What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Resident interviews at our senior living facilities

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Avantara Clark City | South Dakota | Photos & Videos

Overview of Avantara Clark City

Avantara Clark is one of the only exclusive communities with top-notch care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Considered one of the premier rehabilitation centers in the city, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Clark has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.

+1 605-532-3431

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.15/day

Overall rating

3/5

Health Inspection

4/5

Staffing

3/5

Quality Measures

1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 35

This home usually has availability

Lower occupancy suggests more openings may be available.

79.4%

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

61% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

24% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Home revenue

$6.0M

Profit

$358.7K

Proprietary home Corporation

Home revenue

$5,956,538.00

Profit

$358,710.00

Payroll costs

$1.5M

25.5% of revenue

Other operating costs

$4.1M

Total costs $5.6M

35-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 31 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Status

Active

Facility Type

Nursing Home

License Date

January 7, 2025

License Expiration

June 30, 2026

Additional licensing details

License number: 10607

County: Clark

Ownership & operating entity

Avantara Clark City is administrated by Morehouse, Rachel.

Care Services

Nursing Services

Rehabilitation Services

Amenities & Lifestyle

Private and Semi-Private Suites

Community Spaces for Family Gathering or Special Events

On-site Salon Services

High-speed Wi-Fi

Programs & Activities

Specific Programs

Short-term rehabilitation, Orthopedic Care, Wound Care, Stroke and Other Neurological Conditions, Cardiac Care, Oncology Recovery Care

Dining & Nutrition

Food Description

All meals are carefully served using fresh ingredients and healthy recipes, ensuring that all meals are nutritionally balanced.

Meals Included

Yes

Compare Nursing Homes around South Dakota

Alcester Care and Rehab Center

SNF

SD 57001

STROSCHEIN PROPERTIES III LLC

94.9%

$2,913,737.00

$1,508,672.00

51.8%

37.10

4/5

3.7156

5/5

3/5

1/5

Avantara Clark City

SNF

Clark

SCHLOMER, TIFFANY

79.4%

$5,951,228.00

$1,518,009.00

25.5%

30.60

3/5

3.1510

4/5

3/5

1/5

Aurora Brule Nursing Home Inc.

SNF

SD 57383

AURORA-BRULE NURSING HOME

61.7%

$2,847,378.00

$1,491,258.00

52.4%

39.60

3/5

3.4495

3/5

2/5

3/5

Avantara Groton

SNF

SD 57445

PETE, JOSHUA

65.4%

$6,213,854.00

$1,712,751.00

27.6%

35.50

3/5

3.1645

3/5

2/5

Avantara Arrowhead

SNF

SD 57702

PRESTON, PHILIP

75.2%

$10,728,053.00

$2,930,677.00

27.3%

60.50

1/5

2.7955

1/5

3/5

Alcester Care and Rehab Center

Type of care: SNF AL

Community: SD 57001

Bed Count: 39

Pets Allowed: No

Operator: STROSCHEIN PROPERTIES III LLC

CCN: 435062

Occupancy: 94.9%

Home Revenue: $2,913,737.00

Payroll Costs: $1,508,672.00

Payroll %: 51.8%

Avg Residents/Day: 37.10

Overall Rating: 4/5

Adj Nurse Hours: 3.7156

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 2

Avantara Clark City

Type of care: SNF AL

Community: Clark

Bed Count: 38

Pets Allowed: No

Operator: SCHLOMER, TIFFANY

CCN: 435058

Occupancy: 79.4%

Home Revenue: $5,951,228.00

Payroll Costs: $1,518,009.00

Payroll %: 25.5%

Avg Residents/Day: 30.60

Overall Rating: 3/5

Adj Nurse Hours: 3.1510

Health Insp Rating: 4/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 1

Aurora Brule Nursing Home Inc.

