Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Estates of Hidden Lake
Estates of Hidden Lake is an Assisted Living Home in Missouri
Estates of Hidden Lake is an Assisted Living Home in Missouri
Estates of Hidden Lake
Estates of Hidden Lake is an Assisted Living Home in Missouri
Estates of Hidden Lake is an Assisted Living Home in Missouri
Offering luxury skilled nursing, assisted living, and memory care support in Spanish Lake, Estates of Hidden Lake holds a renowned reputation for a high standard of senior living care. Its resident-centered approach is supported by an extensive and individualized care plan tailored to fulfill holistic needs. Estates of Hidden Lake create a home and a community that empowers seniors to thrive and acquire the lifestyle that they deserve.
The upscale resort-style environment presents world-class hospitality that extends to its accommodations. With a commitment to deliver freedom and individuality for each resident, the retirement experience is designed to focus on the unique needs of each senior. Featured amenities and services include respite stays, memory care activities, transportation, ADLs, specialized meal plans, rehabilitation, and long-term care services.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
67
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
67%
Residents per day (avg)
51
Occupancy rate
67%
Residents per day (avg)
51
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
42% of new residents, often for short stays.
Typical stay
2 months
Medicaid
24% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Other
Home revenue
$5.5M
Loss
-$1.1M
Proprietary home
Other
Home revenue
$5,516,828.00
Loss
$-1,102,576.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.6M
Comparison Chart
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.Compare Assisted Living around St Louis
Sunrise of Des Peres
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Des Peres
147
Yes
A-
50
GRODEON, MARY
67.6%
$15,609,810.00
$5,615,455.00
36%
118.30
1/5
3.5046
1/5
2/5
3/5
2
-
The Grande At Laumeier Park
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
RC
Respite Care
Sappington
98
Yes
-
50
-
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
Sunrise of Webster Groves
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Webster Groves
90
Yes
-
77
-
-
-
-
-
-
-
-
-
-
-
-
-
Estates of Hidden Lake
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
St. Louis
67
No
-
29
KATZ, HAROLD
67.0%
$4,916,593.00
$2,651,129.00
53.9%
50.80
1/5
3.8208
1/5
1/5
1/5
2
-
Anthology of Clayton
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SL
Senior Living
St. Louis
-
No
-
71
-
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near Estates of Hidden Lake
16.0 miles from city center
11728 Hidden Lake Dr, St. Louis, MO 63138
Calculate Travel Distance to Estates of Hidden Lake
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
86
Total Staff
75
Employees
11
Contractors
19,746
Total Hours (Quarter)
29
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 9.6 | Yes |
| Licensed Practical Nurse | 15 | 9 | No |
| Certified Nursing Assistant | 38 | 7.2 | No |
Staff by Category
Administration ⓘ
2 staff
7.7hs shift avg
Nursing Staff ⓘ
68 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
3 staff
6.2hs shift avg
Therapy Services ⓘ
8 staff
5.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
3.1hs shift avg
Dietary Services ⓘ
3 staff
6.4hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
5.8%
of total hours from contractors
1,144 contractor hours this quarter
Qualified Social Worker: 1
Speech Language Pathologist: 2
Physical Therapy Assistant: 1
Nurse Practitioner: 1
Registered Nurse: 1
Physical Therapy Aide: 1
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 38 | 0 | 38 | 8,090 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 15 | 0 | 15 | 4,083 | 91 | 100% | 9 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,275 | 91 | 100% | 7 |
| Registered Nurse | 5 | 1 | 6 | 1,188 | 81 | 89% | 9.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 1 | 2 | 496 | 61 | 67% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 494 | 64 | 70% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 443 | 58 | 64% | 6.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 434 | 62 | 68% | 7 |
| Dietitian | 1 | 0 | 1 | 425 | 66 | 73% | 6.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 285 | 55 | 60% | 5.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 237 | 41 | 45% | 5.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 74 | 31 | 34% | 2.4 |
| Qualified Social Worker | 0 | 1 | 1 | 68 | 22 | 24% | 3.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 48 | 21 | 23% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 38 | 7 | 8% | 5.4 |
| Medical Director | 1 | 0 | 1 | 33 | 7 | 8% | 4.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.7 |
Health Inspection History
Source: CMS Health Citations (Aug 2019 – Jun 2025)
