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      <ActivityOrMissionDesc>OPERATION OF THIBODAUX REGIONAL MEDICAL CENTER (THE HOSPITAL). THE MISSION OF THE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY, MOST COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE TO THE PEOPLE OF THIBODAUX AND SURROUNDING AREAS.</ActivityOrMissionDesc>
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      <MissionDesc>THE MISSION OF THE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY, MOST COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE TO THE PEOPLE OF THIBODAUX AND SURROUNDING AREAS. THE HOSPITAL, IN RECOGNITION OF ITS MISSION, STRIVES TO ACHIEVE ITS VISION TO BE THE REGIONAL MEDICAL CENTER OF CHOICE FOR SELECTED HEALTHCARE SERVICES IN SOUTHEAST LOUISIANA THROUGH A COMMITMENT TO QUALITY IMPROVEMENT, BY PARTNERING WITH OTHER HEALTHCARE PROVIDERS, AND BY REMAINING FINANCIALLY VIABLE IN A COMPETITIVE ENVIRONMENT. TO ACHIEVE OUR VISION, WE PROMOTE THE FOLLOWING VALUES: RESPECT, INTEGRITY, INNOVATION, EXCELLENCE, ACCOUNTABILITY, AND PASSION.</MissionDesc>
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      <Desc>THE MISSION OF THE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY, MOST COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE TO THE PEOPLE OF THIBODAUX AND SURROUNDING AREAS. THE HOSPITAL, IN RECOGNITION OF ITS MISSION, STRIVES TO ACHIEVE ITS VISION TO BE THE REGIONAL MEDICAL CENTER OF CHOICE FOR SELECTED HEALTHCARE SERVICES IN SOUTHEAST LOUISIANA THROUGH A COMMITMENT TO QUALITY IMPROVEMENT, BY PARTNERING WITH OTHER HEALTHCARE PROVIDERS, AND BY REMAINING FINANCIALLY VIABLE IN A COMPETITIVE ENVIRONMENT. TO ACHIEVE OUR VISION, WE PROMOTE THE FOLLOWING VALUES: RESPECT, INTEGRITY, INNOVATION, EXCELLENCE, ACCOUNTABILITY, AND PASSION.THE MEDICAL CENTER IS LICENSED FOR 180 BEDS AND OPERATES 140 INPATIENT BEDS INCLUDING INPATIENT REHAB AND INPATIENT BEHAVIORAL HEALTH. THE AVAILABLE STAFFED BED COMPLEMENT IS AS FOLLOWS:MEDICAL/SURGICAL 79LDRP/ANTE PARTAL 16INTENSIVE CARE 16STEPDOWN 10REHABILITATION 14BEHAVIORAL HEALTH 16THE MEDICAL CENTER HAS APPROXIMATELY 281 PHYSICIANS ON STAFF. THIS INCLUDES 112 ACTIVE STAFF PHYSICIANS, 11 ASSOCIATE STAFF PHYSICIANS, 38 COURTESY STAFF PHYSICIANS, 18 EMERGENCY DEPARTMENT PHYSICIANS, 17 CONSULTING STAFF PHYSICIANS, 7 COMMUNITY STAFF PHYSICIANS, 77 TELEMEDICINE PHYSICIANS, AND 1 HOUSE STAFF PHYSICIAN. THE MEDICAL STAFF SUPPORT SERVICES PROVIDED AT THE MAIN HOSPITAL, CANCER CENTER, MEDICAL OFFICE BUILDING, MEDICAL PLAZA AND WELLNESS CENTER AS APPROPRIATE TO THE SERVICES PROVIDED IN THOSE LOCATIONS.ALL SERVICES ARE PLANNED AND DESIGNED ON THE PATIENT POPULATION THE HOSPITAL SERVES, THE HOSPITAL'S MISSION AND VISION STATEMENT, KEY REQUIREMENTS OF OUR PATIENTS AND THEIR FAMILY MEMBERS, AND KEY REQUIREMENTS OF OTHER MAJOR STAKEHOLDERS. THE PROCESS OF PLANNING A SERVICE IS A COLLABORATIVE EFFORT. HOSPITAL STAFF THAT ARE MOST KNOWLEDGEABLE ABOUT THE PARTICULAR SERVICE BEING PLANNED ARE INVOLVED IN THE PLANNING PROCESS AS WELL AS PHYSICIANS AND COMMUNITY LEADERS WHERE APPROPRIATE. IN ACCORDANCE WITH FEDERAL AND STATE REGULATIONS, PROFESSIONAL PRACTICE STANDARDS AND CODES, TRMC PROVIDES THE COMMUNITY WITH AN EXTENSIVE RANGE OF GENERAL AND SPECIALTY MEDICAL SERVICES.SIGNIFICANT HOSPITAL ACHIEVEMENTS &amp; KEY STATISTICS FOR FISCAL YEAR ENDED 9/30/2025 INCLUDE:2025 BEST HOSPITAL FOR PATIENT SAFETY BY WOMEN'S CHOICE AWARD2025 BEST HOSPITAL FOR OBSTETRICS BY WOMEN'S CHOICE AWARD2025 BEST HOSPITAL FOR CANCER CARE BY WOMEN'S CHOICE AWARD2025 BEST HOSPITAL FOR MINIMALLY INVASIVE SURGERY BY WOMEN'S CHOICE AWARD2025 BEST HOSPITAL FOR STROKE CARE BY WOMEN'S CHOICE AWARD2025 PRIMARY STROKE CENTER DESIGNATION BY THE JOINT COMMISSION2025 AMERICAN HEART ASSOCIATION SILVER PLUS GET WITH THE GUIDELINES TARGET: STROKE HONOR ROLL2025 AMERICAN HEART ASSOCIATION SILVER PLUS GET WITH THE GUIDELINES TARGET: TYPE 2 DIABETES HONOR ROLL2025 POV PEOPLE'S CHOICE AWARD BEST HOSPITAL2025 POV PEOPLE'S CHOICE AWARD BEST PLACE TO WORK2025 POV PEOPLE'S CHOICE AWARD BEST GYM/HEALTH/FITNESS CENTER2025 POV PEOPLE'S CHOICE AWARD BEST URGENT CARE2025 POV PEOPLE'S CHOICE AWARD BEST PEDIATRICIAN, SHEILA PITRE, MD2025 POV PEOPLE'S CHOICE AWARD BEST OB/GYN AMY ASHTON, MD2025 - THE COURIER/DAILY COMET COMMUNITY'S CHOICE AWARDS BAYOU'S BEST HOSPITAL2025 - THE COURIER/DAILY COMET COMMUNITY'S CHOICE AWARDS BAYOU'S BEST EMERGENCY ROOM2025 - THE COURIER/DAILY COMET COMMUNITY'S CHOICE AWARDS BAYOU'S BEST MATERNITY &amp; CHILDBIRTH CENTER2025 - THE COURIER/DAILY COMET COMMUNITY'S CHOICE AWARDS BAYOU'S BEST EMERGENCY ROOM2025 - THE COURIER/DAILY COMET COMMUNITY'S CHOICE AWARDS BAYOU'S BEST - BEST PAIN MANAGEMENT CLINIC2025 - THE COURIER/DAILY COMET COMMUNITY'S CHOICE AWARDS BAYOU'S BESTFY25 KEY STATISTICSTOTAL INPATIENT DAYS 28,147AVERAGE DAILY CENSUS 77.4INPATIENT ADMISSIONS 6,610AVERAGE LOS (ACUTE) 4.08OBSERVATION PATIENTS 2,251REHAB DAYS 2,995DELIVERIES 786OUTPATIENT VISITS 173,758E/R VISITS 35,208HOME HEALTH ADMISSIONS 1.052ADJUSTED PATIENT DAYS 122,631SURGERY CASES 10,580VALIDATION THROUGH VOLUNTARY ACCREDITATION PROGRAMSSEEKING ACCREDITATION, EVEN WHEN NOT REQUIRED, IS ONE WAY THIBODAUX REGIONAL CHALLENGES PERFORMANCE AND DEMONSTRATES EXCELLENCE.JOINT COMMISSION ACCREDITATIONDURING FY 2024, THE ORGANIZATION UNDERWENT THE TRIANNUAL SURVEY BY JOINT COMMISSION OF OUR HOSPITAL AND HOME HEALTH AGENCY. THE FOUR DAY SURVEY COVERED ALL ASPECTS OF PATIENT CARE, PATIENT SAFETY, LEADERSHIP, MEDICAL STAFF FUNCTIONS, AND ENVIRONMENT OF CARE AND LIFE SAFETY. WE RECEIVED MANY COMPLIMENTS FROM THE SURVEYORS ON OUR PROCESSES. THE SURVEYORS SPECIFICALLY INDICATED THEY HAD NOT BEEN TO A FACILITY THAT WAS OPEN AND HONEST AS THIBODAUX REGIONAL. THEY APPRECIATED THE WILLINGNESS TO LEARN, CALMNESS EXPRESSED BY OUR STAFF AND THE MATURITY DISPLAYED DURING THE SURVEY. THE OPPORTUNITIES FOR IMPROVEMENT THAT WERE IDENTIFIED DURING THE SURVEY HAVE BEEN ADDRESSED. THE ORGANIZATION WAS AWARDED FULL ACCREDITATION STATUS. OUR NEXT SURVEY SHOULD OCCUR IN THE SUMMER OF 2027. PRIMARY STROKE CERTIFICATIONDURING FY 2023, THE ORGANIZATION EARNED CERTIFICATION FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER AND WAS AWARDED RECERTIFICATION IN 2025. OFFERED IN COLLABORATION WITH THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, ACHIEVING PRIMARY STROKE CENTER (PSC) CERTIFICATION MEANS WE ARE MAKING EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES. IT SERVES AS A SIGNAL TO OUR COMMUNITY THAT THE QUALITY OF CARE WE PROVIDE MEETS THE UNIQUE AND SPECIALIZED NEEDS OF STROKE PATIENTS. THE SURVEYORS WERE COMPLIMENTARY OF OUR ORGANIZATION AND STROKE PROGRAM. THE OPPORTUNITIES FOR IMPROVEMENT THAT WERE IDENTIFIED DURING THE SURVEY HAVE BEEN ADDRESSED. CERTIFIED ORGANIZATIONS ARE REQUIRED TO MONITOR AND REPORT STANDARDIZED PERFORMANCE MEASURES. THIBODAUX REGIONAL REMAINS THE ONLY DESIGNATED PRIMARY STROKE CENTER IN REGION 3. CARF ACCREDITATION OF INPATIENT REHABILITATION FACILITYTHE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES, CARF, IS THE ORGANIZATION THAT ACCREDITS REHABILITATION UNITS AND FREESTANDING FACILITIES. CARF ACCREDITATION SIGNALS A PROGRAM'S COMMITMENT TO CONTINUALLY IMPROVING SERVICES, ENCOURAGING FEEDBACK, AND SERVING THE COMMUNITY. ACCREDITATION ASSISTS SERVICE PROVIDERS TO IMPROVE THE QUALITY OF THEIR SERVICES AND MEET INTERNATIONALLY RECOGNIZED STANDARDS, CREATING A FOUNDATION FOR CONSUMER SATISFACTION. CARF ACCREDITED PROGRAMS ENJOY INTERNATIONAL RECOGNITION FOR THEIR COMMITMENT TO EXCELLENCE.THE REHABILITATION CENTER OF THIBODAUX REGIONAL HAS ACHIEVED ITS 11TH CONSECUTIVE 3-YEAR CARF ACCREDITATION IN 2023. THE PROGRAM IS ACCREDITED IN GENERAL REHABILITATION AND STROKE SPECIALTY PROGRAM. THE COMMITMENT TO A QUALITY REHABILITATION PROGRAM WAS EVIDENT FROM THE INCEPTION OF THE PROGRAM IN 1991 AS THE PROGRAM SOUGHT OUT AND PREPARED FOR THEIR FIRST CARF ACCREDITATION IN 1993.THE ACCREDITATION PROCESS EVALUATES OVER 5000 STANDARDS OF PERFORMANCE RELATED TO; LEADERSHIP, STRATEGIC PLANNING, PERFORMANCE IMPROVEMENT, FINANCIAL PERFORMANCE, INPUT FROM STAKEHOLDERS, THE REHAB PROCESS, SPECIFIC REHAB PROGRAM STANDARDS AS WELL AS STROKE SPECIALTY STANDARDS.CANCER CENTER ACCREDITATIONTHE COMMISSION ON CANCER (COC), A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACOS), RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY, AND MULTIDISCIPLINARY PATIENT CENTERED CARE. THE COC IS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS THROUGH STANDARD-SETTING, PREVENTION, RESEARCH, EDUCATION, AND THE MONITORING OF COMPREHENSIVE QUALITY CARE. THROUGH THE COC, OUR CANCER PROGRAM HAS ACCESS TO REPORTING TOOLS TO AID IN BENCHMARKING AND IMPROVING OUTCOMES AT OUR FACILITY AS WELL AS EDUCATIONAL AND TRAINING OPPORTUNITIES, DEVELOPMENT RESOURCES, AND ADVOCACY.IN 2003, THIBODAUX REGIONAL'S CANCER PROGRAM EARNED ITS FIRST THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. SINCE THAT TIME, THE PROGRAM HAS BEEN REACCREDITED SIX TIMES WITH COMMENDATION. OUR CANCER PROGRAM WAS REACCREDITED DURING FY 2025 BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, RECEIVING A FULL THREE-YEAR ACCREDITATION AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. LABORATORY ACCREDITATION BY THE COLLEGE OF AMERICAN PATHOLOGISTSDURING FY 2025, THE LABORATORY UNDERWENT ITS ACCREDITATION BY THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP). THE COLLEGE OF AMERICAN PATHOLOGISTS LABORATORY ACCREDITATION PROGRAM ACCREDITS THE ENTIRE SPECTRUM OF LABORATORY TEST DISCIPLINES WITH THE MOST SCIENTIFICALLY RIGOROUS CUSTOMIZED REQUIREMENTS. THE CAPS PEER-BASED INSPECTOR MODEL PROVIDES A UNIQUE BALANCE OF REGULATORY AND EDUCATIONAL COACHING SUPPORTED BY THE MOST RESPECTED WORLDWIDE PATHOLOGY ORGANIZATION. THIBODAUX REGIONAL WAS ACCREDITED BY CAP FOR A FULL TWO-YEAR CYCLE. THIBODAUX REGIONAL'S LABORATORY HAS MAINTAINED ITS ACCREDITATION BY CAP SINCE 1971.</Desc>
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        <Desc>CARDIAC REHABILITATION ACCREDITATIONTHE CARDIAC REHABILITATION PROGRAM AT THIBODAUX REGIONAL WAS REACCREDITED DURING FY 2023 BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) RECOGNIZING THAT OUR PROGRAM MEETS THE HIGHEST STANDARDS OF CARE. THE AACVPR PROGRAM CERTIFICATION IS AWARDED FOR A PERIOD OF THREE YEARS.DIABETES SELF-MANAGEMENT ACCREDITATIONDURING FY 2023, THE AMERICAN DIABETES ASSOCIATION (ADA) RECOGNIZED THE DIABETES SELF-MANAGEMENT PROGRAM AT THIBODAUX REGIONAL, AWARDING CONTINUED RECOGNITION STATUS FOR THE FOUR YEAR PERIOD ENDING 2027. THE PROGRAM WAS FIRST RECOGNIZED IN 1999 BY THE ADA AS A QUALITY PROGRAM MEETING ALL STANDARDS OF THE ADA IN PROVIDING EDUCATION SERVICES TO THE PATIENTS. ASSURING HIGH-QUALITY EDUCATION FOR PATIENT SELF-CARE IS A PRIMARY GOAL OF THE EDUCATION RECOGNITION PROGRAM.ECHOCARDIOGRAM ACCREDITATIONTHIBODAUX REGIONAL IS ONE OF THREE ACCREDITED ADULT TRANSTHORACIC AND ADULT TRANSESOPHAGEAL ECHOCARDIOGRAPHY PROGRAMS IN LOUISIANA. DURING FY 2024, OUR PROGRAM WAS REACCREDITED BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) FOR A THREE YEAR CYCLE ENDING IN 2027.SLEEP CENTER ACCREDITATIONAMERICAN ASSOCIATION OF SLEEP MEDICINE ACCREDITATION FOR SLEEP MEDICINE FACILITIES IS THE GOLD STANDARD BY WHICH THE MEDICAL COMMUNITY AND THE PUBLIC CAN EVALUATE SLEEP MEDICINE SERVICES. IT DEMONSTRATES SLEEP CENTER'S COMMITMENT TO HIGH QUALITY, PATIENT-CENTERED CARE THROUGH ADHERENCE TO THE AASM STANDARDS FOR ACCREDITATION. THE AASM ACCREDITATION IS VOLUNTARY AND EXHIBITS THE FACILITY'S DEDICATION TO THE PRACTICE OF SLEEP MEDICINE. OUR PROGRAM WAS REACCREDITED DURING FY 2023.AMERICAN COLLEGE OF RADIOLOGY ACCREDITATIONTHE AMERICAN COLLEGE OF RADIOLOGY (ACR) AWARDS ACCREDITATION TO FACILITIES FOR THE ACHIEVEMENT OF HIGH PRACTICE STANDARDS AFTER A PEER- REVIEW EVALUATION OF ITS PRACTICE. IMAGE QUALITY AND PROCEDURE EVALUATIONS ARE CONDUCTED BY BOARD-CERTIFIED RADIOLOGISTS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD. THE PROGRAM ALSO EVALUATES PERSONNEL QUALIFICATIONS, ADEQUACY OF FACILITY EQUIPMENT, QUALITY CONTROL PROCEDURES AND QUALITY ASSURANCE PROGRAMS. THIBODAUX REGIONAL IS ACCREDITED BY ACR IN COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, MAMMOGRAPHY, NUCLEAR MEDICINE, POSITRON EMISSION TOMOGRAPHY, AND ULTRASOUND.THE RADIATION ONCOLOGY SERVICES