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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>R KEITH BERGERON</PersonNm>
        <TitleTxt>PAST CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY L GRIGGS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN F SKRIVANOS</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY MOORE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIE C WHITE III</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JOHN F GEORGE JR</PersonNm>
        <TitleTxt>DIRECTOR/PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>249669</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3522</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES DEAN</PersonNm>
        <TitleTxt>EXECUTIVE VP AND COO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>256842</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23203</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAY MEYERS</PersonNm>
        <TitleTxt>VP FOR EXTERNAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>118009</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16401</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMOL TAKALKAR</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>298762</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28850</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRADEEP GARG</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>380478</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27384</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUDHA GARG</PersonNm>
        <TitleTxt>DIRECTOR OF RADIOPHARMACEUTICAL SCIENCES</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>219522</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19792</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1523282</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>119152</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>117</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONIFER HEALTH SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3560 DALLAS PARKWAY</AddressLine1Txt>
            <CityNm>FRISCO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75034</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING AND COLLECTION SERVICES</ServicesDesc>
        <CompensationAmt>9332878</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALVAREZ AND MARSEL HEALTHCARE INDUSTRY G</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 MADISON AVENUE 8TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRECYSE SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1275 DRUMMERS LANE</AddressLine1Txt>
            <CityNm>WAYNE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19087</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL CODING SERVICES</ServicesDesc>
        <CompensationAmt>1512434</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SURGICAL SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>702A BARRETT BLVD</AddressLine1Txt>
            <CityNm>HENDERSON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42420</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>1062240</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KH ACQUISITIONS LLC (KAUFMAN HALL &amp; ASS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5202 OLD ORCHARD RD STE N700</AddressLine1Txt>
            <CityNm>SKOKIE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60077</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>961312</CompensationAmt>
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      <GovernmentGrantsAmt>1678559</GovernmentGrantsAmt>
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        <BusinessCd>541900</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>260755147</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>541900</BusinessCd>
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        <ExclusionAmt>678804</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2361879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2361879</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INVESTMENT - MINERAL INTEREST</Desc>
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        <ExclusionAmt>43192</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>544923872</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>197083</ProgramServicesAmt>
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        <ProgramServicesAmt>68555</ProgramServicesAmt>
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        <FundraisingAmt>2459</FundraisingAmt>
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        <ProgramServicesAmt>137260</ProgramServicesAmt>
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        <FundraisingAmt>236</FundraisingAmt>
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        <ProgramServicesAmt>13209205</ProgramServicesAmt>
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        <ProgramServicesAmt>12566265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72854</ManagementAndGeneralAmt>
