Total staff
106
Employees
76
Contractors
30
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Fort Dodge Health and Rehabilitation
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Fort Dodge Health and Rehabilitation
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Fort Dodge Health and Rehabilitation accepts Medicare, Medicaid, and private pay.
Fort Dodge Health and Rehabilitation is a 65-bed skilled nursing facility in Fort Dodge, Iowa, offering short-term rehabilitation and long-term care. The facility, operated by Gateway Healthcare LLC, accepts Medicare, Medicaid, and private-pay residents in Webster County.
CMS rates the facility 1 star overall, with a 1-star Health Inspection rating, driven by inspection performance that is 64.9% below the Iowa average. Across 12 inspection events over the past seven years — three standard surveys and nine complaint investigations — the facility recorded 42 citations in total, including four at the most severe level, and a single $10,000 federal fine. No civil penalties have been issued in the past three years.
Staffing is below state norms. Total nursing care averages 3 hours and 17 minutes per resident per day, roughly 24% below Iowa’s average of 4 hours and 18 minutes, ranking the facility 228th of 241 Iowa skilled nursing facilities. Payroll represents 45.9% of revenue, well below the Iowa peer range of 61–69%, reinforcing the staffing gap. The facility’s occupancy rate is notably high at 93.3%, ranking 36th among 401 Iowa facilities — consistent with strong local demand despite its 1-star rating.
Quality measure outcomes are broadly below average across both long-stay and short-stay populations, with hospitalization rates, walking-ability decline, and weight loss each running meaningfully above Iowa norms. Services include in-house therapy and a Stay Active program; no specialized memory care unit or secured programming is listed.
The facility’s rehabilitation services, Medicare-oriented admission mix — 50% of new residents, with a typical stay of 23 days — and high occupancy orient it toward short-term post-acute stays for residents returning from the hospital. Families considering long-term placement should weigh the extended quality-measure and staffing data alongside the current availability.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 228th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 228th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 17m per day
Rank #228 / 241Nurse hours — State benchmarkedThis home is ranked 228th out of 241 homes in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-24%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 32m per day | ▼ 24% State avg: 3h 21m per day · National avg: 3h 26m per day |
Capacity and availability
This home usually has limited availability
Occupancy rate
93.3%
Rank #38 / 401Occupancy rate — State benchmarkedThis home is ranked 38th out of 401 homes in Iowa for occupancy rate. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
172 days
Walk Score: 14 / 100 Rank #444 / 528Walk Score — State benchmarkedThis home is ranked 444th out of 528 homes in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
24-Hour Staffing
Specific ProgramsIn-House Therapy, Stay Active
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.89 : 1
7% fewer staff per resident than Iowa average
Avg staff/day
30
Average shift
7.7 hours
0% compared with Iowa average
Total staff hours (quarter)
21,314
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
15 total: 8 full-time employees and 7 contractors.
15
15 total: 8 full-time employees and 7 contractors.
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
20 total: 10 full-time employees and 10 contractors.
20
20 total: 10 full-time employees and 10 contractors.
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
37 total: 25 full-time employees and 12 contractors.
37
37 total: 25 full-time employees and 12 contractors.
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4.5%
958 contractor hours this quarter
Certified Nursing Assistant: 12
Licensed Practical Nurse: 10
Registered Nurse: 7
Medication Aide/Technician: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 25 | 12 | 37 | 8,094 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 7 | 1 | 8 | 3,275 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 10 | 10 | 20 | 2,940 | 92 | 100% | 9.1 |
| Registered Nurse | 8 | 7 | 15 | 1,378 | 82 | 89% | 8.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 960 | 70 | 76% | 7.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 887 | 64 | 70% | 8.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 597 | 65 | 71% | 5.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 477 | 53 | 58% | 9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 458 | 65 | 71% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Qualified Social Worker | 2 | 0 | 2 | 453 | 61 | 66% | 7.2 |
| Dietitian | 1 | 0 | 1 | 347 | 52 | 57% | 6.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 340 | 59 | 64% | 5.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 126 | 28 | 30% | 4.5 |
37 Certified Nursing Assistant
% of Days
100%
8 Medication Aide/Technician
% of Days
100%
20 Licensed Practical Nurse
% of Days
100%
15 Registered Nurse
% of Days
89%
3 Speech Language Pathologist
% of Days
76%
5 Clinical Nurse Specialist
% of Days
70%
4 Physical Therapy Aide
% of Days
71%
1 Administrator
% of Days
72%
2 Nurse Practitioner
% of Days
58%
3 Physical Therapy Assistant
% of Days
71%
1 Dental Services Staff
% of Days
66%
2 Qualified Social Worker
% of Days
66%
1 Dietitian
% of Days
57%
3 Respiratory Therapy Technician
% of Days
64%
1 Other Dietary Services Staff
% of Days
30%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$10K Rank #154 / 246Federal fines — State benchmarkedThis home is ranked 154th out of 246 homes in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 246 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
80% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$10K
Iowa average
$48K
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.8
45% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
32% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
32% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.7%
Percent of long-stay residents whose ability to move independently worsened
32.7%
66% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
6% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
62% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
25% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.7%
Percent of long-stay residents with a urinary tract infection
2.7%
11% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.8%
Percent of long-stay residents who lose too much weight
9.8%
95% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
18.1%
Percent of long-stay residents who have depressive symptoms
18.1%
366% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.7%
Percent of long-stay residents who received an antipsychotic medication
13.7%
28% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
7% worse than Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.20
Number of hospitalizations per 1,000 long-stay resident days.
