Libby of Cascadia, LLC dba Libby Care Center

Nursing Home & Skilled Nursing · Libby, MT

CMS overall rating

308 East Third Street, Libby, MT 59923 View map

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Libby of Cascadia, LLC dba Libby Care Center accepts Medicare, Medicaid, and private pay.

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Libby of Cascadia, LLC dba Libby Care Center accepts Medicare, Medicaid, and private pay.

Overview of Libby of Cascadia, LLC DBA Libby Care Center

Libby of Cascadia, LLC DBA Libby Care Center is a 101-bed skilled nursing and rehabilitation facility at 308 East Third Street, Libby, Lincoln County, Montana, offering 24-hour nursing care, rehabilitation services, respite care, and memory care. The facility does not accept Medicaid or Medicare. Its overall rating is not publicly disclosed. The administrator is BettyJean Youngblood.

The facility received a 2023 Silver Achievement in Quality award from the American Health Care Association and National Center for Assisted Living. Walk score for the location is 76.

Libby is located in Lincoln County in northwest Montana near the Idaho border. Cabinet Peaks Medical Center and Community Hospital are the primary nearby acute-care resources.

Regulatory compliance documentation is essential for informed placement decisions.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Facility Direct Line (406) 293-6285

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Montana state averages

Total nursing care / resident

3h 19m per day

This facility Montana avg (4h 32m per day)

vs Montana avg

-27%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +33% 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.	31m per day	▼ 44% State avg: 55m 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.	40m per day	▲ 33% State avg: 30m 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.	1h 49m per day	▼ 28% State avg: 2h 32m per day · National avg: 2h 20m 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.	2h 39m per day	▼ 25% State avg: 3h 33m per day · National avg: 3h 27m 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.	1m per day	▼ 86% State avg: 4m 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.	22m per day	▼ 46% State avg: 41m per day · National avg: 29m per day

Capacity and availability

207 days

101-bed community

A larger shared setting that may offer more common spaces and organized community services.

2 years in operation

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

Walk Score: 76 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

76%

Higher than the Montana average: 61.7%

Occupied beds

77 / 101

Average occupied beds in Montana homes 55 beds

2023 Silver – Achievement in Quality award recipient by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL)

Facility TypeLong Term Care

StatusCurrent

IssuanceJuly 2, 2024

ExpirationJuly 1, 2027

License Number13566

Libby of Cascadia, LLC dba Libby Care Center is administered by Bettyjean Youngblood.

Rehabilitation Services

24-Hour Staffing

Pets not allowed

In-House Rehabilitation Gym

Individualized Attention And Care

Activities Program

Inspections since 2023

Total health inspections 4

State average 5.1

Last Health inspection on Jun 2025

Total health citations

State average 29.7

Citations per inspection

4.5

State average 5.72

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 18 citations resulted from standard inspections; 4 of 18 resulted from complaint investigations; and 8 of 18 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than State average

State average: 0.3

Serious health citations

9% better than State average

State average: 2.2

0 critical citations State average: 0.3

2 serious citations State average: 2.2

16 moderate citations State average: 26.5

0 minor citations State average: 0.7

Citations history (last 3 years)

Infection Control moderate citation Jun 30, 2025

Corrected

Pharmacy moderate citation Jun 30, 2025

Corrected

Resident Rights moderate citation Jun 30, 2025

Corrected

Resident Rights moderate citation Jun 30, 2025

Corrected

Total staff 83

Employees 75

Contractors 8

Staff to resident ratio 1.06 : 1

43% fewer staff per resident than Montana average

Avg staff/day 36

Average shift 8 hours

7% worse than Montana average

Total staff hours (quarter) 26,561

Nursing staff breakdown

9.2 hours

9.5 hours

8.2 hours

Contractor staffing

752 contractor hours this quarter

Registered Nurse: 5 Licensed Practical Nurse: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	31	0	31	12,208	92	100%	8.2
Licensed Practical Nurse	11	1	12	4,688	92	100%	9.5
Registered Nurse	7	5	12	2,622	92	100%	9.2
Dental Services Staff	4	0	4	1,641	71	77%	7.8
Physical Therapy Assistant	3	1	4	938	67	73%	6.2
Nurse Aide in Training	4	0	4	676	50	54%	7.9
Clinical Nurse Specialist	2	0	2	536	63	68%	8
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Other Dietary Services Staff	2	0	2	479	85	92%	5.6
Speech Language Pathologist	3	0	3	474	70	76%	6.2
Qualified Social Worker	1	0	1	452	47	51%	9.6
Dietitian	1	0	1	425	57	62%	7.5
Therapeutic Recreation Specialist	1	0	1	266	58	63%	4.6
Respiratory Therapy Technician	3	0	3	63	32	35%	1.8
Occupational Therapy Assistant	0	1	1	39	9	10%	4.3