        <FundraisingAmt>467</FundraisingAmt>
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        <ProgramServicesAmt>350464</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>45716</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>26911</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>337232</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <FundraisingAmt>32425</FundraisingAmt>
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        <ProgramServicesAmt>606336</ProgramServicesAmt>
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        <FundraisingAmt>10408</FundraisingAmt>
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        <FundraisingAmt>472</FundraisingAmt>
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        <ManagementAndGeneralAmt>113298</ManagementAndGeneralAmt>
        <FundraisingAmt>1683</FundraisingAmt>
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        <ProgramServicesAmt>39319228</ProgramServicesAmt>
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        <ProgramServicesAmt>99891</ProgramServicesAmt>
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        <FundraisingAmt>72</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>438697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4730</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1404184</ProgramServicesAmt>
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        <ProgramServicesAmt>5598494</ProgramServicesAmt>
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        <FundraisingAmt>23</FundraisingAmt>
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        <ProgramServicesAmt>13698302</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>9226306</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>8585905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9473</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>13987303</ProgramServicesAmt>
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        <ProgramServicesAmt>547349661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3122814</ManagementAndGeneralAmt>
        <FundraisingAmt>53021</FundraisingAmt>
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        <EOYAmt>8497705</EOYAmt>
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        <EOYAmt>285531467</EOYAmt>
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        <EOYAmt>6882182</EOYAmt>
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        <EOYAmt>2895760</EOYAmt>
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        <EOYAmt>69883071</EOYAmt>
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        <EOYAmt>6798525</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>1720623</EOYAmt>
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        <EOYAmt>382209333</EOYAmt>
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        <EOYAmt>814278</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>323022076</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>57013940</EOYAmt>
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        <EOYAmt>1720623</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>59187257</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>382209333</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>14462336</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1313384</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-160673</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
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            <AddressLine1Txt>1606 KINGS HIGHWAY</AddressLine1Txt>
            <CityNm>SHREVEPORT</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71130</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOMEN AND CHILDRENS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1602 KINGS HIGHWAY</AddressLine1Txt>
            <CityNm>SHREVEPORT</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71130</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OPTHALMOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1420 KINGS HIGHWAY</AddressLine1Txt>
            <CityNm>SHREVEPORT</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71103</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VIRAL DISEASE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6670 ST VINCENT AVE</AddressLine1Txt>
            <CityNm>SHREVEPORT</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71106</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1023 PROVENANCE PLACE BLVD STE 100</AddressLine1Txt>
