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IASIS Healthcare

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St.
Lukes counselor offers support
to WTC victims after attacks
Like
everyone else on Sept. 11, Nancy Egar sat motionless as she watched
the planes crash, the buildings fall, and the people run. Overcome
with a desire to help, Egar, who is an outpatient therapist at
St. Lukes Behavioral Health Center in Phoenix, Ariz., decided
she had to go to New York to volunteer crisis counseling to victims
of the World Trade Center attacks.

photos
by Bill Egar
Because
she had completed a critical incident training course in April,
Egar knew she could help provide comfort to those in need. She
contacted the Crisis Care Network, the group that offered the
counseling course, and was assigned as a counselor to employees
of a company that had offices in the South Tower of the World
Trade Center. Because all flights were grounded in the days following
the tragedy, Egar and her husband, Bill, jumped in their RV and
drove to New York.
They
arrived the evening of Sept. 15, and Egar went to work immediately
the next morning. Studies show that crisis counseling 3-to-4 days
after a traumatic event can reduce the debilitating, long-term
symptoms victims experience, so Egar knew time was critical.
I
was a little nervous about it, Egar says. I asked
to be placed on a team, so three of us worked together. The other
team members had not had the crisis training, and I had my training
manuals along with me, so I taught them the structure of the session
as best as I could.
For
the next four mornings, Egar and two other counselors worked with
employees who were fortunate enough to make it out alive. Many
of the employees had escaped from the building, and others were
on their way to work and saw the buildings fall. Fortunately,
everyone in the company survived, but employees felt part of themselves
had crumbled with the World Trade Center.
The
employees Egar counseled suffered from shell-shock.
Barely escaping death, they knew they were the lucky ones, but
the pain and fear that remained were hard to bear. They needed
to hear that it would take time for things to truly get back to
normal.
The
sessions were difficult for Egar as well. You get traumatized
by hearing people talk about the experience. It helped that my
husband was there. We could talk to each other. Im not sure
I wouldve been able to do it without him. Egar says
she sought counseling for herself when she returned home.

Being
in the city during that trauma was difficult for both Egar and
her husband. Each day that we took the ferry over in the
morning and came back at night, we saw the smoke rising from the
site, Egar says. It was silhouetted either by the
sun rising or the moon and lights at night. We saw military vehicles
on the street, the heavy police presence it was like a
war zone. Not what you expect to see in an American city.
Egar
felt she had done her part, so she and Bill left the following
week for their long drive back to Arizona. The trip marked a powerful
ending to Egars 17 years with St. Lukes she
retired Dec. 4. This is a good time for me to say good-bye,
she says. During her tenure with St. Lukes, she has counseled
patients suffering from drug and alcohol abuse, mostly in group
therapy.
Egar
is especially thankful for her co-workers at St. Lukes,
who made it possible for her to go to New York. My secretary
made arrangements quickly, and several people helped to fill in
while I was gone, she says. Frank Saverino, director
of outpatient services; Judy Rosenthal, administrative assistant;
John Prosser, PRN therapist; Sheila Prosser, adolescent therapist;
and Barbara Pennington, evening therapist, deserve as much recognition
as I do.
As a supervisor, I didnt hesitate to make sure she
could go, says Saverino, who has worked with Egar for nine
years. It was nice to have a representative of our team
there. We were really proud of her and not surprised that she
went. Shes very dedicated. I cant even imagine how
many people shes actually affected over the years
it would be well into the thousands.
It
was a real privilege and honor to be involved, Egar says.
I was most impressed by the courage people displayed. Most
of the people I talked to were primarily concerned about helping
other people. We drove through more than 20 states, and everywhere
we went, we saw demonstrations of patriotism and unity. It gave
me a sense that we really belong to a free, strong, united country.

