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    <Timestamp>2011-02-11T11:09:11-08:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
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        <BusinessNameLine1>NATCHITOCHES PARISH HOSPITAL</BusinessNameLine1>
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        <State>LA</State>
        <ZIPCode>71457</ZIPCode>
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    <Officer>
      <Name>GERARD HEBERT</Name>
      <Title>CFO</Title>
      <DateSigned>2011-02-10</DateSigned>
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    <Preparer>
      <Name>Paul A Delaney</Name>
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        <ExclusionAmount>900627</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>230834</Securities>
      </GrossAmountSalesAssets>
      <GainOrLoss>
        <Securities>230834</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>230834</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>230834</RelatedOrExemptFunctionIncome>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>OTHER OPERATING REVENUE</Description>
        <TotalRevenueColumn>492756</TotalRevenueColumn>
        <ExclusionAmount>492756</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA INCOME</Description>
        <TotalRevenueColumn>239014</TotalRevenueColumn>
        <ExclusionAmount>239014</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Ambulance subsidy</Description>
        <TotalRevenueColumn>444426</TotalRevenueColumn>
        <ExclusionAmount>444426</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>43544</TotalRevenueColumn>
        <ExclusionAmount>43544</ExclusionAmount>
      </MiscellaneousRevenue>
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      <TotalRevenue>
        <TotalRevenueColumn>45404751</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>42172452</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>2120367</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>730540</Total>
        <ManagementAndGeneral>730540</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>17757645</Total>
        <ProgramServices>10803751</ProgramServices>
        <ManagementAndGeneral>6953894</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>304188</Total>
        <ProgramServices>185068</ProgramServices>
        <ManagementAndGeneral>119120</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>1059092</Total>
        <ProgramServices>644352</ProgramServices>
        <ManagementAndGeneral>414740</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>811273</ProgramServices>
        <ManagementAndGeneral>522181</ManagementAndGeneral>
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      <FeesForServicesManagement>
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        <ProgramServices>280093</ProgramServices>
        <ManagementAndGeneral>180284</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ProgramServices>42162</ProgramServices>
        <ManagementAndGeneral>27137</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ProgramServices>61658</ProgramServices>
        <ManagementAndGeneral>39686</ManagementAndGeneral>
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      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>57310</Total>
        <ProgramServices>34867</ProgramServices>
        <ManagementAndGeneral>22443</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>131199</Total>
        <ProgramServices>79821</ProgramServices>
        <ManagementAndGeneral>51378</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>30053</Total>
        <ProgramServices>18284</ProgramServices>
        <ManagementAndGeneral>11769</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>581794</Total>
        <ProgramServices>353963</ProgramServices>
        <ManagementAndGeneral>227831</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>3675957</Total>
        <ProgramServices>2236452</ProgramServices>
        <ManagementAndGeneral>1439505</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1279280</Total>
        <ProgramServices>778314</ProgramServices>
        <ManagementAndGeneral>500966</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>services fees</Description>
        <Total>1619811</Total>
        <ProgramServices>985493</ProgramServices>
        <ManagementAndGeneral>634318</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROFESSIONAL</Description>
        <Total>4628691</Total>
        <ProgramServices>2816096</ProgramServices>
        <ManagementAndGeneral>1812595</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Nonmedical supplies</Description>
        <Total>1743228</Total>
        <ProgramServices>1060580</ProgramServices>
        <ManagementAndGeneral>682648</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <ProgramServices>1245322</ProgramServices>
        <ManagementAndGeneral>801559</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Medical Supplies and Drugs</Description>
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        <ProgramServices>2294638</ProgramServices>
        <ManagementAndGeneral>1476957</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>1518888</Total>
        <ProgramServices>924092</ProgramServices>
        <ManagementAndGeneral>594796</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>25656279</ProgramServices>
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        <Fundraising>0</Fundraising>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <PrepaidExpensesDeferredCharges>
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      <LandBuildingsEquipmentBasis>73858308</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>39802825</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
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      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
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      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
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      <IntangibleAssets>
        <EOY>0</EOY>
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      <OtherAssetsTotal>
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        <EOY>17747041</EOY>
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      <TotalAssets>
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        <EOY>65105848</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>5766564</BOY>
        <EOY>4316936</EOY>
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      <DeferredRevenue>
        <BOY>12342</BOY>
        <EOY>15990</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>15290000</BOY>
        <EOY>14490000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>21068906</BOY>
        <EOY>18822926</EOY>
      </TotalLiabilities>
      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <RetainedEarningsEndowmentEtc>
        <BOY>43691097</BOY>
        <EOY>46282922</EOY>
      </RetainedEarningsEndowmentEtc>
      <TotalNetAssetsFundBalances>
        <BOY>43691097</BOY>
        <EOY>46282922</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>64760003</BOY>
        <EOY>65105848</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <Land>
        <OtherCostOrOtherBasis>1068182</OtherCostOrOtherBasis>
        <BookValue>1068182</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>48860907</OtherCostOrOtherBasis>
        <Depreciation>20715462</Depreciation>
        <BookValue>28145445</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>38998</OtherCostOrOtherBasis>
        <Depreciation>6686</Depreciation>
        <BookValue>32312</BookValue>
      </LeaseholdImprovements>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>23890221</OtherCostOrOtherBasis>
        <Depreciation>19080677</Depreciation>
        <BookValue>4809544</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>34055483</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>UNAMORTIZED CAPT CONSTRUCTION COST</Description>
        <BookValue>2077106</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>UNAMORTIZED BOND ISSUE COST</Description>
        <BookValue>80054</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>long-term investments</Description>
        <BookValue>500000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LIMITED USE ASSETS</Description>
        <BookValue>11877418</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTSTMENT IN SUBSIDIARIES</Description>
