Apria, Inc. (the “Company” or “Apria”) (Nasdaq: APR), a leading
provider of integrated home healthcare equipment and related
services in the U.S., announced today financial results for the
first quarter ended March 31, 2021.
“We delivered strong first quarter 2021 results ahead of our
expectations on all three of our key metrics and we built on
momentum from 2020 establishing a solid foundation for future
growth,” said Dan Starck, CEO of Apria. “The country experienced a
significant surge in COVID cases coming out of the holiday season
through mid-February, and the team at Apria as well as the industry
played a critical role serving as the pressure relief valve for
hospitals by getting people home to free up hospital capacity for
the most severe cases. As the COVID spike from earlier this year
has started to dissipate, we are optimistic about the steadily
increasing volumes of people seeking non-COVID-related healthcare
services.”
Mr. Starck continued, “We leveraged our national infrastructure
to move assets around the country and we continue to manage our
cost structure accordingly. Our team continues to execute
seamlessly and we couldn’t be more proud of our teammates and the
organization as a whole. While we are not past the COVID
challenges, I am confident that our team will continue to make the
necessary adjustments and investments to ensure we are well
positioned to drive future growth.”
First Quarter Financial Highlights
Comparisons are to the three months ended March 31, 2020.
- Net revenue of $275.3 million, up 2%
compared to $269.2 million
- Net Income of $4.5 million, down 29%
from $6.4 million
- Adjusted EBITDA of $48.3 million, up
15% compared to $42.0 million
- Adjusted EBITDA less Patient
Equipment Capex of $24.7 million, up 41% from $17.6 million
2021 Financial Guidance
For the second quarter of 2021, Apria is currently projecting
the following financial results:
- Net revenue of $277 million to $283
million
- Adjusted EBITDA of $51 million to
$55 million
- Adjusted EBITDA less Patient
Equipment Capex of $28 million to $32 million
For the full year 2021, Apria is increasing guidance and is now
projecting the following financial results:
- Net revenue of $1.12 billion to
$1.14 billion; up from $1.11 billion to $1.14 billion
- Adjusted EBITDA of $207 million to
$216 million; up from $203 million to $212 million
- Adjusted EBITDA less Patient
Equipment Capex of $113 million to $120 million; up from $108 to
$115 million
Conference Call
Apria will host a conference call to discuss first quarter 2021
results on May 13, 2021 at 5:00 p.m. Eastern Time. The conference
call can be accessed by dialing (833) 362-0207 for U.S.
participants or (914) 987-7676 for international participants, and
referencing conference ID 5247226; or via a live audio webcast that
will be available online at apria.com/investor-relations. A replay
of the call will be available via webcast for on-demand listening
shortly after the completion of the call, at the same web link, and
will remain available for approximately 90 days.
About Apria
Apria is a leading provider of integrated home healthcare
equipment and related services in the United States. The Company
offers a comprehensive range of products and services for in-home
care and delivery across three core service lines: (1) home
respiratory therapy (including home oxygen and non-invasive
ventilation (“NIV”) services); (2) obstructive sleep apnea
(“OSA”) treatment (including continuous positive airway pressure
(“CPAP”) and bi-level positive airway pressure devices, and patient
support services); and (3) negative pressure wound therapy
(“NPWT”). Additionally, the Company supplies a wide range of home
medical equipment and other products and services to help improve
the quality of life for patients with home care needs. Our revenues
are generated through fee-for-service and capitation arrangements
with payors for equipment, supplies, services and other items we
rent or sell to patients. Through our offerings, we also provide
patients with a variety of clinical and administrative support
services and related products and supplies, most of which are
prescribed by a physician as part of a care plan. We are focused on
being the industry’s highest-quality provider of home healthcare
equipment and related services, while maintaining our commitment to
being a low-cost operator. The Company serves over 2 million
patients annually and offers a compelling value proposition to
patients, providers and payors by allowing patients to receive
necessary care and services in the comfort of their own home,
while, at the same time, reducing the costs of treatment. Learn
more at www.apria.com.
