The LEADING Companies Redefining HEALTHCARE CONSTRUCTION
TRACY
DONOVAN Chief Executive Officer (CEO) trü Level Design & Construction LLC


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The LEADING Companies Redefining HEALTHCARE CONSTRUCTION
TRACY
DONOVAN Chief Executive Officer (CEO) trü Level Design & Construction LLC


The Women-Owned Firm Redefining Precision and Purpose in Radiation Oncology and Medical Imaging Construction



Healthcareisevolvingatanunprecedentedpace—andsoare
theenvironmentsinwhichcareisdelivered.Hospitals, specialtyclinics,researchfacilities,andintegratedcare campusesarenolongerjustbuildings;theyarecomplex,technologyenabledecosystemsdesignedtoimproveoutcomes,enhance operationalefficiency,andplacepatientexperienceatthecenter.In thisedition,wespotlight The Leading Companies Redefining Healthcare Construction—organizationsthatarereshapinghow healthcareinfrastructureisimagined,engineered,andexecuted.
Today'shealthcareconstructionleadersoperateattheintersectionof clinicalfunctionality,advancedengineering,andhuman-centered design.Theynavigatestringentregulatoryframeworks,infection preventionstandards,andsustainabilitymandateswhiledelivering facilitiesthatmustremainadaptabletofuturemedicalinnovations. Frommodularconstructiontechniquesthataccelerateproject timelinestosmartbuildingsystemsthatsupportreal-timemonitoring andenergyoptimization,thesefirmsaretransformingtraditional constructionparadigmsintoagile,resilientsolutions.
Whatdistinguishesthesecompaniesisnotonlytheirtechnical expertise,butalsotheirstrategicforesight.Theyunderstandthat healthcarefacilitiesmustbescalable,digitallyintegrated,and environmentallyresponsible.Byincorporatingevidence-based design,data-drivenplanning,andcollaborativedeliverymodels,they ensurethatspacessupportcaregiversaseffectivelyastheyserve patients.Theirworkdirectlyinfluencescarequality,staffefficiency, andlong-termcostperformance—makingthemcriticalpartnersin thebroaderhealthcarevaluechain.
Thisissuecelebratesorganizationsthatviewconstructionasaform ofhealthcareenablement.Theirprojectsaredesignedtorespondto demographicshifts,emergingcaremodels,andthegrowingemphasis onoutpatient,community-basedservices.Ashealthcaresystems worldwideconfrontrisingdemandandresourceconstraints,these constructioninnovatorsarebuildingnotjuststructures,butthefuture foundationofcareitself.



The Front Page Exclusive
trü Level Design & Construction LLC
The Women-Owned Firm Redefining Precision and Purpose in Radiation Oncology and Medical Imaging Construction
INDUSTRY INSIGHTS
From Blueprint to Bedside
How Healthcare Construction Shapes Patient Outcomes
INDUSTRY INSIGHTS
Infection-Safe by Design Construction Strategies for Healthcare Facilities





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The Women-Owned Firm Redefining Precision and Purpose in Radiation Oncology and Medical Imaging Construction
TRACY DONOVAN Chief Executive Officer (CEO)
trü
Level Design & Construction LLC

