Total staff
288
Employees
238
Contractors
50
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Hale Makua Health Services
Nursing Home & Memory Care · Kahului, HI
Hale Makua Health Services
Nursing Home & Memory Care · Kahului, HI
Hale Makua Health Services accepts Medicare, Medicaid, and private pay.
Overview of Hale Makua Health Services
Wonderfully nestled between Kahului Park and Kahului Disc Golf Course in Kahului, HI, Hale Makua Health Services is an outstanding community offering a wide range of care, including adult day health, residential care, home health, long-term care, and rehabilitation. The community strives to meet residents’ needs with a compassionate and well-trained team attending to their needs around the clock. Whether at home or in our stress-free setting, residents can keep their peace of mind and receive exceptional care.
Aside from their healthcare needs, residents’ leisure and wellness are also taken into consideration, so fun recreational activities and enriching programs are also conducted. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. With continuum of care services, residents age with dignity wherever they prefer.
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 9th out of 32 homes in Hawaii. 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 9th out of 32 homes in Hawaii. 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.
4h 47m per day
Rank #9 / 32Nurse hours — State benchmarkedThis home is ranked 9th out of 32 homes in Hawaii. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 32 Hawaii 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 Hawaii avg
Standout metric
LPN / LVN is +138% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 18m per day | ▼ 20% State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 50m per day | ▲ 138% State avg: 21m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 50m per day | ▲ 4% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
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.
| 4h 20m per day | ▲ 4% State avg: 4h 11m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 54m per day | ▼ 27% State avg: 1h 14m per day · National avg: 29m per day |
Types of Care at Hale Makua Health Services
Nursing Home
Memory Care
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
91.7%
Rank #5 / 27Occupancy rate — State benchmarkedThis home is ranked 5th out of 27 homes in Hawaii. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 27. 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
142 days
Occupancy rate
91.7%
Rank #5 / 27Occupancy rate — State benchmarkedThis home is ranked 5th out of 27 homes in Hawaii. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 27. 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
142 days
Walk Score: 27 / 100 Rank #125 / 178Walk Score — State benchmarkedThis home is ranked 125th out of 178 homes in Hawaii. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Rehabilitation Services
Respite Care
Specific ProgramsAdult Day Health, Care Homes, Home Health
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.41:1
15% worse than Hawaii average
Avg staff/day
143
Average shift
8 hours
0% compared with Hawaii average
Total staff hours (quarter)
105,775
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
55
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
119
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Contractor 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
13.2%
13,933 contractor hours this quarter
Licensed Practical Nurse: 12
Certified Nursing Assistant: 9
Respiratory Therapy Technician: 7
Physical Therapy Assistant: 6
Qualified Social Worker: 4
Physical Therapy Aide: 3
Speech Language Pathologist: 3
Occupational Therapy Assistant: 3
Registered Nurse: 2
Medical Director: 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 | 110 | 9 | 119 | 50,290 | 92 | 100% | 7.9 |
| Registered Nurse | 53 | 2 | 55 | 20,631 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 17 | 12 | 29 | 11,651 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 15 | 0 | 15 | 6,078 | 90 | 98% | 8 |
| Nurse Aide in Training | 20 | 0 | 20 | 2,844 | 90 | 98% | 8.1 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,777 | 86 | 93% | 8 |
| Dental Services Staff | 5 | 0 | 5 | 2,303 | 79 | 86% | 7.4 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,456 | 64 | 70% | 8 |
| Dietitian | 3 | 0 | 3 | 1,278 | 66 | 72% | 7.9 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,051 | 79 | 86% | 6.2 |
| RN Director of Nursing | 2 | 0 | 2 | 903 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 890 | 79 | 86% | 6.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 721 | 78 | 85% | 7.1 |
| Physical Therapy Assistant | 0 | 6 | 6 | 605 | 89 | 97% | 5.2 |
| Qualified Social Worker | 0 | 4 | 4 | 546 | 74 | 80% | 5.2 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 461 | 58 | 63% | 7.9 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 156 | 37 | 40% | 3.6 |
| Medical Director | 0 | 1 | 1 | 82 | 39 | 42% | 2.1 |
119 Certified Nursing Assistant
% of Days
100%
55 Registered Nurse
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
15 Clinical Nurse Specialist
% of Days
98%
20 Nurse Aide in Training
% of Days
98%
7 Other Dietary Services Staff
% of Days
93%
5 Dental Services Staff
% of Days
86%
3 Occupational Therapy Aide
% of Days
70%
3 Dietitian
% of Days
72%
7 Respiratory Therapy Technician
% of Days
86%
2 RN Director of Nursing
% of Days
71%
3 Physical Therapy Aide
% of Days
86%
3 Speech Language Pathologist
% of Days
85%
6 Physical Therapy Assistant
% of Days
97%
4 Qualified Social Worker
% of Days
80%
1 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
72%
1 Mental Health Service Worker
% of Days
63%
3 Occupational Therapy Assistant
% of Days
40%
1 Medical Director
% of Days
42%
Penalties and fines
Includes penalties issued in 2023-2024
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
$170K Rank #33 / 33Federal fines — State benchmarkedThis home is ranked 33rd out of 33 homes in Hawaii. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 33 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.
