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            <BusinessNameLine1Txt>LIFEPOINT REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 502096</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHAB SERVICES</ServicesDesc>
        <CompensationAmt>823137</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DONAHUE FAVRET CONTRACTORS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2030 E CAUSEWAY APPROACH</AddressLine1Txt>
            <CityNm>MANDEVILLE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70448</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTORS</ServicesDesc>
        <CompensationAmt>38067893</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDLINE INDUSTIRIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 121080</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>469158</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COL IMAGING SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2207</AddressLine1Txt>
            <CityNm>LAKE CHARLES</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IMAGING SERVICES</ServicesDesc>
        <CompensationAmt>395816</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>42493737</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>9000</AllOtherContributionsAmt>
      <TotalContributionsAmt>42502737</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE</Desc>
        <TotalRevenueColumnAmt>25927830</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25927830</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>25927830</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1836280</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1836280</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>12407</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>94470</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-82063</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-82063</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-82063</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>10330395</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>7725897</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2604498</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>2604498</UnrelatedBusinessRevenueAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <TotalRevenueColumnAmt>77914</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>77914</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PROPERTY TAX AND MISC INC</Desc>
        <TotalRevenueColumnAmt>1592986</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1592986</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1670900</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>74460182</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29352947</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>2604498</UnrelatedBusinessRevenueAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>23000</TotalAmt>
        <ProgramServicesAmt>23000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>669043</TotalAmt>
        <ManagementAndGeneralAmt>669043</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14913774</TotalAmt>
        <ProgramServicesAmt>12792686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2121088</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>373038</TotalAmt>
        <ProgramServicesAmt>373038</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3843287</TotalAmt>
        <ProgramServicesAmt>3843287</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>37815</TotalAmt>
        <ManagementAndGeneralAmt>37815</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>66675</TotalAmt>
        <ManagementAndGeneralAmt>66675</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>75483</TotalAmt>
        <ManagementAndGeneralAmt>75483</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4818416</TotalAmt>
        <ProgramServicesAmt>4509555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>308861</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>161894</TotalAmt>
        <ProgramServicesAmt>19740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142154</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1550401</TotalAmt>
        <ProgramServicesAmt>1521556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28845</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>31875</TotalAmt>
        <ProgramServicesAmt>31875</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>810948</TotalAmt>
        <ProgramServicesAmt>810948</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>18290</TotalAmt>
        <ManagementAndGeneralAmt>18290</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>47975</TotalAmt>
        <ProgramServicesAmt>47975</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>637284</TotalAmt>
        <ProgramServicesAmt>637284</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2456371</TotalAmt>
        <ProgramServicesAmt>2456371</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1309129</TotalAmt>
        <ProgramServicesAmt>1309129</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>990-T DIRECT EXPENSES</Desc>
        <TotalAmt>2041053</TotalAmt>
        <ProgramServicesAmt>2041053</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GROUP 924S SUPPLIES</Desc>
        <TotalAmt>767285</TotalAmt>
        <ProgramServicesAmt>767285</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GROUP 924M EQUIPMENT MAINTENAN</Desc>
        <TotalAmt>493685</TotalAmt>
        <ProgramServicesAmt>493685</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GROUP 925H HURRICANE IDA EXP</Desc>
        <TotalAmt>351089</TotalAmt>
        <ProgramServicesAmt>351089</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>235221</TotalAmt>
        <ProgramServicesAmt>235221</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>35733031</TotalAmt>
        <ProgramServicesAmt>32264777</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3468254</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2189691</BOYAmt>
        <EOYAmt>10276367</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1568041</BOYAmt>
        <EOYAmt>2748993</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>1069732</BOYAmt>
        <EOYAmt>1471022</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>626350</BOYAmt>
        <EOYAmt>578659</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>761734</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>86286381</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10840301</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>35992351</BOYAmt>