The Front Page


Theprecisionmandateofhealthisclear:building
thedigitalfutureofcare.Theconstruction landscapeofmodernmedicineisahigh-stakes arena,wherefailureismeasurednotindollarsbutin compromisedpatienttreatment.Thestakesarehighestin radiationoncologyandmedicalimaging,fieldsdefined bymicron-levelaccuracyandbreaknecktechnological evolution.Whiletraditionalconstructionfirmsstruggled tokeeppace,trüLevelDesign&ConstructionLLC establisheditselfasaneliteforce.In ’s TracyDonovan ChiefExecutiveOfficer(CEO)words,theirobligation isaccuracy:ensuringthateveryfacilityinstantly leveragethelatestadvancedtechnologiesinradiation treatment,deliveringprojectswithexceptionalvaluethat simultaneouslymeetstringentbudgetaryconstraintsand life-savingqualitystandards.
trüLevelspecializesinpremiumdesign-buildhealthcare construction,focusingexclusivelyonthemostcritical areas: Radiation Oncology and Medical .Its Imaging wide-rangingportfoliodemonstratestheteam’s operationalskill,whichincludesabalanceofcomplex vaultadditions,renovations,andhighlytechnical reshieldingprojects.Moreover,theyimplement‘physics’ donebyathirdpartyintotheirdesigns.Thisisthesweet spotfortheirextremelyproactiveapproach,andthatis designedinawaythatarchitecture,engineering,and intenseon-siteconstructionmanagementcanallbea singleprocess.
Thisintegratedsystemisdesignedtoremoveall complexityandconcernfromtheclient’shands.Tracy says,“Thedistinguishedreputationofoursfor excellencespans of UnitedStatesandthe most the Caribbean,earnednotbyvolume,butbytheflawless executionofprojectsthatdemanduncompromising quality.”
Asoneoftheleadingcompaniesredefininghealthcare construction,trüLevel’sleadershipisn’tjustabout buildingstructures;it’saboutprotectingthecoremission oftheirclients.By thedemandingphysics implementing andtechnologicalintegrationrequiredforthesetypesof projects,itfreesupdoctors,administrators,medical imaging,andoncologyteamstoconcentrateentirelyon providingoutstandingpatientcare.Itbuildsthefutureof medicinesophysicianscanfocusonsavinglives.
trüLevelDesign&ConstructionLLCismorethanan industryleader;itisthespecialized,trustedpartnerthat translatesthecuttingedgeofoncologyandmedical imagingintorobust,functional,andlife-readyfacilities.
ForTracy,theinspirationtospecializeinhealthcarewas aconvergenceofopportunityandprofoundpurpose.Her careerbeganatJamesL.DavisInc.,whereshewas immediatelyexposedtoprojectsthatwentbeyond traditionalconstruction.Thesewereenvironmentsthat directlyimpactedpatientcareandlife-savingoutcomes. Shedidn’tjustseewallsgoingup;shesawhowa thoughtfullydesignedspacecouldfundamentally improveoperationalefficiencyand,critically,the emotionalexperienceofboththestaffandthepatients.
FoundingtrüLevelallowedhertoforgeacompany dedicatedentirelytobuildinginnovative,patientcenteredhealthcareenvironments.Itwasahigh-stakes arenawheretechnicalexcellencehadtobeperfectly balancedwithcompassionatedesign,particularlyinthe demandingworldofradiationoncologyandmedical imaging.Herdrivewasintenselypersonal:itwas incrediblyrewardingtoknowherworkwasa foundationalsupportsystemforthemedicalteamsand thepatientstheyserve.
Success in healthcare construction depends on effective collaboration—maste ring the human element is just as crucial as mastering construction techniques.




TheWomen-OwnedAdvantage:CompassionMeets Construction
Astheleaderofawoman-ownedbusiness,Tracy broughtaunique,patient-centricperspectivetoan industrytraditionallyfocusedonpureengineering.Her visionfortrüLevelistoredefinehealthcarefacilitiesby ensuringthatcompassionmeetsconstruction.
Herteamapproacheseveryprojectnotjustfroma technicalstandpoint—integratingthelatesttechnology andadheringtoregulations—butwithadeep,intuitive understandingofhowdesignimpactsstaffefficiency, overallwellness,andpatientexperience.This commitmentmeansbuildingspacesthatactively promotehealing,safety,andcomfort.
In radiation treatment, our job isn’t just to build; it’s to guarantee micron-level precision and technological integration.
Bycollaboratingcloselyandtransparentlywith healthcareproviders,architects,engineers,and equipmentvendors,trüLevelguaranteesthatevery detail—fromthecomplexworkflowofatreatmentroom tothewelcomingaestheticsofawaitingarea—enhances thequalityofcaredelivered.Tracy’sgoalistosetan uncompromisingstandardofexcellence,creating environmentsthattrulyserveboththosewhohealand thosewhoarehealing.
Tracy’sleadershipstyleisnotguidedbyaggressive targets,butbyarigorousinternalcodegroundedin integrity,collaboration,andaccountability.Thesearethe non-negotiablevaluesthatgoverntrüLevel’sactions. Sheensuresthathercompanyistransparent,follows throughoneverycommitment,andfostersan environmentwhereeveryvoicematters—fromthe
newestlaborertotheseniorengineer Thisethicalcore dictatestheiroperations:itishowtheybuildunwavering trustwithclients,supporttheirinternalteamthrough complexbuilds,anddeliverfinalprojectsthattheentire firmisprofoundlyproudof.Inasectorwheremistakes arecostly,thisfoundationensuresreliabilityand precision.
Thehealthcareconstructionsectorisadvancingat lightningspeed,andtrüLevelstaysaheadbymastering emergingtrends.Tracyseescancercentersrapidly integratingcutting-edgetreatmentsthatdemandflexible layouts.Designsmustnowmovebeyondsimple functionalitytoactivelycreateenvironmentsthat enhancepatientwellness,reducestress,and simultaneouslyboostperformanceforthestaff.


