2025-11-17T14:43:10-06:00 2024-12-31 923320348 EAG GULF COAST LLC 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2024-01-01 720423603 THE RAPIDES FOUNDATION RAPI 3184433394 1101 FOURTH STREET 300 ALEXANDRIA LA 71301 JOSEPH R ROSIER JR CEO 3184433394 2025-11-14 1 0 TRENT MILLICAN P00290301 2259224600 2025-11-14 2024 2025-03-06 01:10:19Z JOSEPH R ROSIER JR 1101 FOURTH STREET SUITE 300 ALEXANDRIA LA 71301 10255274 0 X WWW.RAPIDESFOUNDATION.ORG X 1924 LA THE MISSION OF THE RAPIDES FOUNDATION (TRF) IS TO IMPROVE THE HEALTH STATUS OF CENTRAL LOUISIANA. TRF IS A MEMBER OF RAPIDES HEALTHCARE SYSTEM LLC, WHICH OWNS AND OPERATES RAPIDES REGIONAL MEDICAL CENTER, A 346-BED HOSPITAL IN ALEXANDRIA. ADDITIONALLY, TRF PROVIDES FUNDING FOR PROJECTS WHICH EFFECTIVELY ADDRESS THE FOLLOWING PHILANTHROPIC OBJECTIVES: HEALTHY PEOPLE TO IMPROVE ACCESS TO HEALTHCARE AND PROMOTE HEALTHY BEHAVIORS. EDUCATION TO INCREASE THE LEVEL OF EDUCATIONAL ATTAINMENT AND ACHIEVEMENT AS THE PRIMARY PATH TO IMPROVED ECONOMIC, SOCIAL AND HEALTH STATUS. HEALTHY COMMUNITIES TO IMPROVE ECONOMIC OPPORTUNITY AND FAMILY INCOME; AND ENHANCE CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE LEADERS AND ORGANIZATIONS. 16 15 32 15 0 0 0 0 888941 -2726285 6420118 12981559 0 0 7309059 10255274 15054378 6534393 0 0 2061156 1990263 0 0 0 2985517 3917849 20101051 12442505 -12791992 -2187231 352997972 363056628 22412672 15347657 330585300 347708971 X THE MISSION OF THE RAPIDES FOUNDATION (TRF) IS TO IMPROVE THE HEALTH STATUS OF CENTRAL LOUISIANA. 0 0 ACUTE-CARE HOSPITAL SERVICES THE RAPIDES FOUNDATION IS A MEMBER OF RAPIDES HEALTHCARE SYSTEM LLC (RHS), WHICH OWNS AND OPERATES RAPIDES REGIONAL MEDICAL CENTER (RRMC), A 345-BED HOSPITAL IN ALEXANDRIA, LA. AS AN OWNER OF RHS, TRF SEEKS TO PROVIDE THE HIGHEST STANDARD OF PATIENT CARE, SUPPORT HEALTHCARE ACCESS FOR THE UNINSURED/UNDERSERVED POPULATION, AND MEET THE COMMUNITY BENEFIT STANDARDS UNDER 501(C)(3) AND 501(R) OF THE INTERNAL REVENUE SERVICE CODE. DURING THE TWELVE MONTHS ENDED DECEMBER 31, 2024, RRMC ADMITTED 14,066 PATIENTS, CARED FOR 63,325 PATIENTS IN THE EMERGENCY ROOM, AND FACILITATED 9,241 SURGERIES. RAPIDES HEALTHCARE SYSTEM PROVIDED $3.9 MILLION IN FINANCIAL SUPPORT DURING 2024 TO THE LOUISIANA STATE UNIVERSITY FAMILY PRACTICE RESIDENCY PROGRAM NEAR ITS CAMPUS. IN 2024, THE PROGRAM GRADUATED 6 PHYSICIANS AND ACCEPTED 6 NEW RESIDENTS INTO ITS THREE-YEAR PROGRAM. SINCE ITS BEGINNING IN 1997, THE PROGRAM HAS GRADUATED 148 PRIMARY CARE PHYSICIANS, SUPPORTING ITS MISSION TO ADDRESS THE SHORTAGE OF PRIMARY CARE PHYSICIANS IN THE REGION. CENTRAL LOUISIANA IS DESIGNATED A PRIMARY MEDICAL CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). THE HOSPITAL ALSO SUPPORTS RESIDENTS FROM TULANE UNIVERSITY IN THE AREA OF GYNECOLOGY AND OPHTHALMOLOGY AND FROM LSU IN THE AREA OF ORAL MAXILLOFACIAL SURGERY. IN LATE 2013, AS PART OF THE LOUISIANA GOVERNOR'S PLANS TO PRIVATIZE THE STATE'S SYSTEM OF CHARITY HOSPITALS, REPRESENTATIVES OF RAPIDES HEALTHCARE SYSTEM, THE RAPIDES FOUNDATION AND THE OTHER LARGE COMMUNITY HOSPITAL IN THE REGION REACHED AGREEMENT TO CLOSE THE REGION'S CHARITY HOSPITAL AND MOVE SERVICES TO THE TWO EXISTING HOSPITALS. ACCORDINGLY, THE TWO HOSPITALS AGREED TO PROVIDE EMERGENCY AND INPATIENT SERVICES AS WELL AS ESTABLISH NEW URGENT, PRIMARY AND SPECIALTY CARE CLINICS IN THE COMMUNITY FOR INDIGENT PATIENTS UNDER A COOPERATIVE ENDEAVOR AGREEMENT WITH THE STATE. IN 2024, RAPIDES OPERATED THE HP LONG CLINIC THAT PROVIDED URGENT, PRIMARY AND SPECIALTY CARE TO MEDICAID, MEDICARE AND UNINSURED PATIENTS. DURING THE YEAR 21,017 PATIENTS RECEIVED SERVICES THAT INCLUDED PRIMARY CARE, GENERAL SURGERY, CARDIOLOGY, ORTHOPEDICS, GYNECOLOGY, AND ORAL AND MAXILLOFACIAL SURGERY. ADDITIONALLY, THE RAPIDES FOUNDATION'S CENLA MEDICATION ACCESS PROGRAM (CMAP) PROVIDED 13,377 NO-COST MEDICATIONS TO THESE PATIENTS (AT A WHOLESALE VALUE OF $11.8 MILLION) THROUGH ITS PATIENT ASSISTANCE PROGRAM AND CENTRAL FILL PHARMACY. RAPIDES PROVIDED AN ADDITIONAL 141 PRESCRIPTIONS TO PATIENTS FOR $4 EACH OR LESS THROUGH A PRESCRIPTION CARD PROGRAM FOR A TOTAL RETAIL SAVINGS OF $40,971. IN 2024, RRMC RECEIVED THE FOLLOWING AWARDS AND HONORS:-RAPIDES REGIONAL MEDICAL CENTER HAS BEEN AWARDED A THREE-YEAR TERM OF ACCREDITATION IN POSITRON EMISSION TOMOGRAPHY (PET) AS THE RESULT OF A RECENT REVIEW BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR GOLD SEAL OF ACCREDITATION REPRESENTS THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY. IT IS AWARDED ONLY TO FACILITIES MEETING ACR PRACTICE PARAMETERS AND TECHNICAL STANDARDS AFTER A PEER-REVIEW EVALUATION BY BOARD-CERTIFIED PHYSICIANS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD.-RAPIDES REGIONAL MEDICAL CENTER WAS NAMED BEST IN THE STATE FOR CANCER CARE, CORONARY BYPASS SURGERY AND VASCULAR SURGERY IN THE 2024 QUALITY AWARDS FROM CARECHEX BY QUANTROS.-IN ADDITION TO THE TOP DESIGNATIONS IN LOUISIANA IN MEDICAL EXCELLENCE, RAPIDES REGIONAL MEDICAL CENTER ACHIEVED TOP 100 AND TOP 10 PERCENT IN THE NATION RANKING IN CANCER CARE, MAJOR CARDIAC SURGERY, CORONARY BYPASS SURGERY AND GALL BLADDER REMOVAL. OVERALL SURGICAL CARE ALSO WAS HONORED BY PLACING IN THE TOP 10 PERCENT IN THE NATION.-OVERALL SURGICAL CARE, CANCER CARE, MAJOR CARDIAC SURGERY, CORONARY BYPASS SURGERY AND GALL BLADDER REMOVAL WERE AMONG THE TOP 10 PERCENT IN THE REGION, WHICH IS BASED ON THE FOUR U.S. CENSUS REGIONS. RAPIDES REGIONAL MEDICAL CENTER RANKED IN THE TOP 10 PERCENT IN THE STATE IN 10 CLINICAL CATEGORIES OVERALL HOSPITAL CARE, OVERALL SURGICAL CARE, CANCER CARE, CARDIAC CARE, MAJOR CARDIAC SURGERY, CORONARY BYPASS SURGERY, GALL BLADDER REMOVAL, INTERVENTIONAL CORONARY CARE, ORTHOPEDIC CARE AND VASCULAR SURGERY.-IN PATIENT SAFETY, RAPIDES REGIONAL MEDICAL CENTER RANKED IN THE TOP 10 PERCENT NATIONALLY IN GALL BLADDER REMOVAL, HEART FAILURE TREATMENT, PULMONARY CARE AND STROKE CARE. IT RANKED IN THE TOP 10 PERCENT IN THE STATE IN CARDIAC CARE, GALL BLADDER REMOVAL, HEART FAILURE TREATMENT, HIP FRACTURE CARE, MAJOR NEUROSURGERY, PULMONARY CARE AND STROKE CARE, WHILE RANKING IN THE TOP 10 PERCENT IN THE REGION IN GALL BLADDER REMOVAL, PULMONARY CARE AND STROKE CARE.-THE RAPIDES REGIONAL MEDICAL CENTER SCHOOL OF PHLEBOTOMY HAS BEEN AWARDED CONTINUING ACCREDITATION FOR 10 YEARS BY THE NATIONAL ACCREDITING AGENCY FOR CLINICAL LABORATORY SCIENCES (NAACLS) THE LONGEST ACCREDITATION TIME FRAME POSSIBLE. THE RAPIDES REGIONAL SCHOOL OF PHLEBOTOMY IS THE ONLY NAACLS ACCREDITED HOSPITAL-BASED PROGRAM IN THE FOUR-STATE REGION OF ARKANSAS, LOUISIANA, MISSISSIPPI AND TEXAS.-RAPIDES REGIONAL MEDICAL CENTER HAS ACHIEVED REDESIGNATION AS A PATHWAY TO EXCELLENCE FACILITY BY THE AMERICAN NURSES CREDENTIALING CENTER, RECOGNIZING THE HOSPITAL'S COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. RAPIDES REGIONAL MEDICAL CENTER IS THE ONLY PATHWAY TO EXCELLENCE FACILITY IN LOUISIANA. IT FIRST ACHIEVED PATHWAY TO EXCELLENCE DESIGNATION IN 2018.-RAPIDES REGIONAL MEDICAL CENTER HAS BEEN HONORED FOR EXCELLENCE IN THE FOLLOWING SPECIALTY CARE AREAS IN THE HEALTHGRADES AMERICA'S BEST SPECIALTY EXCELLENCE AWARDS:-CARDIAC FIVE-STAR RECIPIENT FOR TREATMENT OF HEART FAILURE-CRITICAL CARE RECIPIENT OF HEALTHGRADES 2025 CRITICAL CARE EXCELLENCE AWARD; NAMED AMONG TOP 10 PERCENT IN NATION FOR CRITICAL CARE; FIVE-STAR RECIPIENT FOR TREATMENT OF SEPSIS; FIVE-STAR RECIPIENT FOR TREATMENT OF PULMONARY EMBOLISM; FIVE-STAR RECIPIENT FOR TREATMENT OF DIABETIC EMERGENCIES FOR 3 YEARS IN A ROW-GASTROINTESTINAL CARE FIVE-STAR RECIPIENT FOR COLORECTAL SURGERIES; FIVE-STAR RECIPIENT FOR TREATMENT OF GI BLEED; FIVE-STAR RECIPIENT FOR GALLBLADDER REMOVAL SURGERY-NEUROSCIENCES FIVE-STAR RECIPIENT FOR CRANIAL NEUROSURGERY; FIVE-STAR RECIPIENT FOR TREATMENT OF STROKE-ORTHOPEDICS FIVE-STAR RECIPIENT FOR HIP FRACTURE TREATMENT FOR 5 YEARS IN A ROW-PULMONARY CARE - RECIPIENT OF HEALTHGRADES 2025 PULMONARY CARE EXCELLENCE AWARD; NAMED AMONG TOP 5 PERCENT IN NATION FOR OVERALL PULMONARY SERVICES; FIVE-STAR RECIPIENT FOR TREATMENT OF PNEUMONIA-VASCULAR CARE FIVE-STAR RECIPIENT FOR CAROTID SURGERY FOR 3 YEARS IN A ROW RRMC IS VERIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. A LEVEL II TRAUMA CENTER PROVIDES THE SECOND HIGHEST LEVEL OF SURGICAL CARE TO TRAUMA PATIENTS. THE HOSPITAL IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER AND AN ACCREDITED CHEST PAIN CENTER FROM THE JOINT COMMISSION. RAPIDES REGIONAL MEDICAL CENTER HOLDS THE FOLLOWING ACCREDITATIONS AND CERTIFICATIONS THAT DEMONSTRATE ITS COMMITMENT TO A HIGHER STANDARD OF CARE: ADVANCED CERTIFICATION IN STROKE (PRIMARY STROKE CENTER), COMMISSION ON CANCER ACCREDITATION, JOINT COMMISSION ON NATIONAL QUALITY APPROVAL GOLD SEAL, CERTIFIED CARDIAC REHABILITATION PROGRAM, CHEST PAIN CENTER CERTIFICATION, COMPUTED TOMOGRAPHY ACCREDITATION GOLD SEAL, NUCLEAR MEDICINE GOLD SEAL ACCREDITATION, COMPUTED TOMOGRAPHY GOLD SEAL ACCREDITATION, MRI GOLD SEAL ACCREDITATION, MAMMOGRAPHY GOLD SEAL ACCREDITATION, VASCULAR TESTING ACCREDITATION, AND CAP LABORATORY ACCREDITATION. 