        <BookValue>2908517</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CONSTRUCTION IN PROGRESS</Description>
        <BookValue>303946</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>17747041</TotalBookValueOtherAssets>
      <TotalRevenue>45404751</TotalRevenue>
      <TotalExpenses>42900626</TotalExpenses>
      <ExcessOrDeficitForYear>2504125</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>87700</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>87700</TotalAdjustments>
      <ExcessOrDeficitPerFS>2591825</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>45404751</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>45404751</RevenueSubtotal>
      <TotalRevenuePerForm990>45404751</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>42900626</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>42900626</ExpensesSubtotal>
      <TotalExpensesPerForm990>42900626</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <DirectOffsettingRevenue>155774</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11401</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>9032498</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8979337</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>53161</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>9199673</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9135111</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>64562</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00150</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>159988</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>159988</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>25200</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>25200</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
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        <NetCommunityBenefitExpense>185188</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00430</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>9384861</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9135111</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>249750</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00580</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
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      <AmountAttributableTo>1679611</AmountAttributableTo>
      <AmountReimbursedByMedicare>15991451</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>19012696</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-3021245</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>NNATCHITOCHES REGIONAL MEDICAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>501 KEYSER AVENUE</AddressLine1>
          <City>NATCHITOCHES</City>
          <State>LA</State>
          <ZIPCode>71457</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>The Hospital estimates approximately 50% of the amounts written off to bad debts are related to patients who could qualify for financial assistance under the Hospital's charity care policy. This estimate is based on a review made monthly on the list of patients turned over to collections. The Hospital determines this based on the patient's billing address, such as patient living in a low income housing location or patient providing a false address.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>The Hospital contends that the majority if not all of the shortfall should be considered a community benefit. The Hospital offers qualify healthcare to all patients regardless of payment or reimbursement expectation. Resources for Medicare patients versus all other patients are identical based on treatment.</ShortfallAsCommunityBenefit>
        <NumberOfFacilityTypeExpln>Intensive Care Unit, Nursing Home, Ambulance, Rural Health Clinic, Skilled Nursing Facility, Inpatient Psychiatric Unit, Intensive Outpatient Program</NumberOfFacilityTypeExpln>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>TIMOTHY COLLINS</NamePerson>
        <BaseCompensationFilingOrg>281853</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>2819</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5898</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>290570</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSAN WINGO</NamePerson>
        <BaseCompensationFilingOrg>237266</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>2373</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>367</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>240006</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK MARLEY</NamePerson>
        <BaseCompensationFilingOrg>188259</BaseCompensationFilingOrg>
        <BonusFilingOrg>11708</BonusFilingOrg>
        <DeferredCompFilingOrg>8894</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7186</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>216047</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GERARD HEBERT</NamePerson>
        <BaseCompensationFilingOrg>175216</BaseCompensationFilingOrg>
        <BonusFilingOrg>14720</BonusFilingOrg>
        <DeferredCompFilingOrg>1900</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5992</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>197828</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT 2000</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>726013916</IssuerEIN>
        <DateIssued>2000-06-14</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>ADDITIONS AND RENOVATIONS FO THE HOSPITAL</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>NATCHIOTCHES PARISH HOSPITAL SERVICE DISTRICT</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>726013916</IssuerEIN>
        <DateIssued>2008-07-29</DateIssued>
        <IssuePrice>8000000</IssuePrice>
        <DescriptionOfPurpose>PURCHASE &amp; RENOVATIONS FOR NEW NURSING HOME FACILITY</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>NATCHITOCHES PARISH HOSPITAL IS A GOVERNMENTAL ENTITY AND THEREFORE ITS FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH THE LOUISIANA LEGISLATIVE AUDITOR'S WEBSITE OR THROUGH WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>SALARY SURVEYS COMPILED BY HOSPITAL ASSOCIATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>BOARD IS PROVED A COPY OF THE 990 TO REVIEW PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>REGIONAL CARDIOLOGY CLINIC LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1122 EAST FIFTH STREET</AddressLine1>
          <City>NATCHITOCHES</City>
          <State>LA</State>
          <ZIPCode>71457</ZIPCode>
        </AddressUS>
        <EIN>264370069</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ShareOfTotalIncome>50</ShareOfTotalIncome>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NATCHITOCHES ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1907 HWY 1 SOUTH</AddressLine1>
          <City>NATCHITOCHES</City>
          <State>LA</State>
          <ZIPCode>71457</ZIPCode>
        </AddressUS>
        <EIN>260541593</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ShareOfTotalIncome>100</ShareOfTotalIncome>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NATCHIOTHCES OUTPATIENT SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>120 SOUTH WILLIAMS AVE</AddressLine1>
          <City>NATCHITOCHES</City>
          <State>LA</State>
          <ZIPCode>71457</ZIPCode>
        </AddressUS>
        <EIN>201350494</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ShareOfTotalIncome>51</ShareOfTotalIncome>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>true</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>REGIONAL CARDIOLOGY CLINIC LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>15000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>REGIONAL CARDIOLOGY CLINIC LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>43908</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>REGIONAL CARDIOLOGY CLINIC LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>f</TransactionType>
        <AmountInvolved>238691</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>REGIONAL CARDIOLOGY CLINIC LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>201032</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NATCHIOTHCES OUTPATIENT SERVICES LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>52500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NATCHIOTHCES OUTPATIENT SERVICES LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>24480</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>