This press release includes certain historical consolidated
financial and other data for Apria Healthcare Group LLC (formerly
known as Apria Healthcare Group Inc.) (“Apria Healthcare Group”)
and its subsidiaries. In connection with our initial public
offering (“IPO” or “offering”), we undertook certain reorganization
transactions as of February 10, 2021 so that Apria, Inc. directly
or indirectly owns all of the equity interests in Apria Healthcare
Group and is the holding company of our business. The merger was
accounted for as a reorganization of entities under common control.
As a result, the consolidated financial statements of the Company
recognize the assets and liabilities received in the merger at
their historical carrying amounts as reflected in the historical
consolidated financial statements of Apria Healthcare Group, the
accounting predecessor.
Forward-Looking Statements
This press release contains forward-looking statements within
the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934, as
amended. These statements include, but are not limited to,
statements regarding our expectations regarding the impact of the
COVID-19 public health emergency, the future performance and
financial results of our business and other non-historical
statements. Forward-looking statements include all statements that
do not relate solely to historical or current facts. In some cases,
you can identify these forward-looking statements by the use of
words such as “outlook,” “believes,” “expects,” “potential,”
“continues,” “may,” “will,” “should,” “could,” “seeks,” “predicts,”
“intends,” “trends,” “plans,” “estimates,” “anticipates” or the
negative version of these words or other comparable words. Such
forward-looking statements are subject to various risks and
uncertainties, including, among others, risks related to the
COVID-19 public health emergency, the profitability of our
capitation arrangements, renegotiation or termination of our
contracts, reimbursements by payors, our reliance on relatively few
vendors, competition in the home healthcare industry, the inherent
risk of liability in the provision of healthcare services, and
reductions in Medicare and Medicaid and commercial payor
reimbursement rates. Additional factors that could cause our actual
outcomes or results to differ materially from those described in
the forward-looking statements can be found in the “Risk Factors"
section of the Company’s Annual Report on Form 10-K for the period
ended December 31, 2020, and in its other filings with the
Securities and Exchange Commission (“SEC”). Additional information
will also be set forth in Apria’s Quarterly Report on Form 10-Q for
the period ended March 31, 2021, which is expected to be filed on
or about the date of this press release. These reports are or will
be accessible on the SEC’s website at www.sec.gov. These factors
should not be construed as exhaustive and should be read in
conjunction with the other cautionary statements that are included
in this press release and in the Company’s filings with the SEC. We
undertake no obligation to publicly update or review any
forward-looking statement, whether as a result of new information,
future developments or otherwise, except as required by law.
Use of
Non-GAAP Financial
Information and
Financial Guidance
This press release contains certain financial measures that are
not recognized under generally accepted accounting principles in
the United States (“GAAP”). The Company uses EBITDA, Adjusted
EBITDA and Adjusted EBITDA less Patient Equipment Capex, which are
financial measures that are not prepared in accordance with GAAP,
to analyze its financial results and believes that they are useful
to investors, as a supplement to GAAP measures.
EBITDA is a non-GAAP measure that represents net income for the
period before the impact of interest income, interest expense,
income taxes, and depreciation and amortization. EBITDA is widely
used by securities analysts, investors and other interested parties
to evaluate the profitability of companies. EBITDA eliminates
potential differences in performance caused by variations in
capital structures, tax positions, the cost and age of tangible
assets and the extent to which intangible assets are identifiable.
Adjusted EBITDA is a non-GAAP measure that represents EBITDA before
certain items that impact comparison of the performance of our
business either period-over-period or with other businesses. The
Company uses Adjusted EBITDA as a key profitability measure to
assess the performance of our business. We believe that Adjusted
EBITDA should, therefore, be made available to securities analysts,
investors and other interested parties to assist in their
assessment of the performance of our business. Adjusted EBITDA less
Patient Equipment Capex is a non-GAAP measure that represents
Adjusted EBITDA less purchases of patient equipment net of
dispositions (“Patient Equipment Capex”). For purposes of this
metric, Patient Equipment Capex is measured as the value of the
patient equipment received less the net book value of dispositions
of patient equipment during the accounting period. This metric is
useful in evaluating the financial performance of the Company as
the business requires significant capital expenditures to maintain
its patient equipment fleet due to asset replacement and
contractual commitments. The Company believes that Adjusted EBITDA
less Patient Equipment Capex should, therefore, be made available
to securities analysts, investors, and other interested parties to
assist in their assessment of the performance of our business.