WERE AWARDED REACCREDITATION THROUGH THE AMERICAN COLLEGE OF RADIOLOGY DURING FY 2024. THE ACCREDITATION IS A THREE YEAR CYCLE. NEXT ACCREDITATION IS DUE IN 2027. QUALITY RECOGNITIONSCMS STAR RATINGQUALITY STAR RATING FROM CMS IS COMPRISED OF 41 OUTCOME, PROCESS AND EFFICIENCY MEASURES THAT SHOW HOSPITAL PERFORMANCE ON AVERAGE AND COMPARED TO OTHER HOSPITALS. MEASURES INCLUDE 30-DAY MORTALITY FOR AMI, PN, CHF, COPD, CABG AND STROKE; HOSPITAL ACQUIRED INFECTIONS (CLABSI, CAUTI, SSI COLON, SSI HYSTERECTOMY, C-DIFF AND MRSA); TOTAL JOINT COMPLICATIONS, AHRQ PATIENT SAFETY INDICATORS; 30-DAY READMISSION RATES FOR AMI, CABG, CHF, PNEUMONIA, COPD, STROKE, JOINT REPLACEMENT AND OVERALL HOSPITAL; PATIENT EXPERIENCE; CORE MEASURES FOR BOTH THE INPATIENT AND OUTPATIENT SETTINGS; AND IMAGING EFFICIENCY MEASURES. THE STAR RATING IS ON A 5-STAR SCALE, WITH 5 BEING THE BEST RATING. DURING FY 2025, THIBODAUX REGIONAL WAS RECOGNIZED BY CMS FOR OUR PATIENT EXPERIENCE BY BEING AWARDED A FOUR-STAR RATING AND OUR OVERALL RATING OF A THREE-STAR.CARECHEXSINCE 2009, QUANTROS HAS COMPILED THE CARECHEX RATINGS TO PROVIDE AN OBJECTIVE QUALITY REVIEW OF ALL HOSPITALS AND HEALTH SYSTEMS IN AMERICA, WITH RATINGS FOR SAFETY AND OVERALL MEDICAL EXCELLENCE AT THE NATIONAL, STATE, AND REGIONAL LEVEL. THE CARECHEX AWARDS ARE BASED ON A RIGOROUS REVIEW OF PATIENT COMPLICATIONS, READMISSIONS, MORTALITY, AHRQ PATIENT SAFETY INDICATORS, AND INPATIENT QUALITY INDICATORS. THEIR VAST DATA SETS DON'T INCLUDE ANY SELF-REPORTED OR SURVEY DATA, AND THE RESULTS ARE TESTED FOR STATISTICAL SIGNIFICANCE, RESULTING IN CLEARER, MORE ACCURATE PERFORMANCE DIFFERENTIATION ACROSS 39 CLINICAL CATEGORIES IN BOTH MEDICAL EXCELLENCE AND PATIENT SAFETY. OR FY 2025 NOTABLE DESIGNATIONS INCLUDE THE DESIGNATION OF BEING NAMED IN THE TOP 10% JOINT REPLACEMENT AND MAJOR ORTHOPEDIC SURGERY FOR THE NATION AND STATE; TOP 10% CANCER CARE AND NEUROLOGICAL CARE FOR THE STATE; TOP 10% IN OVERALL HOSPITAL CARE, OVERALL SURGICAL CARE, ORTHOPEDIC CARE AND CARDIAC CARE FOR THE STATE; #1 IN THE MARKET FOR OVERALL MEDICAL CARE, GALL BLADDER REMOVAL, GASTROINTESTINAL HEMORRHAGE, NEUROLOGICAL CARE, MAJOR ORTHOPEDIC SURGERY, HEART ATTACK TREATMENT, HEART FAILURE TREATMENT, ORTHOPEDIC CARE, PNEUMONIA CARE, PULMONARY CARE, SEPSIS CARE, AND STROKE CARE. A FULL LISTING OF THE MEDICAL EXCELLENCE AWARDS AND PATIENT SAFETY AWARDS ARE NOTED BELOW.QUANTROS QCARECHEX AWARDSMEDICAL EXCELLENCE AWARDSTOP 10% IN THE NATIONJOINT REPLACEMENTMAJOR ORTHOPEDIC SURGERYTOP 10% IN THE STATE OF LOUISIANACANCER CAREJOINT REPLACEMENTNEUROLOGICAL CAREMAJOR ORTHOPEDIC SURGERY#1 IN THE STATEJOINT REPLACEMENT#1 IN OUR MARKETNEUROLOGICAL CAREMAJOR ORTHOPEDIC SURGERYHEART ATTACK TREATMENTQUANTROS QCARECHEX AWARDSPATIENT SAFETY AWARDSTOP 10% IN THE STATE OF LOUISIANAOVERALL HOSPITAL CAREOVERALL SURGICAL CARECARDIAC CAREORTHOPEDIC CARE#1 IN THE MARKETOVERALL MEDICAL CAREGALL BLADDER REMOVALGASTROINTESTINAL HEMORRHAGEHEART ATTACK TREATMENTHEART FAILURE TREATMENTORTHOPEDIC CAREPNEUMONIA CAREPULMONARY CARESEPSIS CARESTROKE CAREHEALTHGRADESEALTHGRADES HAS RECOGNIZED THIBODAUX REGIONAL FOR OUR OUTSTANDING CARE PROVIDED TO THE FOLLOWING COHORTS OF PATIENTS BY AWARDING A 5-STAR RATING FOR HIP FRACTURE TREATMENT, WHICH HAS HELD THIS DESIGNATION FOR 5 YEARS IN A ROW, AND CAROTID PROCEDURES, WHICH HAS HELD THIS DESIGNATION FOR 12 YEARS IN A ROW, AND OUTPATIENT BACK AND NECK SURGERY (EXCEPT SPINAL FUSION) FOR 3 YEARS IN A ROW. HEALTH GRADES AWARDSORTHOPEDICFIVE-STAR RECIPIENT FOR HIP FRACTURE TREATMENT 5 YEARS IN A ROW (2022-2026)VASCULARFIVE-STAR RECIPIENT FOR CAROTID PROCEDURES 12 YEARS IN A ROW (2015-2026)OUTPATIENTFIVE-STAR RECIPIENT FOR OUTPATIENT BACK AND NECK SURGERY (EXCEPT SPINAL FUSION) FOR 3 YEARS IN A ROW (2024-2026)CMS HOME HEALTH STAR RATINGTHIBODAUX REGIONAL HOME HEALTH AGENCY HAS BEEN AWARDED A 3-STAR RATING IN QUALITY AND A 5-STAR RATING FOR PATIENT SATISFACTION. THE HOME HEALTH STAR RATINGS ARE UPDATED QUARTERLY, WITH FY 16 BEING THE FIRST YEAR OF PUBLIC POSTING OF RATINGS.BLUE CROSS CENTER OF DISTINCTION+ FOR SPINE CARETHIBODAUX REGIONAL SPINE CENTER WAS AWARDED AN ENHANCED ELITE DESIGNATION FROM BLUE CROSS BLUE SHIELD AS THE BLUE DISTINCTION CENTER + FOR SPINE CARE. CENTERS ARE AWARDED THIS DISTINCTION FOR MORE AFFORDABLE CARE IN ADDITION TO QUALITY CARE, TREATMENT EXPERTISE AND BETTER OVERALL PATIENT RESULTS. THIBODAUX REGIONAL REMAINS ONE OF FOUR FACILITIES WITH THIS DISTINCTION.BLUE DISTINCTION CENTER + FOR HIP AND KNEE REPLACEMENTFY 2019 IS THE FIRST TIME THAT THIBODAUX REGIONAL WAS AWARDED THE BLUE DISTINCTION CENTER + DESIGNATION FROM BLUE CROSS AND BLUE SHIELD. CENTERS ARE AWARDED THIS DISTINCTION FOR MORE AFFORDABLE CARE IN ADDITION TO QUALITY CARE, TREATMENT EXPERTISE AND BETTER OVERALL PATIENT RESULTS. THIBODAUX REGIONAL IS ONE OF SIXTEEN FACILITIES AWARDED THIS LEVEL OF DISTINCTION BY BLUE CROSS. BLUE CROSS MATERNITY CENTER OF DISTINCTION + THIBODAUX REGIONAL WAS AWARDED THE BLUE DISTINCTION CENTER FOR MATERNITY CARE FROM BLUE CROSS BLUE SHIELD DURING FY 2023. BCBS AWARDS THIS DISTINCTION TO FACILITIES THAT DEMONSTRATE EXPERTISE AND COMMITMENT TO QUALITY CARE FOR VAGINAL AND CESAREAN SECTION DELIVERIES. THIS DESIGNATION DEMONSTRATES BETTER OVERALL PATIENT SATISFACTION AND A LOWER PERCENTAGE OF EARLY ELECTIVE DELIVERIES. THIBODAUX REGIONAL IS ONE OF EIGHTEEN FACILITIES AWARDED THIS DISTINCTION.</Desc>