10
Inspections
81
Total Citations
1
Critical (J-L)
5
Serious (G-I)
8.1
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
19
23% of total
Resident Rights
14
17% of total
Administration
6
7% of total
Pharmacy Services
6
7% of total
Infection Control
5
6% of total
Abuse, Neglect & Exploitation
3
4% of total
Citation Sources
Standard Inspections
68
Complaint Investigations
19
State Comparison (MO)
Citations
81
Missouri average: 36.5
Critical Citations
1
Missouri average: 0.7
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jun 30, 2025 | D | Quality of Care | F0689 | Corrected |
| Feb 25, 2025 | D | Quality of Care | F0686 | Corrected |
| Feb 25, 2025 | D | Care Planning | F0658 | Corrected |
| Dec 11, 2024 | E | Resident Rights | F0567 | Corrected |
| Dec 11, 2024 | E | Resident Rights | F0570 | Corrected |
| Oct 08, 2024 | D | Resident Rights | F0585 | Corrected |
| Aug 30, 2024 | G | Quality of Care | F0689 | Corrected |
| Aug 30, 2024 | D | Care Planning | F0842 | Corrected |
| Aug 19, 2024 | D | Administration | F0770 | Corrected |
| Aug 19, 2024 | E | Administration | F0849 | Corrected |
| Aug 19, 2024 | F | Administration | F0865 | Corrected |
| Aug 19, 2024 | E | Infection Control | F0883 | Corrected |
| Aug 19, 2024 | E | Nursing Services | F0727 | Corrected |
| Aug 19, 2024 | F | Nutrition | F0803 | Corrected |
| Aug 19, 2024 | D | Nutrition | F0806 | Corrected |
| Aug 19, 2024 | D | Nutrition | F0810 | Corrected |
| Aug 19, 2024 | F | Nutrition | F0812 | Corrected |
| Aug 19, 2024 | E | Nutrition | F0814 | Corrected |
| Aug 19, 2024 | D | Pharmacy | F0761 | Corrected |
| Aug 19, 2024 | G | Quality of Care | F0684 | Corrected |
| Aug 19, 2024 | G | Quality of Care | F0686 | Corrected |
| Aug 19, 2024 | D | Quality of Care | F0689 | Corrected |
| Aug 19, 2024 | D | Quality of Care | F0693 | Corrected |
| Aug 19, 2024 | E | Quality of Care | F0698 | Corrected |
| Aug 19, 2024 | E | Quality of Care | F0700 | Corrected |
| Aug 19, 2024 | E | Care Planning | F0640 | Corrected |
| Aug 19, 2024 | D | Care Planning | F0641 | Corrected |
| Aug 19, 2024 | D | Care Planning | F0655 | Corrected |
| Aug 19, 2024 | D | Care Planning | F0656 | Corrected |
| Aug 19, 2024 | D | Resident Rights | F0582 | Corrected |
| Aug 19, 2024 | E | Resident Rights | F0584 | Corrected |
| Aug 19, 2024 | D | Resident Rights | F0585 | Corrected |
| Aug 19, 2024 | C | Resident Rights | F0623 | Corrected |
| Jun 04, 2024 | G | Abuse/Neglect | F0600 | Corrected |
| Jun 04, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Jun 04, 2024 | D | Quality of Care | F0742 | Corrected |
| Aug 09, 2023 | D | Quality of Care | F0689 | Corrected |
| Aug 09, 2023 | D | Care Planning | F0656 | Corrected |
| Oct 28, 2022 | D | Abuse/Neglect | F0607 | Corrected |
| Oct 28, 2022 | F | Administration | F0865 | Corrected |
| Oct 28, 2022 | F | Environmental | F0909 | Corrected |
| Oct 28, 2022 | K | Infection Control | F0880 | Corrected |
| Oct 28, 2022 | F | Infection Control | F0882 | Corrected |
| Oct 28, 2022 | F | Infection Control | F0883 | Corrected |
| Oct 28, 2022 | C | Infection Control | F0888 | Corrected |
| Oct 28, 2022 | E | Nursing Services | F0726 | Corrected |
| Oct 28, 2022 | E | Nursing Services | F0727 | Corrected |
| Oct 28, 2022 | C | Nursing Services | F0732 | Corrected |
| Oct 28, 2022 | E | Nutrition | F0806 | Corrected |
| Oct 28, 2022 | F | Nutrition | F0809 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: EXTENDED CARE LLC
Resident Census by Payment Source
54
Total Residents
Medicare
9
(16.7%)
ⓘ
Medicaid
39
(72.2%)
ⓘ
Private Pay/Other
6
(11.1%)
ⓘ
Programs & Services
CCRC
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
17.7
Score
62% worse than avg
Missouri avg: 10.9
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
28.5
Score
47% worse than avg
Missouri avg: 19.5
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
26.7%
Lost Too Much Weight
16.3%
Urinary Tract Infection
2.8%
Depressive Symptoms
0.0%
Falls with Major Injury
0.5%
Pneumococcal Vaccine
88.0%
Antipsychotic Use
17.1%
Walking Ability Worsened
38.9%
Influenza Vaccine
94.1%
High Risk Residents with Pressure Ulcers
6.1%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.0%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
57.1%
14% worse than avg
Missouri: 66.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
Missouri: 2.2%
Penalties & 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
$124K
Missouri avg: $73K
69% worse than avg
Number of Fines
2
Missouri avg: 2.4
Payment Denials
1
51 total days
Compared to Missouri Average
Facility: $124K |
Missouri Avg: $73K
Penalty History
Showing all 3 penalties (Jun 2024 - Aug 2024)
Aug 19, 2024
Civil Money Penalty
$96K
Aug 19, 2024
Payment Denial
51 days
Jun 4, 2024
Civil Money Penalty
$27K
Financial Trends
Historical financial and operational data for Estates of Hidden Lake based on CMS SNF Cost Reports.