Reconciliations of historical EBITDA, Adjusted EBITDA and
Adjusted EBITDA less Patient Equipment Capex to our net income, the
most directly comparable financial measure calculated and presented
in accordance with GAAP, are included in the tables attached to
this press release. EBITDA, Adjusted EBITDA and Adjusted EBITDA
less Patient Equipment Capex should not be considered alternatives
to net income or any other measure of financial performance
calculated and presented in accordance with GAAP. EBITDA, Adjusted
EBITDA and Adjusted EBITDA less Patient Equipment Capex may not be
comparable to similarly titled measures of other organizations
because other organizations may not calculate EBITDA, Adjusted
EBITDA and Adjusted EBITDA less Patient Equipment Capex in the same
manner as the Company calculates these measures.
The Company’s uses of EBITDA, Adjusted EBITDA and Adjusted
EBITDA less Patient Equipment Capex have limitations as analytical
tools, and you should not consider them in isolation or as a
substitute for analysis of our results as reported under GAAP. Some
of these limitations are:
- although depreciation and amortization are noncash charges, the
assets being depreciated and amortized may have to be replaced in
the future. EBITDA and Adjusted EBITDA do not reflect capital
expenditure requirements for such replacements or other contractual
commitments;
- EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient
Equipment Capex do not reflect changes in, or cash requirements
for, our working capital needs;
- EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient
Equipment Capex do not reflect the interest expense or the cash
requirements necessary to service interest or principal payments on
our indebtedness; and
- other companies, including companies in our industry, may
calculate EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient
Equipment Capex measures differently, which reduces their
usefulness as a comparative measure.
EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient
Equipment Capex exclude items that can have a significant effect on
profit or loss and should, therefore, be used in conjunction with,
not as substitutes for, profit or loss for the period. The Company
compensates for these limitations by separately monitoring net
income for the period.
There is no reliable or reasonably estimable comparable GAAP
measure for the Company’s non-GAAP financial guidance because the
Company is not able to reliably predict the impact of certain
items, including equity-based compensation expense, transaction
costs, and other non-recurring (income) expense for the second
quarter in 2021 and the full year 2021. As a result, reconciliation
of these forward-looking non-GAAP measures to the most directly
comparable GAAP measure is not available without unreasonable
effort. In addition, the Company believes such a reconciliation
would imply a degree of precision and certainty that could be
confusing to investors. The variability of the specified items may
have a significant and unpredictable impact on the Company’s future
GAAP results.
In addition, the Company’s non-GAAP financial guidance in this
release excludes the impact of any potential additional future
strategic acquisitions and any specified items that have not yet
been identified and quantified. The guidance also excludes
macro-economic effects due to the COVID-19 pandemic that are not
yet quantifiable. The financial guidance is subject to risks and
uncertainties applicable to all forward-looking statements as
described elsewhere in this press release and in the Company’s
filings with the SEC.