IASIS
Employees Give Generously
to Disaster Relief Efforts

In
response to the tragic events of Sept. 11, IASIS established
a disaster relief fund that will directly benefit the American
Red Cross and its efforts to help victims and their families.
The company will match every dollar donated to the fund, up
to $1,000 per facility.
In
addition to collecting cash donations for the fund, many hospitals
held fundraisers and blood drives. Employees at Mesa General
Hospital in Mesa, Ariz., who donated $1,080 to the IASIS fund,
also coordinated a used book and bake sale, which raised more
than $515, and held a blood drive. Lab employees made flag
pins, which sold for $3 each and raised an additional $1,500
for relief efforts. Meanwhile, employees at Town & Country
Hospital in Tampa, Fla., raised $1,000 in donations, which
was matched by the hospitals medical staff for a grand
total of $2,300. In addition to contributing to the IASIS
Disaster Relief Fund, employees also coordinated a bake sale,
which raised more than $1,000, and was split between the Twin
Towers Fund and the Survivors Fund.
In
total, IASIS employees at 10 hospitals and the corporate office
donated nearly $9,000 to the fund. IASIS added more than $6,200
in matching funds for a grand total of $15,245. |
IASIS
Employees Serve Our Country

Since
Sept. 11, it is estimated that nine IASIS employees have been
called up to active military duty. In support of their service
to our country, the company will pay the difference between
their military salary and their regular IASIS compensation. |


A message from David White,
IASIS chairman and chief executive officer
We
have had some very positive feedback regarding our newsletter
through focus groups at some of our hospitals. I appreciate the
constructive comments about my articles. As you requested, I will
try to be more specific about the critical issues we face and
progress that we are making as the year goes on.
Our
company is now two years young, and while I have only been in
my position since December of 2000, the last year has been a blur
marked by both challenge and change. Through it all, our company
has had good overall growth in revenue despite a marked decline
in Arizona. Fortunately our problems have not been associated
with volume growth (the number of patients we care for).
Unfortunately,
due to many variables, all of which are fixable, our resource
management has been very poor, and we have stood in place while
every other major hospital management company has filed past us
with quarter after quarter of eye-popping performances. As I said,
our problems are fixable, and we have made great strides during
the past 90 days. All of our information systems have been converted,
our cash collections continue to improve thanks to the hard work
in our business offices and medical records departments, and we
are well on our way to attaining our national contract compliance
goals for supplies and equipment.
A
major challenge during this year will be to use the right amount
of resources to provide quality care, yet control our costs. Even
though we are starting to see results from our work to improve
what we are paid from managed care companies, we will continue
living with payment rates that leave absolutely no room for waste.
Once
again, as I look around I see all the other (older) healthcare
organizations performing very well under the same circumstances.
I am excited about joining in their success, because I seriously
believe we have the people, the facilities and other assets to
successfully compete head-to-head with anyone.
Yes,
this will be a year in which we will define ourselves in a position
of leadership throughout our company and our industry. Concepts
of stewardship and accountability will come alive as success feeds
upon itself.
I
have often wondered what the real equivalent of a year in the
life of a corporation is, compared to a year in human life
sort of like dog years. Whatever it is, by any measure, at two
years we are still in our infancy as a company. We may be pedaling
through a land of giants today, but its time to put away
the training wheels and see what this baby will do.
For
those of you who did enjoy the stories, Ive got a great
one for next time. I think I will call it The Perfect Job.