Occupancy Rate
67.0%
↓ 10.8pp vs 2022
Net Income
-$1,102,576
↓ ~$2.2M vs 2022
Total Payroll
$3,423,476
↑ ~$380K vs 2022
Profit Margin
-22.4%
↓ 43.5pp vs 2022
Loading trend charts...
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Claim What’s Yours: Financial Aid for Missouri Seniors
Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Missouri Medicaid A&D Waiver
Official government program page
- General: Age 65+ or disabled, Missouri 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).
- MO Specifics: Rural access prioritized.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
Missouri Supplemental Nursing Care (SNC)
- General: Age 65+, Missouri resident, in approved facility.
- Income Limits: ~$1,215/month (individual).
- Asset Limits: $2,000 (individual).
- MO Specifics: Supplements SSI; facility-based only.
- Services: Monthly cash payment (~$156-$292/month) for care costs.
Structured Family Caregiving Waiver (SFCW)
Missouri Structured Family Caregiving Waiver
Official government program page
- General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
- Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.
- Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
- MO Specifics: Caregiver must be family; small program size.
- Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
MO HealthNet Aged, Blind, and Disabled (ABD)
Missouri MO HealthNet ABD
Official government program page
- General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
- Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.
- Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
- MO Specifics: Less intensive than waivers; statewide access.
- Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Medicare Savings Program (MSP)
Missouri Medicare Savings Program
Official government program page
- General: Age 65+ or disabled, Missouri 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).
- MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Missouri Caregiver Program
Official government program page
- General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).
- Asset Limits: Not assessed; need-based.
- MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.
- Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Senior Community Service Employment Program (SCSEP)
Missouri SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, Missouri resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- MO Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Missouri VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, Missouri 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).
- MO Specifics: High veteran demand in rural/urban areas.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Claim What’s Yours Financial Aid for Missouri Seniors
Missouri Medicaid A&D Waiver
Aged and Disabled Waiver
Requirements:
General:Age 65+ or disabled, Missouri 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).
MO Specifics:Rural access prioritized.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
MO SNC
Missouri Supplemental Nursing Care (SNC)
Requirements:
- General:Age 65+, Missouri resident, in approved facility.
- Income Limits:~$1,215/month (individual).
- Asset Limits:$2,000 (individual).
- MO Specifics:Supplements SSI; facility-based only.
Benefits without Contact:
- Services: Monthly cash payment (~$156-$292/month) for care costs.
Missouri Structured Family Caregiving Waiver
Structured Family Caregiving Waiver (SFCW)
Requirements:
- General:Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
- Income Limits (2025):~$2,901/month (300% FBR, individual); QIT required.
- Asset Limits:$5,909.25 (individual), $11,818.45 (couple).
- MO Specifics:Caregiver must be family; small program size.
Benefits without Contact:
- Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
Missouri MO HealthNet ABD
MO HealthNet Aged, Blind, and Disabled (ABD)
Requirements:
- General:Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
- Income Limits (2025):~$1,690/month (individual, projected); spenddown allowed.
- Asset Limits:$5,909.25 (individual), $11,818.45 (couple).
- MO Specifics:Less intensive than waivers; statewide access.
Benefits without Contact:
- Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Missouri Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, Missouri 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).
- MO Specifics:Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Requirements:
- General:Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year individual).
- Asset Limits:Not assessed; need-based.
- MO Specifics:Administered via AAAs and Alzheimer’s Association; rural focus.
Benefits without Contact:
- Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Missouri SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, Missouri resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- MO Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Missouri VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, Missouri 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).
- MO Specifics:High veteran demand in rural/urban areas.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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