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Nonprofiteer
← THE METHODIST HOSPITAL

Form 990 for tax year 2022

Filed by THE METHODIST HOSPITAL.

Totals

Total revenue
$2,895,491,123
Total expenses
$2,686,670,760
Contributions and grants received
$33,741,928
Grants paid
$11,798,694
Program service revenue
$2,737,750,742
Investment income
$42,016,831
Other revenue
$81,981,622
Total assets, end of year
$9,864,255,911
Total liabilities, end of year
$3,248,071,102
Net assets or fund balances, end of year
$6,616,184,809
Program services expenses (Part IX)
$2,325,253,152
Management and general expenses
$361,417,608
Fundraising expenses
$0
Program service expenses (Part III)
$2,325,253,152

Program services were 86.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $29,995,733

  • 1e · Government grants (contributions)

    $3,746,195

  • 2a · Program service revenue: PATIENT CARE SERVICES

    total $2,706,583,508 · related or exempt $2,706,583,508

  • 2b · Program service revenue: RELATED ORG. RENT

    total $31,167,234 · related or exempt $31,141,061 · unrelated business $26,173

  • 3 · Investment income

    total $108,116,278 · unrelated business $3,240 · excluded $108,113,038

  • 5 · Royalties

    total $19 · excluded $19

  • 7a · Gross sales of assets other than inventory

    securities $3,556,463,136 · other assets $1,083,266

  • 7b · Less cost or other basis and sales expenses

    securities $3,623,567,835 · other assets $78,014

  • 7c · Gain or loss

    securities -$67,104,699 · other assets $1,005,252

  • 7d · Net gain or loss

    total -$66,099,447 · excluded -$66,099,447

  • 11a · Other revenue: MANAGEMENT FEE INCOME

    total $42,125,341 · unrelated business $1,955,000 · excluded $40,170,341

  • 11b · Other revenue: FOOD SERVICE

    total $10,415,913 · unrelated business $3,518 · excluded $10,412,395

  • 11c · Other revenue: INSURANCE PROCEEDS

    total $5,626,478 · related or exempt $5,626,478

  • 11d · All other revenue

    total $23,813,871 · related or exempt $23,813,871

  • 11e · Other revenue, total

    $81,981,603

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $11,762,694 · program services $11,762,694

  • 2 · Grants to domestic individuals

    total $36,000 · program services $36,000

  • 5 · Compensation of officers, directors and key employees

    total $16,517,166 · management and general $16,517,166

  • 6 · Compensation of disqualified persons

    total $1,374,827 · program services $44,530 · management and general $1,330,297

  • 7 · Other salaries and wages

    total $724,327,202 · program services $642,028,946 · management and general $82,298,256

  • 8 · Pension plan contributions

    total $54,774,811 · program services $29,604,630 · management and general $25,170,181

  • 9 · Other employee benefits

    total $117,881,483 · program services $117,446,669 · management and general $434,814

  • 10 · Payroll taxes

    total $65,109,832 · program services $46,182,634 · management and general $18,927,198

  • 11b · Fees: legal

    total $14,863,589 · management and general $14,863,589

  • 11c · Fees: accounting

    total $768,111 · management and general $768,111

  • 11d · Fees: lobbying

    total $624,763 · management and general $624,763

  • 11f · Fees: investment management

    total $15,862,635 · management and general $15,862,635

  • 11g · Fees: other

    total $149,345,260 · program services $127,379,651 · management and general $21,965,609

  • 12 · Advertising and promotion

    total $11,482,369 · program services $173,523 · management and general $11,308,846

  • 13 · Office expenses

    total $22,806,273 · program services $15,476,941 · management and general $7,329,332

  • 14 · Information technology

    total $100,289,052 · program services $99,007,248 · management and general $1,281,804

  • 16 · Occupancy

    total $39,328,109 · program services $36,509,755 · management and general $2,818,354