|
APRIA, INC.CONDENSED CONSOLIDATED BALANCE
SHEETS(In thousands, except share and per share
data) |
|
|
|
|
|
|
|
|
|
March 31, |
|
December 31, |
|
|
2021 |
|
2020 |
ASSETS |
|
|
(unaudited) |
|
|
|
CURRENT ASSETS |
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
170,829 |
|
|
$ |
195,197 |
|
Accounts receivable |
|
|
78,762 |
|
|
|
74,774 |
|
Inventories |
|
|
6,194 |
|
|
|
6,680 |
|
Prepaid expenses and other current assets |
|
|
31,441 |
|
|
|
24,003 |
|
TOTAL CURRENT ASSETS |
|
|
287,226 |
|
|
|
300,654 |
|
PATIENT EQUIPMENT, less
accumulated depreciation of $358,879 and $356,888 as of March 31,
2021 and December 31, 2020, respectively |
|
|
221,777 |
|
|
|
223,972 |
|
PROPERTY, EQUIPMENT AND
IMPROVEMENTS, NET |
|
|
24,880 |
|
|
|
25,419 |
|
INTANGIBLE ASSETS, NET |
|
|
61,353 |
|
|
|
61,497 |
|
OPERATING LEASE RIGHT-OF-USE
ASSETS |
|
|
56,579 |
|
|
|
57,869 |
|
DEFERRED INCOME TAXES,
NET |
|
|
13,409 |
|
|
|
18,258 |
|
OTHER ASSETS |
|
|
19,191 |
|
|
|
17,315 |
|
TOTAL ASSETS |
|
$ |
684,415 |
|
|
$ |
704,984 |
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS’ DEFICIT |
|
|
|
|
|
|
CURRENT LIABILITIES |
|
|
|
|
|
|
Accounts payable |
|
$ |
103,580 |
|
|
$ |
116,886 |
|
Accrued payroll and related taxes and benefits |
|
|
44,088 |
|
|
|
55,628 |
|
Other accrued liabilities |
|
|
37,768 |
|
|
|
33,513 |
|
Deferred revenue |
|
|
25,401 |
|
|
|
25,821 |
|
Current portion of operating lease liabilities |
|
|
23,341 |
|
|
|
23,977 |
|
Current portion of long-term debt |
|
|
20,833 |
|
|
|
20,833 |
|
TOTAL CURRENT LIABILITIES |
|
|
255,011 |
|
|
|
276,658 |
|
LONG-TERM DEBT, less current
portion |
|
|
371,426 |
|
|
|
376,389 |
|
OPERATING LEASE LIABILITIES,
less current portion |
|
|
34,660 |
|
|
|
35,358 |
|
OTHER NONCURRENT
LIABILITIES |
|
|
42,287 |
|
|
|
42,924 |
|
TOTAL LIABILITIES |
|
|
703,384 |
|
|
|
731,329 |
|
COMMITMENTS AND
CONTINGENCIES |
|
|
|
|
|
|
STOCKHOLDERS’ DEFICIT |
|
|
|
|
|
|
Preferred stock, $0.01 par value: 100,000,000 authorized; no shares
issued as of March 31, 2021 and February 10, 2021 |
|
|
|
|
|
|
Common stock, $0.01 par value: 1,000,000,000 authorized; 35,210,915
shares issued and outstanding as of March 31, 2021 and February 10,
2021 |
|
|
352 |
|
|
|
— |
|
Additional paid-in capital |
|
|
956,567 |
|
|
|
954,087 |
|
Accumulated deficit |
|
|
(975,888 |
) |
|
|
(980,432 |
) |
TOTAL STOCKHOLDERS’ DEFICIT |
|
|
(18,969 |
) |
|
|
(26,345 |
) |
TOTAL LIABILITIES AND STOCKHOLDERS’ DEFICIT |
|
$ |
684,415 |
|
|
$ |
704,984 |
|
|
|
|
|
|
|
|
|
|
|
APRIA, INC.CONDENSED CONSOLIDATED
STATEMENTS OF INCOME (Unaudited) |
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
March 31, |
|
|
2021 |
|
2020 |
Net revenues: |
|
|
|
|
|
|
Fee-for-service arrangements |
|
$ |
218,354 |
|
|
$ |
213,362 |
|
Capitation |
|
|
56,920 |
|
|
|
55,864 |
|
TOTAL NET REVENUES |
|
|
275,274 |
|
|
|
269,226 |
|
Costs and expenses: |
|
|
|
|
|
|
Cost of net revenues: |
|
|
|
|
|
|
Product and supply costs |
|
|
53,315 |
|
|
|
49,064 |
|
Patient equipment depreciation |
|
|
25,726 |
|
|
|
25,081 |
|
Home respiratory therapists costs |
|
|
4,058 |
|
|
|
5,082 |
|
Other |
|
|
3,819 |
|
|
|
5,127 |
|
TOTAL COST OF NET REVENUES |
|
|
86,918 |
|
|
|
84,354 |
|
Selling, distribution and administrative |
|
|
177,288 |
