Quality Health Services Of Puerto Rico Inc

Coto Laurel, PR

137

Beds

5,844

Inpatient discharges a year

$59.8M

Net patient revenue a year

About this hospital

Quality Health Services Of Puerto Rico Inc is a 137-bed hospital in Coto Laurel, PR.

Disproportionate share hospital
340B participant

CCN: 400113
NPI: 1568476539
Teaching: No Medicare-funded residents
County: Ponce Municipio
Metro area: Ponce, PR MSA
Medicare contractor: Jurisdiction N, First Coast Service Options (09001)
In Medicare since: 1984
Last CMS survey: 2025

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
Accredited by The Joint Commission
- No Medicare-funded residents
- 37 affiliated clinicians
See doctors and services
Finances
$59.8M net patient revenue
- Operating margin on patient care 8.7%
- $161,837 unreimbursed and uncompensated care
- $8.5M net income
See finances
Ownership and leadership
Owned by Mennonite General Hospital Inc
- Private (not for profit)
- Jose Solivan Rivera, chief executive
- 340B drug pricing program participant
See ownership and leadership

Location

Coto Laurel, PR

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Accreditation and services

The Joint Commission
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
138
Medicare-certified beds
117
Registered nurses (full-time equivalent)
1984
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Quality Health Services Of Puerto Rico Inc reported to Medicare in its latest cost report, covering Apr 1, 2025 to Mar 31, 2026.

5,844
Inpatient discharges
Medicare 7%, Medicaid 34%
31,988
Inpatient days
64% of available bed days used
425
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 842610). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Quality Health Services Of Puerto Rico Inc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	3,293	9,217	19,478	31,988
Discharges	428	2,002	3,414	5,844
Average length of stay	7.7 days	4.6 days	5.7 days	5.5 days
Average daily census	9.0	25.3	53.4	87.6

14,727
Medicare Advantage days
2,419 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	128	28,151	2,470	60%
Intensive care unit	9	3,134	823	95%
Nursery		703

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Quality Health Services Of Puerto Rico Inc in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 948 in 2020 to 2,577 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
00795	624	24%	4,002	$5.9M	44%	33%
00766	367	14%	2,365	$3.8M	45%	41%
00769	342	13%	2,253	$3.7M	27%	17%
00757	217	8%	1,448	$2.2M	35%	29%
00780	176	7%	957	$1.6M	38%	30%
00730	81	3%	442	$806,210	7%	2%
00751	69	3%	326	$513,168	8%	8%
00728	64	2%	399	$629,540	5%	1%
00716	55	2%	368	$610,683	5%	2%
00705	49	2%	281	$463,517	5%
00664	46	2%	233	$449,407	11%
00601	45	2%	262	$426,846	8%
00731	41	2%	203	$316,006	7%
00784	40	2%	202	$344,418	4%
00794	35	1%	174	$320,651	4%
00624	30	1%	177	$318,467	4%
00715	30	1%	180	$266,933	22%	9%
00720	30	1%	186	$320,407	5%
00717	29	1%	264	$483,718	6%
00698	27	1%	223	$485,809	2%
00733	20	1%	111	$196,984	15%
00736	19	1%	89	$165,478	1%
00714	17	1%	75	$141,880	3%
00723	16	1%	78	$111,970	2%
00656	15	1%	81	$170,536	2%

Source: CMS Hospital Service Area file. Shares are of the 2,577 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Quality Health Services Of Puerto Rico Inc reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.

6
Operating rooms
2
Endoscopy rooms
2
Cardiac catheterization rooms
2
Off-site locations

117
Registered nurses
20
Licensed practical nurses
2
Physician assistants
5
Nurse anesthetists (CRNAs)
3
Pharmacists
13
Respiratory therapists
14
Radiology technicians
2
Nuclear medicine technicians
7
Medical technologists
1
Dietitians
2
Social workers
238
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

37 clinicians who bill Medicare list Quality Health Services Of Puerto Rico Inc as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Diagnostic Radiology Physician 5
Nephrology Physician 5
Anatomic Pathology & Clinical Pathology Physician 2
Family Medicine Physician 2
Neuroradiology Physician 2
Pulmonary Disease Physician 2
Surgery Physician 2
Urology Physician 2
Anesthesiology Physician 1
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 1

