Skilled nursing facility · CMS certification number 445356
PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
JOHNSON CITY, Tennessee · Medicare
Certified beds, as filed in Care Compare: 47
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,480,524 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,011,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,468,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,029,581 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$560,740 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,445 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$470,295 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$470,295 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 17,202 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,409 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 9,184 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,593 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 316 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 603 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 919 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447597, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,917,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,667,856 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,249,756 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,507,443 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$257,687 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,982 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$239,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$239,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 947 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403711, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,410,396 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,241,687 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,168,709 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,625,467 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$456,758 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$443,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$443,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,802 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 853 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363146, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,282,042 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,276,406 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,005,636 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,680,380 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$674,744 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$572,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$572,592 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,329 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 670 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340170, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 June 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,727,654 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,996,493 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,731,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,628,379 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$897,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $434,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$462,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$462,673 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,461 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 620 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285964, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 March 2019 to 31 December 2019 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,516,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,879,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,637,376 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,197,881 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$560,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $552 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$559,953 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$559,953 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 595 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262818, read from the public cost report file SNF10FY2019.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 45% | since 12/03/2018 |
| SHC LP HOLDINGS III, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 56% | since 07/01/2016 |
| JJLA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2016 |
| LPSNF LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2016 |
| SPRING HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2016 |
| STEIER III, ELMER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/01/2016 |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2016 |
| HARRISON, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/24/2005 |
| ALLEN, JAYSON | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/17/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LP JOHNSON CITY, LLC (enrollment ID O20190402000769).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 44.5 | 12/3/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHC LP HOLDINGS III, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 55.5 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELMER JOSEPH STEIER III | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20.22 | 7/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| IRA SMEDRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12.03 | 7/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JJLA LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20.22 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| LPSNF LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 72.9 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOUNTAIN STATES HEALTH ALLIANCE | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/3/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPRING HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| WHEATEN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.37 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN H HARRISON | Individual | CORPORATE OFFICER | 0 | 1/24/2005 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SIGNATURE HEALTHCARE LLC | Organization | OTHER | 0 | 5/7/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAYSON ALLEN | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/17/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 17 July 2023: JENNIFER SKAGGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JENNIFER SKAGGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JAYSON ALLEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- 10 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 14 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 24 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 17 July 2023: JENNIFER SKAGGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JENNIFER SKAGGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JAYSON ALLEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 January 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 10 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 6 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 13 May 2026 | 13 May 2026 | 2 | 0 |
| 2 | 21 May 2025 | 21 May 2025 | 1 | 1 |
| 3 | 4 May 2022 | 4 May 2022 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
3 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 13 May 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 26 May 2026 |
| 13 May 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 25 May 2026 |
| 21 May 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 31 May 2025 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | For profit - Corporation |
| Legal Business Name | LP JOHNSON CITY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1995-08-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Washington |
| Telephone Number | 4239751800 |
| Chain Name | SIGNATURE HEALTHCARE |
| Chain ID | 474 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 47 |
| Average Number of Residents per Day | 42.8 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 10 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Tennessee at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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