Type of care: SNF AL

Community: SD 57383

Bed Count: 44

Pets Allowed: No

Operator: AURORA-BRULE NURSING HOME

CCN: 435132

Occupancy: 61.7%

Home Revenue: $2,847,378.00

Payroll Costs: $1,491,258.00

Payroll %: 52.4%

Avg Residents/Day: 39.60

Overall Rating: 3/5

Adj Nurse Hours: 3.4495

Health Insp Rating: 3/5

Staffing Rating: 2/5

QM Rating: 3/5

Number of Fines: 2

Avantara Groton

Type of care: SNF AL

Community: SD 57445

Bed Count: 49

Pets Allowed: No

Operator: PETE, JOSHUA

CCN: 435048

Occupancy: 65.4%

Home Revenue: $6,213,854.00

Payroll Costs: $1,712,751.00

Payroll %: 27.6%

Avg Residents/Day: 35.50

Overall Rating: 3/5

Adj Nurse Hours: 3.1645

Health Insp Rating: 3/5

Staffing Rating: 2/5

QM Rating: 2/5

Number of Fines: 5

Avantara Arrowhead

Type of care: SNF AL

Community: SD 57702

Bed Count: 74

Pets Allowed: No

Operator: PRESTON, PHILIP

CCN: 435051

Occupancy: 75.2%

Home Revenue: $10,728,053.00

Payroll Costs: $2,930,677.00

Payroll %: 27.3%

Avg Residents/Day: 60.50

Overall Rating: 1/5

Adj Nurse Hours: 2.7955

Health Insp Rating: 1/5

Staffing Rating: 1/5

QM Rating: 3/5

Number of Fines: 5

201 8th Ave NW, Clark, SD 57225

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Total Staff

Employees

Contractors

13,577

Total Hours (Quarter)

Avg Staff/Day

7.1

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	8	8.3	No
Licensed Practical Nurse	4	7.6	No
Certified Nursing Assistant	62	7.5	Yes

Staff by Category

Administration

1 staff

8hs shift avg

Nursing Staff

77 staff

7.8hs shift avg

Physicians & Practitioners

1 staff

7.9hs shift avg

Therapy Services

10 staff

3.9hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

1 staff

2.3hs shift avg

Dietary Services

3 staff

6.6hs shift avg

Other Services

1 staff

8hs shift avg

Contractor Analysis

14.7%

of total hours from contractors

1,996 contractor hours this quarter

Certified Nursing Assistant: 35 Speech Language Pathologist: 2 Physical Therapy Aide: 5 Qualified Social Worker: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 2

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	27	35	62	6,655	91	100%	7.5
Registered Nurse	8	0	8	1,645	91	100%	8.3
Licensed Practical Nurse	4	0	4	1,107	91	100%	7.6
Administrator	1	0	1	496	62	68%	8
Mental Health Service Worker	1	0	1	480	60	66%	8
Medication Aide/Technician	2	0	2	478	48	53%	10
Nurse Practitioner	1	0	1	476	60	66%	7.9
Dietitian	1	0	1	468	59	65%	7.9
RN Director of Nursing	1	0	1	464	58	64%	8
Other Dietary Services Staff	2	0	2	426	61	67%	5.6
Speech Language Pathologist	0	2	2	416	60	66%	6.9
Physical Therapy Aide	0	5	5	266	66	73%	3.8
Qualified Social Worker	0	1	1	82	36	40%	2.3
Physical Therapy Assistant	0	2	2	60	31	34%	1.9
Respiratory Therapy Technician	0	1	1	59	43	47%	1.4

View All Staffing Data

Total Health inspections 4

11% below South Dakota average

South Dakota average: 4.5

Last Health inspection on Jul 2025

Total Health citations 5

66% below South Dakota average

South Dakota average: 14.8

1.25 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 4 citations

Complaint investigations 1 citations

Breakdown of citations

Critical Health citations 0

100% below South Dakota average

South Dakota average: 0.3

Serious Health citations 1

44% below South Dakota average

South Dakota average: 1.8

Moderate Health citations 4

Minor Health citations 0

Citations history (last 3 years)

Quality of Care moderate citation Jul 17, 2025

Quality of Care serious citation Sep 12, 2024

Corrected

Quality of Care moderate citation Jun 15, 2023

Corrected

Care Planning moderate citation Jun 15, 2023

Corrected

Ownership: For-Profit LLC

Part of: Legacy Healthcare

Resident Census by Payment Source

32 Total Residents

Medicare 4 (12.5%)

Medicaid 16 (50%)

Private Pay/Other 12 (37.5%)

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 16.8

39% worse than South Dakota average

South Dakota average: 12.0

Functional decline score 27.3

14% worse than South Dakota average

South Dakota average: 23.9

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 35.6%

59% above South Dakota average.

Walking Ability Worsened 18.7%

18% below South Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 27.6%

3% above South Dakota average.

Falls with Major Injury 11.5%

129% above South Dakota average.

High Risk Residents with Pressure Ulcers 9.3%

106% above South Dakota average.

Urinary Tract Infection 3.0%

13% below South Dakota average.

Depressive Symptoms 58.6%

1333% above South Dakota average.

Antipsychotic Use 26.0%

7% above South Dakota average.

Pneumococcal Vaccine 94.2%

1% below South Dakota average.

Influenza Vaccine 87.5%

10% below South Dakota average.

Lost Too Much Weight 8.9%

63% above South Dakota average.

Short-stay resident measures

Pneumococcal Vaccine 70.9%

16% worse than South Dakota average

Antipsychotic medication increase 0.0%

100% better than South Dakota average

Influenza Vaccine 65.7%

16% worse than South Dakota average

Total fines amount $17K

This home paid 57% less in fines than the state average.

South Dakota average: $40K

Number of Fines 1

This home received 51% fewer fines than the state average.