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FINANCIAL
RESULTS
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IASIS
REPORTS IMPROVED FOURTH QUARTER AND YEAR-END FINANCIAL RESULTS
On
Dec. 4, IASIS reported financial results for the fourth
quarter as well as the fiscal year ending Sept. 30, 2001.
Overall, the company reported a net loss for the year, but
showed improvements in several key areas, including an improved
fourth quarter.
Net
revenue for the fourth quarter was $220.6 million, up from
$206.1 million from the same quarter of last year. Earnings
from continuing operations before interest expense, taxes,
depreciation and amortization (also known as EBITDA) for
the fourth quarter increased by 19 percent to $23.1 million
compared with $19.4 million in the same period for the prior
year.
The
companys net loss from continuing operations was $4.6
million during the fourth quarter, an improvement from the
$9.9 million the company lost during the same period last
year. Approximately $1.7 million of this quarters
loss is due to the losses incurred by Rocky Mountain Medical
Center in Salt Lake City, Utah, which was closed on June
2, 2001.
The
improvement in the fourth quarter results can be attributed
in part to an increase in admissions at most IASIS facilities,
as well as the companys ability to collect payment
for its services in a shorter amount of time. Improvements
in the collection cycle help decrease the amount of interest
the company incurs and, ultimately, free up more money to
invest in operations.
Health
Choice, the Medicaid health plan in the companys Phoenix
market, also showed solid improvement, ending the quarter
with a 23 percent increase in revenue and a 21 percent increase
in enrollment compared to the same quarter of last year.
Other
positive developments announced in October include the buyout
of the leases on two of the companys Phoenix-area
hospitals; St. Lukes Medical Center and Tempe St.
Lukes Hospital. IASIS acquired the land and buildings
for both hospitals because owning the properties will cost
less than continuing under the leasing arrangement.
The
acquisition will allow IASIS increased flexibility to pursue
its business plan in Phoenix, which is a competitive market.
During the past year, the company has made a number of strategic
decisions aimed at improving its Phoenix operations. IASIS
recently chose to close two skilled nursing units in this
market and ended a large managed care agreement due to low
reimbursement rates.
Phoenix
is a profitable market that the company feels will improve
in the coming year due to these changes as well as intensive
physician recruitment efforts.
While
the losses at Rocky Mountain Medical Center contributed
significantly to the companys overall annual losses,
several facilities benefited as the hospitals equipment
was redistributed among other IASIS hospitals.
Other
factors that contributed to the companys overall losses
include the high cost of contract labor for hard-to-find
positions such as nurses, radiology technicians and business
office personnel. Increased usage of employee health benefits
also cost the company more during the fourth quarter.
Overall,
the outlook for IASIS continues to improve. "We have
made some tough, deliberate decisions during the past year,"
says David White, IASIS chairman and chief executive officer,
citing the closure of Rocky Mountain Medical Center. "Those
decisions are behind us now, and we are looking forward
to continued improvement as we move into 2002."

For more on year-end financial results, please see David
Whites message.

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Patient
Satisfaction Spotlight

3rd
Quarter - 2001

Each
quarter, IASIS works with an outside research vendor to
identify and contact former inpatients, outpatients and
ER patients from each hospital regarding their level of
satisfaction with the services they received. Listed below
are the hospitals and surgery centers with the top scores
in overall inpatient, outpatient and emergency services
satisfaction for the third quarter. Watch future issues
of Forum for best practice information that has helped hospitals
improve their patient satisfaction scores.
Overall
Inpatient
Satisfaction
Top 3 Scores
90
Mid-Jefferson
Hospital
Odessa Regional Medical Center

89
Jordan Valley Medical Center
Memorial Hospital of Tampa
Mesa General Hospital
Salt Lake Regional Medical Center

88
Davis
Hospital and Medical Center
Palms of Pasadena Hospital
Park Place Medical Center
Tempe St. Lukes Hospital
Overall
Ambulatory Surgery
Satisfaction
Top 3 Scores
93
Mid-Jefferson
Hospital
Town & Country Hospital

92
Jordan Valley Medical Center
Memorial Hospital of Tampa
Mesa General Hospital
Palms of Pasadena Hospital

91
Davis
Hospital and Medical Center
Pioneer Valley Hospital
Ambulatory
Surgery
Center Scores
96
Biltmore
Surgical Center

91
Metro
Ambulatory Surgery Center
Overall
Emergency
Service Satisfaction
Top 3 Scores
89
Memorial
Hospital of Tampa
Mid-Jefferson Hospital
Palms of Pasadena Hospital
Park Place Medical Center

88
Odessa Regional Medical Center

87
Jordan Valley Medical Center
Pioneer Valley Hospital
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Dear Town &
Country:
My
neighbor, Leonard Freeland, and I were involved in a severe accident
(head-on collision with a drunk driver who crossed the median)
at 5:45 on Sunday morning, Aug. 5. Both Mr. Freeland and I were
most impressed with the treatment we received from your emergency
room staff that morning. Dr. Helen Hunter was the head of a great
team, and we would be most grateful if you could pass on our heartfelt
thanks to them.
One
hopes that this kind of accident will be once in a lifetime, but
if were ever involved in one again, we trust that well
receive the same high-quality care we had at Town & Country.