            <CityNm>SHREVEPORT</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71106</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED THE FEDERAL POVERTY GUIDELINES AS A FACTOR TO DETERMINE ELIGIBILITY FOR PROVIDING 'FREE AND 'DISCOUNTED' CARE. THE ORGANIZATION DETERMINES 'DISCOUNTED' CARE FOR TWO LEVELS, AS LISTED BELOW:FREE CARE - FAMILY INCOME LIMIT = UNDER 200% OF POVERTY LEVELDISCOUNTED CARE, LEVEL 1 - FAMILY INCOME LIMIT = UNDER 250% OF POVERTY LEVEL DISCOUNTED CARE, LEVEL 2 - FAMILY INCOME LIMIT = UNDER 300% OF POVERTY LEVEL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION BRF HOSPITAL HOLDINGS, LLC 46-3179229 FILES A PARTNERSHIP SCORECARD QUARTERLY WITH THE LOUISIANA STATE UNIVERSITY REGARDING ACCOMPLISHMENTS EACH QUARTER AND POPULATION SERVED AS PART OF ITS COOPERATIVE ENDEAVOR AGREEMENT. LINK IS LOCATED AT HTTP://LSU.EDU/BOS/HOSPITAL-CEAS.PHP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BRFHH PROVIDES CREDIT IN THE NORMAL COURSE OF OPERATIONS TO PATIENTS LOCATED PRIMARILY IN NORTHERN LOUISIANA AND SURROUNDING AREAS AND TO THIRD PARTY PAYORS CONDUCTING OPERATIONS IN THESE AREAS.BRFHH MAINTAINS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, DOUBTFUL ACCOUNTS, AND CHARITY CARE BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. BRFHH DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE DISCHARGE DATE; HOWEVER, BRFHH DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. BRFHH CHARGES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTION OF THE OUTSTANDING BALANCES TO BE DOUBTFUL.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, BRFHH ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, BRFHH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BRFHH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE YEAR OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. THE DIFFERENCE BETWEEN THE AMOUNTS BILLED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE FOOTNOTE IS CONTAINED ON PAGES 9-10 OF THE ATTACHED FINANCIALS STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE SECOND YEAR OF OPERATIONS, WE HAVE BEEN SUCCESSFUL IN DECREASING COSTS ACROSS OUR HEALTH CARE SYSTEM. ADDITONALLY, DUE TO THE VOLUME OF DISPROPORTIONATE SHARE PATIENTS WE TREAT AT THIS SAFETY NET HOSPITAL, WE RECEIVE A SUBSTANTIAL AMOUNT OF MEDICARE DISPROPORTIONATE SHARE PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITIES OWNED AND OPERATED BY BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA ARE IN THE PROCESS OF CONDUCTING THEIR INITIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE AFFORDABLE CARE ACT. THE TWO HOSPITALS (UNIVERSITY HEALTH SHREVEPORT AND UNIVERSITY HEALTH-MONROE) WERE TRANSFERRED UNDER A COOPERATIVE ENDEAVOR AGREEMENT TO BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA ON OCTOBER 1, 2013. PER FINAL 501(R)(3) REGULATIONS ISSUED BY THE IRS, A HOSPITAL ORGANIZATION THAT ACQUIRES A HOSPITAL FACILITY (WHETHER THROUGH MERGER OR ACQUISITION) MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO THE ACQUIRED HOSPITAL FACILITY BY THE LAST DAY OF THE ORGANIZATIONS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. PER THESE REGULATIONS, THE INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT WILL NEED TO BE COMPLETED BY SEPTEMBER 30, 2016 AND THE HOSPITALS WILL MEET THE REQUIRED DEADLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES ONSITE REGISTRATION CLERKS AND FINANCIAL COUNSELORS THAT ARE TRAINED TO HELP PATIENTS. THE ORGANIZATION HAS ALSO POSTED ALL INFORMATION ON THEIR WEBSITE AND IS IN THE PROCESS OF POSTING SIGNAGE AT THEIR FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>POPULATION AND COMMUNITY SERVED IS REPORTED QUARTERLY WITH THE LOUISIANA STATE UNIVERSITY BOARD OF SUPERVISORS UNDER THE COOPERATIVE ENDEAVOR AGEEMENT UNDER THE PARTNERSHIP REPORT CARD. HTTP://LSU.EDU/BOS/HOSPITAL-CEAS.PHP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BRF HOSPITAL HOLDINGS, LLC IS COMPRISED OF TWO TEACHING HOSPITALS IN SHREVEPORT AND MONROE LOUISIANA UNDER A COLLABORATIVE ENDEAVOR AGREEMENT WITH THE LSU BOARD OF SUPERVISORS. AS ACADEMIC HOSPITALS THE SYSTEM PROVIDES A STRONG COMMITMENT TO STATE-OF-THE ART TREATMENT, CLINICAL RESEARCH, AND COMMUNITY EDUCATION AND PREVENTION PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY HEALTH SHREVEPORT IS HOME TO STATE-DESIGNATED CENTERS OF EXCELLENCE INCLUDING THE FEIST-WEILLER CANCER CENTER AND CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY. THE MAIN CAMPUS HOUSES AN ACCREDITED CHILDREN'S HOSPITAL, A REGIONAL BURN CENTER AND TRAUMA CENTER. IT SERVES THE COMMUNITITES ACROSS NORTH LOUISIANA, EAST TEXAS AND SOUTHWEST ARKANSAS. UH SHREVEPORT IS ONE OF ONLY SIX HOSPITALS IN THE NATION AFFILIATED IWTH ST. JUDE CHILDREN'S RESEARCH HOSPITAL.UNIVERSITY HEALTH CONWAY ALSO PROVIDES A 24 HOUR TRAUMA CENTER AND COMMITTED TO IMPROVING HEALTH OF LOCAL CITIZENS AND REINVESTS PROFITS IN THE COMMUNITY TO PRESERVE THE SAFETY NET MISSION AND TO IMPROVE FACILITY AND TECHNOLOGY IMPROVEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LSU HEALTH SCIENCES CENTER SHREVEPORT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 KINGS HWY</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71103</ZIPCd>
        </USAddress>
        <RecipientEIN>720702002</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>78614</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR MEDICAL SCHOOL AND EDUCATION PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER SHREVEPORT INDUSTRIAL PARK DEVELOPMENT FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 EDWARDS ST</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71101</ZIPCd>
