GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Home Health Care Software of 2026
Top 10 home health care software ranked by care coordination, billing, and reporting, with tools like Sandata and CareSmartz360.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
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CareSmartz360 is the best fit when home care teams need strong control over visit documentation workflows alongside practical operational reporting, while Sandata is the better alternative for agencies that must tie EVV-aligned visit operations to evidence and authorizations across teams.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
CareSmartz360
Care-plan driven documentation workflow connects clinician notes to required episode milestones for better charting consistency.
Built for fits when home health teams prioritize visit documentation workflow control and operational reporting over extensive custom automation..
Sandata
Editor pickVisit evidence orchestration tied to operational authorization and scheduling workflows.
Built for fits when agencies need controlled visit operations tied to evidence and authorizations across teams..
Rosemark System
Editor pickCare plan and document templates enforce consistent assessment and plan structure across episodes and clinicians.
Built for fits when mid-size home health agencies need structured documentation workflows tied to visit operations..
Comparison Table
CareSmartz360
SMBHome care software for scheduling, billing, payroll, caregiver management, and family access.
Care-plan driven documentation workflow connects clinician notes to required episode milestones for better charting consistency.
CareSmartz360 is designed around field clinician work, so visit notes and related tasks route through a mobile clinician app workflow that tracks completion status. Care-plan elements feed into ongoing documentation so staff can document against required assessments and physician order moments across the care episode. Reporting emphasizes operational visibility for care coordination, such as documentation timeliness and visit-level completeness for managers.
A tradeoff is that teams that need deep interoperability with an existing EHR must validate integration coverage for both clinical and scheduling data before rollout. CareSmartz360 fits best when a home health agency wants tighter documentation accountability for every visit and clear internal reporting without building custom workflow tooling.
- +Mobile clinician workflow ties visit documentation to completion status
- +Configurable care-plan driven forms reduce documentation drift
- +Operational reporting supports documentation timeliness oversight
- +Role-based access supports multi-department governance
- –Interoperability depth needs validation against existing EHR interfaces
- –Advanced automation beyond standard workflows may require process changes
- –Reporting filters can feel limited for highly customized manager views
- –Offline charting needs confirmation for field teams with weak connectivity
Clinical operations managers
Reduce late or missing charting
Fewer overdue charts
Field clinicians
Document during each patient visit
Faster documentation
Show 2 more scenarios
Home health administrators
Control access across roles
Reduced governance risk
Apply permissions to separate intake, clinician charting, and review responsibilities.
Care coordinators
Coordinate episode milestone documentation
More consistent records
Route documentation requirements tied to care plan changes through standardized forms.
Best for: Fits when home health teams prioritize visit documentation workflow control and operational reporting over extensive custom automation.
Sandata
enterpriseHome care technology covering EVV, scheduling, billing, and state program administration.
Visit evidence orchestration tied to operational authorization and scheduling workflows.
Sandata fits agencies that need end-to-end visit operations control, including field execution tied to agency records and downstream billing inputs. The system is designed to connect scheduling, visit completion processes, and administrative oversight so exceptions can be identified and routed. Reporting supports operational review of visit activity and authorization-related work queues, which helps reduce spreadsheet-based tracking.
A key tradeoff is that agencies with many custom workflows may need stronger change governance because configuration and integration choices affect downstream reporting and operations. Sandata is a practical fit when authorization-driven workflows and visit evidence requirements must stay consistent across multiple teams or locations.
- +EVV-centered visit evidence workflow reduces missing documentation risk
- +Authorization and scheduling linkage supports operational exception handling
- +Administrative reporting supports oversight of visit completion patterns
- +Integration approach supports connecting agency systems to visit operations
- –Implementation effort increases when workflows diverge from standard patterns
- –User training is needed to manage exception workflows consistently
- –Reporting setup can require careful mapping of operational fields
- –Offline clinician workflows may require explicit device and process planning
Home health operations teams
Manage visit exceptions in real time
Fewer missed or late visits
EVV and compliance managers
Standardize field verification workflows
More consistent visit documentation
Show 2 more scenarios
Revenue cycle analysts
Track completion-to-billing quality
Reduced downstream claim rework
Analysts use operational reporting to identify completion gaps that affect claims readiness.