31 Certified Nursing Assistant

% of Days 100%

12 Licensed Practical Nurse

% of Days 100%

12 Registered Nurse

% of Days 100%

4 Dental Services Staff

% of Days 77%

4 Physical Therapy Assistant

% of Days 73%

4 Nurse Aide in Training

% of Days 54%

2 Clinical Nurse Specialist

% of Days 68%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

2 Other Dietary Services Staff

% of Days 92%

3 Speech Language Pathologist

% of Days 76%

1 Qualified Social Worker

% of Days 51%

1 Dietitian

% of Days 62%

1 Therapeutic Recreation Specialist

% of Days 63%

3 Respiratory Therapy Technician

% of Days 35%

1 Occupational Therapy Assistant

% of Days 10%

View All Staffing Data

Total fines amount $23K

74% lower than Montana average

Montana average: $87K

Number of fines 1

57% fewer fines than Montana average

Montana average: 2.3

Payment Denials 0

100% fewer payment denials than Montana average

Montana average: 0.2

Fines amount comparison

This facility $23K

Montana average $87K

Penalty History

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

1 penalty in the past 3 years

Aug 17, 2023 · $23K

Civil Money Penalty Aug 17, 2023

$23K

Last updated: Jan 2026

High-risk clinical events score 7.4

34% better than Montana average

Montana average: 11.2

Functional decline score 16.0

26% better than Montana average

Montana average: 21.8

Long-stay resident measures

Need for Help with Daily Activities Increased 10.0%

48% better than Montana average

Montana average: 19.4%

Walking Ability Worsened 12.8%

38% better than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence 25.3%

In line with Montana average

Montana average: 25.2%

Falls with Major Injury 5.2%

20% worse than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers 5.6%

11% better than Montana average

Montana average: 6.3%

Urinary Tract Infection 0.0%

100% better than Montana average

Montana average: 2.8%

Lost Too Much Weight 3.3%

46% better than Montana average

Montana average: 6.1%

Depressive Symptoms 2.4%

49% better than Montana average

Montana average: 4.7%

Antipsychotic Use 4.3%

77% better than Montana average

Montana average: 19.1%

Pneumococcal Vaccine 100.0%

7% better than Montana average

Montana average: 93.8%

Influenza Vaccine 100.0%

7% better than Montana average

Montana average: 93.7%

Short-stay resident measures

Pneumococcal Vaccine 93.6%

23% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase 1.5%

13% better than Montana average

Montana average: 1.8%

Influenza Vaccine 98.7%

34% better than Montana average

Montana average: 73.8%

Breakdown by payment type

Medicare

36% 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 4 - 5 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 78

Medicare

12.8% of residents

Medicaid

51.3% of residents

Private pay or other

35.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Libby of Cascadia, LLC dba Libby Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 76.4% ↑ 1.5pp vs 2022