        </USAddress>
        <RecipientEIN>720315700</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COHABITAT FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 CLYDE FANT PARKWAY STE 200</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71101</ZIPCd>
        </USAddress>
        <RecipientEIN>271566437</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FILM PRIZE FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 MARKET ST SUITE 860</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71101</ZIPCd>
        </USAddress>
        <RecipientEIN>352433985</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LSU HEALTH SCIENCES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>920 PIERREMONT RD SUITE 506</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71106</ZIPCd>
        </USAddress>
        <RecipientEIN>721402222</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>DIGITAL MEDIA INSTITUTE SCHOLARSHIP MERIT AWARD</GrantTypeTxt>
        <RecipientCnt>2</RecipientCnt>
        <NonCashAssistanceAmt>12000</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>REDUCTION OF TUITION AND FEES</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JOHN F GEORGE JR</PersonNm>
        <TitleTxt>DIRECTOR/PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>249669</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3522</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253191</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES DEAN</PersonNm>
        <TitleTxt>EXECUTIVE VP AND COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>256842</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15278</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7925</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>280045</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMOL TAKALKAR</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>298762</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15554</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13296</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>327612</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRADEEP GARG</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>331728</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16685</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10699</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>407862</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUDHA GARG</PersonNm>
        <TitleTxt>DIRECTOR OF RADIOPHARMACEUTICAL SCIE</TitleTxt>
        <BaseCompensationFilingOrgAmt>191772</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11433</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8359</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>239314</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE HAS THE SOLE AUTHORITY TO ESTABLISH THE COMPENSATION OF THE PRESIDENT AND STAFF VICE-PRESIDENTS AND KEY EMPLOYEES. COMPENSATION IS REVIEWED ANNUALLY IN CONNECTION WITH THE BUDGETING PROCESS. THE COMMITTEE HAS WRITTEN GUIDELINES FOR EVALUATING THE REASONABLENESS OF COMPENSATION INCLUDING PUBLISHED SURVEYS AND COMPARISONS TO SIMILAR ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT, FOR FUNTIONALLY COMPARABLE POSITIONS. MINUTES ARE KEPT OF ALL EXECUTIVE COMMITTEE MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT EXECUTIVE COMMITTEE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SOME EMPLOYEES ARE ELIGIBLE FOR PERFORMANCE BASED BONUSES CALCULATED AS A PERCENT OF COMPENSATION AS DETERMINED BY MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S COO IS RESPONSIBLE FOR THE PREPARATION, REVIEW AND FILING OF FORM 990 AND, IF REQUIRED, FORM 990T AND ALL RELATED FORMS AND SCHEDULES. THE COO DISTRIBUTES THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BRF HAS A WRITTEN CONFLICT OF INTEREST POLICY COVERING ALL PERSONS WHO MEET THE IRS DEFINITION OF "DISQUALIFIED PERSON." ITS EXECUTIVE COMMITTEE CONSISTS OF THE BOARD OFFICERS AND THE CHAIRMAN OF EACH OF ITS OTHER STANDING COMMITTEES AND IS RESPONSIBLE FOR MANAGING THIS POLICY. THE POLICY IS REVIEWED ANNUALLY BY THE FULL BOARD. ALL BOARD MEMBERS AND STAFF OFFICERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM AT LEAST ANNUALLY AND ARE REQUIRED TO NOTIFY THE COMMITTEE IN WRITING OF ANY PROPOSED CONTRACTS OR TRANSACTIONS INVOLVING A CONFLICT OF INTERESTS. THE DISCLOSURE FORMS AND ACTUAL CONTRACTS AND TRANSACTIONS ARE REVIEWED BY THIS COMMITTEE. PERSONS WHO HAVE A CONFLICT ARE NOT ALLOWED TO PARTICIPATE IN NOR ARE THEY PERMITTED TO HEAR THE DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND RESPOND TO QUESTIONS. THEY CANNOT BE PRESENT WHEN A VOTE IS TAKEN ON THE MATTER. SPECIFIC GUIDELINES EXIST TO ASSIST THE COMMITTEE IN DETERMINING THE FAIR MARKET VALUE OF A TRANSACTION OR CONTRACT INVOLVING A CONFLICTED PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE HAS THE SOLE AUTHORITY TO ESTABLISH THE COMPENSATION OF THE PRESIDENT AND STAFF VICE-PRESIDENTS