2011-11-15T17:10:59-06:00 2010-12-31 WIPFLI LLP 12 E ROWAN STE 2 SPOKANE WA 99207 990 2010-01-01 910545036 TRI-STATE MEMORIAL HOSPITAL TRI- 5097585511 1221 HIGHLAND AVENUE CLARKSTON WA 99403 ALEX TOWN 5097585511 2011-11-15 1 MICHAEL R BELL 5094894524 2011-11-15 2010 2016-02-24 21:20:13Z ALEX TOWN 1221 HIGHLAND AVENUE CLARKSTON WA 99403 55811077 0 X WWW.TRISTATEHOSPITAL.ORG X 1955 WA TRI-STATE MEMORIAL HOSPITAL, A 62 BED LICENSED NOT-FOR-PROFIT COMMUNITY OWNED HOSPITAL, IS CURRENTLY OPERATING AS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL SERVES A 10 COUNTY REGION IN THREE STATES (WASHINGTON, OREGON, AND IDAHO). 13 13 472 88 76601 104588 110479 129180 52106349 55017284 292127 355465 378068 219823 52887023 55721752 0 18744 0 0 20417435 21998202 0 0 67368 30728571 32748298 51146006 54765244 1741017 956508 56642926 54143527 24871195 20889547 31771731 33253980 FROM OUR FIRST DAY OF OPERATION UNTIL TODAY, WE ARE PROUD TO SAY THAT OUR MISSION HAS ALWAYS REMAINED THE SAME: THE PATIENT IS OUR FIRST PRIORITY. 0 0 44529620 53952360 THE HOSPITAL PROVIDED 6,370 DAYS OF CARE TO 1,615 PATIENTS IN 2010. IN ADDITION, THE HOSPITAL PROVIDED APPROXIMATELY 79,962 OUTPATIENT VISITS IN THE EMERGENCY ROOM, RENAL DIALYSIS, SURGICAL AND OTHER PATIENT SERVICE CENTERS. THE HOSPITAL PROVIDED IN EXCESS OF $1,244,000 IN CHARITABLE SERVICES TO PATIENTS UNABLE TO PAY FOR HEALTHCARE SERVICES. 44529620 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 39 0 1 472 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 1 0 0 X ALEX TOWN CFO 5097585511 PO BOX 189 CLARKSTON WA 99403 SCOTT ARNONE 1.00 X 0 0 0 JAN DIMKE 1.00 X 0 0 0 JOHN MANNSCHRECK MD 1.00 X 0 0 0 LARAE MERRIL 1.00 X 0 0 0 STEVE CLAASSEN 1.00 X 0 0 0 DICK FLERCHINGER 1.00 X 0 0 0 MIKE MARTIN 1.00 X 0 0 0 DAN KLAVEANO 1.00 X 0 0 0 E WAYNE DAY MD 1.00 X 0 0 0 K DAVID HAGEN 1.00 X 0 0 0 DON MCQUARY 1.00 X 0 0 0 RICK WASEM 1.00 X 0 0 0 DON GREGGAIN MD 1.00 X 0 0 0 DONALD WEE 40.00 X 183660 0 15030 ALEX TOWN 40.00 X 112121 0 13973 JOSE Y GARCIA JR MD 40.00 X 420107 0 24130 DAVID E STOREY 40.00 X 136986 0 10959 KEVIN MOLANDER 40.00 X 203685 0 8277 DONNA L BEARDSLEE 40.00 X 133758 0 0 RHONDA MASON 40.00 X 128751 0 16323 1319068 0 88692 11 0 1 0 PATHOLOGIST REGIONAL LAB P O BOX 956 LEWISTON ID 83501 LAB/BLOOD WORK 1350056 CLARKSTON EMERGENCY PHYSICIANS P O BOX 189 CLARKSTON WA 99403 ER PHYSICIANS 827086 ST JOSEPH REGIONAL MEDICAL CENTER P O BOX 816 LEWISTON ID 83501 HOSPITALISTS 676211 GE HEALTHCARE P O BOX 843553 DALLAS TX 75284 MAINT. CONTRACT 297115 DR JANE FORE 1119 HIGHLAND SUITE 7 CLARKSTON WA 99403 WOUND CARE 285835 10 100500 28680 129180 NET PATIENT SERVICE 621400 51433421 51433421 RESIDENT RENTAL INCOME 623000 2518939 2518939 OTHER OPERATING REVENU 621400 1064924 1064924 55017284 355465 355465 154047 10825 143222 143222 143222 78500 100500 78500 0 INVESTMENT IN JOINT