  • 17 · Travel

    total $3,041,674 · program services $699,886 · management and general $2,341,788

  • 19 · Conferences, conventions and meetings

    total $2,121,881 · program services $1,335,768 · management and general $786,113

  • 20 · Interest

    total $42,248,720 · management and general $42,248,720

  • 21 · Payments to affiliates

    total $38,680,452 · management and general $38,680,452

  • 22 · Depreciation, depletion and amortization

    total $140,154,138 · program services $116,410,489 · management and general $23,743,649

  • 23 · Insurance

    total $5,388,444 · program services $99,240 · management and general $5,289,204

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $716,040,091 · program services $715,570,411 · management and general $469,680

  • 24b · Other expenses: SUPPORT FOR MPO

    total $141,677,664 · program services $141,677,664

  • 24c · Other expenses: PROF. SERVICES (NET)

    total $117,394,281 · program services $116,650,859 · management and general $743,422

  • 24d · Other expenses: SUPPORT FOR MRI

    total $105,000,000 · program services $105,000,000

  • 24e · All other expenses

    total $27,769,239 · program services $2,155,614 · management and general $25,613,625

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $36,280,825 · end of year $15,230,937

  • 2 · Savings and temporary cash investments

    beginning of year $361,073,010 · end of year $498,762,089

  • 4 · Accounts receivable

    beginning of year $308,131,658 · end of year $357,904,533

  • 7 · Other notes and loans receivable

    end of year $4,049,520

  • 8 · Inventories for sale or use

    beginning of year $55,705,401 · end of year $42,348,079

  • 9 · Prepaid expenses and deferred charges

    beginning of year $40,947,736 · end of year $46,243,385

  • 10a · Land, buildings and equipment: cost or other basis

    $4,356,799,521

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,506,775,200

  • 10c · Land, buildings and equipment, net

    beginning of year $1,909,616,652 · end of year $1,850,024,321

  • 11 · Investments: publicly traded securities

    beginning of year $7,111,010,390 · end of year $6,528,358,163

  • 14 · Intangible assets

    beginning of year $19,591,309 · end of year $19,591,309

  • 15 · Other assets

    beginning of year $319,767,112 · end of year $501,743,575

  • 17 · Accounts payable and accrued expenses

    beginning of year $681,852,513 · end of year $806,262,013

  • 19 · Deferred revenue

    beginning of year $45,680,631 · end of year $70,390,698

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,983,776,890 · end of year $2,110,739,264

  • 25 · Other liabilities

    beginning of year $222,723,096 · end of year $260,679,127

  • 27 · Net assets without donor restrictions

    beginning of year $7,228,090,963 · end of year $6,616,184,809

Mission and programs · 2022

Mission

TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH CARE THAT DELIVERS THE BEST VALUE TO THE PEOPLE WE SERVE IN A SPIRITUAL ENVIRONMENT OF CARING IN ASSOCIATION WITH INTERNATIONALLY RECOGNIZED TEACHING AND RESEARCH.

Activities or mission (Part I)

PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2)

  • SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 1,365 LICENSED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 569,272 VISITS DURING 2022 WHICH WERE COMPRISED OF 436,659 OUTPATIENT VISITS, 92,178 EMERGENCY ROOM VISITS AND 40,435 INPATIENT ADMISSIONS. IT ALSO PERFORMED 14,345 INPATIENT SURGERIES AND 27,162 OUTPATIENT SURGERIES IN 2022.THE PRINCIPAL MEDICAL SERVICES AVAILABLE AT HOUSTON METHODIST HOSPITAL ARE ANESTHESIOLOGY, CARDIOVASCULAR SURGERY, ORAL & MAXILLOFACIAL-HOSPITAL DENTISTRY, DERMATOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, CARDIOLOGY, CLINICAL IMMUNOLOGY, GASTROENTEROLOGY, GENERAL MEDICINE, HEMATOLOGY, HYPERTENSION TREATMENT, INFECTIOUS DISEASES, MEDICAL GENETICS, METABOLIC AND ENDOCRINE DISEASES, NUCLEAR MEDICINE, ONCOLOGY, PHARMACOLOGY, PULMONARY DISEASES, RENAL DISEASES, RHEUMATOLOGY, NEUROPHYSIOLOGY, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY-HEAD & NECK SURGERY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, RADIOTHERAPY, AND UROLOGY. HOUSTON METHODIST HOSPITAL ALSO OFFERS A RANGE OF ADDITIONAL PATIENT SERVICES, INCLUDING AMBULATORY SURGERY, A BLOOD DONOR CENTER, A REHABILITATION CENTER, A SKILLED NURSING FACILITY, AND A BROAD RANGE OF PREVENTIVE HEALTH CARE INSTRUCTION, INCLUDING SMOKING CESSATION, STRESS MANAGEMENT, WEIGHT CONTROL, AND CARDIAC AND PULMONARY REHABILITATION.GENERAL OUTPATIENT SERVICES OFFERED BY HOUSTON METHODIST HOSPITAL INCLUDE AUDIOLOGY, SPEECH PATHOLOGY, PSYCHIATRIC SERVICES, DIAGNOSTIC CARDIOLOGY (INCLUDING NUCLEAR CARDIOLOGY, ECHOCARDIOGRAPHY, ELECTROCARDIOGRAPHY, PACEMAKER EVALUATION, AND CORONARY CATHETERIZATION), ENDOSCOPY, EMERGENCY SERVICES, GENERAL AND DIAGNOSTIC RADIOLOGY (INCLUDING FLUOROSCOPY, ULTRASOUND, MAMMOGRAPHY, MYELOGRAPHY, CT SCANNING, AND MRI), NUCLEAR MEDICINE, PATHOLOGY, PERIPHERAL VASCULAR LABORATORY, DERMATOLOGY, PHYSICAL MEDICINE, RADIOTHERAPY, SLEEP STUDIES AND NEUROPHYSIOLOGIC EVALUATIONS, AND SURGERY.HOUSTON METHODIST HOSPITAL OPERATES A MULTI-ORGAN TRANSPLANT CENTER. TRANSPLANTS BEING PERFORMED AT PRESENT INCLUDE KIDNEY, HEART, LUNGS, LIVER, PANCREAS, AND BONE MARROW. HOUSTON METHODIST HOSPITAL RESPONDS TO THE COMMUNITY'S NEEDS NOT ONLY THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES, AND MEDICAL AND HEALTH RESEARCH.

    Expenses $2,325,253,152 · Grants $11,798,694 · Revenue $2,767,191,091

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Nine Officerdir-See Methodist

    HOSPITAL GROUP RETURN-SCHE

    Total calculated
    $4,821,137
    From this org
    $4,017,895
    From related orgs
    $0
    Other
    $803,242
    Hours/week
    4.89 + 6.22 related

    Schedule J breakdown matched by us

    Base
    $2,018,602
    Bonus
    $1,358,631
    Other
    $640,662
    Deferred
    $777,250
    Nontaxable benefits
    $25,992
    Filer's total
    $4,821,137

  • Sixteen Directors-See Methodist

    HOSPITAL GROUP RETURN-SCHE

    Total calculated
    $904,457
    From this org
    $93,500
    From related orgs
    $772,807
    Other
    $38,150
    Hours/week
    2 + 1.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $572,275 related
    Bonus
    $0 + $195,862 related
    Other
    $93,500 + $4,670 related
    Deferred
    $0 + $19,250 related
    Nontaxable benefits
    $0 + $18,900 related
    Filer's total
    $93,500 + $810,957 related

  • One Officer-See Methodist

    HOSPITAL GROUP RETURN-SCHE

    Total calculated
    $2,044,935
    From this org
    $1,794,772
    From related orgs
    $0
    Other
    $250,163
    Hours/week
    24 + 26 related