Bynotjustreactingtothesetrendsbutactively embracingthem—bydesigningspacesthatareadaptive, therapeutic,andtechnologicallyoptimized—trüLevel Design&Constructionpositionsitselfas undisputedan leaderinbuildingtheinnovativecancertreatmentcenters oftomorrow.
Radiationoncology&medicalimagingconstructionis fraughtwithunique,high-stakeschallenges.Beyond workingwithcomplexshieldingmaterialsandmeeting rigidsafetystandards,thesinglelargesthurdleisthe synchronizedcoordinationofcomplex systems—shielding,electrical,mechanical,andmedical equipmentrequirements—allwhilekeepingdemanding projectsonatightschedule.
Tracy’steamovercomesthesepressuresthroughan uncompromisingformula:carefulplanning,crystal-clear communication,andproactiveproblem-solving.By forginganintegrated,tri-partycollaborationwiththe client,theequipmentvendor,andtheirinternaldesign teamofarchitectsandengineers,theyeffectively dismantlebottlenecksbeforetheyoccur This collaborativevigilanceensuresthateventhemost technicallycomplexprojectisdeliveredasafinal productthatissafe,functional,andintenselypatientfocused.
TheVarianTrueBeamChallenge:Precision Redefined
Arecent,action-packedprojectdemonstratedtrüLevel’s commandoverbothcomplexityandcare:therenovation ofaradiationtreatmentvaultforaVarianTrueBeam system.Thiswasahigh-stakes,operationalfeat requiringmorethanjustconstruction;itdemandedthe preciseintegrationofadvancedmedicaltechnologyinto apatient-readyenvironment.Thescopewentfarbeyond theoriginalscopeofwork,encompassingspecialized shieldinginstallation, electricaladditional components, lastminutedesignchangestoincludeHVACsystems, andmeticulousinteriorupgrades—fromnewluxury flooring, toaestheticfinishes. millworkchanges
Thecorechallengewasbalancingthiscutting-edge technologywiththoughtful,therapeuticdesign.Thetrü Levelteamexecutedtheinstallationwithclinical precision,workingdirectlywiththeclient’smedical
teamandtheequipmentvendortoensureaseamless processthatavoideddisruptingongoingoperations.The resultwasahighlyfunctional,secure,andwelcoming environment—atangiblereflectionoftheirdedicationto precision,innovation,andpatient-centeredconstruction.
AttrüLevel,seamlesscollaborationisthekeythat unlocksprojectefficiency Thefirmachievesthisby maintainingin-housearchitectsandengineers.This integratedstructureallowsforimmediate,clear communicationandunifiedplanningwiththeon-site constructionteams.
Regular,mandatorysitevisitsbythisintegratedteam ensurethatchallengesareaddressedearly,keeping projectsaggressivelyontimeandonbudget.Thisunified commandstructureeliminatesthetypicalfriction betweendesignandexecution,ensuringthedelivered healthcarespacesareofthehighestquality.
ClientsatisfactionisnotametricfortrüLevel;itisthe startingpointforeveryaction.Thefirm’sserviceis fundamentallytailoredbecausetheteamunderstandsthat
Our reputation is built on delivering exceptional value without ever compromising the high-quality standards required for modern oncology, medical imaging, and radiology.