AND KEY EMPLOYEES. COMPENSATION IS REVIEWED ANNUALLY IN CONNECTION WITH THE BUDGETING PROCESS. THE COMMITTEE HAS WRITTEN GUIDELINES FOR EVALUATING THE REASONABLENESS OF COMPENSATION INCLUDING PUBLISHED SURVEYS AND COMPARISONS TO SIMILAR ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT, FOR FUNTIONALLY COMPARABLE POSITIONS. MINUTES ARE KEPT OF ALL EXECUTIVE COMMITTEE MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT EXECUTIVE COMMITTEE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL FULLY COMPLY WITH ALL FEDERAL AND STATE PUBLIC DISCLOSURES REQUIRED WITH RESPECT TO ITS STATUS AS A TEX EXEMPT, NOT-FOR-PROFIT ORGANIZATION. SPECIFICALLY, DOCUMENTS WILL BE MADE AVAILABLE FOR PUBLIC INSPECTIONS AND COPIES WILL BE PROVIDED UPON REQUEST IN ACCORDANCE WITH PROCEDURES AND REQUIREMENTS SET FORTH IN CURRENT IRS REGULATIONS AS AMENDED FROM TIME TO TIME. THE FORM 990 IS ALSO UPLOADED ONTO GUIDESTAR'S WEBSITE WHERE IT CAN BE VIEWED BY THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,782,902. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,782,902. PHYSICIANS AND RESIDENTS: PROGRAM SERVICE EXPENSES 91,408,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,408,941. PURCHASED SERVICES - ANCILLARY: PROGRAM SERVICE EXPENSES 41,562,829. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,562,829. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,427,131. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,427,131. OTHER FEES: PROGRAM SERVICE EXPENSES 606,831. MANAGEMENT AND GENERAL EXPENSES 403,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,010,696.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF DERIVATIVE -160,673.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE FILING OF THE PREVIOUS FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>(IVM) INTERTECH VENTURE MGMT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 38050</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71133</ZIPCd>
        </USAddress>
        <EIN>721455822</EIN>
        <PrimaryActivitiesTxt>ECONOMIC DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <TotalIncomeAmt>572</TotalIncomeAmt>
        <EndOfYearAssetsAmt>7763</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>(BRFC) BRF CAPITAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 38050</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71133</ZIPCd>
        </USAddress>
        <EIN>721455336</EIN>
        <PrimaryActivitiesTxt>ECONOMIC DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <TotalIncomeAmt>56672</TotalIncomeAmt>
        <EndOfYearAssetsAmt>768490</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>(SI) SOUTHERN ISOTOPES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 38050</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71133</ZIPCd>
        </USAddress>
        <EIN>721511418</EIN>
        <PrimaryActivitiesTxt>MEDICAL ISOTOPES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>(BRFHH) BRF HOSPITAL HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1505 KINGS HWY</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71103</ZIPCd>
        </USAddress>
        <EIN>463179229</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <TotalIncomeAmt>526416318</TotalIncomeAmt>
        <EndOfYearAssetsAmt>315754811</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BRFHH SHREVEPORT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1505 KINGS HWY</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71103</ZIPCd>
        </USAddress>
        <EIN>800944985</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <TotalIncomeAmt>431174386</TotalIncomeAmt>
        <EndOfYearAssetsAmt>259559515</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRFHH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BRFHH MONROE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1505 KINGS HWY</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71103</ZIPCd>
        </USAddress>
        <EIN>800945173</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <TotalIncomeAmt>95241932</TotalIncomeAmt>
        <EndOfYearAssetsAmt>56195296</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRFHH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>(IVF) INTERTECH VENTURE FUND LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 38050</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71133</ZIPCd>
        </USAddress>
        <EIN>721455821</EIN>
        <PrimaryActivitiesTxt>VENTURE CAPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRFC-PART I</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>57244</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>776253</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>1.00000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART V, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL RELATED ORGANIZATIONS REPORTED ON SCHEDULE R ARE CONTROLLED ENTITIES WITHIN THE MEANING OF SECTION 512(B)(13), HOWEVER, ALL TRANSACTIONS ARE BELOW THE REPORTING THRESHOLD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>