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        <Desc>OUISIANA EMERGENCY RESPONSE NETWORKTHE LOUISIANA EMERGENCY RESPONSE NETWORK (LERN) IS AN AGENCY OF THE STATE GOVERNMENT CHARGED WITH THE RESPONSIBILITY OF DEVELOPING AND MAINTAINING A STATEWIDE SYSTEM OF CARE COORDINATION FOR PATIENTS WITH SERIOUS TRAUMATIC INJURY OR TIME-SENSITIVE ILLNESS, SUCH AS HEART ATTACK AND STROKE. GETTING TO THE RIGHT PLACE AT THE RIGHT TIME TO RECEIVE THE RIGHT CARE IS A MATTER OF LIFE OR DEATH FOR THESE PATIENTS. IN ADDITION TO CERTIFICATION BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, THIBODAUX IS ALSO DESIGNATED AS A LERN PRIMARY STROKE CENTER. WE ARE ALSO THE ONLY LERN PSC IN REGION 3. ADDRESSING THE CHALLENGE OF TIMELY PATIENT ACCESS TO CORONARY REPERFUSION THERAPIES IS A PRIORITY OF THE LERN SYSTEM. THE PRIMARY AIM OF LERN'S STEMI SYSTEM OF CARE IS TO DEVELOP A COMPREHENSIVE STEMI SYSTEM IN LOUISIANA TO PROVIDE TIMELY ACCESS TO PROVEN TREATMENTS NECESSARY TO REDUCE DEATH FROM HEART ATTACK. THIBODAUX REGIONAL IS A DESIGNATED LERN STEMI RECEIVING CENTER. A STEMI RECEIVING CENTER IS RECOGNIZED AS A CHAMPION FOR STEMI CARE, PROVIDES 24/7 CARDIAC CATHETERIZATION LAB AND INTERVENTIONAL CARDIOLOGY AVAILABILITY, ACCEPTS ALL STEMI PATIENTS REGARDLESS OF BED AVAILABILITY, MEETS DEFINED PROCEDURE VOLUME STANDARDS, PARTICIPATES IN LERN STEMI WORKGROUP, PARTICIPATES IN STATEWIDE DATA COLLECTION, AND MORE. GUIDED INFANT FEEDING TECHNIQUESTHE GIFT IS A PROGRAM OF THE LOUISIANA DEPARTMENT OF HEALTH, OFFICE OF PUBLIC HEALTH, AND BUREAU OF FAMILY HEALTH. THE GIFT IS AN EVIDENCE-BASED PROGRAM FOR LOUISIANA BIRTHING FACILITIES DESIGNED TO INCREASE BREASTFEEDING RATES AND HOSPITAL SUCCESS BY IMPROVING THE QUALITY OF THEIR MATERNITY SERVICES AND ENHANCING PATIENT-CENTERED CARE. TEN STEPS TO SUCCESSFUL BREASTFEEDING ARE A BUNDLE OF INTERNATIONALLY RECOGNIZED, EVIDENCE-BASED MATERNITY CARE PRACTICES THAT HAVE BEEN SHOWN TO INCREASE BREASTFEEDING INITIATION AND DURATION. THE GIFT DESIGNATION IS BASED ON IMPLEMENTATION OF THESE TEN STEPS. LAPQC BIRTH READY HOSPITAL DESIGNATIONTHIBODAUX REGIONAL'S FAMILY BIRTHING UNIT HAS ACHIEVED BIRTH READY DESIGNATION FROM THE LOUISIANA PERINATAL QUALITY COLLABORATIVE (LAPQC). LAPQC OFFERS THE LOUISIANA BIRTH READY DESIGNATION TO RECOGNIZE PARTICIPATING HOSPITALS' QUALITY IMPROVEMENT WORK. BIRTH READY DESIGNATION CELEBRATES IMPROVED PERINATAL HEALTH OUTCOMES FOR ALL WOMEN WHO GIVE BIRTH IN LOUISIANA. REQUIREMENTS INCLUDE PARTICIPATION IN COLLABORATIVE LEARNING, PATIENT-CENTERED CARE, POLICIES AND PROCEDURES, STRUCTURES AND EDUCATION, AND OUTCOME AND PROCESS MEASURES.AMERICAN HEART ASSOCIATIONTHE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION RECOGNIZED THIBODAUX REGIONAL WITH THE GET WITH THE GUIDELINES - STROKE SILVER PLUS WITH TARGET: STROKE HONOR ROLL AND TARGET: TYPE 2 DIABETES HONOR ROLL FOR APPLYING THE MOST UP-TO-DATE STROKE TREATMENT GUIDELINES TO IMPROVE PATIENT CARE AND OUTCOMES. TO QUALIFY FOR THIS RECOGNITION, HOSPITALS MUST MEET SPECIFIC CRITERIA THAT REDUCE THE TIME BETWEEN ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THROMBOLYTIC THERAPY. THE DIABETES AWARD RECOGNIZES HOSPITALS FOR ENSURING THAT PATIENTS WITH TYPE 2 DIABETES, WHO MAY BE AT HIGHER RISK FOR COMPLICATIONS, RECEIVE THE MOST UP-TO-DATE, EVIDENCE-BASED CARE WHEN HOSPITALIZED DUE TO A STROKE. HEALTH CATALYST OPERATIONAL EXCELLENCE AWARDHEALTH CATALYST, A LEADING PROVIDER OF DATA AND ANALYTICS TECHNOLOGY AND SERVICES, RECOGNIZED THE WINNERS OF THE 2025 CATALYST AWARDS AT ITS ANNUAL SUMMIT. THE ANNUAL PROGRAM RECOGNIZES HEALTHCARE ORGANIZATIONS AT THE FOREFRONT OF DATA-DRIVEN TRANSFORMATION. THIBODAUX REGIONAL RECEIVED THE OPERATIONAL EXCELLENCE AWARD FOR REDUCING MRI WAIT TIMES WITH SAME-DAY SERVICE, TRIPLING ANNUAL WELLNESS VISITS, AND INCREASING REVENUE THROUGH DATA-DRIVEN INSIGHTS.LHA TRUST FUNDS SAFETY STAR AWARDEACH YEAR, LHA TRUST FUNDS RECOGNIZES THREE OUTSTANDING HEALTHCARE FACILITIES WITH THE SAFETY STAR AWARD FOR THEIR COMMITMENT TO QUALITY AND ORGANIZATIONAL SAFETY. IN DECEMBER 2024, THIBODAUX REGIONAL WAS AWARDED THE SAFETY STAR AWARD FOR OUR TRANSFORMATIVE HAND HYGIENE INITIATIVE, WHICH ADDRESSED GAPS IN COMPLIANCE AND OBSERVATION PRACTICES TO MEET NATIONAL BEST PRACTICE STANDARDS. THIS ACHIEVEMENT HIGHLIGHTS THIBODAUX REGIONAL'S DEDICATION TO PATIENT SAFETY AND COMMITMENT TO REDUCING HOSPITAL-ACQUIRED INFECTIONS THROUGH INNOVATIVE AND EFFECTIVE PRACTICES. LHA CLINICAL QUALITY IMPROVEMENT AWARDEACH YEAR, LHA FOUNDATION HONORS HOSPITALS FOR THEIR EXCEPTIONAL EFFORTS TO IMPROVE CLINICAL QUALITY AND PATIENT CARE. EACH HOSPITAL IS EVALUATED AGAINST ITSELF AND THE ACHIEVEMENT IS AWARDED BASED ON ATTAINING OR EXCEEDING THE TARGETED 6% REDUCTION OR MAINTAINING A ZERO RATE. CERTIFICATES OF ACHIEVEMENT WERE DISTRIBUTED TO NURSING LEADERSHIP AT THE 2025 LONL CONFERENCE. THIBODAUX REGIONAL WAS RECOGNIZED FOR CLINICAL QUALITY IMPROVEMENT IN CAUTI UTILIZATION, CDI RATE, CLABSI UTILIZATION, FALLS WITH INJURY RATE, HAPI RATE, OPIOID STEWARDSHIP-ED, OPIOID STEWARDSHIP-SURGERY, SEPSIS BUNDLE COMPLIANCE, SEPSIS MORTALITY, POSTOPERATIVE SEPSIS, SSI ABDOMINAL HYSTERECTOMY RATE AND SSI COLON RATE. LEAPFROG HOSPITAL SAFETY GRADE THE LEAPFROG GROUP COLLECTS, ANALYZES, AND PUBLISHES DATA ON THE SAFETY AND QUALITY OF HEALTH CARE. BASED ON THEIR ASSESSMENTS, LETTER GRADES ARE THEN ASSIGNED TO HOSPITALS. THIBODAUX REGIONAL RECEIVED A C GRADE IN THE FALL OF 2024 AND A B GRADE IN THE SPRING OF 2025 FROM THE LEAPFROG GROUP. THE FALL OF 2025 GRADE IS STILL PENDING, HOWEVER THE NUMERIC GRADE IS HIGHER THAN THE SPRING 2025 NUMERIC GRADE SO WE ARE HOPEFUL TO MAINTAIN A B GRADE IF NOT ACHIEVE AN A GRADE.WELLNESSFITNESS CENTERWE ARE A LEADER IN HEALTH AND WELLNESS AND CONTINUE TO MAKE GREAT STRIDES IN IMPROVING THE OVERALL HEALTH AND WELLNESS OF OUR REGION. AT THE COMPLETION OF THE NINTH YEAR OF THE WELLNESS CENTER'S EXISTENCE, THE FITNESS CENTER CONTINUES TO SUPPORT THE HEALTH AND WELLNESS NEEDS OF NEARLY ONE-THIRD OF THE LOCAL POPULATION. ALONG WITH THE POSITIVE INFLUENCE OF THE FITNESS CENTER'S INDOOR ACTIVITIES ON OUR COMMUNITY MEMBERS, THE SPORTS COMPLEX IS NOW ALSO IMPROVING THE HEALTH AND WELLNESS OF OUR REGION THROUGH OUTDOOR FITNESS ACTIVITIES. BY UTILIZING THE MULTIPLE VENUES OF THE SPORTS COMPLEX, INDIVIDUALS OF ALL AGES ARE PARTICIPATING IN MORE PHYSICAL ACTIVITIES THROUGH TENNIS, SOCCER, BEACH VOLLEYBALL, AND BASKETBALL LEAGUES, LESSONS, AND TOURNAMENTS. MORE THAN EVER, THIBODAUX REGIONAL'S WELLNESS CENTER AND SPORTS COMPLEX HAVE MADE A STRONG STATEMENT ABOUT THE IMPORTANCE OF WELLNESS AND WILL CONTINUE TO SERVE AS A FACILITATOR TO IMPROVE THE HEALTH OF OUR COMMUNITY. AT THE START OF OUR FISCAL YEAR, IN NOVEMBER 2024, THE MEDICAL FITNESS ASSOCIATION (MFA) PRESENTED THIBODAUX REGIONAL AS THE RECIPIENTS OF THREE MAJOR AWARDS DURING THE MFA ANNUAL INTERNATIONAL CONFERENCE. THE AWARDS ARE AS FOLLOWS: INDIVIDUAL PROFESSIONAL OF THE YEAR AWARD GREG STOCK CEO CERTIFIED FACILITY OF THE YEAR AWARD THIBODAUX REGIONAL FITNESS CENTER REGIONAL RISING STAR AWARD MATHEW GUIDRY, THIBODAUX REGIONAL FITNESS SPECIALIST</Desc>
