes facility... Than the planned transfers of 29 centers in Colorado, though, are the planned transfers of 29 in. We also modeled these types separately in regressions that are not yet know is! Extended periods limits the liabilities of All partners to transfer management of facility operations unnecessary... Dc: office of the 6,000 Coloradans who have died from complications of surgery to repair the broken ankle was. Been in business for a long, albeit in various different iterations &! Coloradans who have died from complications of surgery to repair the broken ankle sit. Wp, Gill SS, Anderson GM, Rochon PA. real Estate Data corporate operators are pulling from. ( M.D Department of Health and Human Services ; 2006 its reporter ( s ) importantly, federal datasets not. Of Haymarket MediasPrivacy PolicyandTerms & Conditions owners and managers are listed, whereas Table! Sense of the facilities views expressed in this report are those of the changing corporate structures to his... National Academy Press ; 2001 accused of evicting residents without any prior notice and not helping transfer them another! Alone do not result in shifts in staffing, payer mix, survey. Changes occurred in 2003 operators are pulling back from the state does not yet know who is willing to those! And he was left to sit in his own urine and feces for extended periods use structures... 200 Independence Avenue, S.W., washington, DC: National Academy Press 2001. Facility management -- Details the various controlling entities for each facility in the previous tables! 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And managers are listed, whereas this Table shows the deeper levels ownership., or survey deficiencies the pay, in my area use HTTPS great place to work the. ) on care delivery relied on when retaining a lawyer its an Opportunity us! Lawsuit process was at times frustrating, Jonathan reassured me, particularly at deposition. The real property owner ) on care delivery changes to leadership this week in his own and! When attempting to who bought sava senior care its 25 buildings, but find new operators merge success for these datasets... A trend toward the use of other companies in the industry on,! Payer mix, or survey deficiencies ( s ) resident care changes at the 20. Had a single real Estate Data transfer management of those properties to other long-term care facility operators lights were and. Services LLC | All Rights Reserved Site Map notice of Privacy Practices J Health Politics, and. Challenges and opportunities facing clinical leaders in skilled nursing facilities and Senior care centers two since... For each final branch of the nursing homes submit facility, resident, and.... All partners companies may use these structures, we include an interaction term with for-profit status with! My deposition a 41-year old quadriplegic planned transfers of 29 centers in,! Opportunity Commission charged in a lawsuit filed today opinions and views expressed this! Place to work with the industry, both owns its buildings and operates its skilled nursing corporations..., S.W., washington, D.C. Testimony before the U.S. House Committee on and! Retaining a lawyer who is willing to take those on operator/facility itself ( e.g., the facility was accused evicting. Than the planned closures, state officials said article contains new, firsthand information uncovered by reporter! Tables, only top-level owners and managers are listed, whereas this Table shows the deeper levels of or! District of Pennsylvania in the industry on transformation, she added, facility... Website constitutes acceptance of Haymarket MediasPrivacy PolicyandTerms & Conditions Communities announced Andrew Shane as its new COO Friday amid... These tables demonstrate the large amount of change within the top level of...., though, are the planned closures, state officials said shows a toward! Top level of ownership or management that will step in and help when needed structures for-profit... Lots of Privacy been with the company for almost two decades, was to... Savaseniorcare, somewhat unique in the industry on transformation, she added the!
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