Net Patient Income $894.7K ↑ ~$641.6K vs 2022

Payroll Costs $4.2M ↑ ~$276.2K vs 2022

Operating Margin 10.0% ↑ 6.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	70.2%	72.3%	81.9%	82.7%	73.5%	71.6%	67.5%	71.2%	74.9%	77.1%	68.8%	74.9%	76.4%
Beds	101	101	101	101	101	101	101	101	101	101	101	101	101
Net Income	$455,942	$126,032	$356,565	$266,136	$23,839	$2,194,474	-$261,327	-$363,240	$110,881	$1,324,750	$2,056,295	$764,745	$1,217,119
Gross Revenue	$5,442,971	$5,540,251	$6,680,567	$6,796,281	$6,363,644	$6,281,893	$5,970,337	$7,709,867	$8,362,108	$8,661,612	$9,982,661	$8,162,071	$12,314,818
Operating Expenses	$4,850,252	$5,215,949	$5,844,080	$6,147,591	$6,087,126	$3,731,124	$5,697,536	$6,734,735	$6,916,020	$7,587,417	$7,612,886	$7,746,947	$8,065,201
Net Patient Income	$276,232	-$89,071	$128,291	$7,969	-$274,786	$1,892,255	-$468,145	-$672,076	-$32,802	$398,424	$472,589	$253,124	$894,676
Net Patient Revenue	$5,126,484	$5,126,878	$5,972,371	$6,155,560	$5,812,340	$5,623,379	$5,229,391	$6,062,659	$6,883,218	$7,985,841	$8,085,475	$8,000,071	$8,959,877
Payroll Costs	$2,425,435	$2,463,067	$2,375,264	$2,521,366	$2,475,205	$2,478,627	$2,695,705	$3,374,110	$3,426,406	$3,886,277	$3,897,070	$3,929,225	$4,205,424
Operating Margin %	5.4%	-1.7%	2.2%	0.1%	-4.7%	33.7%	-9.0%	-11.1%	-0.5%	5.0%	5.8%	3.2%	10.0%
Medicare %	9.7%	8.5%	7.0%	6.1%	8.0%	6.3%	5.6%	9.5%	8.0%	14.1%	23.2%	14.0%	8.3%
Medicaid %	65.7%	67.8%	71.0%	71.7%	67.1%	69.9%	70.9%	69.7%	67.8%	65.2%	59.7%	66.2%	67.7%
Private %	24.6%	23.7%	22.0%	22.2%	24.9%	23.8%	23.5%	20.8%	24.1%	20.7%	17.0%	19.8%	24.0%
Net Patient Revenue/Day	$198	$192	$198	$202	$214	$212	$210	$231	$249	$280	$319	$290	$318
Cost/Day	$188	$195	$194	$202	$225	$141	$229	$257	$251	$266	$300	$280	$286
Avg Length of Stay	194.4 days	166.9 days	217.2 days	217.7 days	141.2 days	175.4 days	259.3 days	77.4 days	109.5 days	171.8 days	202.9 days	188.0 days	207.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.0M

Net patient income

$894.7K

For-profit Operated by a single business entity.

Net patient revenue

$9.0M

Net patient income

$894.7K

Other income

$322.4K

Payroll costs

$4.2M 46.9% of net patient revenue

Other operating costs

$3.9M

Total costs

$8.1M

TYPE OF STAY

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.

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 36%

Private pay 42%

Medicaid 22%

Coverage residents most often leave under.

Medicare 29%

Private pay 38%

Medicaid 34%

0.0 miles from city center Estimated distance in miles from Libby's city center to Libby of Cascadia, LLC dba Libby Care Center's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