South Dakota average: 2.0

Payment Denials 0

This home is near the state average.

South Dakota average: 0.0

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Sep 12, 2024

$17K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for Avantara Clark City based on CMS SNF Cost Reports.

Occupancy Rate 79.4% ↑ 1.7pp vs 2022

Net Income $358,710 ↓ ~$68K vs 2022

Total Payroll $2,180,571 ↑ ~$178K vs 2022

Profit Margin 6.0% ↓ 1.3pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	86.1%	83.2%	79.4%	81.9%	79.8%	76.9%	89.8%	69.0%	85.6%	75.4%	77.9%	77.7%	79.4%
Beds	45	45	43	43	43	43	38	38	38	38	38	38	38
Net Income	$263,213	$22,184	-$147,687	-$279,788	-$438,374	-$566,526	-$426,594	-$276,681	-$113,626	$505,529	$408,855	$426,566	$358,710
Gross Revenue	$3,619,821	$3,491,928	$3,464,772	$3,374,923	$3,326,747	$3,066,162	$2,940,031	$2,347,254	$2,252,952	$4,710,728	$5,225,255	$5,795,941	$5,951,228
Operating Expenses	$2,432,114	$2,474,089	$2,544,740	$2,633,252	$2,796,598	$2,775,795	$2,604,907	$2,161,445	$1,227,465	$2,528,535	$2,635,200	$2,864,898	$3,180,175
Net Patient Revenue	$2,664,485	$2,491,730	$2,378,605	$2,341,124	$2,350,887	$2,194,723	$2,176,344	$1,713,961	$1,113,839	$2,429,533	$2,580,394	$3,284,155	$3,533,575
Total Payroll	$1,452,982	$1,458,899	$1,432,114	$1,396,668	$1,460,796	$1,540,310	$1,796,515	$1,143,141	$873,717	$1,791,457	$1,719,769	$2,002,694	$2,180,571
Profit Margin %	7.3%	0.6%	-4.3%	-8.3%	-13.2%	-18.5%	-14.5%	-11.8%	-5.0%	10.7%	7.8%	7.4%	6.0%
Medicare %	14.2%	14.9%	15.7%	13.2%	13.8%	12.8%	8.3%	15.0%	7.2%	18.2%	13.7%	21.5%	19.8%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	57.9%	0.0%	63.1%	59.0%	60.8%	50.8%	57.5%
Private %	85.8%	85.1%	84.3%	86.8%	86.2%	87.2%	33.9%	85.0%	29.6%	22.8%	25.5%	27.7%	22.7%
Revenue/Day	$189	$182	$183	$182	$188	$181	$175	$179	$186	$232	$239	$305	$321
Cost/Day	$172	$181	$196	$205	$223	$229	$209	$226	$205	$241	$244	$266	$289
Avg Length of Stay	220.9 days	171.3 days	124.7 days	147.8 days	156.5 days	155.1 days	218.5 days	174.1 days	171.1 days	139.9 days	144.1 days	134.7 days	114.8 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

SD Specifics: Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

General: Age 60+, South Dakota resident, at risk of decline.

Income Limits: ~$1,732/month (individual, varies).

Asset Limits: $5,000 (individual).

SD Specifics: Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

General: Age 65+ or disabled, SD resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

General: Age 60+ prioritized, SD resident, low-income household.

Income Limits (2025): ~$3,970/month (individual, 185% FPL).

Asset Limits: Not assessed; income-focused.

SD Specifics: Covers gas, electric, propane; weatherization add-on available.

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).

Asset Limits: Not assessed; need-based.

SD Specifics: Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

General: Age 55+, unemployed, low-income, SD resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

SD Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.

Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).

Asset Limits: Not assessed; income-focused.

SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

General: Age 60+, SD resident, low-income.

Income Limits (2025): ~$2,322/month (individual, 185% FPL).

Asset Limits: Not assessed.

SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.

Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).

Asset Limits: Property value < $250,000 (single), $300,000 (multiple).

SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

General: Age 60+, SD resident (or spouse of any age); no income/asset limits.

Income Limits (2025): None; donations encouraged for some services.

Asset Limits: Not assessed.

SD Specifics: 6 AAAs; rural focus due to sparse population.

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Avantara Clark City

Avantara Clark City is a Nursing Home in South Dakota

Avantara Clark City is a Nursing Home in South Dakota

Avantara Clark City

Avantara Clark City is a Nursing Home in South Dakota

Avantara Clark City is a Nursing Home in South Dakota

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Compare Nursing Homes around South Dakota

Places of interest near Avantara Clark City

Calculate Travel Distance to Avantara Clark City

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for South Dakota Seniors

Home and Community Based Services Waiver

South Dakota Elderly Services Program

Medicare Savings Program (MSP)

Low-Income Home Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Property Tax Reduction Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Older Americans Act (OAA) Services

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