3658552 496057 0 HEALTHY PEOPLE TRF PROVIDED CHRONIC CARE PRESCRIPTION MEDICATIONS FOR PEOPLE WHO CANNOT AFFORD THEM THROUGH A $1,148,300 TWO-YEAR GRANT FOR THE YEARS 2023 AND 2024 TO ITS SUPPORTING ORGANIZATION, CENLA MEDICATION ACCESS PROGRAM (CMAP). CMAP'S PATIENT ASSISTANCE PROGRAM (PAP) LOCATES CMAP STAFF NEAR PHYSICIAN OFFICES THROUGHOUT CMAP'S PRIMARY NINE-PARISH SERVICE AREA. THESE PAP SPECIALISTS COMPLETE APPLICATIONS FOR PATIENTS WHO ARE UNABLE TO AFFORD THEIR MEDICATION TO RECEIVE FREE CHRONIC CARE MEDICATIONS THROUGH DRUG MANUFACTURERS' PATIENT ASSISTANCE PROGRAMS. PATIENTS ALSO RECEIVE MEDICATIONS AND DIABETIC SUPPLIES THROUGH CMAP'S CENTRAL FILL PHARMACY, WHICH AS OF END OF 2024 HAD CONTRACTS TO WORK WITH AND PROVIDE PHARMACEUTICALS FROM THIRTEEN MAJOR COMPANIES. ADDITIONALLY, RAPIDES REGIONAL MEDICAL CENTER (RRMC) CONTRACTS WITH CMAP TO PROVIDE OUTPATIENT PHARMACY SERVICES TO THE PATIENTS OF OUTPATIENT CLINICS SERVING THE INDIGENT. DURING 2024, CMAP PROVIDED 13,766 FREE PRESCRIPTION MEDICATIONS TO PATIENTS, REPRESENTING A WHOLESALE COST SAVINGS OF $11.8 MILLION. CMAP EXTRA, A PRESCRIPTION-SAVINGS PROGRAM DESIGNED TO HELP LOWER FAMILIES' MEDICATION COSTS, IS AVAILABLE TO EVERYONE REGARDLESS OF AGE OR INCOME. DURING 2024, 141 PRESCRIPTIONS WERE FILLED, FOR A TOTAL RETAIL SAVINGS OF $40,971. IN 2024, IN SUPPORT OF ITS SUPPORTED ORGANIZATION'S (THE RAPIDES FOUNDATION) HEALTHCARE ACCESS INITIATIVE, CMAP'S CANCER SCREENING PROJECT PROVIDED FREE MAMMOGRAMS, PAP SMEARS, PELVIC EXAMS AND COLORECTAL CANCER TESTS TO 545 UNINSURED AND UNDERINSURED PATIENTS WHO COULDN'T AFFORD THESE CRITICAL SCREENINGS. THESE TESTS ARE BROUGHT TO RURAL AREAS THROUGH A CANCER SCREENING VAN. THE VAN IS A PARTNERSHIP BETWEEN THE RAPIDES FOUNDATION, CMAP, THE FEIST-WEILLER CANCER CENTER AT LSU HEALTH SCIENCES CENTER -- SHREVEPORT AND THE LSU FAMILY MEDICINE RESIDENCY IN ALEXANDRIA. THROUGH THE MOBILE UNIT PATIENTS RECEIVED 50 CERVICAL SCREENINGS, 421MAMMOGRAMS. ALSO, APPROXIMATELY 74 WOMEN AND MEN RECEIVED TAKE-HOME COLORECTAL CANCER SCREENING TESTS. CMAP ALSO ADMINISTERS THE COMMUNITY HEALTH ADVISOR (CHA) PROJECT, A COMMUNITY-BASED PROGRAM DESIGNED TO TRAIN COMMUNITY VOLUNTEERS TO HELP EDUCATE THEIR PEERS ABOUT THE IMPORTANCE OF CANCER SCREENINGS. ONCE TRAINED BY THE CANCER SCREENING PROJECT COMMUNITY HEALTH ADVISOR, THESE VOLUNTEERS WILL PROVIDE EDUCATION, OUTREACH AND INFORMATION TO MEN AND WOMEN THROUGHOUT CENTRAL LOUISIANA. THE GOAL IS TO ENCOURAGE RESIDENTS TO PRACTICE EARLY DETECTION OF COLON, BREAST AND CERVICAL CANCER WHILE IT IS IN THE MOST TREATABLE STAGES. TRF ALSO CONTINUED TO ADDRESS THE SHORTAGE OF HEALTHCARE PROFESSIONALS IN RURAL COMMUNITIES. THE FOUNDATION PROVIDES FUNDS TO NORTHWESTERN STATE UNIVERSITY, LOUISIANA STATE UNIVERSITY OF ALEXANDRIA AND THE CENTRAL LOUISIANA TECHNICAL AND COMMUNITY COLLEGE NURSING PROGRAMS TO SUPPORT NURSING INSTRUCTION. TRF PROVIDED FUNDING IN THE FORM OF A $1,105,253 TWO-YEAR GRANT FOR THE YEARS 2023 AND 2024 TO CMAP'S HEALTHY LIFESTYLE PROGRAM, WHICH PROVIDES DEMONSTRATION AND EDUCATION ON PROPER NUTRITION AND PHYSICAL ACTIVITY FOR GOOD HEALTH AND IS DESIGNED TO FIGHT OBESITY IN CENTRAL LOUISIANA. THE GOAL OF THIS PROGRAM, THROUGH PHYSICIAN REFERRAL, COMMUNITY TOOLS, AND WORKPLACE EDUCATION, IS TO PROVIDE CENTRAL LOUISIANA RESIDENTS WITH RESOURCES TO LEAD HEALTHY LIFESTYLES. THIS PROGRAM IS COORDINATED BY A REGISTERED AND LICENSED DIETITIAN AND EMPLOYS AN EXERCISE SPECIALIST. CLIENTS RECEIVE ONE-ON-ONE CONSULTATION WITH THE DIETITIAN AND EXERCISE SPECIALIST FOR PERSONALIZED MEAL PLANNING AND EXERCISE. THE PROGRAM IS DESIGNED TO WORK WITH CLIENTS FOR AT LEAST 3 TO 6 MONTHS, TRACKING THEIR PROGRESS WITH EATING HABITS, BEHAVIOR CHANGES, WEIGHT AND INCHES LOST, AND EDUCATING CLIENTS ON PROPER NUTRITION AND PHYSICAL ACTIVITY. IN 2024, 359 PATIENTS PARTICIPATED IN THE CMAP HEALTHY LIFESTYLE PROGRAM. TRF PARTNERED WITH 106 CENTRAL LOUISIANA K-12 SCHOOLS IN EIGHT PARISHES THROUGH $419,550 IN HEALTHY BEHAVIORS GRANTS. IN THE 2023-2024 SCHOOL YEAR, 46,527 STUDENTS PARTICIPATED IN PROJECTS AND ACTIVITIES THAT POSITIVELY IMPACT STUDENTS AND SCHOOL PERSONNEL IN THE AREAS OF TOBACCO PREVENTION AND CONTROL, SUBSTANCE AND ALCOHOL ABUSE PREVENTION, PHYSICAL ACTIVITY, AND NUTRITION. WHILE THE PROJECTS VARIED, SCHOOLS USED THE FUNDS FOR PHYSICAL EDUCATION EQUIPMENT, SUPPLIES AND CURRICULA; FOR TRAINING AND SUPPORT FOR TAKE DOWN TOBACCO ACTIVITIES, NATIONAL DRUG AND ALCOHOL FACTS WEEK AND LIVING HEALTHY CLUBS; AND FOR PROFESSIONAL DEVELOPMENT AND CERTIFICATION FOR NUTRITION STAFF. THE GOAL IS TO PROVIDE STUDENTS, STAFF AND TEACHERS WITH THE KNOWLEDGE AND SKILLS NECESSARY TO MAKE BETTER AND MORE INFORMED BEHAVIOR DECISIONS LEADING TO HEALTHIER LIVES. IN OCTOBER 2024, APPROXIMATELY 424 STUDENTS AND TEACHERS FROM SEVEN CENTRAL LOUISIANA SCHOOL DISTRICTS PARTICIPATED IN THE YOUTH SUMMIT ON HEALTHY BEHAVIORS. THE ANNUAL EVENT PROVIDES STUDENTS WITH AN OPPORTUNITY TO LEARN HOW TO BECOME ADVOCATES FOR HEALTHY CHOICES AND POLICY CHANGE IN THEIR SCHOOLS AND COMMUNITIES. IN ADDITION TO SCHOOL DISTRICT GRANTS, TRF AWARDED $542,593 TO SUPPORT TWO THREE-YEAR STRENGTHENING FAMILIES PROGRAM GRANTS. THE GRANTS FUNDED ORGANIZATIONS TO IMPLEMENT THE EVIDENCE-BASED FAMILY SKILLS TRAINING PROGRAM DESIGNED TO SUPPORT PREVENTION OF SUBSTANCE AND ALCOHOL MISUSE. THE RAPIDES FOUNDATION'S GOALS FOR HEALTHY PEOPLE ARE:ACCESS:OUTCOME #1 - INCREASED MEDICATION COMPLIANCE. REDUCED ADULTS REPORTING COST AS BARRIER FOR PRESCRIPTIONS. OUTCOME #2 - INCREASED EARLY DETECTION OF CANCER. INCREASED SCREENING RATES FOR: MAMMOGRAPHY TO 80%, CERVICAL TO 82%, AND COLON CANCER TO 69%.OUTCOME #3 - INCREASED QUALITY OF PRIMARY CARE. REDUCE ADULTS REPORTING BARRIERS TO FINDING A DR TO 12%. STABILIZE PREVALENCE OF CHRONIC DISEASE: HEART DISEASE, CANCER, AND DIABETES.OUTCOME #4 - REDUCED SHORTAGES IN MEDICAL STAFF. INCREASE % SHARE OF HEALTHCARE EMPLOYMENT.HEALTHY BEHAVIORS:OUTCOME #1 - INCREASED CONSUMPTION OF HEALTHY FOODS AND INCREASED ACTIVE LIVING INCREASE MEETING PHYSICAL ACTIVITY RECOMMENDATIONS: FOR ADULTS TO 20% AND FOR YOUTH TO 42%. INCREASE ADULTS CONSUMING 5+ SERVINGS OF FRUITS AND VEGETABLES DAILY TO 30%. INCREASE YOUTH CONSUMING 5+ FRUITS/VEGETABLES SERVINGS DAILY TO 17%. OUTCOME #2 - REDUCED INITIATION AND INCREASED CESSATION FOR SMOKING, ALCOHOL, AND SUBSTANCES DECREASE INITIATION BEFORE AGE 13 TO 6% FOR SMOKING, 22% FOR ALCOHOL, 5% FOR MARIJUANA. DECREASE LIFETIME USE IN YOUTH TO 22% FOR SMOKING, 53% FOR ALCOHOL, AND 41% FOR SUBSTANCES. INCREASE SMOKING QUIT ATTEMPTS IN ADULTS AND IN YOUTH TO 58%. 6517854 3147434 0 EDUCATION -- DURING 2024, THE RAPIDES FOUNDATION PROVIDED $1.5 MILLION IN GRANTS TO THE NINE PUBLIC SCHOOL DISTRICTS IN TRF'S SERVICE AREA. THE GRANTS WERE USED FOR TARGETED PROFESSIONAL DEVELOPMENT, COACHING AND MENTORING OF TEACHERS; LEADERSHIP DEVELOPMENT FOR ADMINISTRATORS; AND FUNDING TO ALLOW THE DISTRICTS TO PARTICIPATE IN INSTITUTES PROVIDED BY THE ORCHARD FOUNDATION. THE ORCHARD FOUNDATION'S WORK IN COLLEGE AND CAREER READINESS ENCOMPASSES THREE AREAS THE CENLA WORK READY NETWORK, COLLEGE AND CAREER COACHING FOR HIGH SCHOOL STUDENTS, AND JUMP START PROGRAMS TO EXPOSE CENLA EDUCATORS AND STUDENTS TO CAREER OPPORTUNITIES IN THE CENTRAL LOUISIANA REGION. THE CENLA WORK READY NETWORK IS A SYSTEM DESIGNED TO LINK EDUCATION WITH WORKFORCE DEVELOPMENT EFFORTS AND ALIGN THEM WITH REGIONAL ECONOMIC NEEDS. DURING 2024, ALL PUBLIC HIGH SCHOOLS IN THE FOUNDATION'S SERVICE AREA, CENTRAL LOUISIANA TECHNICAL COMMUNITY COLLEGE CAMPUSES, AND REGIONAL BUSINESS AND CAREER SOLUTIONS CENTERS ACCESSED ACT'S WORKKEYS CURRICULUM, A CAREER TRAINING COURSE THAT PREPARES STUDENTS FOR CERTIFICATION WITH WORKKEYS ASSESSMENTS. WORKKEYS IS A JOB SKILLS ASSESSMENT SYSTEM MEASURING REAL WORLD SKILLS THAT EMPLOYERS BELIEVE ARE CRITICAL TO JOB SUCCESS. WORKKEYS ASSESSES THREE CORE AREAS: APPLIED MATHEMATICS; WORKPLACE DOCUMENTS; AND GRAPHIC LITERACY; WHICH DETERMINES A STUDENT'S NATIONAL CAREER READINESS CERTIFICATE (NCRC) LEVEL, AN OBJECTIVE DOCUMENTATION OF AN EMPLOYEE'S SKILLS THAT CAN BE ACCEPTED NATIONWIDE. DURING THE 2023-2024 SCHOOL YEAR, 4,146 STUDENTS PARTICIPATED IN ACT'S WORKKEYS CURRICULUM TRAINING, AND 5,040 NATIONAL CAREER READINESS CERTIFICATES WERE EARNED BY CENLA RESIDENTS. IN 2024, THE ORCHARD FOUNDATION CONTINUED ITS PARTNERSHIP WITH THE LOUISIANA CENTRAL, CENTRAL LOUISIANA'S REGIONAL ECONOMIC DEVELOPMENT ORGANIZATION, TO ASSIST EMPLOYERS IN UTILIZING WORKKEYS AND THE NCRC IN THEIR HIRING PROCESSES. ALL NINE PARISHES IN THE ORCHARD FOUNDATION SERVICE AREA ARE ACT CERTIFIED WORK READY COMMUNITIES: ALLEN, AVOYELLES, CATAHOULA, GRANT, LASALLE, NATCHITOCHES, RAPIDES, VERNON, AND WINN. DURING THE 2023-2024 SCHOOL YEAR, THE ORCHARD FOUNDATION PARTNERED WITH CAREER COMPASS OF LA TO WORK WITH AREA SCHOOL DISTRICTS TO PROVIDE COLLEGE AND CAREER COACHING SERVICES IN ALL HIGH SCHOOLS AND MIDDLE SCHOOLS IN THE SERVICE REGION. A TOTAL OF 4,870 STUDENTS WERE SEEN IN GRADES 8 THROUGH 12 BY COLLEGE AND CAREER COACHES. CAREER SEMINARS WERE ATTENDED BY ANOTHER 21,463 STUDENTS IN GRADES 6 THROUGH 12. 95.38% OF THE SENIORS COUNSELED APPLIED TO A POSTSECONDARY PROGRAM. THE WORKPLACE EXPERIENCE EXCHANGE (WEE) CAMPS GIVE TEACHERS THE OPPORTUNITY TO ENGAGE IN BUSINESS AND INDUSTRY ACTIVITIES TO LEARN HOW CLASSROOM CONTENT AND LEARNING STRATEGIES ARE APPLIED IN THE WORKPLACE. THREE SEPARATE WEE CAMPS WERE HELD IN SUMMER 2024: WEE CAMP I, WEE CAMP II, AND WEE CAMP ELEMENTARY. A TOTAL OF 57 TEACHERS PARTICIPATED IN THE CAMPS AND COMPLETED A SMALL GROUP ACTIVITY ON THE FINAL DAY THAT INCLUDED A PRESENTATION OF A CAREER LESSON PLAN. ORCHARD HELD ITS ANNUAL STUDENTS EXPLORING CAREER OPPORTUNITIES EXPO (SECO) IN LATE FALL 2024. SECO IS A TWO-DAY EVENT THAT INTRODUCES 10TH GRADERS TO CAREER POSSIBILITIES. A TOTAL OF 2,306 STUDENTS PARTICIPATED. 66 VOLUNTEERS ASSISTED AND 70 EXHIBITS WERE AVAILABLE FOR STUDENTS TO ENGAGE WITH INDUSTRY PARTNERS. IN THE 2023-2024 ACADEMIC YEAR, THE ORCHARD FOUNDATION CONTINUED TO ADMINISTER SCHOOL READINESS INSTITUTES FOR CENTRAL LOUISIANA PRE-K, HEAD START AND CHILDCARE PROVIDERS THAT PARTICIPATE IN THE STATE OF LOUISIANA'S EARLY CHILDHOOD COMMUNITY NETWORKS. THE NETWORKS SEEK TO EXPAND ACCESS TO HIGH QUALITY, PUBLICLY FUNDED EARLY CHILDHOOD EDUCATION PROGRAMS. IN THE SCHOOL YEAR 2023-2024, ORCHARD ADMINISTERED 11 TRAININGS REACHING 134 EDUCATORS AND PROVIDERS. TO EXPAND COACHING CAPACITY IN THE REGION, ORCHARD PROVIDES OPPORTUNITIES FOR INDIVIDUALS TO BECOME CERTIFIED AS MAKING THE MOST OF CLASSROOM INTERACTIONS (MMCI) / CLASS GROUP COACHING (CGC) INSTRUCTORS THROUGH TEACHSTONE. TOF'S CURRENT MMCI INSTRUCTORS HAVE CONTINUED TO PROVIDE MMCI WORKSHOPS THROUGHOUT THE REGION. ORCHARD HAS TRAINED A TOTAL OF 20 PRE-K INSTRUCTORS FOR THE REGION, AND 7 IN INFANT/TODDLER. THE ORCHARD FOUNDATION CREATED AND LED TWO FAMILY EARLY LITERACY PROGRAMS, READ TO SOAR AND MATH TO BUILD ON. IN 2024, ORCHARD LED 15 READ TO SOAR WORKSHOPS, REACHING 187 CHILDREN FROM 143 FAMILIES. 