Yours sincerely,
T.S. Syme
L. Freeland

Dear Town & Country:
I
was a patient at Town & Country Hospital from March 22 to
April 6, 2001. I have been a patient in other hospitals over the
years, but I wanted you and your staff to know that I received
the very best tender loving care. Each nurse was wonderful,
and other members of the staff were equally kind and caring. The
menu was fabulous, and to be able to order individually makes
one feel right at home. I was also impressed with the cleanliness
of the hospital. I sincerely thank you for making my stay absolutely
as comfortable as possible.

Very truly yours,
Dorothy M. Wetzel
| IASIS
Presents
First Annual Chairmans Awards
 
Seated (L-R) are
Chairmans Award winners: Charlene Edmunds, Beth
Counseller, Susan Price-Smith, Joan Sheehan, Willie Mae
Elmore and IASIS CEO David White. Back
row (L-R): Todd Freisch, Pam Crowder, Kathy Lange, Deb
Stone, Juan Hernandez, Phil Nieri, Kayla Moseler, Beth
Hicks, Steve Glickman, Joyce Polk and Georgeann Burch.
The
first annual IASIS Healthcare Chairman's Awards were presented
during the companys Circle of Leadership conference
in Nashville, Tenn., in October. The highest honor an
IASIS employee can receive, the Chairmans Award
recognizes employees who demonstrate commitment to community
service in addition to excellence on the job.
These
individuals are not only exceptional employees, but exceptional
people, says David White, IASIS chairman and chief
executive officer. They give generously of their
time and energy to help community organizations, and they
are resourceful and compassionate when working with patients.
Sixteen
employees one from each IASIS facility received
an expense-paid trip to Nashville. IASIS will also make
a $1,000 contribution to the charity of each winners
choice on their behalf. Here are their stories:
Susan
Price-Smith
Davis Hospital and Medical Center
Balancing work and family is a full-time job for most
people. Susan Price-Smith takes the concept to new heights.
A mother to six children and eight step-children, Smith
works as a medical transcriptionist and still finds time
to volunteer for the American Cancer Society.
Phil
Nieri
Health Choice
Volunteering started as a social outlet for Phil Nieri,
manager of compliance for this IASIS health plan. Today
he considers it his civic duty, donating time to Make
a Difference, which strives to improve the quality of
life in downtown Phoenix, and serving on the board of
the Native American Community Health Center.
Charlene
Edmunds
Jordan Valley Medical Center
Charlene Edmunds prefers to give quietly, saying she does
her best work behind the scenes. Yet, her position as
director of community relations puts her generosity front
and center. In addition to serving on the board of the
Jordan Education Foundation, which provides scholarships
and supplies to area students, Edmunds formed a partnership
with a local elementary school. The hospital provides
screenings, coats, shoes and
holiday gifts to the children.
Steve Glickman
Memorial Hospital of Tampa
When he isnt working as manager of physical therapy,
Steve Glickman can be found on the sidelines of a high
school football game, backstage at a ballet recital or
in the locker room of a professional soccer game, where
he volunteers his services as a physical therapist. Each
fall, he organizes a group of physicians and nurses to
provide physicals to local high school athletes with all
proceeds going to the Boys & Girls Clubs of Tampa.
Juan Hernandez
Mesa General Hospital
Juan Hernandez says he received the gift of a lifetime,
a college education, thanks to the generosity of others.
Today, Hernandez, director of community relations, is
happy to return the favor by serving on the board of the
Arizona State University Hispanic Business Alumni. The
group provides scholarships and mentoring for Hispanic
students.
Joan Sheehan
Mid-Jefferson Hospital
Despite the fact that she donates more than 250 hours
each year helping various community organizations, Joan
Sheehan says she receives more than she gives. As director
of social services, Sheehan enthusiastically organizes
food, clothing and toy drives for various organizations.
She also serves as chairman of the local child welfare
board and is involved with Garth House, an organization
that cares for children who have been physically or sexually
abused.
Kayla Moseler
Odessa Regional Medical Center
As director of cardiology, Kayla Moseler works with young
cancer patients to determine if the disease has affected
their hearts. So when she was asked to join the board
of the local chapter of the American Cancer Society, she
didnt think twice. For the past two years, Moseler
has served as chairman of KidSkate, an overnight skating
event that benefits children with cancer.
Georgeann
Burch
Palms of Pasadena Hospital
Georgeann Burch knows that helping others adopt a healthy
lifestyle has many rewards. In addition to serving as