Adalberto Mendoza, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1457475881
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Javier Gonzalez Buonomo, MD
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1679922272
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Pedro Ramos-Canseco, MD
Internal Medicine Physician
NPI 1528056363
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David Heredia Sierra, MD
Interventional Cardiology Physician
NPI 1700293990
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Juan Carlos Galloza Otero, M.D.
Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1598042871
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Richard Baez Tellado, MD
Urology Physician
NPI 1588766893
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Gaspar Garcia, MD
Diagnostic Radiology Physician
NPI 1679523138
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Gerson Alvarez, M.D.
Diagnostic Radiology Physician
NPI 1821253840
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Wilfredo Navarro, MD
Diagnostic Radiology Physician
NPI 1275564718
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Sergio Alvarez Torres, M.D
Nephrology Physician
NPI 1205286077
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David Silva Caraballo, M.D.
Ophthalmology Physician
NPI 1144219379
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Jose Cruz Cestero, M.D
Pain Medicine (Anesthesiology) Physician
NPI 1437158466
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Jorge Grillasca Palou, M.D.
Nephrology Physician
NPI 1467493726
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Gilberto Alvarado Diaz, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1326197401
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Hector Puig-Ramirez, MD
Pulmonary Disease Physician
NPI 1467414276
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Miguel Serpa Perez
Nuclear Cardiology Physician
NPI 1033190426
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Orlando Camacho-Geck, MD
Nephrology Physician
NPI 1659684819
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Felix Perez-Ramos, MD
Nephrology Physician
NPI 1861641672
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Ulises Nobo, M.D.
Neurology Physician
NPI 1487705141
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Lance Needham, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1821201104
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Robert Rivera
Diagnostic Radiology Physician
NPI 1063406536
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Joaquin Ruiz Lopez, MD
Neuroradiology Physician
NPI 1083160675
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Andres Bermudez Caba
Pulmonary Disease Physician
NPI 1164525705
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Pedro Lebron Ruiz
Family Medicine Physician
NPI 1164886404
See commercial rates for Pedro Lebron Ruiz

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Quality Health Services Of Puerto Rico Inc reported to Medicare for Apr 1, 2025 to Mar 31, 2026. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$78.9M	131.8%
Inpatient	$47M	78.6%
Outpatient	$31.9M	53.2%
Contractual allowances and discounts	-$19.1M	-31.8%
Net patient revenue	$59.8M	100.0%
Operating expenses	-$54.6M	-91.3%
Operating income from patient care	$5.2M	8.7%
Other income	$3.3M	5.5%
Net income	$8.5M	14.2%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$4.2M	5.5%
Other payers and self-pay	$72M	94.5%
Total charges	$76.3M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Quality Health Services Of Puerto Rico Inc's latest cost report.

8.7%
Operating margin
Operating income from patient care / net patient revenue
13.5%
Total margin
Net income / net patient revenue plus other income
18.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$16.76
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
10.3%
Return on assets
Net income for a year / total assets
12.7%
Return on equity
Net income for a year / fund balance
0.01
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.79
Current ratio
Current assets / current liabilities
2.51
Quick ratio
Cash, temporary investments and net receivables / current liabilities
131 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
80 days
Days in patient receivables
Net patient receivables / daily net patient revenue
89 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.76
Asset turnover
Total revenue for a year / total assets
2.3 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Quality Health Services Of Puerto Rico Inc owned and owed at the end of its reporting period (Mar 2026), across all fund types: $82.7M in total assets and a $67M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$18.5M	22.4%
Patient receivables, net	$13.2M	15.9%
Inventory	$1.2M	1.5%
Total current assets	$35.2M	42.6%
Property and equipment, net of depreciation	$33.7M	40.7%
Investments and other assets	$13.8M	16.7%
Total assets	$82.7M	100.0%
Current liabilities	$12.6M	15.3%
Long-term debt	$894,926	1.1%
Total liabilities	$15.7M	19.0%
Fund balance (net assets)	$67M	81.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Quality Health Services Of Puerto Rico Inc provided without full payment, as reported on Worksheet S-10 of its cost report.

$462,393
Bad debt
Patient bills written off as uncollectible, at charges
-$2.2M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$161,837
Total unreimbursed and uncompensated care
0.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Quality Health Services Of Puerto Rico Inc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Sep 2020	Sep 2021	Sep 2022	Mar 2024	Mar 2025	Mar 2026
Net patient revenue	$28.3M	$30.7M	$32.6M	$40.9M	$51.7M	$59.8M
Operating expenses	$33.1M	$34.1M	$35.7M	$42M	$50.5M	$54.6M
Operating margin	-17.1%	-10.9%	-9.5%	-2.6%	2.2%	8.7%
Net income	$823,331	$3.7M	$3.1M	$400,298	$3.8M	$8.5M
Total assets	$27M	$25.9M	$24.1M	$55.5M	$72.6M	$82.7M
Discharges	3,741	4,300	4,454	4,794	5,498	5,844
Inpatient days	29,020	24,106	26,675	26,791	30,410	31,988
Medicare Advantage days	4,717	4,448	5,193	9,094	13,802	14,727
Beds	157	150	128	137	115	137
Employees (FTE)	320	320	331	437	426	425