4,200 BOOKS WERE DISTRIBUTED TO PARTICIPANTS. ORCHARD ALSO LED 12 MATH TO BUILD ON WORKSHOPS IN 2024, REACHING 137 CHILDREN FROM 102 FAMILIES. 2,935 BOOKS WERE DISTRIBUTED TO PARTICIPANTS. THE ORCHARD FOUNDATION CREATED AND DELIVERED TWO ENHANCED COACHING PROGRAMS FOR EARLY LEARNING CENTER DIRECTORS: ENHANCED INSTRUCTIONAL LEADERSHIP INSTITUTE FOR EARLY LEARNING LEADERS (E-ILI) AND ENHANCED BUSINESS LEADERSHIP INSTITUTE FOR EARLY LEARNING LEADERS (E-BLI). BOTH INSTITUTES ARE DESIGNED FOR EARLY LEARNING CENTER LEADERS IN ANY SETTING. FAMILY CHILDCARE, TYPE I, II, AND III CENTERS, AND HEAD START AND EARLY HEAD START DIRECTORS WHO HAVE COMPLETED OUR COACHING PROGRAMS, BUSINESS LEADERSHIP INSTITUTE AND INSTRUCTIONAL LEADERSHIP INSTITUTE, ARE ELIGIBLE TO PARTICIPATE. EACH INSTITUTE RUNS FOR 10 MONTHS, WITH SESSIONS BEGINNING IN AUGUST AND ENDING IN MAY. EACH MODULE BEGINS WITH A READ AND REFLECT ASSIGNMENT, FOLLOWED BY A WHOLE-GROUP CONTENT SESSION. THESE SESSIONS ARE FOLLOWED BY ONE-ON-ONE COACHING ON THE CONTENT AND ASSIGNMENTS. THE MAXIMUM CAPACITY FOR THE E-ILI AND E-BLI COHORTS IS 15. IN THE 2023-2024 ACADEMIC YEAR, 8 EARLY LEARNING CENTER DIRECTORS COMPLETED E-ILI, AND 7 EARLY LEARNING CENTER DIRECTORS COMPLETED E-BLI. THE ORCHARD FOUNDATION HOSTED A COHORT OF 29 CHILDCARE DIRECTORS IN 2023-2024 TO PARTICIPATE IN A SCIENCE OF READING TRAINING, GROWING READING BRAINS. THE PROGRAM RAN FROM AUGUST TO MAY AND PROVIDED EDUCATORS AND LEADERS WITH NEARLY 40 HOURS OF PRACTICAL PROFESSIONAL DEVELOPMENT, WHICH WAS IMMEDIATELY APPLICABLE TO THE EARLY CHILDHOOD CLASSROOM. DURING 2023-2024, THE ORCHARD FOUNDATION COORDINATED KAGAN INSTRUCTIONAL INSTITUTES FOR 43 AREA EDUCATORS. THE INSTITUTES FEATURED HANDS-ON CURRICULUM AND MATERIALS THAT ARE ENGAGING, RIGOROUS AND MOTIVATING FOR STUDENTS AND THAT CAN IMMEDIATELY BE BROUGHT BACK INTO THE CLASSROOM AND IMPLEMENTED IN A COOPERATIVE LEARNING MODEL. ORCHARD ALSO HELD TRAININGS FOR NEW AND ASPIRING LEADERS IN AREA SCHOOLS. THE PROGRAM IS DESIGNED FOR TEACHERS WHO ARE DEDICATED TO IMPROVING THE BEST PRACTICES IN INSTRUCTION AND LEADERSHIP. 77 PARTICIPANTS WERE TRAINED IN THE 5 DIMENSIONS OF TEACHING AND LEARNING FRAMEWORK BY THE UNIVERSITY OF WASHINGTON CENTER FOR EDUCATIONAL LEADERSHIP. THROUGHOUT THE YEAR THEY HAD THE OPPORTUNITY TO COLLABORATE AND OBSERVE OTHERS TO DEVELOP THE EXPERTISE NEEDED TO RECOGNIZE HIGH QUALITY INSTRUCTION. THE LEADING FOR BETTER INSTRUCTION PROGRAM ALLOWS ASSISTANT PRINCIPALS AND PRINCIPALS TO DEVELOP THEIR LEADERSHIP SKILLS IN GUIDING AND SUPPORTING TEACHERS' PROFESSIONAL LEARNING. 55 ASSISTANT PRINCIPALS AND PRINCIPALS WERE ALSO TRAINED IN THE 5 DIMENSIONS OF TEACHING AND LEARNING AND 4 DIMENSIONS OF INSTRUCTIONAL LEADERSHIP. A DISTRICT LEADERS/SUPERINTENDENTS NETWORK WAS ESTABLISHED TO PROVIDE SESSIONS FOR SUPERINTENDENTS AND KEY CENTRAL OFFICE LEADERS, FOCUSED ON THE ROLE OF CENTRAL OFFICE LEADERSHIP IN DEVELOPING AND SUPPORTING PRINCIPAL INSTRUCTIONAL LEADERSHIP. 62 LEADERS PARTICIPATED.THE RAPIDES FOUNDATION'S GOALS FOR ITS EDUCATION WORK ARE: OUTCOME #1 INCREASED ACADEMIC PERFORMANCE IN PREK-12 INCREASE 3RD & 8TH GRADE STUDENT ACHIEVEMENT AT BASIC FOR CORE SUBJECTS TO 75%. INCREASE 3RD & 8TH GRADE STUDENT ACHIEVEMENT AT MASTERY FOR CORE SUBJECTS TO 27.5%. INCREASE AVERAGE ACT SCORE FOR HIGH SCHOOL STUDENTS TO 19.2. INCREASE HIGH SCHOOL STUDENTS ACHIEVING AP SCORES >3 TO 43%. OUTCOME #2 - IMPROVED SCHOOL READINESS FOR YOUTH AGES 0-6 YEARS OLD. INCREASE KINDERGARTEN READINESS TO 13%.OUTCOME #3 - ENHANCED CAREER AND POSTSECONDARY READINESS FOR HIGH SCHOOL STUDENTS. INCREASE FRESHMEN ENROLLMENT IN 2- & 4-YEAR INSTITUTIONS TO 55%. INCREASE CAREER CERTIFICATIONS TO 4,500. INCREASE GOLD NCRCS TO 900 & PLATINUM NCRCS TO 600. 0 2890902 0 HEALTHY COMMUNITIES -- HEALTHY COMMUNITIES FOCUSES ON IMPROVING ECONOMIC OPPORTUNITY AND FAMILY INCOME; AND ENHANCING CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE LEADERS AND ORGANIZATIONS. IT CONSIST OF THE ECONOMIC ENVIRONMENT INITIATIVE AND THE SOCIAL ENVIRONMENT INITIATIVE. THE RAPIDES FOUNDATION'S ECONOMIC ENVIRONMENT INITIATIVE MAKES THE LINK BETWEEN HEALTHY ECONOMIES AND HEALTHY PEOPLE. HEALTHY ECONOMIES WITH LOW UNEMPLOYMENT RATES AND HIGHER WAGE JOBS PROVIDE PEOPLE WITH THE MEANS TO PURCHASE MEDICAL INSURANCE, MAKE BETTER HEALTHCARE CHOICES AND LIVE HEALTHIER LIFESTYLES. THE WORK THAT TAKES PLACE UNDER THE ECONOMIC ENVIRONMENT INITIATIVE IS DESIGNED TO HELP RAISE THE STANDARD OF LIVING IN CENTRAL LOUISIANA BY IMPROVING THE REGION'S CAPACITY TO PRODUCE HIGHER WAGE JOBS FOR ALL INCOME LEVELS AND GENERATE MORE WEALTH IN ITS COMMUNITIES. TRF CONTINUED TO MONITOR THE WORK OF LOUISIANA CENTRAL'S 2022 INFRASTRUCTURE GRANT AND THE BUSINESS ACCELERATION SYSTEM (BAS) GRANT. THE INFRASTRUCTURE GRANT SUPPORTS LOUISIANA CENTRAL, AS THE VEHICLE TO BUILD COOPERATION, COORDINATION, TEAMWORK, AND SOCIAL COHESIVENESS FOR REGIONAL ECONOMIC DEVELOPMENT OBJECTIVES. THESE EFFORTS ARE KEY TO BUSINESS EXPANSION, RETENTION AND RECRUITMENT IN CENTRAL LOUISIANA. THE BAS PROVIDES TECHNICAL ASSISTANCE, COACHING AND MENTORING SERVICES FOR ENTREPRENEURS AND SMALL BUSINESS OWNERS WHO WANT TO START OR GROW THEIR BUSINESSES. CENTRAL LOUISIANA MAINTAINED ITS STATUS AS A FULLY ACT WORK READY CERTIFIED REGION. THIS CERTIFICATION DEMONSTRATES THE HIGH LEVEL OF SKILLS IN OUR WORKFORCE. MAINTAINING THIS STATUS RELIES HEAVILY ON BUILDING A GROWING BASE OF EMPLOYEES AND POTENTIAL EMPLOYEES WHO HAVE EARNED ACT'S NATIONAL CAREER READINESS CERTIFICATE. THESE IMPORTANT, NATIONALLY PORTABLE CREDENTIAL SHOWS EMPLOYERS THE CALIBER OF SKILLS DEMONSTRATED BY POTENTIAL EMPLOYEES. ALL OF THIS ENHANCES CENTRAL LOUISIANA'S ABILITY TO RECRUIT, RETAIN AND EXPAND BUSINESSES WITHIN THE REGION. TRF'S SOCIAL ENVIRONMENT INITIATIVE ADDRESSES SOCIAL CAPITAL BY SUPPORTING LEADERSHIP AND NONPROFIT DEVELOPMENT AND INCREASED COMMUNITY AND CIVIC ENGAGEMENT THROUGH FOUNDATION FUNDING PROVIDED TO ITS COMMUNITY DEVELOPMENT WORKS PROGRAM. COMMUNITY DEVELOPMENT WORKS PROVIDES AN INTEGRATED APPROACH TO ENHANCE CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE NONPROFIT LEADERS AND ORGANIZATIONS. ITS STRATEGIES SEEK TO FOSTER INCREASED COMMUNITY AND CIVIC ENGAGEMENT, DEVELOP ENHANCED LEADERSHIP SKILLS AND IMPROVE THE EFFECTIVENESS OF NONPROFIT ORGANIZATIONS. IN 2017, CDW EXTENDED ITS REACH TO THE YOUTH OF CENTRAL LOUISIANA WITH THE LAUNCH OF MY CIVIC LIFE, A CIVIC ENGAGEMENT AND SERVICE LEADERSHIP PROGRAM FOR HIGH SCHOOL STUDENTS MODELED ON AN EVIDENCE-BASED PROGRAM. THE MY CIVIC LIFE PROGRAM PROVIDES HIGH SCHOOL STUDENTS WITH LEADERSHIP AND VOLUNTEER SERVICE OPPORTUNITIES THROUGH THEIR PARTICIPATION IN SCHOOL-BASED COMMUNITY SERVICE CLUBS CALLED YOUTH VOLUNTEER CORPS (YVC) CLUBS. THE YVC CLUBS PERFORM SERVICE PROJECTS THROUGHOUT THE SCHOOL YEAR FOLLOWING THE NATIONALLY RECOGNIZED YOUTH VOLUNTEER CORPS MODEL. IN THE 2023-2024 ACADEMIC YEAR, THE FOUNDATION FUNDED YVC CLUBS IN 18 SCHOOLS, WITH 386 STUDENTS PARTICIPATING IN OVER 78 COMMUNITY SERVICE PROJECTS. CDW ALSO CONTINUED TO OFFER ITS FREE, SKILL-BUILDING TRAININGS ON A WIDE VARIETY OF TOPICS FOR PEOPLE INTERESTED IN IMPROVING THEIR COMMUNITIES. CDW WORKSHOPS ARE TARGETED FOR NONPROFIT STAFF AND VOLUNTEERS, FOR PEOPLE IN THE COMMUNITY WHO ARE LOOKING TO CREATE NONPROFITS, OR INDIVIDUALS WHO ARE TRYING TO CREATE A COMMUNITY PROJECT THAT ADDRESSES A NEED IN THEIR COMMUNITY. IN 2024, CDW OFFERED FREE TRAININGS BOTH ONLINE AND ON-SITE TO 147 INDIVIDUALS. IN-HOUSE WORKSHOPS AND WEBINARS ARE HELD IN THE SPRING AND FALL, SO THAT PARTICIPANTS CAN EXPAND THEIR KNOWLEDGE IN AREAS SUCH AS FUND DEVELOPMENT, EVALUATION AND GRANT PROPOSAL WRITING. CDW'S LEARNING LAB IS OPEN TO THE PUBLIC AND PROVIDES A VALUABLE RESOURCE FOR NONPROFITS AND INDIVIDUALS SEEKING INFORMATION ABOUT GRANTS, BOARD GOVERNANCE AND OTHER RESOURCES NEEDED TO SUPPORT THEIR CITIZEN-LED COMMUNITY DEVELOPMENT EFFORTS. TEN COMMUNITY LEADERS PARTICIPATED IN THE POPULAR CENLA BOARDBUILDERS PROGRAM IN 2024. CENLA BOARDBUILDERS IS A LEADERSHIP DEVELOPMENT PROGRAM FOR EMERGING LEADERS TO BECOME ACTIVE IN THEIR COMMUNITIES AS MEMBERS OF LOCAL NONPROFIT BOARDS. PARTICIPANTS ARE TRAINED THROUGH A SERIES OF SESSIONS ON THE ROLES AND RESPONSIBILITIES OF AN EFFECTIVE BOARD MEMBER. EMPLOYER PARTNERS PARTICIPATE BY ALLOWING THEIR EMPLOYEE TIME OFF DURING WORK HOURS TO ATTEND TRAINING SESSIONS AND BOARD MEETINGS. NONPROFIT PARTNERS CONNECT WITH CENLA BOARDBUILDERS GRADUATES TO OFFER BOARD SERVICE OPPORTUNITIES. THE 2024 GRADUATES ARE NOW SERVING ON BOARDS THROUGHOUT CENTRAL LOUISIANA, AND THEY JOIN A GROUP OF 264 CENLA BOARDBUILDERS ALUMNI. 