IT integration teams
Connect external systems to visits
Less manual data movement
Teams integrate scheduling and operational data flows so field activity stays aligned with agency records.
Best for: Fits when agencies need controlled visit operations tied to evidence and authorizations across teams.
Rosemark System
SMBHome care management software for scheduling, billing, payroll, and caregiver oversight.
Care plan and document templates enforce consistent assessment and plan structure across episodes and clinicians.
Rosemark System covers core agency operations with mobile clinician documentation workflows and visit scheduling tied to care plans. Documenting assessments and plans of care can be standardized through templates and reusable forms, which reduces variation between clinicians. Operational tasks such as review, updates, and care plan maintenance are organized to support day-to-day coordination.
A tradeoff appears in the breadth of external integrations. Agencies that rely on deep interoperability with a specific EHR, billing system, or custom data pipelines may need an implementation partner because API and extensibility details are not clearly exposed in the user-facing materials. Rosemark System fits best when an agency prioritizes consistent documentation, structured workflows, and audit-friendly record building around routine home health episodes.
- +Mobile clinician documentation ties entries to visit records
- +Configurable forms standardize assessments and care plans
- +Workflow tooling supports ongoing plan maintenance tasks
- +Reporting groups operational and clinical activity signals
- –External integration depth is unclear without implementation support
- –Complex workflow changes may require careful configuration discipline
Clinical operations managers
Standardize assessment-to-plan documentation
More consistent care planning
Scheduling coordinators
Manage visits tied to clinician work
Fewer scheduling mismatches
Show 1 more scenario
Compliance leads
Track documentation completion
Cleaner documentation readiness
Structured documentation workflows provide traceable completion paths for reviews.
Best for: Fits when mid-size home health agencies need structured documentation workflows tied to visit operations.
Axxess
vertical specialistHome health software covering clinical documentation, operations, and compliance.
Configurable care plan workflows that coordinate visit status, documentation expectations, and recertification checkpoints within one operational flow.
Axxess is a home health care software suite that combines clinical documentation workflows with operational tooling used by home health agencies. Its core differentiators include configurable visit and care workflows, EVV-related support for home health and personal care scheduling, and reporting built around agency operations.
The system also emphasizes interoperability with integrations for downstream billing and documentation requirements used in home health. Administration tools focus on user access controls and audit-oriented activity tracking across care, visits, and scheduling.
- +Configurable care workflows for start of care, recertification, and discharge documentation
- +EVV-related visit capture support linked to scheduling and visit status
- +Operational reports organized around agency cadence and clinical follow-up
- +User access controls designed for department-level segregation of duties
- –Complex configuration can slow implementation for agencies with customized care processes
- –Advanced reporting often depends on consistent documentation discipline across teams
Best for: Fits when home health agencies need configurable visit and documentation workflows with audit-ready administration controls.
Homecare Homebase
enterpriseHome health and hospice software for clinical, financial, and operational management.
Offline-capable mobile clinician documentation that preserves visit data entry through connectivity gaps and syncs later.
Homecare Homebase schedules home health visits and manages clinician documentation in a mobile clinician app workflow. The system supports care plan updates, visit notes, and EVV-ready visit capture tied to the visit.
It also provides agency-wide reporting for operations and clinical oversight, with configuration for roles and operational policies. Integration options focus on connecting scheduling, documentation, and billing workflows into a single record trail for care coordination.
- +Mobile clinician app supports offline charting and structured visit documentation
- +Scheduling, care plan tracking, and visit documentation are linked in one workflow
- +EVV-ready visit capture connects visit timing to record completion
- +Agency reporting covers operations and documentation status for oversight
- –Complex home health billing workflows can require careful configuration
- –Integration depth depends on external systems and may limit end-to-end automation
Best for: Fits when mid-size home health agencies need coordinated scheduling, documentation, and visit capture in one system.
Ankota
vertical specialistCare management software for home care scheduling, EVV, billing, and workforce coordination.
Visit verification and scheduling are designed as one workflow, so discrepancies surface at the point of documentation.
