Skilled nursing facility · CMS certification number 555311
DOS PALOS MEMORIAL HOSPITAL-SNF
DOS PALOS, California
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.
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 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,965,205 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $533,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,432,131 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,837,425 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$405,294 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $285,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$119,961 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$119,961 (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 | 29 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 10,585 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 113 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,247 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 331 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,691 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 11 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,541.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 881 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152071, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,001,949 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $628,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,373,648 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,655,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$282,156 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $143,596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$138,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$138,560 (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 | 29 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,814 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 22 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,080.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 446.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118961, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,873,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $583,344 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,290,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,529,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$239,508 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $164,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$75,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$75,312 (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 | 29 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,772 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 553.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 315.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084600, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,785,558 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $415,550 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,370,008 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,480,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$110,471 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $94,481 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$15,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$15,990 (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 | 29 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,616 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,101.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 310.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056252, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,846,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $454,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,391,579 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,360,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $30,701 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $146,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $177,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $167,050 (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 | 29 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,302 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 457.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 226.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023653, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,511,084 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,464,997 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $46,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $91,771 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 13 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,198.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 778.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422920, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,942,230 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,321,402 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$379,172 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,994 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $97,357 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$420,535 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,602 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 447.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389416, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,103,327 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,259,462 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$156,135 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,008 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$145,127 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,871 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 678.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 246.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361640, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,617,271 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,232,012 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,385,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,169 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,407,428 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,449 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 745.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333548, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 24 June 2006 to 30 June 2007 — a reporting period of 371 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,298,032 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,129,862 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $168,170 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $108,064 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $276,234 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,933 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 270.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328807, read from the public cost report file SNFFY2006.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
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Medicare enrollment
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Changes in ownership
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Recent changes on this record
- 27 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 12 February 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 16 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 3 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 24 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 18 January 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 8 November 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 23 December 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 13 February 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 24 November 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
Inspections
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Deficiencies cited
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Penalties
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Care Compare provider information
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The citable document for DOS PALOS MEMORIAL HOSPITAL-SNF
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