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        <OtherCompensationAmt>39470</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDSAY LASSEIGNE</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1128208</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48797</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>9013434</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>284039</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>202</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH CATALYST</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3165 MILLROCK DRIVE SUITE 400</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY SERVICES/SUPPORT</ServicesDesc>
        <CompensationAmt>9916953</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDDATA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>120 INNWOOD DR</AddressLine1Txt>
            <CityNm>COVINGTON</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70433</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SERVICES</ServicesDesc>
        <CompensationAmt>2501119</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>POWER WELLNESS MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>851 OAK CREEK DR</AddressLine1Txt>
            <CityNm>LOMBARD</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60148</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FITNESS CENTER MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>2140408</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CCMMA LA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>224 WEST 18TH STREET APT 8A</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10011</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TELEHEALTH PROVIDER SERVICES</ServicesDesc>
        <CompensationAmt>698610</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BIO-MEDICAL APPLICATIONS OF LOUISIANA L</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>16343 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL CARE SERVICES</ServicesDesc>
        <CompensationAmt>661325</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>287786</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>47999008</AllOtherContributionsAmt>
      <TotalContributionsAmt>48286794</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>318130917</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>318130917</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>318130917</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4125067</TotalRevenueColumnAmt>
        <ExclusionAmt>4125067</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1674394</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1674394</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1674394</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1674394</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1237</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1237</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1237</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-1237</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>618</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>618</TotalRevenueColumnAmt>
        <ExclusionAmt>618</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>FITNESS CENTER REVENUE</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>3617823</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>3617823</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3445212</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA AND VENDING</Desc>
        <BusinessCd>722514</BusinessCd>
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        <ExclusionAmt>1397828</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>1590304</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>27331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4832789</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>425754</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2136927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2723542</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>233877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58865</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>6891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3366</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>12649276</ManagementAndGeneralAmt>
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        <TotalAmt>1674449</TotalAmt>
        <ManagementAndGeneralAmt>1674449</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>82355125</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>16403398</TotalAmt>
        <ProgramServicesAmt>16403398</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>316637269</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>581207552</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>47647781</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1194050</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>2</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleC documentId="RetDoc1039600001">
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      </TotalGrassrootsLobbyingGrp>
      <TotalLobbyingExpendGrp>
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      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
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        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearAmt>1000000</CurrentYearAmt>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
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      <AvgGrassrootsLobbyingExpendGrp>
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        <CurrentYearMinus2Amt>53960</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>58403</CurrentYearMinus1Amt>
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        <TotalAmt>227210</TotalAmt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>2455858</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>459046</DepreciationAmt>