Ankota targets home health agencies that need tighter care coordination across intake, visits, and clinical follow-up. The system focuses on staff scheduling, mobile clinician documentation, and visit verification workflows that keep EVV data tied to real-time task execution.
Ankota also supports home health billing readiness with documentation that maps to claim needs and includes audit-friendly change history. Admin controls and configuration tools help agencies manage roles and standardize care plan and assessment content across teams.
- +Mobile clinician documentation workflow links notes to visit records for follow-up
- +Visit verification data is captured in the same operational flow as scheduling
- +Configuration supports standardized assessments and care plan templates across teams
- +Role-based access helps separate clinical entry from administration tasks
- –Advanced automation depends on careful setup of workflow steps and templates
- –Reporting depth for billing metrics can require additional configuration work
Best for: Fits when home health teams need mobile documentation tied to verified visits and standardized care plans.
ShiftCare
SMBScheduling and workforce software for home care and disability support providers.
ShiftCare’s shift-based care workflow ties mobile visit status updates directly to documentation completion.
ShiftCare centers on mobile-first scheduling, visit workflow, and clinical documentation for home care operations where field staff need fast, low-friction execution. It integrates care team tasks, EVV-style visit verification workflows, and documentation capture into a shared operational timeline for each client and shift.
Administration focuses on assignment logic, visit status controls, and reporting on operational throughput rather than only clinical content. Automation and integrations surface around care delivery execution, including electronic records handoff between office and field teams.
- +Mobile clinician workflow keeps visit status and documentation tightly linked
- +Assignment-driven visit tracking reduces manual backfilling after shift changes
- +Automation supports recurring care plans and role-based task handoffs
- +Operational reporting centers on visit execution and field workload
- –Clinical depth can feel lighter than tools built around extensive OASIS flows
- –More complex agency workflows may require extra configuration governance
- –Integration coverage for downstream billing systems can be narrow by scenario
- –Customization flexibility for nonstandard documentation may require admin effort
Best for: Fits when mid-size home care teams need mobile visit execution plus audit-friendly operational tracking.
Birdie
vertical specialistDigital home care software for care planning, visit monitoring, rostering, and insights.
Task-to-document coordination that links visit execution steps directly to required documentation templates.
Birdie is home health care software designed around coordinated case management for in-home services and visit execution. It organizes clinician workflows with scheduling, assignment, and documentation flows that connect tasks to care episodes.
Admin teams get configurable templates for documentation requirements and operational rules that support consistent field completion. The product also targets integration needs through an API surface intended for EVV, claims, and EHR connectivity tasks.
- +Workflow-driven case management keeps visit tasks tied to the care episode
- +Configurable documentation requirements reduce variation across clinicians
- +Mobile clinician flows support point-of-care charting with offline-friendly patterns
- +API-first integration approach supports EVV and EHR connectivity needs
- –Care billing depth for Medicare claims and HIPPS mapping can require extra integration work
- –Advanced governance controls like granular RBAC and audit log detail may need careful setup
- –Some specialized home health billing and authorization workflows are not fully self-contained
- –Reporting coverage can feel limited without pulling data into external BI
Best for: Fits when mid-size home health teams need coordinated visit workflows and API-based integrations without building custom user interfaces.
WellSky Personal Care
enterprisePersonal care software for scheduling, caregiver operations, billing, and reporting.
Caregiver visit and documentation orchestration ties scheduling changes to field charting and care plan status workflows.
WellSky Personal Care supports home health and personal care workflows that center on caregiver visits, scheduling, and clinical documentation. The product coordinates visit-based records with mobile documentation for field staff and administrative tools for care plan updates.
It targets coordination needs like authorization tracking, visit verification support, and reporting for agency operations. Governance functions focus on user roles, audit trails, and operational oversight for agency-managed care delivery.
- +Visit-centered workflow reduces double entry between scheduling and documentation
- +Mobile documentation supports offline field capture for unstable connectivity
- +Role-based access helps separate scheduling staff from clinical reviewers
- +Operational reporting covers visit completion and care plan lifecycle status
- –Complex care plan changes require careful configuration to avoid workflow drift
- –Native integration depth varies by target system and may require additional work
- –Advanced analytics depend on how data is captured in care documentation
- –Some EVV workflows may need add-on components for full coverage
Best for: Fits when agencies need mobile visit documentation plus operational oversight for care transitions and recurring visits.