0 2890902 0 10176406 1 0 0 1 0 0 0 0 0 0 1 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 54 0 1 32 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X JOE ROSIER JR PRESIDENT & CEO 3184433394 1101 FOURTH STREET SUITE 300 ALEXANDRIA LA 71301 COREY LAIR MEMBER 1.00 X 0 0 0 DEBBIE EDDLEMON MEMBER 1.00 X X 0 0 0 DWAYNE LEMOINE MEMBER 1.00 X X 0 0 0 JOSEPH R ROSIER JR PRESIDENT & CEO 40.00 X X 476964 0 43640 MATTHEW T WHITEHEAD DDS MEMBER 2.00 X 0 0 0 THOMAS J DAVIS MD MEMBER 1.00 X X 0 0 0 VALERIE AYMOND MEMBER 1.00 X X 0 0 0 BRUCE BARTON MD MEMBER 1.00 X 0 0 0 KIRK D COOPER MEMBER 1.00 X 0 0 0 EDWIN URBI MD MEMBER 1.00 X 0 0 0 ANGELA W DEGRAY MEMBER 1.00 X 0 0 0 BRIAN ELKINS MD MEMBER 1.00 X 0 0 0 MARK THOMPSON MEMBER 1.00 X 0 0 0 MARK BROWN MEMBER 1.00 X 0 0 0 HENRY WILLIAMS MEMBER 1.00 X 0 0 0 TONI MCALLISTER MEMBER 1.00 X 0 0 0 ASHLEY STEWART DIR OF PROGRAMS 40.00 X 199412 0 39935 KAYREN SEGALL DIR OF ADMIN 40.00 X 200757 0 38418 AKESHIA SINGLETON DIR OF EVALUATION 40.00 X 131190 0 28429 KATHY GUNN DIR OF COMMUNICATIONS 40.00 X 99898 0 22089 1108221 0 172511 4 0 1 0 JOBS FOR THE FUTURE 116 E CONGRESS ST LAFAYETTE LA 70501 PROGRAM CONSULTING 466199 CATCH GLOBAL FOUNDATION PO BOX 28282 AUSTIN TX 78755 PROGRAM IMPLEMENTATION 204167 ICF MACRO INC PO BOX 775367 CHICAGO IL 60677 PROGRAM IMPLEMENTATION 173807 TURNER TELECO 4216 MICHAELS DR ALEXANDRIA LA 71301 IT SUPPORT 133226 PHILOPTIMA 455 PARK FORTENBERRY ROAD OAK VALE MS 39656 CONSULTING 109745 5 -2726285 10879 -2737164 -2726285 6534991 6534991 6446568 0 6446568 6446568 6446568 10255274 10879 0 10244395 6534393 6534393 1108221 428563 679658 428516 112701 315815 160050 33083 126967 192075 43419 148656 101401 21599 79802 269136 82091 187045 483298 359494 123804 37140 7356 29784 227635 50597 177038 131875 44329 87546 53220 49967 3253 195771 45606 150165 38515 6646 31869 51427 8874 42553 CONTRACT SERVICES 2140629 2092872 47757 PROGRAM SUPPLIES 247644 247644 MEMBERSHIPS & DUES 29912 5162 24750 OTHER 11647 2010 9637 12442505 10176406 2266099 0 3772008 3110695 578525 662967 198387 134428 4369426 2812259 1608182 1557167 305727891 326342779 40707266 30707211 405713 541381 352997972 363056628 1423143 603019 20329803 14028188 659726 716450 22412672 15347657 X 330585300 347708971 330585300 347708971 352997972 363056628 -2187231 19310902 0 X X 0 1 X 1 0 X 0 155000 155000 12898234 13053234 802662 200666 0 0 696070 971652 1000000 802662 3470384 5205576 26780 44980 84000 155000 310760 174018 242913 250000 200666 867597 1301396 0 417074 417074 3952352 2812259 1140093 1557167 RHS PARTNERSHIP 30307211 C CENLA REHAB PARTNERSHIP 400000 C 30707211 OTHER LIABILITIES 539958 PAYROLL TAXES & BENEFITS 176492 716450 X 29566176 19310902 19310902 10255274 0 10255274 12442505 0 12442505 0 12442505 PART X, LINE 2: THE FOUNDATION AND ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS, BUT EACH ENTITY IS REQUIRED TO FILE AN ANNUAL INFORMATION TAX RETURN. THEY ARE ALSO REQUIRED TO REVIEW VARIOUS TAX POSITIONS THEY HAVE TAKEN WITH RESPECT TO THEIR EXEMPT STATUS AND DETERMINE WHETHER IN FACT THEY ARE TAX EXEMPT ENTITIES. THE FOUNDATION AND ITS SUBSIDIARIES MUST ALSO CONSIDER WHETHER THEY HAVE NEXUS IN JURISDICTIONS IN WHICH THEY HAVE INCOME AND WHETHER A TAX RETURN IS REQUIRED IN THOSE JURISDICTIONS. IN ADDITION, AS TAX EXEMPT ENTITIES, EACH ENTITY MUST ASSESS WHETHER IT HAS ANY TAX POSITIONS ASSOCIATED WITH UNRELATED BUSINESS INCOME SUBJECT TO INCOME TAX. THE ENTITIES DO NOT EXPECT THEIR POSITIONS TO CHANGE SIGNIFICANTLY OVER THE NEXT TWELVE MONTHS. ANY PENALTIES RELATED TO LATE FILING OR OTHER REQUIREMENTS WOULD BE RECOGNIZED AS EXPENSE IN THE ENTITIES' ACCOUNTING RECORDS. THE FOUNDATION AND ITS SUBSIDIARIES EACH FILE U.S. FEDERAL FORM 990 FOR INFORMATIONAL PURPOSES. THEIR FEDERAL INCOME TAX RETURNS FOR THE TAX YEARS 2014 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. SINCE ITS INITIAL INCORPORATION IN 1924, THE FOUNDATION HAS BEEN EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS A PUBLIC CHARITY OPERATING A HOSPITAL. DUE TO ITS CONTRIBUTION OF ITS HOSPITAL OPERATIONS TO THE PARTNERSHIP AND ITS NEW GRANT MAKING ACTIVITIES, IT REQUESTED A PRIVATE LETTER RULING FROM THE INTERNAL REVENUE SERVICE TO CONFIRM THE CONTINUATION OF ITS PUBLIC CHARITY STATUS. THE SERVICE DECLINED TO ISSUE SUCH A RULING DUE TO THE NUMBER OF SIMILAR TRANSACTIONS AND ISSUED A REVENUE RULING (REV. RUL. 98-15) DEFINING THE REQUIREMENTS FOR WHOLE HOSPITAL JOINT VENTURES SUCH AS RAPIDES HEALTH SERVICES, LLC. THE SERVICE DECLINED THE FOUNDATION'S REQUEST TO EXAMINE ITS OPERATIONS AND ENTER INTO A CLOSING AGREEMENT. AFTER REV. RUL. 98-15, TWO COURT CASES FOCUSED ON THE CONTROL ISSUE IDENTIFIED BY THE RULING AS DETERMINATIVE OF WHETHER THE JOINT VENTURE JEOPARDIZED THE EXEMPT STATUS OF THE EXEMPT ORGANIZATION. ONE OF THESE, ST. DAVID'S HEALTH CARE SYSTEM, INC. V. UNITED STATES, INVOLVED FACTS VERY SIMILAR TO THOSE PRESENT IN THE FOUNDATION'S OWNERSHIP OF THE LLC, AND WAS A VICTORY FOR THE EXEMPT ORGANIZATION WHOSE STATUS HAD BEEN CHALLENGED. COUNSEL FOR THE FOUNDATION HAS BEEN AT ALL RELEVANT TIMES AND REMAINS OF THE OPINION THAT ANY CHALLENGE TO THE FOUNDATION'S EXEMPT STATUS WOULD BE SIMILARLY DECIDED. THIS OPINION IS BOLSTERED BY REV. RUL. 2004-51, WHICH, WHILE ADDRESSING ANCILLARY ACTIVITY JOINT VENTURES, REPRESENTS AN ACKNOWLEDGMENT BY THE SERVICE THAT SUFFICIENT CONTROL MAY BE MAINTAINED BY THE EXEMPT PARTNER IN SUCH A VENTURE EVEN THOUGH OWNERSHIP AND GOVERNANCE WERE SHARED 50-50 WITH THE FOR-PROFIT VENTURER. IT SHOULD BE NOTED THAT EVEN IF THE FOUNDATION'S PUBLIC CHARITY STATUS SHOULD NOT CONTINUE, THE FOUNDATION BELIEVES THAT IT WOULD CONTINUE TO BE EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE AS A PRIVATE FOUNDATION. PRIVATE FOUNDATIONS ARE SUBJECT TO MORE RESTRICTIONS UNDER THE CODE THAN ARE PUBLIC CHARITIES. THESE RESTRICTIONS INCLUDE STATUTORY PROHIBITIONS AGAINST SELF-DEALING, EXCESS BUSINESS HOLDINGS, JEOPARDY INVESTMENTS, AND TAXABLE EXPENDITURES. IN ADDITION, PRIVATE FOUNDATIONS ARE SUBJECT TO AN EXCISE TAX ON THEIR NET INVESTMENT INCOME AND ARE REQUIRED TO MAKE ANNUAL DISTRIBUTIONS OF FIVE PERCENT (5%) OF THE AVERAGE MARKET VALUE OF THEIR NON-CHARITABLE-USE ASSETS FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND SIMILAR PURPOSES. NON-CHARITABLE-USE ASSETS ARE ASSETS THAT ARE NOT USED OR HELD FOR USE DIRECTLY IN CARRYING ON THE ORGANIZATION'S EXEMPT PURPOSE; THEY INCLUDE ASSETS HELD FOR INVESTMENT AND THE PRODUCTION OF INVESTMENT INCOME. PRIVATE FOUNDATIONS ARE REQUIRED TO PUBLISH A NOTICE THAT THEIR ANNUAL REPORTS ARE AVAILABLE FOR INSPECTION. THESE FINANCIAL STATEMENTS DO NOT CONSIDER THE EFFECTS OF A POSSIBLE RETROACTIVE DETERMINATION BY THE INTERNAL REVENUE SERVICE THAT THE FOUNDATION IS NOT EXEMPT FROM TAXATION OR THAT IT IS A NONPROFIT PRIVATE FOUNDATION. SUCH EFFECTS COULD INCLUDE INCOME TAXES ON ITS EARNINGS, A REQUIREMENT THAT IT DIVEST ITSELF OF A PORTION OF THE LLC, EXCISE TAXES ON NET INVESTMENT INCOME AND VARIOUS PENALTIES. THE CONTRIBUTION AGREEMENT REQUIRES THAT THE PARTNERSHIP, AND THE OPERATING AGREEMENT OF THE LLC REQUIRES THAT THE LLC, OPERATE IN A FASHION SO AS NOT TO ADVERSELY AFFECT THE FOUNDATION'S TAX-EXEMPT STATUS, AND SUPPORT COMMUNITY, CIVIC, CHARITABLE AND CULTURAL ACTIVITIES AT A LEVEL AT LEAST EQUAL TO THAT OF THE RAPIDES REGIONAL MEDICAL CENTER IN THE YEAR ENDED JUNE 30, 1994. IT ALSO CALLS FOR IT TO PROVIDE $2.8 MILLION OF UNCOMPENSATED CARE ANNUALLY TO THE ALEXANDRIA, LOUISIANA COMMUNITY, AS WELL AS CONTINUE HISTORIC LEVELS IN THE OTHER COMMUNITIES WHERE IT HAS HOSPITALS. 1 1 X 1 X 250.000000000000 1 X 800.000000000000 1 1 1 0 1 1 3255078 0 3255078 0.02500 0 0 0 0 3255078 3255078 0.02500 5842381 0 5842381 0.04500 1591733 106361 1485372 0.01100 7136071 0 7136071 0.05500 14570185 106361 14463824 0.11100 17825263 106361 17718902 0.13600 2154252 2154252 0.01650 42669 42669 0.00300 2196921 2196921 0.01950 0 228603 16740092 14635113 2104979 X 1 1 1 1 RAPIDES REGIONAL MEDICAL CENTER 211 FOURTH STREET ALEXANDRIA LA 71301 WWW.RAPIDESREGIONAL.COM X X X X LEVEL II TRAUMA CENTER RAPIDES REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.RAPIDESREGIONAL.COM/ABOUT X 1 22 1 WWW.RAPIDESREGIONAL.COM/ABOUT 0 1 X 250.000000000000 800.000000000000 X X X X 1 1 X X X 1 X WWW.RAPIDESREGIONAL.COM/ABOUT X SAME AS ABOVE X SAME AS ABOVE X X X X X X 1 X 0 X X X 1 X 0 0 RAPIDES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED A TELEPHONE INTERVIEW METHODOLOGY -- ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS -- WAS EMPLOYED. THE PRIMARY ADVANTAGES OF TELEPHONE INTERVIEWING ARE TIMELINESS, EFFICIENCY, AND RANDOM-SELECTION CAPABILITIES.IN 2022, A COMPREHENSIVE HEALTH SURVEY OF CENTRAL LOUISIANA WAS COMPLETED BY PRC ON BEHALF OF THE RAPIDES FOUNDATION. DATA FROM THE THREE-PARISH SERVICE AREA OF RAPIDES REGIONAL MEDICAL CENTER SERVE TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. THE DATA WERE DRAWN FROM A RANDOM SAMPLE OF 1,502 INDIVIDUALS AGE 18 AND OLDER IN THE SERVICE AREA, INCLUDING 399 IN AVOYELLES PARISH, 285 IN GRANT PARISH, AND 773 IN RAPIDES PARISH. ONCE THESE DATA WERE COLLECTED, THE SAMPLE WAS WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION AT THE PARISH LEVEL SO THAT ESTIMATES BETTER REFLECT THE SERVICE AREA AS A WHOLE.POPULATION ESTIMATES WERE BASED ON CENSUS DATA OF ADULTS AGE 18 AND OVER PROVIDED THROUGH THE US CENSUS BUREAU'S 2011-2015 AMERICAN COMMUNITY SURVEY.ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION, AND DATA ANALYSIS WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). TO ACCURATELY REPRESENT THE POPULATION STUDIED, PRC STRIVES TO MINIMIZE BIAS THROUGH APPLICATION OF A PROVEN TELEPHONE METHODOLOGY AND RANDOM-SELECTION TECHNIQUES. WHILE THIS RANDOM SAMPLING OF THE POPULATION PRODUCES A HIGHLY REPRESENTATIVE SAMPLE, IT IS A COMMON AND PREFERRED PRACTICE TO "WEIGHT" THE RAW DATA TO IMPROVE THIS REPRESENTATIVENESS EVEN FURTHER. THIS IS ACCOMPLISHED BY ADJUSTING THE RESULTS OF A RANDOM SAMPLE TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION SURVEYED (POSTSTRATIFICATION), SO AS TO ELIMINATE ANY NATURALLY OCCURRING BIAS. SPECIFICALLY, ONCE THE RAW DATA ARE GATHERED, RESPONDENTS ARE EXAMINED BY KEY DEMOGRAPHIC CHARACTERISTICS (NAMELY SEX, AGE, RACE, ETHNICITY, AND POVERTY STATUS), AND A STATISTICAL APPLICATION PACKAGE APPLIES WEIGHTING VARIABLES THAT PRODUCE A SAMPLE WHICH MORE CLOSELY MATCHES THE POPULATION FOR THESE CHARACTERISTICS. THUS, WHILE THE INTEGRITY OF EACH INDIVIDUAL'S RESPONSES IS MAINTAINED, ONE RESPONDENT'S RESPONSES MAY CONTRIBUTE TO THE WHOLE THE SAME WEIGHT AS, FOR EXAMPLE,1.1 RESPONDENTS. ANOTHER RESPONDENT, WHOSE DEMOGRAPHIC CHARACTERISTICS MAY HAVE BEEN SLIGHTLY OVERSAMPLED, MAY CONTRIBUTE THE SAME WEIGHT AS 0.9 RESPONDENTS.FURTHER NOTE THAT THE POVERTY DESCRIPTIONS AND SEGMENTATION USED IN THIS REPORT ARE BASED ON ADMINISTRATIVE POVERTY THRESHOLDS DETERMINED BY THE US DEPARTMENT OF HEALTH & HUMAN SERVICES. THESE GUIDELINES DEFINE POVERTY STATUS BY HOUSEHOLD INCOME LEVEL AND NUMBER OF PERSONS IN THE HOUSEHOLD (E.G., THE 2022 GUIDELINES PLACE THE POVERTY THRESHOLD FOR A FAMILY OF FOUR AT $27,750 ANNUAL HOUSEHOLD INCOME OR LOWER). IN SAMPLE SEGMENTATION: "VERY LOW INCOME" REFERS TO COMMUNITY MEMBERS LIVING IN A HOUSEHOLD WITH DEFINED POVERTY STATUS; "LOW INCOME" REFERS TO HOUSEHOLDS WITH INCOMES JUST ABOVE THE POVERTY LEVEL AND EARNING UP TO TWICE (100%-199%) THE POVERTY THRESHOLD; AND "MID/HIGH INCOME" REFERS TO THOSE HOUSEHOLDS LIVING ON INCOMES WHICH ARE TWICE OR MORE (=200%) THE FEDERAL POVERTY LEVEL.THE SAMPLE DESIGN AND THE QUALITY CONTROL PROCEDURES USED IN THE DATA COLLECTION ENSURE THAT THE SAMPLE IS REPRESENTATIVE. THUS, THE FINDINGS MAY BE GENERALIZED TO THE TOTAL POPULATION OF COMMUNITY MEMBERS IN THE DEFINED AREA WITH A HIGH DEGREE OF CONFIDENCE.ONLINE KEY INFORMANT SURVEYTO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY RAPIDES REGIONAL MEDICAL CENTER; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 50 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED HERE: PHYSICIANS 2 INVITED, 0 PARTICIPATING; PUBLIC HEALTH REPRESENTATIVES 5 INVITED, 3 PARTICIPATING; OTHER HEALTH PROVIDERS 20 INVITED, 6 PARTICIPATING; SOCIAL SERVICES 23 INVITED, 11 PARTICIPATING; AND OTHER COMMUNITY LEADERS 116 INVITED, 20 PARTICIPATING. RAPIDES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS OF THE COMMUNITYTHE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES (SEE ALSO THE SUMMARY TABLES PRESENTED IN THE FOLLOWING SECTION).THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS.AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT ARE: (1) ACCESS TO HEALTH CARE INCLUDING PRIMARY CARE PHYSICIAN RATIO, EMERGENCY ROOM UTILIZATION, AND REGULAR DENTAL CARE FOR ADULTS; (2) CANCER INCLUDING DEATHS, INCIDENCE, PREVALENCE, AND SCREENING; (3) DIABETES, WHICH RANKED AS A TOP CONCERN BY KEY INFORMANTS; (4) HEALTH DISEASE & STROKE INCLUDING DEATHS, PREVALENCE, AND HIGH BLOOD PRESSURE CHECKS; (5) INFANT HEALTH & FAMILY PLANNING; (6) INJURY & VIOLENCE; (7) KIDNEY DISEASE; (8) MENTAL HEALTH; (9) NUTRITION, PHYSICAL ACTIVITY; (10) POTENTIALLY DISABLING CONDITIONS; (11) RESPIRATORY DISEASES; (12) SEXUAL HEALTH; (13) SUBSTANCE ABUSE; AND (14) TOBACCO USE.BASED ON THESE PRIORITIES, RRMC IMPLEMENTED STRATEGIES TO INCREASE ACCESS TO HEALTH SERVICES. BY PARTNERING WITH LSUA, NORTHWESTERN STATE UNIVERSITY, LOUISIANA COLLEGE, THE LSU FAMILY PRACTICE RESIDENCY IN ALEXANDRIA AND PRIMARY CARE PHYSICIANS IN THE HOSPITAL'S SERVICE AREA, RRMC SEEKS TO INCREASE ACCESS TO CARE IN ITS SERVICE AREA, ASSIST INDIVIDUALS WITH IDENTIFYING PRIMARY CARE PROVIDERS, EDUCATE RESIDENTS ON AVAILABILITY AND APPROPRIATE UTILIZATION OF PRIMARY CARE/URGENT CARE/EMERGENCY CARE RESOURCES AND PROVIDE FUNDING TO INCREASE THE GRADUATION RATE AND QUALITY OF THE HEALTHCARE WORKFORCE. RRMC WILL CONTINUE THE 2013AND 2016 COOPERATIVE ENDEAVOR AGREEMENT WITH THE STATE OF LOUISIANA TO PROVIDE HEALTH CARE SERVICES TO THE UNINSURED, UNDERINSURED AND MEDICAID POPULATION IN CENTRAL LOUISIANA THROUGH PRIMARY CARE, URGENT CARE AND SPECIALTY CARE CLINICS, EMERGENCY SERVICES AND INPATIENT HOSPITAL CARE. ALL PATIENTS DISCHARGED FROM THE EMERGENCY DEPARTMENT ARE PROVIDED WITH A PRIMARY CARE PROVIDER REFERRAL, A FREE COMMUNITY RESOURCE GUIDE, AND AN EDUCATIONAL DOCUMENT TO ENCOURAGE USE OF PRIMARY CARE AND URGENT CARE AS BETTER, MORE EFFICIENT AND EFFECTIVE OPTIONS TO EMERGENCY ROOM CARE FOR MANAGING ONGOING HEALTH ISSUES. ADDITIONALLY, PHYSICIAN DIRECTORIES ARE DISTRIBUTED AT COMMUNITY FUNCTIONS, HEALTH FAIRS AND SCREENINGS. FUNDS ARE PROVIDED TO BUILD THE REGION'S HEALTH CARE WORKFORCE THROUGH SUPPORT OF THE LSU FAMILY PRACTICE RESIDENCY PROGRAM AND NURSING AND ALLIED HEALTH TRAINING AT AREA UNIVERSITIES. FUNDS ARE ALSO PROVIDED FOR TRANSPORTATION OF CANCER PATIENTS TO ENSURE THEY ARE ABLE TO ATTEND TREATMENTS. RRMC PROVIDED $7.1M IN FUNDING IN 2017 AND 2018 FOR 11,440 COPIES OF PRIMARY/URGENT/EMERGENT EDUCATION FLYER DISTRIBUTED; 1,002 COPIES OF RRMC'S ANNUAL PHYSICIAN DIRECTORY; $10,000 IN TRANSPORTATION FUNDING TO HELP PATIENTS; SUPPORT OF THE LSU FAMILY RESIDENCY PROGRAM IN THE AMOUNT OF $6,806,089; AND SUPPORTED LOCAL NURSING SCHOOLS IN THE AMOUNT OF $187,500 ANNUALLY. IN ITS EFFORTS TO INCREASE AWARENESS OF NUTRITION, PHYSICAL ACTIVITY AND WEIGHT AS CONTRIBUTING FACTORS IN CHRONIC HEALTH DISEASES AMONG ADULTS SUCH AS DIABETES, HEART DISEASE AND CANCER, RAPIDES REGIONAL MEDICAL CENTER FOCUSED ON THE FOLLOWING STRATEGY: (1) PROVIDED FREE MONTHLY DIABETES/NUTRITION CLASSES TAUGHT BY A REGISTERED DIETITIAN AND REGISTERED NURSE; (2) PROMOTE PHYSICAL ACTIVITY THROUGH SPONSORSHIPS OF ACTIVE COMMUNITY EVENTS, I.E. 5K RUNS, BICYCLE EVENTS, SPORTING EVENTS; (3) PROVIDE NUTRITIONAL INFORMATION AND HEALTH LIFESTYLE RECOMMENDATIONS AT VARIOUS COMMUNITY EVENTS/HEALTH FAIRS; AND (4) PARTNER WITH THE ALEXANDRIA MUSEUM OF ART TO PROMOTE ACTIVITY AND HEALTHY LIFESTYLE. BY PARTNERING WITH THE AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY AND NATIONAL KIDNEY FOUNDATION, RRMC SEEKS TO INCREASE AWARENESS OF NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS AS CONTRIBUTING FACTORS IN CHRONIC HEALTH DISEASES (DIABETES, HEART DISEASE & CANCER). REGISTERED DIETITIANS AND NURSES TEACH MONTHLY DIABETES/NUTRITION CLASSES. RRMC OFFERS FREE DIABETIC SCREENINGS AS WELL AS FREE DIABETIC EDUCATION AND ASSESSMENT, WHICH INCLUDES BLOOD PRESSURE, FOOT ASSESSMENT, HEMOGLOBIN A1C, GLAUCOMA SCREENING AND NUTRITIONAL INFORMATION. PHYSICAL ACTIVITY IS PROMOTED THROUGH SPONSORSHIP OF COMMUNITY RUNS, WALKS, CYCLING EVENTS, GOLF AND ARCHERY TOURNAMENTS AND OTHER EVENTS PROMOTING EXERCISE AND HEALTHY EATING. IN 2017-18, RRMC PROVIDED $85,989 IN FUNDING IN 2017 AND 2018 FOR: (1) DIABETES CLASSES THAT WERE ATTENDED BY 289 PEOPLE AT A COST OF $3,564; (2) PARTICIPATING IN COMMUNITY EVENTS ATTENDED BY 3,130 AT A COST OF $17,635, AND SPONSORSHIP OF LOCAL COMMUNITY EVENTS AND ORGANIZATIONS IN THE AMOUNT OF $62,530.TO ADDRESS HEART DISEASE AND STROKE, RRMC FOCUSED ON THE FOLLOWING STRATEGIES: (1) PROVIDE EDUCATION MATERIALS, PRESENTATIONS, AND SCREENINGS TO COMMUNITY RESIDENTS ON CARDIOVASCULAR HEALTH; (2) EDUCATE THE COMMUNITY ON THE AVAILABILITY OF FREE RESOURCES, SUCH AS THE ONLINE HEART HEALTH PROFILER; (3) PROVIDE MONETARY SUPPORT FOR CARDIOVASCULAR HEALTH AND PREVENTION RESEARCH TO THE AMERICAN HEART ASSOCIATION; (4) PROVIDE BASIC LIFE SUPPORT (BLS) TRAINING TO COMMUNITY ORGANIZATIONS; (5) PARTICIPATE IN START A HEART CENLA TO PROVIDE FREE BLS TRAINING TO THE COMMUNITY; AND (6) PROVIDE STROKE EDUCATION TO CENLA THROUGH TACKLE STROKE PROGRAM.IN THE AREA OF MATERNAL, INFANT AND CHILD HEALTH, RRMC GOAL WAS TO IMPROVE MATERNAL, INFANT AND CHILD HEALTH OF SERVICE AREA RESIDENTS, RAPIDES REGIONAL MEDICAL CENTER BY FOCUSING ON (1) PROVIDING FREE CHILDBIRTH CLASSES ONE-DAY PREPARED CHILDBIRTH, ONE-DAY BREASTFEEDING, SIBLING AND BREATHING & RELAXATION TO SERVICE AREA RESIDENTS; (2) DISTRIBUTING BABY PACKETS TO EXPECTANT MOTHERS THAT PROVIDE EDUCATION, COMMUNITY RESOURCES AND SAFE SLEEP INFORMATION; (3) EDUCATING WOMEN ON THE IMPORTANCE OF 39 WEEKS GESTATION BY HOSTING AN EVENT WITH THE MARCH OF DIMES; AND (4) PROVIDING FREE PERINATAL LOSS SUPPORT. AS A RESULT, RRMC PROVIDED $34,682 IN FUNDING FOR 2017 AND 2018 FOR (1) EDUCATIONAL CLASSES ATTENDED BY 618 AT A COST OF $16,790; (2) 1,449 BABY PACKETS TO EXPECTANT MOTHERS AT A COST OF $11,592; (3) PERINATAL LOSS SUPPORT GROUP ATTENDED BY 138 AT A COST OF $1,080; AND A MARCH OF DIMES WALK AND DONATION OF $5,220. RRMC'S STRATEGY TO EDUCATE RESIDENTS ON CANCER PREVENTION AND SCREENINGS INCLUDES THE FOLLOWING PARTNERS: THE RAPIDES FOUNDATION CANCER SCREENING PROJECT, AMERICAN CANCER SOCIETY, COLON CANCER ALLIANCE, AMERICAN ACADEMY OF DERMATOLOGY, NATIONAL COMPREHENSIVE CANCER NETWORK, AND NATIONAL COUNCIL ON SKIN CANCER PREVENTION. RRMC HOSTS EVENTS AND AWARENESS DATES TO EDUCATE RESIDENTS ON THE IMPORTANCE OF CANCER SCREENING. THESE AWARENESS EVENTS FOR THE COMMUNITY ATTENDED BY 5,774 PEOPLE AT A COST OF $9,865. THE HOSPITAL INCREASES THE AWARENESS OF SIGNS AND SYMPTOMS OF SKIN CANCER BY PROMOTING "DON'T FRY DAY, AND PROVIDES EDUCATIONAL MATERIALS ON CANCER (COLORECTAL, SKIN, BREAST, PROSTATE, LUNG) TO COMMUNITY GROUP/HEALTH FAIRS THAT WERE ATTENDED BY 1,437 PEOPLE AT A COST OF $4,827. RRMC ALSO PROMOTES THE FREE BREAST HEALTH PROFILER. LASTLY, THE HOSPITAL PROVIDES MONETARY SUPPORT FOR CANCER RESEARCH AND PREVENTION TO AMERICAN CANCER SOCIETY, AS WELL AS COMMUNITY DONATIONS IN THE AMOUNT OF $10,980. RRMC PARTNERS WITH LOUISIANA STATE POLICE, AARP, SAFE KIDS, NATIONAL OFF-HIGHWAY VEHICLE CONSERVATION COUNCIL, NATIONAL HIGHWAY TRAFFIC AND SAFETY ADMINISTRATION AND RAPIDES SENIOR CITIZEN CENTERS TO DECREASE TRAUMATIC INJURY IN ITS SERVICE AREA. IN COORDINATION WITH LOUISIANA STATE POLICE, THE HOSPITAL CONDUCTS SUDDEN IMPACT COURSES WITH AREA STUDENTS, AS WELL AS, MOCK CRASHES AND MOCK TRIALS THAT EDUCATE HIGH SCHOOL STUDENTS ABOUT IMPAIRED, UNRESTRAINED AND DISTRACTED DRIVING. SENIOR CITIZENS ARE TARGETED THROUGH FALL PREVENTION EDUCATION. ADDITIONALLY, RRMC PROVIDES MONTHLY CHILD PASSENGER SAFETY CHECKS. RAPIDES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: UNINSURED PATIENTS MAY QUALIFY FOR 100% DISCOUNT ON THEIR BILL UNDER EXTENUATING CIRCUMSTANCES AFTER MANAGER REVIEW AND APPROVAL, IN CASES SUCH AS THE PATIENT IS NOT ABLE TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION OR PROVIDE SUPPORTING DOCUMENTATION, WHERE