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      <TotalBookValueLandBuildingsAmt>34459646</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
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        <BookValueAmt>121583187</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
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      <OtherAssetsOrgGrp>
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        <Desc>INVESTMENT IN JV IMAGING CENTER</Desc>
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        <Desc>COST REPORT RECEIVABLE MEDICARE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED INTEREST</Desc>
        <Amt>6236450</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE LIABILITY</Desc>
        <Amt>2468232</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>AMOUNTS DUE TO HSD</Desc>
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      <TotalLiabilityAmt>288984487</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH SYSTEM IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HEALTH SYSTEM DID NOT INCUR FEDERAL INCOME TAX EXPENSE FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2023. THE HEALTH SYSTEM UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FASB ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF SEPTEMBER 30, 2025 AND 2024, THE HEALTH SYSTEM HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>325.000000000000</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>0</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>3420936</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3420936</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01080</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>30124677</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>42992133</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>33545613</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>42992133</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3420936</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01080</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>1019620</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1019620</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00320</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>1019620</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1019620</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00320</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>34565233</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>42992133</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4440556</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01400</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>16403398</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1837181</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>52730183</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>49393321</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>3336862</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 TIC JV LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>SUBLEASE OF IMAGING CENTER</PrimaryActivitiesTxt>
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        <OfcrEtcProfitOrOwnershipPct>0.00000</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.15270</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>602 NORTH ACADIA ROAD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <OtherDesc>INPATIENT REHAB</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2025-CHNA-IMPLEMENTATION-STRATEGY.PDF</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>325.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.THIBODAUX.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.THIBODAUX.COM/DOCUMENTS/FINANCIAL-HARDSHIP-APPLICATION-6-2016.PDF</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.THIBODAUX.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THIBODAUX REGIONAL HEALTH SYSTEM, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: PLEASE REFER TO THE CHNA, POSTED ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THIBODAUX REGIONAL HEALTH SYSTEM, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: PLEASE SEE THE IMPLEMENTATION STRATEGY, POSTED ON HOSPITAL'S WEBSITE AT: HTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2025-CHNA-IMPLEMENTATION-STRATEGY.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>30</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - THIBODAUX REGIONAL WOMEN'S CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 500</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - THIBODAUX REGIONAL CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>608 N ACADIA RD</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - THIBODAUX REGIONAL INTERNAL MEDICINE CLI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>400 N ACADIA RD</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>INTERNAL MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - THIBODAUX REGIONAL PEDIATRIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 100</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - THIBODAUX REGIONAL CARDIOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>602 NORTH ACADIA RD STE 101</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - THIBODAUX REGIONAL PAIN MANAGEMENT CLINI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>726 N ACADIA RD STE 2400</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>PAIN MANAGEMENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - THIBODAUX REGIONAL URGENT CARE - HOUMA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1411 ST CHARLES ST</AddressLine1Txt>
            <CityNm>HOUMA</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70360</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - THIBODAUX REGIONAL UROLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>506 N ACADIA RD</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - THIBODAUX REGIONAL URGENT CARE - THIB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2031 AUDUBON AVE</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - THIBODAUX REGIONAL PULMONOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 411</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>PULMONOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - THIBODAUX REGIONAL NEUROLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>726 N ACADIA RD STE 2300</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - THIBODAUX REGIONAL FAMILY MEDICINE CLINI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>114 HIGHWAY 403</AddressLine1Txt>