everyhealthcareprovider—fromasmallclinictoa major —hasuniquegoals, complexcancercenters workflows,andpatientcarepriorities.
Theprocessbeginswithanintensephaseoflisteningand understanding.ThetrüLevelteamthenmaintainsopen communication,proactiveproblem-solving,and transparentreportingthroughouttheconstruction timeline.Thispersonalizedapproachguaranteesthatthe deliveredhealthcareenvironmentisnotonlytechnically precisefortheadvancedequipmentbutalsouniquely suitedtotheexactworkflowandspecificneedsofthe people—thestaffandthepatients—whousethefacility daily.
TrüLeveldoesn’tjustwelcomeclientfeedback;ittreats itasanactiveblueprintforimprovement.Whenaclient requestedmorefrequentupdatestoperfectlycoordinate equipmentdeliveryandcrucialstafftraining,Tracy’s teamrespondedwithclinicalprecision.They immediatelyimplementedmandatorymilestonecheckinsandregularprogressreports.Thiswasn’tasuperficial change;itradicallyimprovedcommunication, streamlinedtheworkflow,andenhancedoverallproject efficiency Thisinstanceprovedthatlisteningtothe client—theend-userofthefacility—directlystrengthens trüLevel’sdeliveryprocess,sharpeningtheir competitiveedge.
Reflectingonhercareer,Tracyismostproudof successfullyleadingcomplexprojectsthatperfectly combinetechnicalprecisionwithpatient-centered design.Whetherrenovatingalife-savingradiationvault orbuildinganewcancercenter,eachachievement representsacollaborativeeffortthatdirectlyimpacts patientcareandstaffefficiency Thisisherdeep, sustainingreward.
Themostvaluablelessonslearned—theimportanceof resilience,mentorship,andadvocatingfordiverse perspectives—nowdefineherleadership.Herfinal advicetoaspiringprofessionalsinthisnicheisdirect: combinetechnicalexpertisewithempathyand collaboration.Shestressesthathealthcarefacilitiesare notjustbuildings;theyarepartofthehealingprocess, andmasteringthehumanelementisjustascrucialas masteringconstructiontechniques.Continuouslearning andbuildingstrong,trustedrelationshipsarethenonnegotiablefoundationsforsuccess.
Lookingahead,trüLevel’sstrategicgoalsforthenext decadeareclearandambitious.Thecompanyplansa measuredexpansionoftheirnationalreach,partnering withmorec andhealthcareprovidersnationwide. enters Itscommitmentremainsabsolute:deliveringspecialized, patient-centeredconstructionsolutionswhile aggressivelymaintainingitshighstandardsofquality andsafety
Thefirmissimultaneouslychampioningsustainableand wellness-focuseddesign,creatingspacesthatsupport bothenvironmentalresponsibilityandpositivepatient andstaffexperiences.Asawomen-ownedbusiness,at trüLevelDesign&Construction,TracyDonovanis fiercelycommittedtosettinganewstandardfor diversity,leadership,andexcellenceinthetraditionally male-dominatedconstructionindustry,fosteringaculture thatattractstoptalentandinspiresinnovativesolutions.



Healthcareoutcomesarefrequentlyreferredtoin termsofclinicalexpertise,cutting-edge technology,andthequalityofcaredelivery However,oneofthemostinfluentialand,attimes, overlookedfactorsofpatientoutcomesisthephysical environmentitself.Forthatmatter,fromtheveryfirst architecturalplantothemomentwhenthecareisprovided atthepatient'sbedside,healthcareconstructionhasa decisiveimpactonsafety,recovery,efficiency,aswellas theentirepatientexperience.Properlydesignedfacilitiesdo notonlyserveasaplaceformedicalservices—they becomeanactivepartofthehealingprocess,supportthe clinicalperformance,andpromotethepatient'slong-term wellbeing.
TheBuiltEnvironmentasaSilentCaregiver
Hospitalsandhealthcarefacilitiesarelikesilentpartnersin patientcare.Eachdesignchoice—rangingfromthelayout oftheroomtothewidthofthecorridor—hasanimpacton
thedeliveryofcare.Well-plannedconstructionfacilitates efficientclinicalworkflows,alleviatesthestressofpatients andstaff,andlowerstheriskofmistakes.Ontheflipside, ill-designedsurroundingsmayleadtohigherinfectionrates andstafffatigues,thus,thedelayedtreatmentsandeven fatigueofthemedicalpersonnel.
Whenthebuildingisconstructedinlinewiththeclinical goals,itbecomesameanstobetterresultsratherthanan obstacletocare.
Thesafetyofpatientsisthestartingpointforthephysical environment.Forinstance,clearwayfindinghelpstoreduce theconfusionandanxietythatpeoplefeelwhentheyarein anunfamiliarplace.Speakingofwhich,properzoning ensuresthatareaswithhighrisksofinfectionareseparated fromtherestofthehospitalenvironment;besidesthat,there mustbesufficientlighting,floorsthatareslip-resistant,and