HHAeXchange
enterpriseHomecare management and electronic visit verification software for agencies and payers.
Offline-capable mobile charting that keeps visit documentation usable when connectivity drops, while EVV-aligned visit status continues.
HHAeXchange fits home health organizations that need strong coordination across scheduling, visits, clinical documentation, and EVV workflows in one place. The system supports mobile clinician charting, offline-ready visit documentation, and visit status tracking tied to electronic visit verification workflows.
It also supports care plan workflows, patient and referral administration, and reporting designed for operational oversight and compliance-oriented review trails. For teams that rely on external billing and claims workflows, HHAeXchange’s integration and data exchange options drive how billing data and visit outcomes are transferred downstream.
- +Mobile clinician charting supports field capture with offline-ready workflows
- +Visit status and documentation flow helps keep EVV events aligned to visits
- +Care plan workflows support ongoing updates across episodes of care
- +Reporting covers operational visibility across referrals, visits, and documentation
- –Admin configuration and workflow setup require disciplined governance to avoid rework
- –Deep downstream needs depend on integration quality with billing and claims systems
- –Some specialized documentation and reporting setups may require customization effort
- –Coordination across multiple sites can create additional operational overhead
Best for: Fits when agencies need tight mobile documentation to EVV-aligned visit workflows and reporting.
Conclusion
After evaluating 10 healthcare medicine, CareSmartz360 stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right home health care software
Home health care software systems coordinate clinical documentation and visit operations across mobile clinician apps, scheduling, and evidence capture, so agencies can track episode milestones without manual reconciliation. This guide covers CareSmartz360, Sandata, Rosemark System, Axxess, Homecare Homebase, Ankota, ShiftCare, Birdie, WellSky Personal Care, and HHAeXchange.
The standout differences across these tools show up in care-plan driven workflows, EVV and visit evidence orchestration, and how offline charting syncs into operational status. The sections that follow focus on integration depth, automation and API surface, and admin governance that controls how start of care, recertification, and discharge checkpoints get documented.
Home health care software for mobile documentation, visit evidence, and episode workflow coordination
Home health care software supports mobile clinician documentation and ties it to visit records, operational status, and episode milestones so care teams can complete required documentation as care progresses. CareSmartz360 emphasizes a care-plan driven documentation workflow that connects clinician notes to required episode milestones to reduce charting drift.
Some platforms also center visit evidence orchestration around authorization and scheduling workflows, which changes how teams handle exceptions and missing documentation. Sandata is built around EVV-centered visit evidence workflow that links visit evidence to operational authorization and scheduling so visit operations and documentation stay aligned.
Integration, automation, and governance controls for episode workflow
Home health care software must connect mobile clinician charting to the operational objects that drive episode progress, including start of care, recertification checkpoints, and discharge documentation. Tools that anchor documentation to care-plan milestones reduce the “notes without required completion” gap that shows up during episode transitions.
Care-plan driven documentation tied to episode milestones
CareSmartz360 connects clinician notes to required episode milestones so charting stays consistent as the care plan advances. Rosemark System enforces assessment and plan structure with configurable templates tied to episode documentation.
Visit evidence orchestration connected to authorization and scheduling
Sandata centers EVV-centered visit evidence workflow and links evidence to operational authorization and scheduling for exception handling. Axxess ties EVV-related visit capture support to scheduling and visit status so operational workflows and documentation expectations stay aligned.
Offline-capable mobile documentation that syncs into operational status
Homecare Homebase supports offline-capable mobile clinician documentation and then syncs visit data into linked scheduling, care plan tracking, and visit documentation workflows. HHAeXchange provides offline-capable mobile charting that keeps visit documentation usable when connectivity drops while EVV-aligned visit status continues.