PATIENTS ARE IDENTIFIED AS UNDOCUMENTED RESIDENTS OR HOMELESS, OR PATIENTS THAT EXPIRE WITHOUT AN ESTATE. PART V, SECTION B, LINE 13A: THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES UTILIZE FPG AS CRITERIA FOR DISCOUNTED CARE. ANY INDIVIDUAL AT INCOME OF 250% OR LESS OF FPG QUALIFIES FOR THE RHS FINANCIAL ASSISTANCE POLICIES (FAP) AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS A PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP USING THE FOLLOWING GUIDELINES: 250% TO 300% OF FPL, FINANCIAL OBLIGATION LIMITED TO 3% OF ANNUAL INCOME; 301% TO 400% OF FPL, FINANCIAL OBLIGATION LIMITED TO 4% OF ANNUAL INCOME; 401% TO 600% OF FPL, FINANCIAL OBLIGATION LIMITED TO 10% OF ANNUAL INCOME; 601% TO 800% OF FPL, FINANCIAL OBLIGATION LIMITED TO 12% OF ANNUAL INCOME; OVER 800% OF FPL FINANCIAL OBLIGATION LIMITED TO 15% OF ANNUAL INCOME. PART V, SECTION B, LINE 22: THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES OFFER DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICIES. ANY INDIVIDUAL AT INCOME OF 250% OR LESS OF FPG QUALIFIES FOR THE RHS FAP AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS A PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP USING THE FOLLOWING GUIDELINES: 250% TO 300% OF FPL, FINANCIAL OBLIGATION LIMITED TO 3% OF ANNUAL INCOME; 301% TO 400% OF FPL, FINANCIAL OBLIGATION LIMITED TO 4% OF ANNUAL INCOME; 401% TO 600% OF FPL, FINANCIAL OBLIGATION LIMITED TO 10% OF ANNUAL INCOME; 601% TO 800% OF FPL, FINANCIAL OBLIGATION LIMITED TO 12% OF ANNUAL INCOME; OVER 800% OF FPL FINANCIAL OBLIGATION LIMITED TO 15% OF ANNUAL INCOME. WE CHECK TO MAKE SURE THAT THE PATIENT IS NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED. 9 1 - RAPIDES URGENT CARE 2389 HWY 28 EAST PINEVILLE LA 71360 URGENT CARE CLINIC 2 - RAPIDES URGENT CARE 3800 JACKSON ST EXTENSION ALEXANDRIA LA 71301 URGENT CARE CLINIC 3 - HP LONG URGENT CARE 213 HOSPITAL BOULEVARD PINEVILLE LA 71360 URGENT CARE CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS 4 - HP LONG MEDICINE CLINIC 213 HOSPITAL BOULEVARD PINEVILLE LA 71360 PRIMARY CARE CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS 5 - HP LONG SPECIALTY CLINIC 213 HOSPITAL BOULEVARD PINEVILLE LA 71360 SPEC. MEDICAL CARE CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS 6 - HP LONG GYNECOLOGY CLINIC 401 FOURTH ST MEDICAL PLAZA 2ND FL ALEXANDRIA LA 71301 GYNECOLOGY CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS 7 - LSU ORAL MAXILLOFACIAL CLINIC 501 MEDICAL CENTER DRIVE 4B ALEXANDRIA LA 71301 ORAL MAXILLOFACIAL SURGICAL SERVICES 8 - TULANE OPHTHALMOLOGY CLINIC & RESIDENCY 301 4TH STREET 3A-1 ALEXANDRIA LA 71301 OPHTHALMOLOGY SERVICES 9 - RAPIDES URGENT CARE 6515 COLISEUM BLVD ALEXANDRIA LA 71303 URGENT CARE CLINIC PART I, LINE 3C: THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES UTILIZE FPG AS CRITERIA FOR DISCOUNTED CARE. ANY INDIVIDUAL AT INCOME OF 250% OR LESS OF FPG QUALIFIES FOR THE RHS FINANCIAL ASSISTANCE POLICIES (FAP) AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS A PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP USING THE FOLLOWING GUIDELINES: 250% TO 300% OF FPL, FINANCIAL OBLIGATION LIMITED TO 3% OF ANNUAL INCOME; 301% TO 400% OF FPL, FINANCIAL OBLIGATION LIMITED TO 4% OF ANNUAL INCOME; 401% TO 600% OF FPL, FINANCIAL OBLIGATION LIMITED TO 10% OF ANNUAL INCOME; 601% TO 800% OF FPL, FINANCIAL OBLIGATION LIMITED TO 12% OF ANNUAL INCOME; OVER 800% OF FPL FINANCIAL OBLIGATION LIMITED TO 15% OF ANNUAL INCOME. PART I, LINE 6A: THE RAPIDES HEALTHCARE SYSTEM (EMPLOYER NO. 61-1267229) PREPARED A COMMUNITY BENEFIT REPORT DURING TAX YEAR 2023. PART I, LINE 7: A. THE COST FOR FINANCIAL ASSISTANCE WAS DERIVED USING A COST-TO-CHARGE RATIO FROM SCHEDULE H, WORKSHEET 2 APPLIED IN WORKSHEET 1. FAP-ELIGIBLE PATIENT REVENUE IS BASED ON GAAP, AND BAD DEBT IS NOT INCLUDED IN THIS CALCULATION. NO EXTRAORDINARY ITEMS ARE INCLUDED IN THIS CALCULATION. PERSONS SERVED ARE THE TOTAL FAP-ELIGIBLE INPATIENT ADMISSIONS PLUS TOTAL FAP-ELIGIBLE OUTPATIENT VISITS.B. UNREIMBURSED MEDICAID COSTS WERE DERIVED USING A COST-TO-CHARGE RATIO FROM SCHEDULE H WORKSHEET 2 APPLIED IN WORKSHEET 3. PATIENT REVENUE IS BASED ON GAAP, AND BAD DEBT IS NOT INCLUDED IN THIS CALCULATION. NO EXTRAORDINARY ITEMS ARE INCLUDED IN THIS CALCULATION. PERSONS SERVED ARE THE TOTAL MEDICAID INPATIENT ADMISSIONS PLUS TOTAL MEDICAID OUTPATIENT VISITS. PART III, LINE 2: RRMC RECORDS INSURANCE CONTRACTUAL DISCOUNTS TO PATIENT ACCOUNTS AS WELL AS 100% DISCOUNTS FOR FAP-ELIGIBLE PATIENTS AND INSURED DISCOUNTS FOR UNINSURED NON-FAP-ELIGIBLE PATIENTS. THEN NON-FAP ELIGIBLE PATIENTS ARE BILLED, AND RRMC RECORDS A PROVISION FOR BAD DEBT ACCOUNTS ON THE RECEIVABLES BASED UPON ITS HISTORICAL COLLECTION EXPERIENCE. THE METHODOLOGY TO DETERMINE THE BAD DEBT EXPENSE REPORTED AT COST ON PART III, LINE 2 IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR BAD DEBT ACCOUNTS. PART III, LINE 4: PART III, SECTION A, LINE 4 & SECTION, C, LINE 9B. COLLECTION OF OUTSTANDING RECEIVABLES FROM THIRD-PARTY PAYORS (MEDICARE, MANAGED CARE PAYERS, ETC.) IS THE HOSPITALS' PRIMARY SOURCE OF CASH AND IS CRITICAL TO OUR ABILITY TO FUND OPERATIONS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. THE PROVISION FOR DOUBTFUL ACCOUNTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTIONS EFFORTS HAVE BEEN PERFORMED. OUR COLLECTION POLICIES INCLUDE A REVIEW OF ALL ACCOUNTS AGAINST CERTAIN STANDARD COLLECTION CRITERIA, UPON COMPLETION OF OUR INTERNAL COLLECTION EFFORTS. ACCOUNTS DETERMINED TO POSSESS POSITIVE COLLECTABILITY ATTRIBUTES ARE FORWARDED TO A SECONDARY EXTERNAL COLLECTIONS AGENCY AND THE OTHER ACCOUNTS ARE WRITTEN OFF. THE ACCOUNTS THAT ARE NOT COLLECTED BY THE SECONDARY EXTERNAL COLLECTION AGENCY ARE WRITTEN OFF WHEN THEY ARE RETURNED TO US BY THE COLLECTION AGENCY (USUALLY WITHIN 12 MONTHS). WRITEOFFS ARE BASED UPON SPECIFIC IDENTIFICATION AND THE WRITEOFF PROCESS REQUIRES A WRITEOFF ADJUSTMENT ENTRY TO THE PATIENT ACCOUNTING SYSTEM. WE DO NOT PURSUE COLLECTION OF AMOUNTS RELATED TO PATIENTS THAT MEET OUR GUIDELINES TO QUALIFY AS CHARITY CARE. THE METHODOLOGY TO DETERMINE THE BAD DEBT EXPENSE REPORTED AT COST ON PART III, LINE 2 IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR BAD DEBT ACCOUNTS. PART III, LINE 8: EVEN THOUGH THE AMOUNT REPORTED FOR MEDICARE ACTIVITY IN SECTION B REFLECTS A SURPLUS FOR THE YEAR, IT SHOULD BE NOTED THAT THE AMOUNT OF PATIENT CARE COSTS DO NOT INCLUDE MEDICARE NON-ALLOWABLE EXPENSES. THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED FROM THE INDIVIDUAL FACILITY COST REPORT FOR RAPIDES REGIONAL MEDICAL CENTER.UNINSURED DISCOUNTS. IN ADDITION TO CHARITY COSTS AND BAD DEBT COSTS REPORTED, RHS INCURRS COSTS RELATED TO UNINSURED PATIENTS FOR WHICH DISCOUNTS ARE GIVEN. ALL SELF PAY PATIENT ACCOUNTS, EXCLUDING ELECTIVE COSMETIC PROCEDURES AND FACILITY-DESIGNATED SELF-PAY FLAT-RATE PROCEDURES ARE GIVEN AN UNINSURED DISCOUNT. THE SELF-PAY PATIENT RECEIVES THE UNINSURED DISCOUNT UNLESS THE PATIENT QUALIFIES FOR MEDICAID OR CHARITY. THE METHODOLOGY TO DETERMINE THE UNINSURED DISCOUNTS REPORTED AT COST IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR UNINSURED DISCOUNTS. THE COST FOR UNINSURED DISCOUNTS IN 2020 IS $3,193,045.PROPERTY TAXES. AN ADDITIONAL COMMUNITY BENEFIT PROVIDED BY RHS WAS THE PAYMENT OF $1,880,933 IN PROPERTY TAXES TO LOCAL GOVERNMENTS BASED ON BILLED ASSESSMENTS. PART III, LINE 9B: PART III, SECTION A, LINE 4 & SECTION, C, LINE 9B. COLLECTION OF OUTSTANDING RECEIVABLES FROM THIRD-PARTY PAYORS (MEDICARE, MANAGED CARE PAYERS, ETC.) IS THE HOSPITALS' PRIMARY SOURCE OF CASH AND IS CRITICAL TO OUR ABILITY TO FUND OPERATIONS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. THE PROVISION FOR DOUBTFUL ACCOUNTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTIONS EFFORTS HAVE BEEN PERFORMED. OUR COLLECTION POLICIES INCLUDE A REVIEW OF ALL ACCOUNTS AGAINST CERTAIN STANDARD COLLECTION CRITERIA, UPON COMPLETION OF OUR INTERNAL COLLECTION EFFORTS. ACCOUNTS DETERMINED TO POSSESS POSITIVE COLLECTABILITY ATTRIBUTES ARE FORWARDED TO A SECONDARY EXTERNAL COLLECTIONS AGENCY AND THE OTHER ACCOUNTS ARE WRITTEN OFF. THE ACCOUNTS THAT ARE NOT COLLECTED BY THE SECONDARY EXTERNAL COLLECTION AGENCY ARE WRITTEN OFF WHEN THEY ARE RETURNED TO US BY THE COLLECTION AGENCY (USUALLY WITHIN 12 MONTHS). WRITEOFFS ARE BASED UPON SPECIFIC IDENTIFICATION AND THE WRITEOFF PROCESS REQUIRES A WRITEOFF ADJUSTMENT ENTRY TO THE PATIENT ACCOUNTING SYSTEM. WE DO NOT PURSUE COLLECTION OF AMOUNTS RELATED TO PATIENTS THAT MEET OUR GUIDELINES TO QUALIFY AS CHARITY CARE. THE METHODOLOGY TO DETERMINE THE BAD DEBT EXPENSE REPORTED AT COST ON PART III, LINE 2 IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR BAD DEBT ACCOUNTS. PART VI, LINE 2: IN ADDITION TO THE FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT DIRECTED BY THE RAPIDES HEALTHCARE SYSTEM COMMUNITY BENEFIT COMMITTEE, THERE ARE A NUMBER OF WAYS THAT RAPIDES REGIONAL MEDICAL CENTER (RRMC) STAFF AND TRUSTEES ASSESS THE HEALTH CARE NEEDS OF ITS COMMUNITY ON AN ONGOING BASIS. RRMC TRUSTEES, EXECUTIVES AND MANAGERS NETWORK EXTENSIVELY WITH OTHERS IN THE COMMUNITY WHO SERVE POPULATIONS IN NEED, SUCH AS OTHER HEALTH CARE PROVIDERS, LAW ENFORCEMENT AGENCIES AND GOVERNMENT OFFICIALS. KEY EXECUTIVES AND MANAGERS ALSO SERVE ON BOARDS OF NONPROFIT ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE SERVICES TO POPULATIONS IN NEED. BEGINNING IN DECEMBER 2013, THE PROVISION OF ACUTE CARE MEDICAL, PSYCHIATRIC, URGENT CARE AND EMERGENCY SERVICES, AS WELL AS PRIMARY CARE AND SPECIALTY CLINIC SERVICES FOR THE UN- AND UNDERINSURED AND MEDICAID POPULATIONS OF CENTRAL LOUISIANA SHIFTED TO RRMC AND CHRISTUS HOSPITAL ORGANIZATIONS FROM THE REGION'S LONG-STANDING STATE CHARITY HOSPITAL LOCATED IN PINEVILLE, RAPIDES PARISH. AS A PRIMARY DIRECT PROVIDER OF