        <EOYAmt>75446080</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>12175359</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>29491727</BOYAmt>
        <EOYAmt>36800379</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>140258593</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4362209</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>12635000</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>1712420</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>1968769</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>21295037</BOYAmt>
        <EOYAmt>20678398</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>102742804</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>16436101</BOYAmt>
        <EOYAmt>16837391</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>80853044</BOYAmt>
        <EOYAmt>119580195</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>102148081</BOYAmt>
        <EOYAmt>140258593</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>38727151</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="24020490" softwareVersionNum="2024v5.2">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="24020490" softwareVersionNum="2024v5.2">
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        <BookValueAmt>1073524</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>6365343</DepreciationAmt>
        <BookValueAmt>20314819</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>2552598</DepreciationAmt>
        <BookValueAmt>2982851</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1922360</DepreciationAmt>
        <BookValueAmt>51074886</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>75446080</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>4039780</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>HOSPITAL INVENTORY</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>36800379</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SALARIES, BENEFITS AND RELATED W</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SELF-INSURANCE</Desc>
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        <Desc>INTEREST PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICARE ACCELERATED PAYMENTS</Desc>
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      <TotalLiabilityAmt>1968769</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>82186079</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>7725897</OtherRevenueAmt>
      <RevenueNotReportedAmt>7725897</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>74460182</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>74460182</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>43458928</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>7725897</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>7725897</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>35733031</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>35733031</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY COGS NETTED DIRECTLY WITH REV $7725897</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY COGS NETTED DIRECTLY WITH REV $7725897</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="24020490" softwareVersionNum="2024v5.2">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>false</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>71965</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>6257340</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3907147</NetCommunityBenefitExpnsAmt>
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      <UnreimbursedCostsGrp>
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        <NetCommunityBenefitExpnsAmt>1432934</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04010</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>6257340</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5412046</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15140</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <DirectOffsettingRevenueAmt>6257340</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5412046</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15140</TotalExpensePct>
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      <BadDebtExpenseAmt>2218864</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>72513</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>2086774</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2086774</CostOfCareReimbursedByMedcrAmt>
      <CostingMethodologyUsedGrp>
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      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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          <AddressLine1Txt>200 WEST 134 PLACE</AddressLine1Txt>
          <CityNm>CUT OFF</CityNm>
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        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
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        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.losgh.org</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>23</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.losgh.org</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0000</FPGFamilyIncmLmtFreeCarePct>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>WWW.LOSGH.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.LOSGH.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.LOSGH.ORG</FAPSummaryOnWebsiteURLTxt>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>See attached copy of CHNA with this return.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>see attached CHNA report with this return</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Language line translation services are available to FAP applicants</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>1.All patients who present to the hospital for services and are uninsured, are given the contact information for our Financial Assistance office.2.Uninsured patients also receive a letter in the mail regarding our Financial Assistance program.3.Any patient who inquires about financial assistance, is referred to our Financial Assistance office. 4.All patients who are interested in applying for financial assistance are assisted with applying for Medicaid and Lady of the Sea General Hospitals Charity Care Program.5. The general patient population may view financial assistance policy on hospital website.</ExplanationTxt>
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        <GrantTypeTxt>SCHOLARSHIPS AND TUITION ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>6</RecipientCnt>