Configurable care workflow across start of care, recertification, and discharge
Axxess uses configurable care plan workflows that coordinate visit status, documentation expectations, and recertification checkpoints within one operational flow. CareSmartz360 focuses on care-plan driven documentation control, which reduces drift when teams operate with tightly defined episode milestones.
Workflow-to-document coordination that reduces manual backfilling
Ankota designs visit verification and scheduling as one workflow so discrepancies surface at the documentation point. ShiftCare ties shift-based visit status updates directly to documentation completion to reduce manual backfilling after shift changes.
API and extensibility surface for integrating visit tasks and required templates
Birdie emphasizes task-to-document coordination that links visit execution steps directly to required documentation templates. Birdie also positions integration through API-based connectivity so agencies can connect external systems without building custom clinician UIs.
Choose by workflow ownership, integration depth, and governance discipline
The first choice is workflow ownership. Some systems drive documentation control from a care-plan milestone model, while others drive evidence and visit status from EVV and authorization workflows.
If documentation drift is the biggest risk, choose care-plan milestone control
Choose CareSmartz360 when teams need clinician notes tied to required episode milestones so documentation completion matches episode progression. Choose Rosemark System when assessment and plan templates must enforce consistent episode structure across clinicians and visits.
If EVV evidence gaps and authorization mismatches drive rework, choose evidence orchestration
Choose Sandata when visit evidence must be orchestrated around operational authorization and scheduling workflows so exception handling stays consistent across teams. Choose Axxess when visit capture tied to scheduling and visit status must also support start of care, recertification, and discharge documentation coordination in one flow.
If connectivity gaps are routine, choose offline-first mobile charting with sync
Choose Homecare Homebase when offline clinician documentation must sync later while scheduling, care plan tracking, and visit documentation remain linked. Choose HHAeXchange when offline mobile charting must keep EVV-aligned visit status aligned to visits for reporting and operational continuity.
If scheduling and documentation must be connected at the moment of verification, choose unified visit workflows
Choose Ankota when visit verification and scheduling are intended to surface discrepancies at the documentation point so teams do not discover errors after chart submission. Choose ShiftCare when shift-based care updates must flow directly into documentation completion so shift changes do not create gaps.
If governance matters more than clinical depth, size configuration effort deliberately
Choose Axxess when configurable care workflows require audit-ready administration controls but the agency can manage the configuration discipline needed for customized care processes. Choose ShiftCare or CareSmartz360 when mobile workflow linking is prioritized and clinical depth gaps compared with OASIS-centric tools are acceptable.
If external system integration needs to avoid custom clinician UI work, use API-based workflow designs
Choose Birdie when agencies want task-to-document coordination with API-based integrations that avoid building custom user interfaces for clinicians. Choose Homecare Homebase or WellSky Personal Care when scheduling, care plan status workflows, and mobile documentation must work together in one operational workflow even when native integration depth varies by target system.
Who should evaluate these home health care software systems
Home health agencies should map software selection to operational failure modes like documentation drift, missing visit evidence, offline charting gaps, and recertification checkpoint omissions. The best match depends on whether the agency wants documentation control driven by care-plan milestones or visit evidence control driven by authorization and scheduling workflows.
Agencies prioritizing consistent documentation as the episode progresses
CareSmartz360 fits teams that need care-plan driven documentation workflow tying clinician notes to required episode milestones for charting consistency. Rosemark System also fits teams that enforce care plan and document templates to standardize assessment and plan structure across episodes.
Agencies managing EVV and evidence gaps tied to authorization and scheduling exceptions
Sandata fits agencies that want EVV-centered visit evidence orchestration linked to operational authorization and scheduling for exception handling. Axxess fits agencies that want configurable visit and documentation workflows with audit-ready administration controls tied to visit status and capture.
Mid-size agencies operating in connectivity-variable environments
Homecare Homebase fits teams that require offline-capable mobile clinician documentation that syncs later while keeping scheduling and visit documentation linked. HHAeXchange fits teams that need offline mobile charting while EVV-aligned visit status continues for reporting.
Operations teams that want fewer handoffs between scheduling, verification, and notes
Ankota fits teams that need visit verification and scheduling designed as one workflow so discrepancies surface at documentation time. ShiftCare fits teams that need shift-based care workflows where mobile visit status updates directly trigger documentation completion.