            <CityNm>PAINCOURTVILLE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70391</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - THIBODAUX REGIONAL FOOT &amp; ANKLE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>290 BOWIE RD</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>PODIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - THIBODAUX REG MULTI-SPECIALTY CLINIC - H</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1238 ST CHARLES ST</AddressLine1Txt>
            <CityNm>HOUMA</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70360</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTI-SPECIALTY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - THIBODAUX REGIONAL CARDIOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2595 HWY 1</AddressLine1Txt>
            <CityNm>LABADIEVILLE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70372</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - THIBODAUX REGIONAL RHEUMATOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>726 N ACADIA RD STE 3400</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>RHEUMATOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - THIBODAUX REGIONAL ENDOCRINOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>726 N ACADIA RD STE 3300</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>ENDOCRINOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - THIBODAUX REGIONAL GASTROENTEROLOGY CLIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD ST 410</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>GASTROENTEROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - THIBODAUX REGIONAL FAMILY MEDICINE CLINI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3928 HIGHWAY 70 SOUTH</AddressLine1Txt>
            <CityNm>PIERRE PART</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70339</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - THIBODAUX REGIONAL BRAIN &amp; SPINE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>726 N ACADIA RD STE 2100</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>BRAIN &amp; SPINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - THIBODAUX REGIONAL WOUND CARE &amp; LIMB PRE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>290 BOWIE RD STE A</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>WOUND CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - THIBODAUX REGIONAL URGENT CARE - GRAY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4218 WEST MAIN ST</AddressLine1Txt>
            <CityNm>GRAY</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70359</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - THIBODAUX REGIONAL MULTISPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4560 HWY 1 STE 3</AddressLine1Txt>
            <CityNm>RACELAND</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70394</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTI-SPECIALTY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - THIBODAUX REGIONAL WEIGHT MANAGEMENT CEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 406A</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>WEIGHT MANAGEMENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - THIOBDAUX REGIONAL FAMILY MEDICINE CLINI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 406A</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - THIBODAUX REGIONAL CARDIOVASCULAR CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 409</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOVASCULAR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - THIBODAUX REGIONAL CARDIOLOGY CLINIC MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>604 N ACADIA RD STE 409</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - THIBODAUX REGIONAL PHYSICAL MEDICINE &amp; R</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>726 N ACADIA RD STE 1700</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - THIBODAUX REGIONAL CARDIOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22080 HWY 20</AddressLine1Txt>
            <CityNm>VACHERIE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70090</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - THIBODAUX REGIONAL IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2033 AUDUBON AVE</AddressLine1Txt>
            <CityNm>THIBODAUX</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70301</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,403,398.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION, BELOW, REFERENCING THE BAD DEBT EXPENSE AUDIT FOOTNOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE OF THE BAD DEBT EXPENSE HAS BEEN INCLUDED IN THE COMMUNITY BENEFIT CALCULATIONS. HOWEVER, HOSPITAL ESTIMATES THAT 11.2 PERCENT OF BAD DEBTS COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THIS ESTIMATE IS BASED ON PATIENT DEMOGRAPHICS, BILLINGS,COLLECTIONS AND OTHER HISTORICAL DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS ON PAGE 23 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PLEASE NOTE THAT BAD DEBT EXPENSE IS NOW REFERRED TO AS IMPLICIT PRICE CONCESSIONS, AS DESCRIBED ON PAGE 15 OF AUDITED FINANCIALS. BAD DEBT EXPENSE REFLECTED IN PART III EQUALS BAD DEBT EXPENSE REFLECTED ON THE ORGANIZATION'S TRIAL BALANCE AND CLASSSIFIED AS IMPLICIT PRICE CONCESSIONS IN THE AUDITED FINANCIAL STATEMENTS.THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITALS FILED 2025 COST REPORT. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DOES NOT INCLUDE ANY MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY OF THIBODAUX REGIONAL HEALTH SYSTEM, INC. ("TRHS") IS TO PROVIDE EMERGENCY CARE AND MEDICALLY NECESSARY CARE ON A NON-PROFIT BASIS TO PATIENTS WITHOUT REGARD TO RACE, CREED, OR ABILITY TO PAY. PATIENTS WHO DO NOT HAVE THE MEANS TO PAY FOR SERVICES PROVIDED AT TRHS FACILITIES MAY REQUEST FINANCIAL ASSISTANCE, WHICH WILL BE AWARDED SUBJECT TO TERMS AND CONDITIONS. THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE PURSUANT TO THIS POLICY ARE INTENDED TO ENSURE THAT TRHS WILL HAVE THE FINANCIAL RESOURCES TO PROVIDE CARE TO PATIENTS WHO ARE IN THE GREATEST FINANCIAL NEED. THIS POLICY APPLIES TO THIBODAUX REGIONAL HEALTH SYSTEM (THE "HOSPITAL") AND ALL TRHS FACILITIES, INCLUDING ANY CARE PROVIDED WITHIN THE HOSPITAL BY A SUBSTANTIALLY-RELATED ORGANIZATION.IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ELIGIBLE AMOUNT IS WRITTEN OFF THE PATIENT ACCOUNT AND ANY PARTIAL REMAINING BALANCE, IF ANY, IS THEN BILLED IN ACCORDANCE WITH THE BILLING AND COLLECTION POLICY AS STATED BELOW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HAVE USED PRC COMMUNITY HEALTH SURVEY TO STUDY AS WELL AS STATISTICS OTHER HEALTH-RELATED DATA FOR THE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>DISPLAYED ON PATIENT STATEMENTS AS WELL AS LOCATED ON OUR WEBSITE. HOSPITAL ALSO HAS AN POLICY INTERNALLY. (PFS - CUSTOMER SERVICE- FINANCIAL HARDSHIP)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITIES INCLUDE ASSUMPTION, LAFOURCHE, ST. JAMES, ST. MARY, AND TERREBONNE PARISHES WHICH IS BASED ON THE ZIP CODES OF RESIDENCE FOR RECENT PATIENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY RESIDES IN THE ORGANIZATION'S PRIMARY SERVICE AREA, TRHS EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY, AND SURPLUS FUNDS ARE USED TO PURCHASE NEW EQUIPMENT WITH ADVANCED TECHNOLOGY, ALONG WITH FACILITY UPGRADES AND ADDITIONS (I.E. NEW CANCER CENTER BUILDING &amp; NEW EQUIPMENT, ADDITIONAL WELLNESS CENTER PHASE II).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>LA</ExplanationTxt>
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          <BusinessNameLine1Txt>NICHOLLS STATE UNIVERSITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>906 E 1ST ST</AddressLine1Txt>
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          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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          <BusinessName>
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      <BusTrInvolveInterestedPrsnGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THIE INITIAL DIRECTORS OF THE CORPORATION WERE LISTED IN THE ARTICLES OF INCORPORATION. SUBSEQUENT DIRECTORS OF THE CORPORATION ARE ELECTED BY A MAJORITY VOTE OF THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS SHARED WITH THE BOARD AHEAD OF FILING AND IS REVIEWED IN DETAIL BY ACCOUNTING DEPARTMENT AHEAD OF FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING INDIVIDUALS: DIRECTORS, OFFICERS, BOARD, OR MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS. ANNUALLY, THE BOARD OF DIRECTORS COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE. ADDITIONALLY, THE BOARD MEMBERS ARE REQUIRED TO SELF DISCLOSE IN THE EVENT OF A POTENTIALK CONFLICT OF INTEREST IS IDENTIFIED OR SUSPECTED. THE BOARD THEN DETERMINES IF A CONFLICT OF INTEREST IS PRESENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS APPLIED UNIFORMLY TO ALL EMPLOYEES BASED ON POSITION OFFERED AND RELATED PRIOR EXPERIENCE. HR DEPARTMENT REVIEWS SURVEY DATA AND THE BOARD APPROVES OFFICER COMPENSATION AND MAKES CONTEMPORANEOUS SUBSTATION OF THE DECISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. BOARD APPROVAL IS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>$34,800 IS FOR PAYMENTS TO HAYNIE AND ASSOCIATES FOR LOBBYING RELATED SERVICES. $12,877 IS FOR THE PORTION OF DUES TO AHA THAT HAS BEEN DEEMED FOR LOBBYING, AND $16,522 IS FOR THE PORTION OF DUES TO LHA THAT HAS BEEN DEEMED FOR LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL PHYSICIAN PARTNERS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>602 N ACADIA RD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <EIN>850884025</EIN>
        <PrimaryActivitiesTxt>CIN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TRPP-ACO LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>602 N ACADIA RD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <EIN>850903901</EIN>
        <PrimaryActivitiesTxt>ACO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL URGENT CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>602 N ACADIA RD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <EIN>872256339</EIN>
        <PrimaryActivitiesTxt>URGENT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL MEDICAL CENTER EMPLOYEE RELIEF FUND INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>602 NORTH ACADIA RD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <EIN>273160403</EIN>
        <PrimaryActivitiesTxt>EMPLOYEE RELIEF</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170(B)(1)(A)(VI)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRHS</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TIC JV LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>602 N ACADIA ROAD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <EIN>814256937</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>377460</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3415973</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.84730</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>602 N ACADIA ROAD</AddressLine1Txt>
          <CityNm>THIBODAUX</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70301</ZIPCd>
        </USAddress>
        <EIN>721335958</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE AND BILLING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THIBODAUX REGIONAL HEALTH SYTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>41749294</ShareOfTotalIncomeAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <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>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TIC JV LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>448552</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TIC JV LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>366300</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>