|
|
|
174,643 |
|
TOTAL COSTS AND EXPENSES |
|
|
264,206 |
|
|
|
258,997 |
|
OPERATING INCOME |
|
|
11,068 |
|
|
|
10,229 |
|
Interest expense |
|
|
3,016 |
|
|
|
1,687 |
|
Interest income |
|
|
(55 |
) |
|
|
(291 |
) |
INCOME BEFORE INCOME TAXES |
|
|
8,107 |
|
|
|
8,833 |
|
Income tax expense |
|
|
3,563 |
|
|
|
2,394 |
|
NET INCOME |
|
$ |
4,544 |
|
|
$ |
6,439 |
|
|
|
|
|
|
|
|
|
|
February 10, 2021 |
|
|
|
|
|
through |
|
|
|
|
|
March 31, 2021 |
|
|
|
Basic and diluted earnings per
share: (1) |
|
|
|
|
|
|
Net income attributable to common stockholders |
|
$ |
3,005 |
|
|
|
|
Weighted average common shares
outstanding: |
|
|
|
|
|
|
Basic |
|
|
35,210,915 |
|
|
|
|
Diluted |
|
|
37,732,994 |
|
|
|
|
Net income per common
share: |
|
|
|
|
|
|
Basic |
|
$ |
0.09 |
|
|
|
|
Diluted |
|
$ |
0.08 |
|
|
|
|
(1) |
|
Prior to our IPO, our business was conducted through Apria
Healthcare Group which did not have a common capital structure with
Apria, Inc. As such, we computed EPS for the period the Company’s
common stock was outstanding during 2021, referred to as the
Post-IPO period. We have defined the Post-IPO period as February
10, 2021, the effective date of the pre-IPO reorganization, through
March 31, 2021. |
|
|
|
|
APRIA, INC.NET REVENUES FOR EACH CORE
SERVICE LINE (unaudited) |
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, |
(in
thousands) |
|
2021 |
|
2020 |
Home respiratory therapy |
|
$ |
114,323 |
|
|
$ |
109,751 |
|
OSA treatment |
|
|
114,185 |
|
|
|
109,335 |
|
NPWT |
|
|
10,111 |
|
|
|
10,159 |
|
Other equipment and
services |
|
|
36,655 |
|
|
|
39,981 |
|
Net revenues |
|
$ |
275,274 |
|
|
$ |
269,226 |
|
|
|
|
|
|
|
|
|
|
|
APRIA, INC.CONDENSED CONSOLIDATED
STATEMENTS OF CASH FLOWS (unaudited) |
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
March 31, |
(in
thousands) |
|
2021 |
|
2020 |
Net cash provided by operating activities |
|
$ |
15,049 |
|
|
$ |
5,504 |
|
Net cash used in investing
activities |
|
|
(31,366 |
) |
|
|
(20,312 |
) |
Net cash used in financing
activities |
|
|
(8,051 |
) |
|
|
(7,563 |
) |
Net decrease in cash and cash
equivalents |
|
|
(24,368 |
) |
|
|
(22,371 |
) |
Cash and cash equivalents at
beginning of period |
|
|
195,197 |
|
|
|
74,691 |
|
Cash and cash equivalents at
end of period |
|
$ |
170,829 |
|
|
$ |
52,320 |
|
|
|
|
|
|
|
|
|
|
Non-GAAP Financial InformationThis press
release presents Apria’s EBITDA, Adjusted EBITDA and Adjusted
EBITDA less Patient Equipment Capex for the three months ended
March 31, 2021 and 2020.
EBITDA is a non-GAAP measure that represents net income for the
period before the impact of interest income, interest expense,
income taxes, and depreciation and amortization.
Adjusted EBITDA is a non-GAAP measure that represents EBITDA
before certain items that impact comparison of the performance of
our business either period-over-period or with other
businesses.
Adjusted EBITDA less Patient Equipment Capex is a non-GAAP
measure that represents Adjusted EBITDA less purchases of patient
equipment net of dispositions (“Patient Equipment Capex”). For
purposes of this metric, Patient Equipment Capex is measured as the
value of the patient equipment received less the net book value of
dispositions of patient equipment during the accounting period.