351% higher than Hawaii averageHawaii average: $38K
Number of fines
3
97% more fines than Hawaii averageHawaii average: 1.5
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 Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$170K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024
$71K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2024
$56K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 19, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 19, 2023
$44K
Last updated: Jan 2026
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.
16.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.3
60% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.2
46% worse than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.6%
Percent of long-stay residents whose need for help with daily activities has increased
24.6%
40% worse than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
43.4%
Percent of long-stay residents whose ability to move independently worsened
43.4%
68% worse than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
7% worse than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
In line with Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
11% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
In line with Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.0%
Percent of long-stay residents who lose too much weight
8.0%
70% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.2%
Percent of long-stay residents who have depressive symptoms
0.2%
86% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.0%
Percent of long-stay residents who received an antipsychotic medication
11.0%
9% worse than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with Hawaii averageHawaii average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.17
Number of hospitalizations per 1,000 long-stay resident days.
1.17
13% better than Hawaii averageHawaii average: 1.34
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
124% worse than Hawaii averageHawaii average: 0.89
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
10% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
9% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
8% better than Hawaii averageHawaii average: 84.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
In line with Hawaii averageHawaii average: 19.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.6%
71% worse than Hawaii averageHawaii average: 10.9%
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 Hawaii averageHawaii average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
56.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.0%
In line with Hawaii averageHawaii average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
70.2%
Rate of successful return to home or community from a skilled nursing facility.
70.2%
39% better than Hawaii averageHawaii 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
22% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
68% 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
2 - 3 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
204
Medicare
29
14.2% of residents
Medicaid
136
66.7% of residents
Private pay or other
39
19.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Hale Makua Health Services based on CMS SNF Cost Reports.
Occupancy Rate
91.7%
↓ 0.8pp vs 2022
Net Income
-$1.9M
↓ ~$6.4M vs 2022
Total Payroll
$20.7M
↑ ~$300.5K vs 2022
Profit Margin
-3.2%
↓ 11.4pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$62.4M
Operating deficit
-$1.9M
Voluntary non-profit community
Home revenue
$62.4M Rank #1 / 28Revenue — State benchmarkedThis home is ranked 1st out of 28 homes in Hawaii. Shows this facility's annual revenue compared to the Hawaii 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.
Operating deficit
-$1.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 28Payroll — State benchmarkedThis home is ranked 1st out of 28 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii 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.
$20.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 28Payroll — State benchmarkedThis home is ranked 1st out of 28 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii 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.
$43.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$64.3M
What does this home offer?
Housing Options: Private / Semi-Private
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Hale Makua Health Services
1.2 miles from city center
Estimated distance in miles from Kahului's city center to Hale Makua Health Services's address, calculated via Google Maps.
Calculate Travel Distance to Hale Makua Health Services
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Financial Assistance for
Nursing Home in Hawaii
Hale Makua Health Services is located in Kahului, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Compare Nursing Home around Kahului
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
| Lanai Community Hospital |
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). | Lanai City (7Th Street) | 10 | - | - | - | - | - | - | $0 | 21 | 7.0 | - | 10 | 58 | - | - | - | - | 125023 | |||
| Kula Hospital |
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). | Kula (Keokea Place) | 105 | - | - | 5.73 | +20% | +36% | $0 | 32 | 6.4 | 1 | 92 | 25 | - | - | - | - | 125003 | ||||
| Hale Makua Health Services | - |
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).
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. | Kahului (Kaulana Street) | 254 | 91.7% | +24% | 4.78 | - | - | - | -7% | +14% | $179.6k | 63 | 7.0 | 7 | 201 | 27 | Grant Chun | $62.4M | $20.7M | 33.2% | 125007 |
Frequently Asked Questions about Hale Makua Health Services
What neighborhood is Hale Makua Health Services in?
Hale Makua Health Services is in the Kaulana Street neighborhood.
Is Hale Makua Health Services in a walkable area?
Hale Makua Health Services has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of Hale Makua Health Services?
Yes — there are 2 photos of Hale Makua Health Services in the photo gallery on this page.
What is the address of Hale Makua Health Services?
Hale Makua Health Services is located at 472 Kaulana St, Kahului, HI 96732.
What is the phone number of Hale Makua Health Services?
(808) 877-2761 will put you in contact with the team at Hale Makua Health Services.
Is Hale Makua Health Services Medicare or Medicaid certified?
Yes — Hale Makua Health Services is a CMS-certified provider of Medicare and Medicaid.
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