VE 621300 76601 76601 76601 55721752 53952360 76601 1563611 18744 18744 324784 324784 17480675 16218314 1229887 32474 613180 561413 47642 4125 1706857 1524905 171310 10642 1872706 1707180 156893 8633 65403 65403 245358 245358 7652667 7557860 94807 14653953 14107929 544592 1432 114107 13547 100560 2728955 1948133 776168 4654 1008387 1008387 3593764 3593764 400923 400923 BAD DEBT 1425100 1425100 MISCELLANEOUS 595017 334351 255258 5408 CONTINUING EDUCATION 146560 110484 36076 DUES AND SUBSCRIPTIONS 118104 25837 92267 54765244 44529620 10168256 67368 6427035 2506018 2474773 4995215 6668558 6726088 50000 1751197 1769676 214557 399975 53668699 23053442 31589846 30615257 6193069 6380888 1323891 700410 56642926 54143527 5086817 3831548 19784378 17057999 24871195 20889547 X 0 0 0 0 31771731 33253980 31771731 33253980 56642926 54143527 X 956508 525741 X X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11311 11311 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE FACILITY PAYS DUES TO THE WASHINGTON STATE HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, HOME CARE ASSOCIATION OF WASHINGTON, AND THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE. A PERCENTAGE OF THESE DUES WERE USED FOR LOBBYING ON BEHALF OF HEALTH CARE ORGANIZATIONS. 1405866 1405866 34472398 11168835 23303563 217960 132967 84993 17572475 11751640 5820835 30615257 MUTUAL FUNDS 6380888 F 6380888 55721752 54765244 956508 509559 16182 525741 1482249 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. FEDERAL INCOME TAX IS PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH CODE REGULATIONS. EVERGREEN ESTATES IS A TAXABLE CORPORATION. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE HOSPITAL HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS THE HOSPITAL'S FEDERAL RETURNS FOR TAX YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S INFORMATIONAL RETURNS FOR 2010 ARE NOT YET DUE. PART XI, LINE 8 - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED - NET GRANT FUNDS RECEIVED 14,879. TEMPORARILY RESTRICTED - INTEREST INCOME 285. PERMANENTLY RESTRICTED - INTEREST 1,018. HOSPITAL FUNDRAISER 150000 81000 69000 69000 HOSPITAL FUNDRAISER 29000 19500 9500 9500 179000 100500 78500 78500 78500 0 1 1 1 X 1 X 1 1 1 0 750333 750333 0.01410 3917369 2978451 938918 0.01760 4667702 2978451 1689251 0.03170 11000 11000 0.00020 12700 12700 0.00020 2815 2815 0.00010 26515 26515 0.00050 4694217 2978451 1715766 0.03220 18774 18774 0.00030 18774 18774 0.00030 1 859682 218015 21535501 21682174 -146673 X 1 1 1 1 TRI-STATE MEMORIAL HOSPITAL

1221 HIGHLAND AVENUE CLARKSTON WA 99403

X X X X NOT REQUIRED 1 2 TRI-STATE HOME HEALTH AND HOSPICE

1100 HIGHLAND AVENUE CLARKSTON WA 99403

HOME HEALTH AND HOSPICE SERVICES TRI-STATE MEMORIAL DIALYSIS

730 21ST STREET LEWISTON ID 83501