    Schedule J breakdown matched by us

    Base
    $1,005,503
    Bonus
    $463,100
    Other
    $326,169
    Deferred
    $222,824
    Nontaxable benefits
    $27,339
    Filer's total
    $2,044,935

  • Seven Key Employees-See Methodist

    HOSPITAL GROUP RETURN-SCHE

    Total calculated
    $9,557,594
    From this org
    $8,336,987
    From related orgs
    $0
    Other
    $1,220,607
    Hours/week
    44.86 + 5.14 related

    Schedule J breakdown matched by us

    Base
    $4,985,084
    Bonus
    $2,034,164
    Other
    $1,317,739
    Deferred
    $1,048,773
    Nontaxable benefits
    $171,834
    Filer's total
    $9,557,594

  • Four Highest Paid-See Methodist

    HOSPITAL GROUP RETURN-SCHE

    Total calculated
    $3,784,768
    From this org
    $3,238,786
    From related orgs
    $15,212
    Other
    $530,770
    Hours/week
    43.75 + 6.25 related

    Schedule J breakdown matched by us

    Base
    $2,046,767 + $15,112 related
    Bonus
    $740,618
    Other
    $451,401 + $100 related
    Deferred
    $393,530
    Nontaxable benefits
    $137,240
    Filer's total
    $3,769,556 + $15,212 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
HEALTH OR SOCIAL CLUB DUES: AS STIPULATED BY THE EMPLOYMENT OF THE CEO, HE IS ENTITLED TO ANNUAL MEMBERSHIP IN THE RIVER OAKS COUNTRY CLUB IN SUPPORT OF HOUSTON METHODIST RELATED BUSINESS DEVELOPMENT ACTIVITIES. THIS AMOUNT IS INCLUDED IN THE TAXABLE INCOME OF THE CEO. PART I, LINE 4A: HOUSTON METHODIST HOSPITAL HAS A FORMAL SEVERANCE PLAN. ELIGIBLE EMPLOYEES INCLUDE ALL FULL-TIME AND PART-TIME STAFF (NOT TEMPORARY OR PRN), INCLUDING HOURLY STAFF, UP THROUGH SENIOR VICE PRESIDENTS PROVIDED THEY WORK AT LEAST 20 HOURS PER WEEK AND ARE NOT OTHERWISE COVERED BY A PHYSICIAN EMPLOYMENT AGREEMENT. THE PLAN ONLY PROVIDES SALARY AND BENEFITS IN THE EVENT AN ELIGIBLE EMPLOYEE IS INVOLUNTARILY TERMINATED DUE TO THE ELIMINATION OF THEIR POSITION OR IF THEIR CURRENT POSITION IS SIGNIFICANTLY IMPACTED BY AN ORGANIZATIONAL RESTRUCTURING OR CHANGE IN REQUIREMENT AND A COMPARABLE POSITION IS NOT AVAILABLE WITHIN THE ORGANIZATION. THE ELIGIBLE PERSON MUST ALSO SIGN A TERMINATION AGREEMENT IN ORDER TO RECEIVE SALARY CONTINUATION AND BENEFITS UNDER THE PLAN TO WHICH THEY WOULD NOT NORMALLY BE ELIGIBLE TO RECEIVE UNDER A VOLUNTARY RESIGNATION. NO SEVERANCE PAYMENT WAS MADE FROM THIS PLAN IN 2022.
PART I, LINE 4B
HOUSTON METHODIST HOSPITAL HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE ANNUALLY INTO A TAX DEFERRED ACCOUNT AND ARE CONSIDERED TAXABLE UPON VESTING (I.E. COMPLETION OF THREE YEARS OF VESTING SERVICE). ONCE VESTED, EACH YEAR'S SUBSEQUENT CONTRIBUTION IS TAXABLE WITHIN THE CALENDAR YEAR IN WHICH THE DEPOSIT WAS MADE. ACCOUNT BALANCES CANNOT BE ACCESSED UNTIL RETIREMENT OR TERMINATION (WHICHEVER OCCURS FIRST) AND MAY BE SUBJECT TO NON-REVOCABLE DISTRIBUTION OPTIONS UPON ELECTION. NO PAYMENT WAS MADE FROM THIS PLAN IN 2022.
PART I, LINE 7
THIS ORGANIZATION PROVIDES VARIABLE COMPENSATION OPPORTUNITY THROUGH AN ANNUAL MANAGEMENT INCENTIVE PLAN. EMPLOYEES AT THE SUPERVISOR LEVEL AND ABOVE MAY BE ELIGIBLE TO PARTICIPATE. THE ANNUAL INCENTIVE PROGRAM IS BASED ON SYSTEM AND OPERATING ENTITY LEVEL PERFORMANCE IN THE AREAS OF QUALITY IMPROVEMENT OUTCOMES, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. IN ADDITION, A PORTION OF THE PAYOUT PERCENTAGE IS BASED ON GOALS THAT ARE SPECIFIC TO THE PARTICIPANTS' MANAGEMENT ROLES AT THE DIVISION OR DEPARTMENT LEVEL INCLUDING BUT NOT LIMITED TO SUCH METRICS AS OPERATING RESULTS, QUALITY AND SAFETY IMPROVEMENTS, OR CUSTOMER SATISFACTION MEASURES. DETERMINATION OF A PARTICIPANT'S PERCENTAGE OF THE POTENTIAL BONUS PAYOUT (PAID AS A PERCENT OF BASE SALARY) IS BASED ON WHETHER THE INDIVIDUAL ATTAINS AGREED UPON GOALS FOR THEIR AREA OF RESPONSIBILITY AS DETERMINED BY THEIR IMMEDIATE SUPERVISOR AS WELL AS ENTITY AND SYSTEM GOALS MET. HOUSTON METHODIST HOSPITAL ALSO HAS THE DEFERRED RETENTION BONUS PLAN (DRBP), A NONQUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE TO ELIGIBLE EMPLOYEES EACH YEAR BASED UPON THEIR POSITION THROUGHOUT THE PLAN YEAR WHICH RUNS JULY 1 TO JUNE 30. EACH YEAR'S CONTRIBUTION IS SUBJECT TO THREE YEAR LAPSE TIME CLASS VESTING AT WHICH TIME THE VESTED CONTRIBUTION IS PAID OUT TO THE EMPLOYEE AND TAXED. SCHEDULE J, PART II PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MEDVEST 1 LIMITED PARTNERSHIP