2.20
49% worse than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
42% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
15% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.7%
In line with Iowa averageIowa average: 73.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
5% worse than Iowa averageIowa average: 21.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
31% worse than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
44.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.8%
17% worse than Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
49.8%
Rate of successful return to home or community from a skilled nursing facility.
49.8%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
50% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
39% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
3 - 4 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56
Medicare
1
1.8% of residents
Medicaid
39
69.6% of residents
Private pay or other
16
28.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Fort Dodge Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
93.3%
↑ 3.9pp vs 2022
Net Income
$865.9K
↑ ~$292.8K vs 2022
Total Payroll
$3.3M
↑ ~$215.8K vs 2022
Profit Margin
11.9%
↑ 3.7pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.3M
Profit
$865.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$7.3M Rank #113 / 242Revenue — State benchmarkedThis home is ranked 113th out of 242 homes in Iowa for revenue. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$865.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #143 / 242Payroll — State benchmarkedThis home is ranked 143rd out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #143 / 242Payroll — State benchmarkedThis home is ranked 143rd out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.4M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Fort Dodge Health and Rehabilitation
2.0 miles from city center
Estimated distance in miles from Fort Dodge's city center to Fort Dodge Health and Rehabilitation's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Iowa
Fort Dodge Health and Rehabilitation is located in Fort Dodge, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Fort Dodge
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Marian Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Dodge | 90
Facility
90
IA AVG
73
Rank
#90 / 407 | 77.8% | +3% | 5.26 | +21% | +22% | $0 | 1 | 1.0 | 1 | 70 |
62
Facility
62
IA AVG
45
Rank
#140 / 528 | Eric Halverson | $9.6M | $5.6M | 58.2% | 165539 | ||||
| Friendship Haven |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fort Dodge | 367
Facility
367
IA AVG
73
Rank
#2 / 407 | 83.1% | +10% | 5.19 | +8% | +21% | $0 | 16 | 2.3 | 1 | 120 |
17
Facility
17
IA AVG
45
Rank
#436 / 528 | Friendship Haven, Inc | $29.2M | $14.7M | 50.6% | 165291 | ||||
| Fort Dodge Health and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Dodge | 65
Facility
65
IA AVG
73
Rank
#195 / 407 | - | - | 3.28 | +22% | -24% | $9.8k | 42 | 4.7 | 4 | 60 |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | Gateway Healthcare LLC | $7.3M | $3.3M | 45.9% | 165156 |
Frequently Asked Questions about Fort Dodge Health and Rehabilitation
Is Fort Dodge Health and Rehabilitation in a walkable area?
Fort Dodge Health and Rehabilitation has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Fort Dodge Health and Rehabilitation?
Yes — there are 7 photos of Fort Dodge Health and Rehabilitation in the photo gallery on this page.
What is the address of Fort Dodge Health and Rehabilitation?
Fort Dodge Health and Rehabilitation is located at 728 14th Avenue North.
What is the phone number of Fort Dodge Health and Rehabilitation?
(515) 576-7226 will put you in contact with the team at Fort Dodge Health and Rehabilitation.
Is Fort Dodge Health and Rehabilitation Medicare or Medicaid certified?
Yes — Fort Dodge Health and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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