handrailswhicharewell-positionedtoreducethechances offallsandinjuries.Whatismore,single-patientroomsare lesslikelytotransmitinfectionsand,atthesametime, encouragetheprivacy,dignity,andrestofthepatients.
Ifsafetyisthefocusofconstruction,thenresultant conditionswillbesuchthattherewillbealesserlikelihood oftheoccurrenceofadverseevents.Consequently,these designdecisionscanaffectcongestion,complicationrates, andpatienttrustinthecaretheyreceive.
Oneofthemostdirectrelationsbetweenconstructionand patientoutcomesisinfectionprevention.Airhandling systems,choiceofmaterials,watermanagement,andspace utilizationplayaroleinthespreadofpathogens.Besides that,adequateventilationhelpsinthereductionofairborne transmission,atthesametime,non-jointsurfaceswhichare easytocleanlimitthegrowthofmicrobes.
Hospitalsthathavebeenbuiltwithinfectionpreventionas theirmainconcernaretheoneswhicharealwaysfoundto havelowinfectionratesthatresultfromhealthcare practices.Notonlydoesthisleadtogoodpatientoutcomes, butitalsolessensthetimeapatientstaysinthehospital,the numberofpatientswhoneedtobereadmitted,andthe overallcostofthetreatment.
Healingisinfluencedbymorethanmedicalintervention.In fact,elementssuchasnaturallight,noisecontrol,getting accesstoviews,andeventheinterioroftheroomcanhelp tospeeduptherecoveryprocessandalsothementalstate ofthepatient.Researchhasalsodemonstratedthatpatients whoareinanenvironmentwherethereisdaylightand noiselevelsarelow,getlessstressed,haveabettersleep pattern,andalsohaveimprovedresults.
Healthcareconstructionthatemotionallyand psychologicallyconsidersthepatientswillleadtotheir holistichealing.Comfort,dignity,andcalmnessarenot someextravagantthings—theyarethepartsofefficient healthcare.
Healthcaredeliveryisaprocessthatkeepsonchanging. Thus,afacilitythatisdesignedinawaythatitisflexible canreadilyadjusttothepresenceofnewtechnologies, varyingnumberofpatients,andevendifferentkindsof care.Also,hospitalroomsthataremodular,infrastructure thatisadaptable,andsystemsthatcanbescaledupordown givewaytothehospitalbeingabletorespondfasttothe newneedsthatmayarisewithouttheneedforamajor disruption.
Thisflexibilityiswhatensuresthatthereisnobreakinthe provisionofcareduringemergencies,expansions,or innovationsinthefieldofmedicine.Infact,theyarethe oneswhoprotectpatientoutcomesoverthelonghauland notasaconstraintoncarewhentheycanevolvewith medicine.



Oneofthemostchallengingenvironmentstodesign andbuildarehealthcarefacilities.Apartfromtheir functionality,efficiency,andaesthetics,these buildingshavetosatisfyaverybasic,andactually,very importantrequirement:theymustnotcauseinfectionsto patients,staff,andvisitors.TheCOVID-19pandemichas helpedtheworldtoseethisresponsibilitymoreclearly; however,infection-safedesignisnotatemporarysolution tothecrisis,itisalong-termnecessity.Theconstruction strategiesofsuchfacilitiesneedtoreflectthepreventionof infectionsineveryaspectofthedesign,materials,systems, andworkflows.
Infection-safedesignshouldnotbeconsideredanadditional feature.Itisaconceptthatinvolvesthewholeplanning stageandisfollowedbyconstruction,commissioning,and dailyoperation.
Thefirstruleofinfection-safeconstructionistounderstand infectionsourcesinhealthcareenvironments.Besides humans,air,water,andsurfacescantransmitpathogens.All thesefactorshaveanimpactonrisk.
Efficientdesignrecognizestheseroutesandstopsthem beforetheycancauseharm.
Theroleofspacedesignisessentialinthismatter.Strict dividinglinesbetweencleananddirtyareas,limitedpatient andstaffmovement,andreducedcross-trafficmakethe chanceofthevirustransmissiontobeless.Theemergency departments,operatingtheatres,isolationwards,and intensivecareunitsaretheplacesthatneedespecially carefulzoningsothatinfectiondoesnotspreadtothelowriskareas.
Airqualityisaverystrongweaponininfectionprevention. Contemporaryhealthcareconstructiongivesthefirst prioritytotheimplementationofstate-of-the-artHVAC systemsaimedatachievingaircontrol.Inparticular,these systemsmanagethedirectionofairmovement,thepressure differencebetweentherooms,andthefiltrationoftheair
Theformertypeofpressureisusedinroomsthathelpto keepairbornepathogensstable,whilethelattertypeof pressureistheonethatprovidesabarrierofsafetytothe patientswithweakenedimmunesystems.