    HEALTH CARE INVESTMENTS · TX

  • LITCHFIELD MEMORIAL PARTNERS LP

    UNRELATED · PROPERTY INVESTMENTS · TX · 90% owned · share of income $3,278 · share of assets $13,454,286

    Directly controlled by THE METHODIST HOSPITAL

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ALLIED METHODIST HOSPITAL PHYSICIANS

    C · PHYSICIAN GROUP · TX

  • HOUSTON METHODIST CLEAR LAKE MOB CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

  • HOUSTON METHODIST ST CATHERINE MOB CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

  • HOUSTON METHODIST THE WOODLANDS MOB CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

  • MEDVEST HOLDINGS INC

    C · INVESTMENT COMPANY · TX

  • MEDVEST INCORPORATED

    C · INVESTMENT COMPANY · TX

  • METHODIST HEALTH CARE SYSTEM SHORT TERM DISABILITY PLAN TRUST

    T · INSURANCE TRUST · TX

  • METHODIST WEST HOUSTON MOB CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

  • METHODIST WILLOWBROOK MOB CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

  • METHODIST WILLOWBROOK MOB CONDO ASSOC II

    C · CONDOMINIUM ASSOCIATION · TX

  • ROMLAC INC

    C · REAL ESTATE INVESTMENT · TX

  • SJMH CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · TX

  • THE METHODIST HOSPITAL CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

  • TMH MEDICAL OFFICE BUILDINGS CONDO ASSOC

    C · CONDOMINIUM ASSOCIATION · TX

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349316968

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