director of the hospitals outpatient diagnostic
center, she chairs the American Heart Associations
annual walk-a-thon and tirelessly recruits hospital staff
and community partners to participate. Burch also serves
on the organizations board of directors, donating
anywhere from 50 to 100 hours of her time each year.
Willie Mae
Elmore, R.N.
Park Place Medical Center
Helping others is a lesson that Willie Mae Elmore learned
early in life. As a girl, Elmore watched her mother struggle
to support 13 children, while still finding time to help
elderly neighbors. Today, Elmore, vice president of community
services, serves on the state board of directors for the
American Heart Association and is co-founder of a community
outreach program that educates local congregations on
health topics. Elmore also teaches classes for a non-profit
group that trains certified nursing assistants.
Deb Stone,
RN
Pioneer Valley Hospital
Listening to Deb Stone explain the training she provides
to her coworkers, its easy to see why she became
a nursing educator. Stone is also a national faculty member
for the American Heart Associations courses on pediatric,
basic and advanced cardio life support a role in
which she often gives up her nights and weekends to teach
caregivers and civilians how to save lives.
Todd Freisch
Salt Lake Regional Medical Center
Todd Freisch has never been one to shy away from a challenge.
Its this determination that helped him raise nearly
$2,000 for the American Heart Associations annual
walk-a-thon. Freisch, who works in the maintenance and
PBX departments and also holds a second job in maintenance
at South Towne Surgery Center, says he couldnt say
no when asked to help.
Joyce Polk
Southwest General Hospital
Joyce Polk is often a last resort for people in need.
Coworkers say that its not uncommon for Polk, a
licensed social worker, to answer calls from strangers
who need help securing a special piece of medical equipment
or advice on Medicare. In addition to her work at the
hospital, Polk is an after-hours caseworker for her local
chapter of the American Red Cross.
Pam Crowder
St. Lukes Medical Center
Most holidays, Pam Crowder can be found organizing an
Easter egg hunt, preparing a Thanksgiving feast or helping
Santa into his suit. Crowder does all of this for the
families in the neighborhood housing developments that
surround the hospital, where she is director of nutrition
services. She says building relationships with the low-income
families and elderly who live around the hospital has
helped build a sense of community.
Beth Counseller,
RN
St. Lukes Behavioral Health Center
Finding help for those in need is a cause Beth Counseller
embraces both in her own community and across the
world. For the past seven years, she has donated her time
to the Foundation for International Professional Exchange
(FIPE), a group that provides schools, churches and hospitals
in Russia and Ukraine with needed resources. Counseller
recently wrote a book on her work with FIPE and will donate
all proceeds to the organization.
Kathy Lange,
RN
Tempe St. Lukes Hospital
Kathy Lange is passionate about helping people with diabetes.
After noticing an increase in the number of diabetic patients
being admitted seven years ago, Lange single-handedly
gathered the resources to educate patients and set up
a program in which she and a nutritionist counsel patients
on diet, exercise and medications. Lange donates her time,
often spending anywhere from 2-to-10 hours a month with
patients.
Beth Hicks
Town & Country Hospital
One need only ask Beth Hicks about her family
in the Philippines to hear the enthusiasm rush into her
voice. Hicks, who is director of materials management,
has been making annual mission trips to the Happy House
Orphanage in the Philippines for the past six years. She
collects donations throughout the year so that she can
take each of the more than 80 residents of the orphanage
one new outfit and one new pair of shoes every visit.
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A
quick look at whats happening
at IASIS hospitals around the country
Exciting
changes afoot at Davis
Davis Hospital and Medical Center
Layton, Utah

Davis Hospital recently celebrated its 25-year anniversary
with a gala dinner celebration and week of events and activities
for the staff and community. In addition, Michael Jensen has joined
the hospital as chief executive officer. Jensen came from Palm
Beach Gardens Medical Center, a 204-bed, acute-care facility in
Palm Beach, Fla., where he was chief operating officer.
Also,
the initial stages of the hospitals $23.5 million renovation
project are under way. This project includes a new 8,000 square-foot,
24-bed emergency room; expanded womens services, lab, central
sterile, and dining and classroom space as well as renovation
of 10,000 square-feet of existing space.
Jordan Valley extends help
to community
Jordan Valley West Jordan, Utah