        <CashGrantAmt>23000</CashGrantAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMANDA ROGERS</PersonNm>
        <TitleTxt>MD FAMILY PHSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>274773</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENNIE SMITH</PersonNm>
        <TitleTxt>CIO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>759</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153382</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLOTTE VONN</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>354690</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2741</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>357431</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS MORRIS</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>404435</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15556</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>419991</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAY VEGA</PersonNm>
        <TitleTxt>MD FAMILY PHSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>397416</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12978</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>410394</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LLOYD GUIDRY JR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>220506</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1934</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222440</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN WOLFORD</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>324873</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2741</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>327614</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TYLER DUPLANTIS</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>167038</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>697</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>777</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168512</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="24020490" softwareVersionNum="2024v5.2">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>LAFOURCHE PARISH HOSPITAL</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>726012041</BondIssuerEIN>
        <BondIssuedDt>2013-10-03</BondIssuedDt>
        <IssuePriceAmt>3000000</IssuePriceAmt>
        <PurposeDesc>G.O BONDS SERIES 2013</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>LAFOURCHE PARISH HOSPITAL</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>726012041</BondIssuerEIN>
        <BondIssuedDt>2012-07-18</BondIssuedDt>
        <IssuePriceAmt>2153000</IssuePriceAmt>
        <PurposeDesc>G.O BONDS SERIES 2012</PurposeDesc>
        <DefeasedInd>true</DefeasedInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>LAFOURCHE PARISH HOSPITAL</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>726012041</BondIssuerEIN>
        <BondIssuedDt>2022-10-27</BondIssuedDt>
        <IssuePriceAmt>15000000</IssuePriceAmt>
        <PurposeDesc>HURRICANE RECOVERY REVENUE BD</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF COMMISSIONERS, AT ITS DISCRETION, MAY DESIGNATE ONE (1) OR MORE COMMITTES, TO SERVE AT THE PLEASURE OF THE BOARD OF COMMISSIONERS, EACH OF WHICH SHALL BE COMPOSED OF ONE (1) OR MORE BOARD MEMBERS (NOT TO EXCEED TWO (2) BOARD MEMBERS), COMMITTEE MEMBERS DESIGNATED BY THE BOARD, AND MAY ALSO INCLUDE NON-VOTING ADVISORY MEMBERS AS NEEDED. ANY COMMITTE THAT REVIEWS ISSUES AFFECTING THE DISCHARGE OF MEDICAL STAFF RESPONSIBILITIES MUST INCLUDE MEDICAL STAFF MEMBERS, AND IF SUCH MEDICAL STAFF MEMBERS ARE NOT ALSO BOARD MEMBERS, THEN THEY SHALL SERVE ON SUCH COMMITTE IN A NON-VOTING ADVISORY CAPACITY. ANY COMMITTES SHALL BE STANDING AND SPECIAL. STANDING COMMITTES SHALL BE: FINANCE COMMITTE, BUILDING/ GROUNDS COMMITTE; HUMAN RESOURCES COMMITTE; THE JOINT CONFERENCE COMMITTE; AND QUALITY COUNCIL COMMITTE. ALL OTHER COMMITTES SHALL BE SPECIAL COMMITTES. THE BOARD OF COMMISSIONERS MAY DELEGATE TO ANY BOARD OF COMMISSIONERS COMMITTE ANY BOARD OF COMMISSIONERS POWER OR AUTHORITY AS SET FORTH HERIN EXCEPT FOR THE POWER OR AUTHORITY PERTAINING TO THE AMENDMENT OF THESE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>"BOARD MEMBER OR MEMBER OR TRUSTEE" MEANS A MEMBER OF THE BOARD OF COMMISSIONERS OF HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>IRS FORM 990 IS SUBMITTED IN DRAFT FORM TO THE GOVERNING BODY FOR REVIEW AND APPROVAL BEFORE SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH COMMISSIONER SHALL COMPLETE AND SIGN ANNUALLY THE CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT, DISCLOSING TO THE BOARD ANY CONFLICT OF INTEREST THE COMMISSIONER MAY HAVE IN ANY CONTRACT OR TRANSACTION THE BEFORE THE BOARD, OR ANY CONFLICT OF INTERST THAT MAY BE CREATED BY A CONTRACT, TRANSACTION OR RELATIONSHIP THAT THE COMMISSIONER IS CONTEMPLATING ENTERING.IN ADDITION, THE ORGANIZATION OBTAINS THE POLICY OF CONFLICT OF INTEREST. EMPLOYEES ARE CAUTIONED AGAINST MAINTAINING ANY OUTSIDE BUSINESS OR FINANCIAL INTEREST OR ENGAGING IN ANY OUTSIDE BUSINESS OR FINANCIAL ACTIVITY WHICH CONFLICTS WITH THE INTERESTS OF THE HOSPITAL OR WHICH INTERFERES WITH HIS OR HER ABILITY TO DISCHARGE HIS OR HER DUTIES FULLY. AN EMPLOYEE'S POSITION MUST NEVER BE USED TO PROMOTE OR ADVANCE PERSONAL GAIN DIRECTLY OR INDIRECTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1 DBA LADY OF THE SEA HOSPITAL THROUGH ITS BOARD OF COMMISSIONERS AND CEO ENTER INTO AN EMPLOYMENT AGREEMENT WHICH IS EFFECTIVE ON AUGUST 26, 2013 AND SHALL CONTINUE FOR A PERIOD OF FIVE (5) YEARS FROM THE START DATE. BEGINNING ON THE START DATE, THE ORGANIZATION SHALL PAY EMPLOYEE AN ANNUAL GROSS SALARY, TO BE PAID BI-WEEKLY. PAYMENTS SHALL BE SUBJECT TO DEDUCTIONS FOR ALL TAXES AND WITHHOLDINGS REQUIRED BY APPLICABLE LAW. THE ORGANIZATION SHALL INCREASE EMPLOYEE'S BASE SALARY FIVE (5) % ANNUALLY BEGINNING SEPTEMBER 1, 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO THE AVAILABILITY OF GOVERNMENT RETURNS POLICY, CFO IS RESPONSIBLE FOR PUBLIC ACCESS TO THE INFORMATION RETURNS. INFORMATION IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAFOURCHE PARISH GOVERNMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO DRAWER 5548</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70302</ZIPCd>
        </USAddress>
        <EIN>726000634</EIN>
        <PrimaryActivitiesTxt>LOCAL GOVERNMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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