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Quality Health Services Of Puerto Rico Inc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 32 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Medical supplies charged to patient		$6M	$8.2M	0.74	2,017
Drugs charged to patients	$624,807	$3.8M	$14.6M	0.26	1,309
Emergency	$1.1M	$3.6M	$3.7M	0.99	10,654
Operating room	$1.7M	$3.6M	$2.9M	1.23	9,330
Laboratory	$612,252	$2.5M	$9.7M	0.26	3,184
Radiology-diagnostic	$971,219	$2.4M	$4.7M	0.51	4,339
Blood storing processing & trans.		$1M	$859,780	1.17
Respiratory therapy	$429,276	$870,786	$4.2M	0.21	501
Delivery room & labor room	$400,300	$827,250	$124,184	6.66	2,557
Radioisotope	$151,354	$531,935	$1.4M	0.37	1,769
Impl. dev. charged to patients		$495,313	$696,942	0.71
Mri		$415,832	$2.8M	0.15	1,912
Ct scan		$413,864	$7.3M	0.06	1,380
Physical therapy	$12,742	$262,855	$14,510	18.12	3,724
Renal dialysis		$224,901	$16,800	13.39
Speech pathology		$182,738	$79,895	2.29
Recovery room	$38,370	$131,920	$1.1M	0.13	1,106

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$2.8M	$12.5M	$11.3M	1.10	43,360
Intensive care unit	$693,153	$1.9M	$2.5M	0.75	4,726
Nursery	$398,203	$827,578	$84,360	9.81	656

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$2.5M	$6.6M	169,147	$14.89	16,618
Maintenance & repairs	$370,064	$3M	25,664	$14.42	9,749
Employee benefits department		$2.1M
Cap rel costs-bldg & fixt		$1.5M			148,719
Cap rel costs-mvble equip		$1.4M
Housekeeping		$893,238			649
Dietary	$586,084	$891,733	47,276	$12.40	3,532
Medical records & library	$576,202	$767,101	38,610	$14.92	7,126
Nursing administration	$485,814	$538,598	24,971	$19.46	825
Laundry & linen service		$271,411			864
Social service	$96,682	$107,396	6,240	$15.49	231
Cafeteria	$166,789	$48,857	14,957	$11.15	2,505

Source: CMS cost report (HCRIS, Form 2552-10), report 842610, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Quality Health Services Of Puerto Rico Inc for an inpatient stay.

1.49
Case mix index
Higher than 26% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
30.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
424
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.63	1.61	1.53	1.40	1.51	1.61	1.49
Wage index	0.609	0.604	0.601	0.601	0.571	0.543	0.515
Medicare inpatient stays	379	379	321	348	308	333	424

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Quality Health Services Of Puerto Rico Inc's rates and hospital price transparency.

Is Quality Health Services Of Puerto Rico Inc a teaching hospital?

CMS reports no Medicare-funded interns or residents at Quality Health Services Of Puerto Rico Inc for fiscal year 2027.

What is Quality Health Services Of Puerto Rico Inc's case mix index?

Quality Health Services Of Puerto Rico Inc's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.

How many patients does Quality Health Services Of Puerto Rico Inc admit?

Quality Health Services Of Puerto Rico Inc reported 5,844 inpatient discharges and 31,988 inpatient days from Apr 1, 2025 to Mar 31, 2026.

How many employees does Quality Health Services Of Puerto Rico Inc have?

Quality Health Services Of Puerto Rico Inc reported 425 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.

How much revenue does Quality Health Services Of Puerto Rico Inc make?

Quality Health Services Of Puerto Rico Inc reported $59.8M in net patient revenue on $78.9M of gross charges for Apr 1, 2025 to Mar 31, 2026, an operating margin of 8.7%, and net income of $8.5M.

How much charity and uncompensated care does Quality Health Services Of Puerto Rico Inc provide?

Quality Health Services Of Puerto Rico Inc reported $161,837 of unreimbursed and uncompensated care for Apr 1, 2025 to Mar 31, 2026.

Who is the CEO of Quality Health Services Of Puerto Rico Inc?

Quality Health Services Of Puerto Rico Inc's Medicare enrollment lists Jose Solivan Rivera as Associate CEO since 2022.

Does Quality Health Services Of Puerto Rico Inc participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Quality Health Services Of Puerto Rico Inc (340B ID DSH400113) as a participating disproportionate share hospital since 2024.

How many doctors are affiliated with Quality Health Services Of Puerto Rico Inc?

37 clinicians who bill Medicare list Quality Health Services Of Puerto Rico Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (5), nephrology physician (5), anatomic pathology & clinical pathology physician (2).

Is Quality Health Services Of Puerto Rico Inc accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Quality Health Services Of Puerto Rico Inc.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Quality Health Services Of Puerto Rico Inc

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Programs and facilities

Frequently asked questions

Running price transparency at a hospital like this one?

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Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Programs and facilities

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

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