Southwest Montana Veteran’s Home	NH SNF	Butte	60 Facility 60 MT AVG 70 Rank #58 / 103	84.7% Facility 84.7% MT AVG 61.5 Rank #8 / 32	+38%	6.78 Facility 6.78 MT AVG 4.53 Rank #2 / 33	+62%	+50%	$0 Facility $0 MT AVG $83.8k Rank #1 / 34	18 Facility 18 MT AVG 29.7 Rank #8 / 34	6.0 Facility 6.0 MT AVG 5.7 Rank #22 / 34	1	51	-	14 Facility 14 MT AVG 43 Rank #128 / 159	-	$7.4MFiscal year ending 12/2023 Facility $7.4MFiscal year ending 12/2023 MT AVG $6.3M Rank #15 / 32	$5.1MFiscal year ending 12/2023 Facility $5.1MFiscal year ending 12/2023 MT AVG $2.8M Rank #10 / 32	68.5%Fiscal year ending 12/2023 Facility 68.5%Fiscal year ending 12/2023 MT AVG 45.6% Rank #13 / 32	275156
The Living Centre	NH AL IL SNF	Stevensville (Main Street)	50 Facility 50 MT AVG 70 Rank #61 / 103	74.6% Facility 74.6% MT AVG 61.5 Rank #14 / 32	+21%	4.87 Facility 4.87 MT AVG 4.53 Rank #8 / 33	-41%	+8%	$37.5k Facility $37.5k MT AVG $83.8k Rank #18 / 34	15 Facility 15 MT AVG 29.7 Rank #4 / 34	2.5 Facility 2.5 MT AVG 5.7 Rank #3 / 34	2	37	A+	38 Facility 38 MT AVG 43 Rank #90 / 159	Living Centre Limited	$6.0MFiscal year ending 08/2024 Facility $6.0MFiscal year ending 08/2024 MT AVG $6.3M Rank #23 / 32	$3.4MFiscal year ending 08/2024 Facility $3.4MFiscal year ending 08/2024 MT AVG $2.8M Rank #19 / 32	56.7%Fiscal year ending 08/2024 Facility 56.7%Fiscal year ending 08/2024 MT AVG 45.6% Rank #4 / 32	275125
Valle Vista Rehabilitation and Nursing LLC	NH HOS RC SNF	Lewistown	101 Facility 101 MT AVG 70 Rank #24 / 103	53.0% Facility 53.0% MT AVG 61.5 Rank #20 / 32	-14%	3.37 Facility 3.37 MT AVG 4.53 Rank #21 / 33	-39%	-26%	$0 Facility $0 MT AVG $83.8k Rank #1 / 34	15 Facility 15 MT AVG 29.7 Rank #4 / 34	3.8 Facility 3.8 MT AVG 5.7 Rank #4 / 34	-	54	-	79 Facility 79 MT AVG 43 Rank #15 / 159	Charly Bello Family Limited Partnership	$4.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #24 / 32	$2.0MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $2.0MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #30 / 32	49.9%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 49.9%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #31 / 32	275021
Libby of Cascadia, LLC dba Libby Care Center	NH SNF	Libby	101 Facility 101 MT AVG 70 Rank #24 / 103	76.3% Facility 76.3% MT AVG 61.5 Rank #12 / 32	+24%	3.32 Facility 3.32 MT AVG 4.53 Rank #24 / 33	-7%	-27%	$22.7k Facility $22.7k MT AVG $83.8k Rank #16 / 34	18 Facility 18 MT AVG 29.7 Rank #8 / 34	4.5 Facility 4.5 MT AVG 5.7 Rank #9 / 34	2	77	-	76 Facility 76 MT AVG 43 Rank #19 / 159	Cascadia Montana Operations LLC	$9.0MFiscal year ending 12/2023 Facility $9.0MFiscal year ending 12/2023 MT AVG $6.3M Rank #5 / 32	$4.2MFiscal year ending 12/2023 Facility $4.2MFiscal year ending 12/2023 MT AVG $2.8M Rank #16 / 32	46.9%Fiscal year ending 12/2023 Facility 46.9%Fiscal year ending 12/2023 MT AVG 45.6% Rank #32 / 32	275040
Eureka of Cascadia, LLC dba Mountain View of Cascadia	NH SNF	Eureka	49 Facility 49 MT AVG 70 Rank #62 / 103	91.4% Facility 91.4% MT AVG 61.5 Rank #3 / 32	+49%	3.56 Facility 3.56 MT AVG 4.53 Rank #15 / 33	+2%	-21%	$0 Facility $0 MT AVG $83.8k Rank #1 / 34	13 Facility 13 MT AVG 29.7 Rank #3 / 34	4.3 Facility 4.3 MT AVG 5.7 Rank #7 / 34	-	45	-	58 Facility 58 MT AVG 43 Rank #48 / 159	Dianna Carvey	$3.3MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $3.3MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #29 / 32	$2.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $2.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #29 / 32	62%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 62%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #22 / 32	275084

Nursing Home Explorer

Is Libby of Cascadia, LLC dba Libby Care Center in a walkable area?

Libby of Cascadia, LLC dba Libby Care Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Libby of Cascadia, LLC dba Libby Care Center?

According to MT state health department records, Libby of Cascadia, LLC dba Libby Care Center's license number is 13566.

When does Libby of Cascadia, LLC dba Libby Care Center's license expire?

According to MT state health department records, Libby of Cascadia, LLC dba Libby Care Center's license expires on July 1, 2027.

What is the occupancy rate at Libby of Cascadia, LLC dba Libby Care Center?

Libby of Cascadia, LLC dba Libby Care Center's occupancy is 76%.

How long has Libby of Cascadia, LLC dba Libby Care Center been in business?

Libby of Cascadia, LLC dba Libby Care Center has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Libby of Cascadia, LLC dba Libby Care Center?

No, Libby of Cascadia, LLC dba Libby Care Center has a no-pet policy.

Does Libby of Cascadia, LLC dba Libby Care Center operate as a for-profit or non-profit?

Libby of Cascadia, LLC dba Libby Care Center is registered as a for-profit in MT.

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Libby of Cascadia, LLC dba Libby Care Center

Overview of Libby of Cascadia, LLC DBA Libby Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Libby of Cascadia, LLC dba Libby Care Center

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

31 Certified Nursing Assistant

12 Licensed Practical Nurse

12 Registered Nurse

4 Dental Services Staff

4 Physical Therapy Assistant

4 Nurse Aide in Training

2 Clinical Nurse Specialist

1 Administrator

1 Nurse Practitioner

2 Other Dietary Services Staff

3 Speech Language Pathologist

1 Qualified Social Worker

1 Dietitian

1 Therapeutic Recreation Specialist

3 Respiratory Therapy Technician

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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