RENAL DIALYSIS CLINIC PART I, LINE 7: THE COST-TO-CHARGE RATIO USED WAS DERIVED BASED ON THE RATIO OF PATIENT CARE COST-TO-CHARGES WORKSHEET.BAD DEBT EXPENSE OF $1,425,100 WAS REMOVED FROM THE DENOMINATOR TO DETERMINE THE NET COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSE REPORTED ON SCHEDULE H, PART I, LINE 7. PART II: TRI-STATE MEMORIAL HOSPITAL HELPS PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES BY PROVIDING SUPPORT AMONGST A NUMBER OF LOCAL CHARITIES, FOOD BANKS AND OTHER AGENCIES. IN 2010 TRI-STATE HOSPITAL CONTRIBUTED OVER $7,550 TO THE BOYS AND GIRLS CLUBS OF THE LEWIS-CLARK VALLEY THROUGH THE PARTNERSHIP FOR KIDS, THE ANNUAL CAMPAIGN, THE GRILLED CHEESE PROGRAM AND MEDICAL SUPPLIES/ FIRST AID DONATIONS. TRI-STATE MEMORIAL HOSPITAL ALSO CONTRIBUTED OVER $3,000 TO THE INTERLINK VOLUNTEER ORGANIZATION THAT PROVIDES VOLUNTEERS THROUGH THE SURROUNDING COMMUNITIES TO PROVIDE ASSISTANCE WITH MEDICAL TRANSPORTATION, BUILDING WHEELCHAIR ACCESSIBLE RAMPS AND MOVING SUPPORT. THE WORLD SERIES OF NAIA BASEBALL IS PLAYED HERE IN LEWISTON AND TRI-STATE MEMORIAL HOSPITAL SPONSORED THAT EVENT AND SPONSORED THE MEDICAL TENT AND REFRESHMENTS FOR ALL MEDICAL VOLUNTEERS FOR THIS EVENT. $1,000 WAS DONATED TO THE SECOND HARVEST BY TRI-STATE MEMORIAL HOSPITAL. ADDITIONALLY TRI-STATE MEMORIAL HOSPITAL GAVE DONATIONS TO THE LEWIS-CLARK STATE COLLEGE, THE NATIONAL MS SOCIETY, THE INLAND NORTHWEST BLOOD CENTER, ASOTIN COUNTY LITTLE LEAGUE, WALLA WALLA COMMUNITY COLLEGE AND THE CHAMBER OF COMMERCE. TRI-STATE MEMORIAL HOSPITAL CONTINUES TO FIND WAYS TO SUPPORT THE COMMUNITIES IT SERVES IN BROAD AND EXPANDING WAYS, TRYING TO REACH ALL PATIENTS FROM ADOLESCENCE TO ADULTHOOD. PART III, LINE 4: WHILE THE FACILITY DOES NOT HAVE A NOTE REGARDING BAD DEBT EXPENSE IN ITS FINANCIAL STATEMENTS, THE AMOUNT OF BAD DEBT EXPENSE FOR EACH YEAR IS DISCLOSED ON THE FACILITY'S STATEMENTS OF REVENUE AND EXPENSES. THE AMOUNT OF BAD DEBT EXPENSE REPORTED WAS $1,425,100 FOR THE YEAR ENDED DECEMBER 31, 2010.THE COSTING METHODOLOGY USED TO DETERMINE THE COST OF BAD DEBT IS BASED ON THE FACILITY'S CALCULATED COST-TO-CHARGE RATIO. THE FACILITY TOOK A SAMPLE OF PATIENT ACCOUNTS TO DETERMINE WHAT PERCENTAGE OF THE BAD DEBT REPORTED AT COST WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FACILITY'S CHARITY CARE POLICY. THE CALCULATED PERCENTAGE WAS APPLIED TO THE BAD DEBT AT COST TO DETERMINE THE COST ATTRIBUTABLE TO ELIGIBLE PATIENTS REPORTED ON SCHEDULE H, PART III, LINE 3. PART III, LINE 8: THE FACILITY IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED BY MEDICARE AT 101% OF MEDICARE'S COSTS.THE TOTAL REVENUE RECEIVED FROM MEDICARE AND RELATED MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE FACILITY'S FILED 2010 MEDICARE COST REPORT. PART III, LINE 9B: THE COLLECTION PRACTICE FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE IS AS FOLLOWS: 75% OF THE PATIENT'S BILL