SAFETY NET SERVICES TO THE INDIGENT POPULATION WITHIN THE SERVICE AREA, RRMC STAFF INTERFACES REGULARLY WITH THAT POPULATION WHILE PROVIDING ROUTINE CLINIC CARE AND IS ABLE TO ASSESS AND ANTICIPATE SPECIALTY AND ACUTE MEDICAL NEEDS AND OFFER BOTH PREVENTIVE AND ACUTE SERVICES. PART VI, LINE 3: THE CHARITY CARE POLICY (FINANCIAL ASSISTANCE POLICY), A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND A CHARITY CARE APPLICATION ARE ALL AVAILABLE ON THE HOSPITAL WEBSITE IN ENGLISH AND SPANISH. A PLAIN LANGUAGE SUMMARY OF THE POLICY IS ALSO DISPLAYED FOR DISTRIBUTION IN ALL ADMITTING LOCATIONS IN THE HOSPITAL, ALL WAITING ROOMS AT THE HOSPITAL, THE EMERGENCY ROOM, URGENT CARE FACILITIES, AND HOSPITAL CLINICS. ALSO IN THESE LOCATIONS IS A SIGN READING "RAPIDES REGIONAL MEDICAL CENTER PROVIDES FREE (CHARITY) CARE TO PATIENTS WHO NEED HEALTHCARE, BUT ARE UNABLE TO PAY. ASK US FOR MORE INFORMATION." THERE IS ALSO A POSTED NOTICE TO PATIENTS CONTAINING THE CURRENT POVERTY GUIDELINES SO THAT THEY MAY SEE WHETHER THEY WOULD QUALIFY BASED ON THEIR INCOME. IT READS: "OUR FACILITY OFFERS A CHARITY PROGRAM TO THOSE THAT ARE < 250% OF THE POVERTY GUIDELINES AS DEFINED BELOW. [FPG CHART] ASK THE REPRESENTATIVE FOR A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY AND APPLICATION IF YOU ARE INTERESTED." AT ADMISSION ALL PATIENTS RECEIVE, A PLAIN LANGUAGE SUMMARY OF THE CHARITY CARE POLICY AND A CHARITY CARE APPLICATION. AS SOON AS POSSIBLE AFTER ADMISSION, ALL UNINSURED PATIENTS ARE SCREENED BY AN ON-SITE THIRD-PARTY FIRM HIRED SPECIFICALLY TO DETERMINE IF PATIENTS MEET GOVERNMENT PROGRAM ELIGIBILITY CRITERIA. THE FIRM'S PERSONNEL ARE SPECIFICALLY TRAINED IN MEDICAID, MEDICARE AND OTHER GOVERNMENT PROGRAM ELIGIBILITY CRITERIA AND APPLICATION PROCEDURES. IF THE PATIENT MEETS PROGRAM ELIGIBILITY CRITERIA, THEN ASSISTANCE IS PROVIDED TO THE PATIENT FOR ENROLLMENT. IF THE PATIENT DOES NOT MEET PROGRAM QUALIFICATIONS, THE PATIENT IS ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE. IF THE PATIENT DOES NOT COMPLETE A CHARITY CARE APPLICATION AT THE TIME OF SERVICE, HE RECEIVES THE PLAIN LANGUAGE POLICY SUMMARY AND AN APPLICATION WITH HIS BILLS. HE IS ALSO REMINDED OF THE HOSPITAL'S CHARITY CARE POLICY IN ANY CONVERSATION WITH STAFF CONCERNING BILLING. PART VI, LINE 4: RAPIDES REGIONAL MEDICAL CENTER'S PRIMARY COMMUNITY SERVED ENCOMPASSES 2,793 SQUARE MILES AND INCLUDES A THREE-PARISH (COUNTY) SERVICE AREA IN CENTRAL LOUISIANA, INCLUDING AVOYELLES, GRANT AND RAPIDES PARISHES. THIS DEFINED COMMUNITY CONSISTS OF THE AREA COMPOSED OF THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS AT LEAST 75 PERCENT OF ITS INPATIENTS. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 196,000 PEOPLE. IT CONSISTS OF A 50/50 BALANCE OF URBAN AND RURAL AREAS AND IS PREDOMINANTLY NON-HISPANIC AND WHITE (OVER TWO-THIRDS), BUT ALSO HAS SUBSTANTIAL AFRICAN AMERICAN POPULATION (NEARLY ONE-THIRD IN AVOYELLES AND RAPIDES PARISHES). AS THROUGHOUT THE STATE AND NATION, OUR POPULATION IS AGING, WITH APPROXIMATELY 14% CURRENTLY AGE 65 AND OLDER. 20.2% OF OUR POPULATION REMAINS BELOW THE POVERTY LEVEL. IN ALL, 44.5% OF AREA RESIDENTS (82,435 INDIVIDUALS), AND 55.3% OF AREA CHILDREN LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN TERMS OF EDUCATION LEVEL, ONLY 70.2% OF AVOYELLES RESIDENTS ARE HIGH-SCHOOL GRADUATES; 78.8% OF GRANT RESIDENTS; AND 82.4% OF RAPIDES RESIDENTS. NATIONALLY, 86.0% OF THE US POPULATION HOLDS A HIGH-SCHOOL DEGREE. IN 2017, 35.5% OF RRMC PATIENTS WERE COVERED BY MEDICAID, 1.7% WERE UNINSURED AND 43.4% WERE COVERED BY MEDICARE. ALL THREE PARISHES ARE DESIGNATED AS PRIMARY CARE HPSAS (HEALTH PROFESSIONAL SHORTAGE AREAS). THE THREE PARISHES ARE SERVED BY TWO TERTIARY-CARE, ACUTE-CARE HOSPITALS RRMC AND ONE OTHER. ALSO IN THE REGION ARE A VETERAN'S ACUTE-CARE HOSPITAL, A PHYSICIAN-OWNED SURGICAL HOSPITAL, A RURAL CRITICAL-ACCESS FACILITY, AND ONE SMALL RURAL ACUTE-CARE FACILITY. PART VI, LINE 5: RAPIDES REGIONAL MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF; MEDICAL STAFF CREDENTIALING IS STRICTLY BASED UPON EDUCATION, CERTIFICATION AND OTHER GENERALLY ACCEPTED OBJECTIVE PROFESSIONAL REQUIREMENTS. THE HOSPITAL MAINTAINS AN OPEN EMERGENCY ROOM, TREATING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ACCEPTS MEDICARE, MEDICAID AND OTHER GOVERNMENT-INSURED PATIENTS, DESPITE THE FACT THAT PAYMENTS FROM THESE PROGRAMS DO NOT NORMALLY REIMBURSE THE HOSPITAL FULLY FOR THE COSTS OF SERVICES RENDERED TO PATIENTS. THE BOARD OF DIRECTORS OF THE RAPIDES HEALTHCARE SYSTEM (RHS) AND THE BOARD OF TRUSTEES OF RAPIDES REGIONAL MEDICAL CENTER BOTH INCLUDE MEMBERS OF THE LOCAL COMMUNITY, WHO ARE FOCUSED ON THE QUALITY OF HEALTHCARE AND AVAILABILITY OF MEDICAL SERVICES IN THEIR COMMUNITY. THE RHS BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE. BEGINNING IN DECEMBER 2013, RAPIDES REGIONAL (UNDER A CONTRACT WITH THE STATE OF LOUISIANA AND IN PARTNERSHIP WITH CHRISTUS ST. FRANCES CABRINI HOSPITAL) PROVIDES SAFETY-NET ACUTE CARE INPATIENT MEDICAL, URGENT CARE AND EMERGENCY SERVICES, AS WELL AS PRIMARY CARE AND SPECIALTY CARE CLINIC SERVICES FOR THE UN- AND UNDERINSURED, MEDICAID AND MEDICARE POPULATIONS OF CENTRAL LOUISIANA. DURING 2018 RAPIDES TREATED 34,239 INDIGENT, MEDICAID AND MEDICARE PATIENTS AT THE CLINICS. BOTH BOARDS OF DIRECTORS AND THE HOSPITAL MANAGEMENT TEAM ARE HEAVILY FOCUSED ON QUALITY AND SAFETY, AND THE HOSPITAL INVESTS IN SERVICES AND TECHNOLOGY NECESSARY TO PROVIDE THE BEST CARE POSSIBLE FOR PATIENTS. HCA HONORED RRMC NURSING UNITS THROUGH ITS 2018 UNITS OF DISTINCTION AWARDS, THE FOURTH YEAR RRMC HAS HAD MULTIPLE NURSING UNITS HONORED FOR EXCELLENCE IN PATIENT CARE. RRMC'S SURGICAL ICU WAS NAMED TOP CRITICAL CARE UNIT FOR 2018, AND ITS MEDICAL ICU WAS RANKED NO. 2. IN ADDITION, ALL SEVEN OF RRMC'S MEDICAL-SURGICAL UNITS WERE RANKED AMONG THE TOP 50 UNITS IN THE COMPANY. RRMC ALSO ACHIEVED THE PRESTIGIOUS PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER, BECOMING ONLY ONE OF THREE LOUISIANA HOSPITALS TO EARN THE DESIGNATION. IN 2018, RRMC RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. RRMC IS VERIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. A LEVEL II TRAUMA CENTER PROVIDES THE SECOND HIGHEST LEVEL OF SURGICAL CARE TO TRAUMA PATIENTS. THE HOSPITAL IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER AND AN ACCREDITED CHEST PAIN CENTER FROM THE JOINT COMMISSION. RRMC BECAME HOME TO A COMPLETE $2.5 MILLION BRAINLAB NEUROSURGICAL SUITE. RRMC IS ONE OF FEWER THAN 100 HOSPITALS IN THE COUNTRY AND THE ONLY ONE IN LOUISIANA TO HAVE THIS MOST TECHNOLOGICALLY ADVANCED NEUROLOGICAL SUITE. THE BRAINLAB TOOLS ALLOW HIGHLY SPECIALIZED NEUROSURGICAL PROCEDURES TO BE PERFORMED IN CENTRAL LOUISIANA. CENTRAL LOUISIANA'S FIRST TRANSCATHETER AORTIC VALVE REPLACEMENT PROCEDURE WAS PERFORMED AT RRMC. THE TAVR PROCEDURE IS A LESS-INVASIVE OPTION THAN TRADITIONAL OPEN-HEART SURGERY TO REPLACE AN UNHEALTHY AORTIC VALVE. RAPIDES REGIONAL MEDICAL CENTER IN 2022 HOLDS THE FOLLOWING ACCREDITATIONS AND CERTIFICATIONS THAT DEMONSTRATE ITS COMMITMENT TO A HIGHER STANDARD OF CARE: ADVANCED CERTIFICATION IN STROKE (PRIMARY STROKE CENTER), CANCER TREATMENT ACCREDITATION, CERTIFIED CARDIAC REHABILITATION PROGRAM, CHEST PAIN CENTER CERTIFICATION, COMPUTED TOMOGRAPHY ACCREDITATION GOLD SEAL, NUCLEAR MEDICINE GOLD SEAL ACCREDITATION, COMPUTED TOMOGRAPHY GOLD SEAL ACCREDITATION, MRI GOLD SEAL ACCREDITATION, MAMMOGRAPHY GOLD SEAL ACCREDITATION, VASCULAR TESTING ACCREDITATION, AND CAP LABORATORY ACCREDITATION. IN ADDITION TO THE COMMUNITY BENEFIT PROVIDED DIRECTLY BY RAPIDES HEALTHCARE SYSTEM, CASH FLOW FROM RHS SUPPORTED THE RAPIDES FOUNDATION'S 2022 PHILANTHROPIC ACTIVITIES, WHICH PROVIDED AN ADDITIONAL $33.6 MILLION IN COMMUNITY BENEFIT TO ITS NINE-PARISH SERVICE AREA. THIS INCLUDED GRANTS OF $4.2 MILLION AND DIRECT CHARITABLE ACTIVITIES PART VI, LINE 7: THE RAPIDES FOUNDATION OPERATES ONLY WITHIN THE STATE OF LOUISIANA, WHICH DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT. THE RAPIDES REGIONAL MEDICAL CENTER COMMUNITY BENEFIT REPORT IS POSTED ON ITS WEBSITE AT WWW.RAPIDESREGIONAL.COM/ABOUT. 1 ALLEN PARISH SCHOOL BOARD P O DRAWER C OBERLIN LA 70655 726000020 GOVERNMENT AGENCY 100625 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT ALLEN PARISH SCHOOL BOARD P O DRAWER C OBERLIN LA 70655 726000020 GOVERNMENT AGENCY 37976 0 2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTERSHIP GRANT AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE LA 71351 726000115 GOVERNMENT AGENCY 125000 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE LA 71351 726000115 GOVERNMENT AGENCY 36229 0 2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTERSHIP GRANT CATAHOULA PARISH SCHOOL BOARD 200 BUSHLY STREET HARRISONBURG LA 71340 726000268 GOVERNMENT AGENCY 85000 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT CATHOLIC CHARITIES OF CENTRAL LA 4400 COLISEUM BLVD ALEXANDRIA LA 71303 530196617 501(C)(3) 292543 0 VAPING AND TOBACCO CESSATION PROGRAM GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX LA 71417 726000494 GOVERNMENT AGENCY 101558 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX LA 71418 726000495 GOVERNMENT AGENCY 338963 0 2025-2028 GRANT EARLY CHILDHOOD NETWORK EDUCATION ACCESS GRANT PARISH SCHOOL BOARD PO BOX 209 COLFAX LA 71419 726000496 GOVERNMENT AGENCY 22758 0 2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT LASALLE PARISH SCHOOL BOARD PO DRAWER 90 JENA LA 71342 726000656 GOVERNMENT AGENCY 77834 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT LOUISIANA CENTRAL 825 HWY 8 SICILY ISLAND LA 71368 720631111 501(C)(3) 1000000 0 2025-2026 LOUISIANA CENTRAL INFRASTRUCTURE MATCHING GRANT LSU HEALTH SCIENCES CENTER- SHREVEPORT 1501 KINGS HIGHWAY SHREVEPORT LA 71130 720702002 GOVERNMENT AGENCY 145000 0 2024 MOBILE UNIT NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 142000 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 3103165 0 2025-2028 EARLY CHILDHOOD EDUCATION FUNDS NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 20100 0 2024-2025 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 81200 0 2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 43010 0 2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 441273 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 5343750 0 2025-2028 RAPIDES EARLY CHILDHOOD NETWORK ECE FUNDING ACCESS PROGRAM RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 19014 0 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 587100 0 COLLEGE AND CAREER READINESS VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE LA 71446 726001443 GOVERNMENT AGENCY 63278 0 2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE LA 71447 726001443 GOVERNMENT AGENCY 225000 0 2024-25 DISCTRICT GRANT FOR EFFECTIVE SCHOOLS VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE LA 71448 726001443 GOVERNMENT AGENCY 12010 0 2024-25 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA 3704 COLISEUM BLVD ALEXANDRIA LA 71303 721020853 501(C)(3) 242593 0 2025-27 STRENGTHENING FAMILIES PROGRAM WINN PARISH SCHOOL BOARD P O BOX 430 WINNFIELD LA 71483 726001620 GOVERNMENT AGENCY 91500 0 INCREASE EDUCATIONAL ACHIEVEMENT FOX OUTREACH FOUNDATION 3622 GOVERNMENT STREET ALEXANDRIA LA 71302 990495218 501(C)(3) 100000 0 STRENGTHENING FAMILIES PROGRAM CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA LA 71301 020751416 501(C)(3) 569355 0 2025 CMAP HEALTHY LIFESTYLE PROGRAM CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA LA 71301 020751416 501(C)(3) 574942 0 2025 CMAP MEDICATION ACCESS CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA LA 71301 020751416 501(C)(3) 254968 0 2025 CMAP CANCEL AND CHA PROGRAMS THE DOLLYWOOD FOUNDATION 111 E MAIN ST 2ND FLOOR SEVIERVILLE TN 37862 621348105 501(C)(3) 120336 0 DOLLY PARTON'S IMAGINATION LIBRARY ARTS COUNCIL OF CENTRAL LOUISIANA 100 STARCREST DRIVE CLEARWATER FL 33765 592551416 501(C)(3) 20000 0 2024 FRYE NONPROFIT DEVELOPMENT CENTER LOUISIANA CENTRAL 1302 MURRAY ST ALEXANDRIA LA 71309 651267691 GOVERNMENT AGENCY 760000 0 2025-2026 BUSINESS ACCELERATION SYSTEM LIVING HOPE OUTREACH 602 N KNOLL ST BUNKIE LA 71322 862738544 501(C)(3) 100000 0 ALL-N STRENGTHENING FAMILIES PROGRAM LOUISIANA MENTAL HEALTH ASSOCIATION 544 COLONIAL AVE BATON ROUGE LA 70806 720688911 501(C)(3) 198110 0 THE FISHER PROJECT RENEWING PATHS INC PO BOX 117 SIMMESPORT LA 71369 831302493 501(C)(3) 100000 0 STRENGTHENING FAMILIES PROGRAM 7-17(SFP) THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 161945 0 SCHOOL READINESS THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 388710 0 OPERATING GRANT THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 284600 0 EFFECTIVE SCHOOLS WINN COMMUNITY HEALTH CENTER PO BOX 1288 WINNFIELD LA 71483 205823527 501(C)(3) 60730 0 WINN COMMUNITY HEALTH CENTER VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA 3704 COLISEUM BLVD ALEXANDRIA LA 71303 721020853 501(C)(3) 60588 0 2025-28 AVOYELLES EC FUND MATCH-APPLICATION FOR TRF GRANT PART I, LINE 2: PRIOR TO FUNDING, GRANTEES DEVELOP AND SUBMIT FOR APPROVAL A WORK PLAN AND BUDGET FOR USE OF THE GRANT FUNDS AWARDED. ON A QUARTERLY OR SEMI-ANNUAL BASIS, THE RAPIDES FOUNDATION (TRF) REQUIRES THAT GRANTEES SUBMIT NARRATIVE REPORTS AND BUDGET EXPENDITURE REPORTS, WHICH COMPARE ACTUAL ACTIVITIES COMPLETED TO APPROVED WORK PLANS AND ACTUAL EXPENDITURES TO APPROVED BUDGETS. AT THE END OF THE GRANT TERM, THE GRANTEES ARE REQUIRED TO SUBMIT SIMILAR CUMULATIVE REPORTS DETAILING THE INTERVENTIONS COMPLETED, EVALUATING THEIR EFFECTIVENESS AND ITEMIZING EXPENSES COMPARED TO THE APPROVED BUDGETS. UNSPENT FUNDS MUST BE REPAID TO THE FOUNDATION IN ACCORDANCE WITH WRITTEN GRANT AGREEMENTS. GRANTEES MAY SUBMIT REQUESTS TO APPROVE BUDGET LINE ITEM CHANGES. AS A PRACTICE TRF DOES NOT APPROVE WORK PLAN OR BUDGET CHANGES WHICH DIVERGE FROM THE ORIGINAL GRANT PURPOSE AND INTENT. TRF, AT ITS EXPENSE AND OPTION, PERFORMS RANDOM, PERIODIC REVIEWS OF THE GRANTEES' INTERNAL RECORDS TO VERIFY THE ACCURACY OF REPORTING. IF APPROPRIATE, REPAYMENT OF INAPPROPRIATE EXPENDITURES IS REQUESTED. FAILURE TO REPORT EXPENDITURES OR TO REPAY UNSPENT OR INAPPROPRIATELY SPENT FUNDS WILL RESULT IN 1) WITHHOLDING OF ADDITIONAL PAYMENTS ON EXISTING GRANTS OR 2) PREVENT CONSIDERATION OF FUTURE GRANT REQUESTS. LARGE GRANT INITIATIVES ARE EVALUATED BY TRF UTILIZING THIRD-PARTY EVALUATION FIRMS. THE EVALUATIONS MEASURE THE EFFECTIVENESS OF THE CHOSEN INTERVENTION IN ACHIEVING THE INITIATIVE INTENDED OUTCOMES AS WELL AS THE EFFECTIVENESS OF THE INITIATIVE IMPLEMENTATION. EVALUATIONS SERVE TO PROVIDE TRF FEEDBACK WHICH CAN BE UTILIZED TO IMPROVE PROGRAM IMPLEMENTATION. X X 0 1 0 0 0 0 0 0 0 JOSEPH R ROSIER JR PRESIDENT & CEO 476964 0 0 0 0 0 30500 0 13140 0 520604 0 0 0 ASHLEY STEWART DIR OF PROGRAMS 199412 0 0 0 0 0 21426 0 18509 0 239347 0 0 0 KAYREN SEGALL DIR OF ADMIN 200757 0 0 0 0 0 20396 0 18022 0 239175 0 0 0 AKESHIA SINGLETON DIR OF EVALUATION 131190 0 0 0 0 0 13119 0 15310 0 159619 0 0 0 KATHY GUNN DIR OF COMMUNICATIONS 99898 0 0 0 0 0 4573 0 17516 0 121987 0 0 0 PART I, LINE 4B DURING 2024, THE FOUNDATION'S PRESIDENT AND CEO, JOSEPH R. ROSIER, JR., CONTRIBUTED $30,500 TO A 457(B) PLAN. FORM 990, PART VI, SECTION A, LINE 6 THE RAPIDES FOUNDATION'S TRUSTEES ARE THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE RAPIDES FOUNDATION'S TRUSTEES, WHO ARE THE MEMBERS OF THE ORGANIZATION, HOLD AN ANNUAL MEETING EACH DECEMBER TO ELECT NEW MEMBERS OF THE ORGANIZATION. EACH TRUSTEE, OR MEMBER, IS ELECTED FOR A TERM OF THREE YEARS AND MAY BE RE-ELECTED FOR ONE ADDITIONAL TERM. FORM 990, PART VI, SECTION B, LINE 11B A FINAL COPY OF THE FORM 990 IS FURNISHED TO THE AUDIT COMMITTEE OF THE RAPIDES FOUNDATION BOARD (TRF) FOR REVIEW AND APPROVAL, AND A MEETING IS HELD TO DISCUSS THE FORM 990 IN DETAIL. THE MEETING IS ATTENDED BY STAFF THAT ASSISTED IN COMPILING THE FORM, AS WELL AS, REPRESENTATIVES OF THE EXTERNAL ACCOUNTING FIRM WHO COMPILED THE FORM. ALL TRF BOARD MEMBERS RECEIVE THE FINAL FORM 990 COPY WHEN IT IS SENT TO THE AUDIT COMMITTEE, AND ALL BOARD MEMBERS ARE INVITED TO ATTEND THE AUDIT COMMITTEE MEETING TO REVIEW THE FORM IN DETAIL. FORM 990, PART VI, SECTION B, LINE 12C THE RAPIDES FOUNDATION HAS BOTH A "STAFF CODE OF ETHICS AND CONDUCT AND A "TRUSTEE CODE OF ETHICS AND CONDUCT," BOTH OF WHICH DEFINE AND DESCRIBE ACTIONS TO BE TAKEN IN THE EVENT OF CONFLICTS OF INTEREST. THE "STAFF CODE OF ETHICS AND CONDUCT" IS MONITORED AND ENFORCED THROUGH ORGANIZATIONAL PROCEDURES, CONTROLS AND DAILY SUPERVISION OF EMPLOYEES BY THE NEXT LEVEL OF MANAGEMENT. THE "TRUSTEE CODE OF ETHICS AND CONDUCT" IS MONITORED AT EACH TRUSTEE BOARD AND COMMITTEE MEETING, BECAUSE THE FIRST AGENDA ITEM IS ONE IN WHICH THE MEETING CHAIRMAN ASKS TRUSTEES TO DISCLOSE ANY POTENTIAL CONFLICTS WITH LISTED AGENDA ITEMS. A TRUSTEE THAT HAS A POTENTIAL CONFLICT OF INTEREST WITH A MATTER THAT COMES BEFORE THE BOARD OR COMMITTEE IS REQUIRED TO LEAVE THE ROOM BEFORE THE MATTER IS DISCUSSED, AND A MAJORITY VOTE OF THE REMAINING DISINTERESTED BOARD TRUSTEES DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THEN THE CONFLICTED TRUSTEE IS NOT ALLOWED TO BE PRESENT DURING BOARD DISCUSSION NOR VOTE ON THE ISSUE CREATING THE CONFLICT. EACH YEAR, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE TO DISCLOSE BUSINESS AND PERSONAL RELATIONSHIPS THAT COULD BE POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE RAPIDES FOUNDATION BOARD COMPENSATION COMMITTEE, WHICH IS COMPOSED OF THE INDEPENDENT MEMBERS OF ITS EXECUTIVE COMMITTEE, PERIODICALLY ENGAGES A THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE MARKET INFORMATION CONCERNING PAY AND BENEFITS AND MAKE COMPENSATION STRUCTURE RECOMMENDATIONS FOR ALL ORGANIZATION POSITIONS. THE CONSULTANT IS PROVIDED WITH JOB DESCRIPTIONS FOR ALL JOB POSITIONS. THE CONSULTANT THEN COMPARES THOSE JOBS WITH SIMILAR POSITIONS AT SIMILAR TYPES AND SIZES OF ORGANIZATIONS. THE CONSULTANT MEETS WITH THE COMPENSATION COMMITTEE AND PROVIDES THE COMPARISON DATA, ALONG WITH THEIR RECOMMENDATIONS FOR PAY RANGES FOR EACH POSITION (MINIMUM, MIDPOINT, MAXIMUM). RECOMMENDATIONS ARE BASED UPON MARKET AVERAGES OF SIMILAR TYPES AND SIZES OF ORGANIZATIONS. IN INTERIM YEARS, INCREASES IN PAY RANGES ARE RECOMMENDED TO THE BOARD BY MANAGEMENT BASED ON SURVEY INFORMATION OF SIMILAR ORGANIZATIONS. THE CEO RECOMMENDS A SALARY BUDGET FOR EMPLOYEES OF THE RAPIDES FOUNDATION AND ITS SUPPORTING ORGANIZATIONS TO THE COMPENSATION COMMITTEE FOR APPROVAL. THE COMPENSATION COMMITTEE INDEPENDENTLY DISCUSSES ITS RECOMMENDATIONS FOR CEO PAY. FORM 990, PART VI, SECTION C, LINE 19 THE RAPIDES FOUNDATION MISSION, PHILANTHROPIC OBJECTIVES, GUIDING ORGANIZATIONAL PRINCIPLES, STAFF CODE OF ETHICS AND CONDUCT, TRUSTEE CODE OF ETHICS AND CONDUCT, AND ANNUAL REPORT (INCLUDING FINANCIAL STATEMENTS) ARE ALL AVAILABLE ON THE ORGANIZATION'S WEBSITE AT WWW.RAPIDESFOUNDATION.ORG. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CMAP EXPRESS 1101 FOURTH STREET ALEXANDRIA LA 71301 020751416 HEALTHCARE ACCESS LA 501(C)(3) LINE 11A, I THE RAPIDES FOUNDATION 0 THE ORCHARD FOUNDATION 1101 FOURTH STREET ALEXANDRIA LA 71301 870730768 EDUCATION LA 501(C)(3) LINE 11A, I THE RAPIDES FOUNDATION 0 RAPIDES HEALTHCARE SYSTEM LLC 211 4TH STREET ALEXANDRIA LA 71301 611267229 HOSPITAL LA N/A RELATED 0 0 0.26000 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 THE ORCHARD FOUNDATION B 388710 GRANT AGREEMENT THE ORCHARD FOUNDATION J 17112 COST ACCOUNTING SYSTEM CMAP EXPRESS B 1399266 GRANT AGREEMENT CMAP EXPRESS J 22555 COST ACCOUNTING SYSTEM THE ORCHARD FOUNDATION Q 1057221 COST ACCOUNTING SYSTEM CMAP EXPRESS Q 1275083 COST ACCOUNTING SYSTEM