In October, Jordan Valley Medical Center co-sponsored the Goblin
5K Run and provided a display for the Scarecrow Festival, a yearly
fundraiser that benefits the Utah Boys Ranch. The hospitals
efforts raised $2,000. Employees and physicians also donated food
and money to the Utah Food Bank, which was experiencing a critical
food shortage, and provided a complete Thanksgiving dinner to
six local families.
New leadership at Memorial
Memorial Hospital Tampa, Fla.
John Mainieri is the new chief
executive officer of Memorial Hospital. A long-time resident of
Tampa, Mainieri had been Memorials chief financial officer
since October of 1992. Memorial also welcomes William Masterton
as its new chief financial officer. Prior to joining the hospital,
Masterton worked for University Community Hospital where he was
assistant vice president of finance.
Mesa General gives back
Mesa General Hospital Mesa, Ariz.

Mesa General Hospital conducted Drive-by Flu Shots
in November and administered 500 free flu shots to residents and
neighbors of the community. The hospital also has partnered with
the city of Mesas Gang Intervention Project in two programs
to reduce gang violence. Mesa General recently offered a tattoo
removal program, in which physicians donated their time, and the
hospital donated the site and equipment. In a second program,
participants will paint a series of murals in rooms in the pediatric
unit, beginning in January of 2002.
In
response to the national nursing shortage, Mesa General is doing
its part by participating in a variety of outreach programs to
educate students about the many opportunities in healthcare. Employees
are visiting local high schools, vocational schools, and building
partnerships with community colleges.
Annual childrens
health fair
Mid-Jefferson Hospital Nederland,
Texas
Park Place Medical Center Port Arthur, Texas
Mid-Jefferson Hospital and
Park Place Medical Center recently sponsored the 18th annual childrens
health fair, KINDERVENTURE 2001, at a local mall. The event is
designed to provide parents and children with entertainment and
education. Booths and exhibits featured information on area health
and social services. Additional features included a fire truck
for children to explore, clowns, face painting and a performance
by the June Badin School of Dance and Gymnastics and Mid-County
Taekwondo Academy.
Baby number 15 born to
West Valley family
Pioneer Valley Hospital West Valley
City, Utah

Employees and physicians at Pioneer Valley Hospital recently
found themselves in the spotlight when they helped a West Valley
City couple welcome their fifteenth child a six-pound,
14-ounce boy. Pamela and Steve Muir, who are already parents to
14 other children (with 10 still living at home), were delighted
to welcome their son and spoke with local media on the challenges
and joys of raising a large family. Five of their 15 children
were born at Pioneer Valley.
Tis the season to
serve others
Salt Lake Regional Medical Center
Salt Lake City, Utah
The American Heart Association
hosted a follow-up luncheon for all teams involved in this years
walk-a-thon. Salt Lake Regional earned second place in the community,
raising $8,647. This holiday season, the hospital will be collecting
donations for the Utah Food Bank, the homeless shelter and the
Good Samaritan Program, a local outreach program that serves the
needs of the poor, hungry and homeless.
Hospital offers new and
improved services
Southwest General Hospital San Antonio,
Texas

Construction is on schedule for the expansion of The BirthPlace,
which will double its size to 35,000 square feet. With the $5.3
million expansion to be completed in early fall of 2002, The Birthplace
will boast 11 labor delivery recovery (LDR) rooms, 20 postpartum
rooms, a Level II nursery and two C-Section rooms. Southwest General
Home Health recently opened and will provide homebound patients
with a variety of services, including skilled nursing care, therapy
services, physical therapy, speech therapy, occupational therapy
and instruction in self-care.
On
Dec. 14, the hospital hosted the children from St. Peters-St.
Josephs Childrens Home for a holiday dinner. The directors
and their department staff received a wish list from
the children and purchased gifts for all of them.
Team member and director of the quarter honored
Town & Country Hospital Tampa,
Fla.
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