Teams planning integrations that require minimal custom clinician UI work
Birdie fits teams that want workflow-driven case management where tasks link to required documentation templates and API-based integrations support external system connectivity. CareSmartz360 fits teams that prioritize internal documentation control and operational reporting over extensive custom automation.
Common home health care software buying pitfalls
Buyers often select based on clinician usability features and then discover late that configuration governance, integration depth, or evidence orchestration does not match actual operations. These errors show up as charting drift, EVV mismatch, offline sync issues, or extra work required to support billing metrics and claims mapping.
Selecting a documentation-first tool without validating evidence and authorization alignment needs
CareSmartz360 is strong at care-plan driven documentation workflow, but interoperability depth with existing EHR and downstream systems needs validation for EVV-aligned operations. Sandata is built around EVV-centered visit evidence orchestration, so choosing it can reduce missing documentation risk when authorization and scheduling exceptions are frequent.
Assuming offline charting eliminates synchronization and workflow governance work
Homecare Homebase provides offline-capable mobile clinician documentation, but complex home health billing workflows can require careful configuration to keep billing aligned with synced visit data. HHAeXchange supports offline-ready workflows, but deep downstream reporting depends on integration quality with billing and claims systems.
Underestimating configuration governance effort for customized care processes
Axxess configuration can slow implementation when agencies use customized care processes, and advanced reporting often depends on documentation discipline across teams. ShiftCare and WellSky Personal Care also require extra configuration governance for more complex agency workflows and care plan changes.
Choosing evidence-centric workflows without ensuring exception handling can be operationalized by teams
Sandata implementation effort increases when workflows diverge from standard patterns, so training is needed to manage exception workflows consistently. Ankota surfaces discrepancies at the documentation point, but advanced automation and reporting depth depend on careful setup of workflow steps and templates.
Ignoring how downstream billing metrics and claims mapping affect integration scope
Birdie can require extra integration work for Medicare claims and HIPPS mapping when billing depth is part of the target workflow. HHAeXchange focuses on offline mobile documentation with EVV-aligned visit status, so integration quality with billing and claims systems determines downstream performance.
How We Selected and Ranked These Tools
We evaluated home health care software systems on feature coverage, clinician and operational workflow control, and ease of use, then scored integration and automation surfaces for how reliably they support evidence, scheduling, and episode milestones. Features made up 40% of the score, ease accounted for 30%, and value accounted for 30%.
CareSmartz360 earned the top rank because the care-plan driven documentation workflow connects clinician notes to required episode milestones to reduce documentation drift, and because its mobile clinician workflow ties visit documentation completion to operational status. Sandata scored highly where EVV-centered visit evidence orchestration tied to authorization and scheduling reduced missing documentation risk, while Axxess ranked with configurable care workflows that coordinate start of care, recertification, and discharge documentation within one operational flow.
Frequently Asked Questions About home health care software
How do Sandata and HHAeXchange differ in EVV-aligned visit workflow orchestration?
Which tools support offline charting for home health documentation when connectivity drops?
When does care-plan driven documentation work better in CareSmartz360 compared with template-led documentation in Rosemark System?
What breaks if visit status updates are not tightly connected to documentation completion in a tool like Ankota or ShiftCare?
Which systems provide admin controls that focus on audit-oriented activity tracking and record governance?
How do Birdie and Ankota handle integrations for EVV, claims, and EHR connectivity tasks?
What should teams check for in RBAC and audit logs when comparing Axxess and Homecare Homebase?
How does HHAeXchange support care coordination from scheduling through offline charting to reporting trails?
When should agencies choose Sandata over Rosemark System for authorization-driven workflows tied to scheduling?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
- Healthcare MedicineTop 10 Best Home Health Care Management Software of 2026
- Healthcare MedicineTop 10 Best Private Duty Home Care Software of 2026
- Healthcare MedicineTop 10 Best Non Medical Home Care Scheduling Software of 2026
- Healthcare MedicineTop 10 Best Home Care Provider Software of 2026
- Healthcare MedicineTop 10 Best Homecare Agency Software of 2026
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