Below, we have provided a reconciliation of EBITDA, Adjusted
EBITDA and Adjusted EBITDA less Patient Equipment Capex to our net
income, the most directly comparable financial measure calculated
and presented in accordance with GAAP. EBITDA, Adjusted EBITDA and
Adjusted EBITDA less Patient Equipment Capex should not be
considered alternatives to net income or any other measure of
financial performance calculated and presented in accordance with
GAAP. Our EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient
Equipment Capex may not be comparable to similarly titled measures
of other organizations because other organizations may not
calculate EBITDA, Adjusted EBITDA and Adjusted EBITDA less Patient
Equipment Capex in the same manner as we calculate these
measures.
The following table reconciles net income, the most directly
comparable GAAP measure, to EBITDA, Adjusted EBITDA and Adjusted
EBITDA less Patient Equipment Capex:
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, |
(in thousands) |
|
2021 |
|
2020 |
Net income |
|
$ |
4,544 |
|
|
$ |
6,439 |
|
Interest expense, net |
|
|
2,961 |
|
|
|
1,396 |
|
Income tax expense |
|
|
3,563 |
|
|
|
2,394 |
|
Depreciation and
amortization |
|
|
29,613 |
|
|
|
28,647 |
|
EBITDA |
|
$ |
40,681 |
|
|
$ |
38,876 |
|
Strategic transformation
initiatives: |
|
|
|
|
|
|
Simplify(a) |
|
$ |
— |
|
|
$ |
50 |
|
Financial system(b) |
|
|
359 |
|
|
|
516 |
|
Other initiatives(c) |
|
|
— |
|
|
|
33 |
|
Stock-based compensation
one-time award at IPO(d) |
|
|
1,949 |
|
|
|
— |
|
Stock-based
compensation(e) |
|
|
769 |
|
|
|
574 |
|
Legal settlements(f) |
|
|
1,750 |
|
|
|
2,000 |
|
Offering costs(g) |
|
|
2,767 |
|
|
|
— |
|
Adjusted
EBITDA |
|
$ |
48,275 |
|
|
$ |
42,049 |
|
Patient Equipment Capex |
|
|
(23,532 |
) |
|
|
(24,469 |
) |
Adjusted EBITDA less
Patient Equipment Capex |
|
$ |
24,743 |
|
|
$ |
17,580 |
|
__________________
(a) |
|
Simplify represents one-time advisory fees and implementation costs
associated with a key 2019 business transformation initiative
focused on shifting to a patient-centric platform and optimizing
end-to-end customer service. |
(b) |
|
Costs associated with the implementation of a new financial
system. |
(c) |
|
Other initiatives include one-time costs associated with customer
service initiatives. |
(d) |
|
The offering resulted in a one-time restricted stock unit (“RSU”)
grant to the Company’s Chief Financial Officer (“CFO”). The RSUs
vest in tranches and are classified as liability awards since each
tranche of RSUs can be settled in either cash or shares of our
common stock at the CFO’s election. The first tranche of RSUs
vested upon completion of the IPO and was settled in cash.
Compensation expense for the remaining tranches is recognized over
the requisite service period subject to continued employment and
adjusted each reporting period for changes in the fair value
pro-rated for the portion of the requisite service period rendered
until settlement. |
(e) |
|
Stock-based compensation has historically been granted to certain
of our employees in the form of profit interest units of our parent
and stock appreciation rights. For time-based vesting awards, we
recognize a non-cash compensation expense based on the fair value
of the awards determined at the date of grant over the requisite
service period. Stock compensation also includes expense related to
the Company’s long-term incentive plan which will be settled in
stock. |
(f) |
|
In 2021, the amount represents the final settlement amount of a
claim brought under the Private Attorneys General Act of
California. In 2020, the amount represents the increase in the
settlement amount in relation to a series of civil investigative
demands from the United States Attorney’s Office for the Southern
District of New York. |
(g) |
|
Offering costs represent one-time costs relating to preparation for
our IPO. As the Company did not receive any proceeds from the
offering, these costs were expensed as incurred in selling,
distribution and administrative expenses in the unaudited condensed
consolidated statements of income. |
|
|
|
Investor Contacts
ApriaIR@westwicke.com
Media Contacts
ApriaPR@westwicke.com
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