Advancedparticulateairfiltration,enhancedairchange rates,andextremelyaccurateairflowcontrolarethefactors thatdeterminetheloweringofpathogenconcentrationin tightlyclosedspaces.Healthfacilitiesthatareinfection-safe donotconsiderairasapassivesourceofsupportbutrather asanactivedefensivetoolthus,itiscontinuouslychecked andoptimized.
Thechoiceofmaterialsforbuildingalsohasasignificant impactoninfectionrisk.Theporoussurfaces,complicated joints,andhard-to-cleanfinishescanbetheplaceswhere pathogensnest.Infection-safedesignhasdecidedtouse materialsthatarenon-porous,seamless,andstrongenough tobecleanedanddisinfectedfrequentlywithoutlosingtheir quality
Theuseofantimicrobialsurfaces,integratedwall protection,andcontinuousflooringsystemscontributesto thereductionofmicrobialsurvivalandthefacilitationof maintenance.Materialselectionisacombinationofhygiene anddurabilitythus,theimplementationofinfectioncontrol measureswillnotcompromisethelong-termperformance andsafetyofthefacilities.
Waterborneinfectionsmaybealessvisiblesourceof danger,buttheyarenolessseriousthanothertypes, especiallyinhealthcarefacilities.Abadplumbingsystem canbethereasonforstagnation,temperaturechanges,and biofilmformationthus,creatingconditionssuitablefor,e.g., Legionellapropagation.
Aninfection-safebuildingfeaturesthedesignofwater supplysystemswithconsiderationssuchassetpointsfor temperature,regularcirculation,andmaintenanceareasthat areeasytoaccess.Inaddition,sinks,showers,andmedical watersystemsarenotonlytheplaceswheresplash contaminationcomesfrombutalsotheareasuserscontinue tobeexposedtoeachotherincross-useactivities.
Savingthebuildingfrominfectionsisnotthetimewhenthe buildingisopeningthatisimportant—itistheconstruction time.Healthcareconstructionprojectsusuallytakeplacein ornexttoalreadyexistingfacilitiesthatareoperational, thus,thereisapossibilitythatdust,moldspores,and airbornecontaminantsmightfindtheirwaytopatientareas.
Successfulconstructionmethodsaretheuseofphysical barriers,negativepressurecontainmentzones,material movementthatisundercontrol,andcleaningthatis performedinarigorousmanner.Theriskofinfection controlisconsideredwhenassessingthepresentsituation, thus,itismanagementandsitelocationthatguidetheorder ofconstructionandthechangeofsitestoensurethesafety ofthecontinuousclinicaloperations.
Theuseoftechnologieswillleadtoinfection-safe constructioniftheincorporationisdoneinathoughtful manner.Disinfectionisfacilitatedbylesstoucheddoors thatopenautomatically,lightingthatworkswithoutthe interventionoftheuser,faucetusagethatissensor-based, anddigitalmonitoringsystemsthatreducesurfacecontact andhumanerror.Intelligentbuildingsystemsareableto monitorandreportonairquality,thenumberofpeopleina room,andotherenvironmentalfactorsalmostinstantly
Oncedataisusedasabasisfordecision-making,infection controltransitionsfrombeingreactivetoproactive. Technologyservesasabridgebetweenthedesigngoaland thedailyperformanceofthebuilding.







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