IS ADJUSTED OFF IF THE PERSON IS BETWEEN 101-200% OF THE FPL TO CHARITY CARE AND THE REMAINING 25% IS THE PATIENT'S RESPONSIBILITY. IF THE PATIENT IS UP TO 100% OF THE FPL THEN 100% OF THE PATIENT'S BILL IS ADJUSTED OFF AS CHARITY CARE. THIS POLICY IS APPLIED TO ALL PATIENTS THAT HAVE COMPLETED A FINANCIAL ASSISTANCE APPLICATION AND WHOSE INCOMES LEVELS HAVE BEEN VERIFIED. PATIENTS ARE ALSO IDENTIFIED WHO MAY BE ELIGIBLE FOR ASSISTANCE BEYOND THE HOSPITAL THROUGH MEDICAID OR COUNTY AID. PART VI, LINE 2: IN 2009 TRI-STATE MEMORIAL HOSPITAL ASSESSED THE NEEDS OF THE COMMUNITIES IT SERVES BY PARTICIPATING IN THE LOCAL ACCESS TO CARE COMMITTEE. THIS COMMITTEE REPRESENTS A MAJORITY OF HEALTH CARE ORGANIZATIONS IN THE COMMUNITY, INCLUDING ST. JOSEPH REGIONAL MEDICAL CENTER, VALLEY MEDICAL CENTER, AREA AGENCY ON AGING, IDAHO DEPARTMENT OF HEALTH AND WELFARE, WASHINGTON STATE ASOTIN COUNTY HEALTH DISTRICT, NORTH CENTRAL IDAHO DISTRICT HEALTH, NIMIPOO INDIAN HEALTH SERVICES, QUALITY BEHAVIORAL HEALTH, THE UNITED WAY, AND THE COMMUNITY HEALTH ASSOCIATION OF SPOKANE. THE PURPOSE OF THE COMMITTEE IS TO BRING ADMINISTRATORS TOGETHER TO DISCUSS THE MAJOR HEALTH ISSUES AND ACCESS TO HEALTH CARE ISSUES IN THE COMMUNITY. THE WORK OF THIS COMMUNITY HELPED ESTABLISH A FEDERALLY QUALIFIED HEALTH CENTER IN 2009 AND CONTINUES TO ASSESS THE NEEDS OF THE PATIENTS IN THE COMMUNITY. PART VI, LINE 3: FINANCIAL BROCHURES ARE SENT WITH ITEMIZED STATEMENTS TO ALL UNINSURED PATIENTS. AT THE TIME PATIENT MAKES CONTACT, THE PATIENT FINANCIAL COUNSELOR WILL:1. DISCUSS THE HOSPITAL GUIDELINE FOR REIMBURSEMENT OF HOSPITAL SERVICES.2. THE 10% DISCOUNT IS OFFERED TO UNINSURED PATIENTS WHEN BALANCE IS PAID IN FULL. 3. ESTABLISH A PAYMENT CONTRACT IN ORDER TO RESOLVE THE ACCOUNT BALANCE WITHIN APPLICABLE GUIDELINES. THE MINIMUM ACCEPTABLE PAYMENT IS $50 OR 5% (WHICHEVER IS GREATER).4. IDENTIFY A PATIENT WHO MAY BE ELIGIBLE FOR ASSISTANCE TO INCLUDE BUT NOT LIMITED TO MEDICAID OR COUNTY AID FOR THE STATE THE PATIENT RESIDES.5. DETERMINE IF HOUSEHOLD INCOME MEETS OR FALLS BELOW THE CURRENT YEAR'S POVERTY GUIDELINES THEN EXPLAIN TSMH FINANCIAL ASSISTANCE PROGRAM.TSMH WILL WRITE OFF 35% OF ALL CHARGES FOR ALL UNINSURED PATIENTS WHOSE FAMILY POVERTY LEVEL IS UP TO 300% OF THE FEDERAL POVERTY LEVEL. PART VI, LINE 4: TRI STATE MEMORIAL HOSPITAL SERVES PATIENTS IN A 10 COUNTY REGION OF SOUTHEASTERN WASHINGTON, NORTHEASTERN OREGON AND NORTH CENTRAL IDAHO. THERE ARE APPROXIMATELY 165,000 PATIENTS IN THE SERVICE AREA. PART VI, LINE 6: THE HOSPITAL PERFORMS SURGERIES REQUIRING INPATIENT STAYS AND ALSO SAME DAY OPERATIONS, NOT REQUIRING A HOSPITAL STAY. OUTPATIENT SERVICES INCLUDE RENAL DIALYSIS CENTERS IN CLARKSTON, WA AND LEWISTON, ID, WOUND HEALING & HYPERBARIC CENTER, SLEEP DIAGNOSTIC CENTER, AND A 24 HOUR PHYSICIAN STAFFED EMERGENCY DEPARTMENT. OTHER OUTPATIENT SERVICES INCLUDE A NEPHROLOGY CENTER, PRIMARY CARE CLINIC, HOME HEALTH AND HOSPICE. A NEW ADDITION TO THE HOSPITAL, IMAGING & WOMEN'S DIAGNOSTIC CENTER, INCLUDES: 3T MRI, 64 SLICE CT, DIGITAL MAMMOGRAPHY, BONE DENSITOMETRY AND STEROTACTIC BIOPSY EQUIPMENT. THE HOSPITAL OPERATES WITH OVER 458 FULL AND PART-TIME EMPLOYEES, 88 VOLUNTEERS AND 130 PHYSICIANS ON STAFF. TRI-STATE HOSPITAL FOUNDATION IN A NON-PROFIT ORGANIZATION WHICH BENEFITS THE HEALTH CARE NEEDS OF THE THE COMMUNITY SERVED BY THE HOSPITAL. GIFTS TO THE FOUNDATION ARE USED TO PURCHASE SPECIALIZED EQUIPMENT THAT HELP EXPAND SERVICES PROVIDED BY THE HOSPITAL TO THE COMMUNITY. 1 BOYS & GIRLS CLUBS OF THE LEWIS-CLARK VALLEY 1021 BURRELL AVE LEWISTON ID 83501 826001432 7550 PARTNERSHIP FOR KIDS, ANNUAL CAMPAIGN, SCHOLARSHIPS, GRILLED CHEESE PROGRAM PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE HOSPITAL RECEIVES AND REVIEWS DETAILED REPORTS PROVIDED BY THE CHARITABLE ORGANIZATIONS THAT RECEIVE GRANT FUNDS FROM THE HOSPITAL. THE HOSPITAL IS ABLE TO SUBSTANTIATE THE PROPER USE OF THE FUNDS THROUGH THE REPORTS PROVIDED BY THE CHARITABLE ORGANIZATIONS. X X X X X X 0 0 0 0 0 0 0 0 0 DONALD WEE 183660 0 0 0 0 0 0 0 15030 0 198690 0 41224 0 JOSE Y GARCIA JR MD 420107 0 0 0 0 0 11250 0 12880 0 444237 0 436952 0 KEVIN MOLANDER 203685 0 0 0 0 0 2254 0 6023 0 211962 0 185634 0 DON GREGGAIN MD X 50000 50000 0 1 1 50000 MIKE MARTIN BOARD MEMBER 344193 INSURANCE BROKER - OWNER OF MARTIN INSURANCE 0 JOHN MANNSCHRECK MD BOARD MEMBER 80293 PATIENT CARE SERVICES - OWNER OF TWIN CITIES PAIN MANAGEMENT AND TWIN CITY RADIOLOGY 0 FORM 990, PART VI, SECTION B, LINE 11 PART VI, LINE 11 - FORM 990 REVIEW PROCESS: A DRAFT COPY IS PROVIDED TO THE CFO FOR REVIEW PRIOR TO FILING. THE BOARD AUTHORIZES THE CFO TO REVIEW AND APPROVE THE 990. THE FINAL 990 IS FILED AFTER CFO APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS DETERMINED BASED ON FAIR MARKET VALUE. TSMH USES NATIONAL AND REGIONAL BENCHMARKS (MILLIMAN SURVEY & STATE OF IDAHO). BASED THESE COMPARISONS, THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION FOR THE CEO AND THE CEO DETERMINES THE COMPENSATION FOR THE REMAINING EMPLOYEES OF THE FACILITY. THE BOARD HAS FULL DETERMINATION OF THE CEO'S COMPENSATION. DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 TRI-STATE MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 509,559. TEMPORARILY RESTRICTED - NET GRANT FUNDS RECEIVED 14,879. TEMPORARILY RESTRICTED - INTEREST INCOME 285. PERMANENTLY RESTRICTED - INTEREST 1,018. TOTAL TO FORM 990, PART XI, LINE 5: 525,741. FORM 990, PART XII, LINE 2C PRIOR YEAR PROCESS. THERE HAVE BEEN NO CHANGES FROM PRIOR YEARS. EVERGREEN ESTATES 1215 EVERGREEN COURT CLARKSTON WA 994032800 910411930 ASSISTED LI WA N/A UNRELATED 113230 570105 0 113230 0 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0