2024-12-05T15:37:36-06:00 2023-12-31 923320348 EAG GULF COAST LLC 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2023-01-01 720423603 THE RAPIDES FOUNDATION RAPI 3184433394 1101 FOURTH STREET 300 ALEXANDRIA LA 71301 JOSEPH R ROSIER JR CEO 3184433394 2024-12-05 1 0 TRENT MILLICAN P00290301 2259224600 2024-12-05 2023 2024-10-15 13:58:12Z JOSEPH R ROSIER JR 1101 FOURTH STREET SUITE 300 ALEXANDRIA LA 71301 7309059 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 380-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 34 15 0 0 14000000 0 4387876 888941 11927364 6420118 0 0 30315240 7309059 11971823 15054378 0 0 2197501 2061156 0 0 0 2283293 2985517 16452617 20101051 13862623 -12791992 326264915 352997972 16452617 22412672 309812298 330585300 X THE MISSION OF THE RAPIDES FOUNDATION (TRF) IS TO IMPROVE THE HEALTH STATUS OF CENTRAL LOUISIANA. 0 0 0 0 888941 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 380-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, 2023, RRMC ADMITTED 13,718 PATIENTS, CARED FOR 61,280 PATIENTS IN THE EMERGENCY ROOM, AND FACILITATED 9,837 SURGERIES. RAPIDES HEALTHCARE SYSTEM PROVIDED $3.9 MILLION IN FINANCIAL SUPPORT DURING 2023 TO THE LOUISIANA STATE UNIVERSITY FAMILY PRACTICE RESIDENCY PROGRAM NEAR ITS CAMPUS. IN 2023, THE PROGRAM GRADUATED 6 PHYSICIANS AND ACCEPTED 6 NEW RESIDENTS INTO ITS THREE-YEAR PROGRAM. SINCE ITS BEGINNING IN 1997, THE PROGRAM HAS GRADUATED 141 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 2023, RAPIDES OPERATED THE HP LONG CLINIC THAT PROVIDED URGENT, PRIMARY AND SPECIALTY CARE TO MEDICAID, MEDICARE AND UNINSURED PATIENTS. DURING THE YEAR 50,480 PATIENTS RECEIVED SERVICES THAT INCLUDED PRIMARY CARE, GENERAL SURGERY, CARDIOLOGY, ORTHOPEDICS, GYNECOLOGY, OPHTHALMOLOGY, ORAL AND MAXILLOFACIAL SURGERY, DENTAL CARE AND URGENT CARE. ADDITIONALLY, THE RAPIDES FOUNDATION'S CENLA MEDICATION ACCESS PROGRAM (CMAP) PROVIDED 13,145 NO-COST MEDICATIONS TO THESE PATIENTS (AT A WHOLESALE VALUE OF $10.5 MILLION) THROUGH ITS PATIENT ASSISTANCE PROGRAM AND CENTRAL FILL PHARMACY. RAPIDES PROVIDED AN ADDITIONAL 145 PRESCRIPTIONS TO PATIENTS FOR $4 EACH OR LESS THROUGH A PRESCRIPTION CARD PROGRAM FOR A TOTAL RETAIL SAVINGS OF $24,735. THESE MEDICATIONS WOULD HAVE COST PATIENTS AN AVERAGE $22 EACH. IN 2023, RRMC RECEIVED THE FOLLOWING AWARDS AND HONORS:-AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD THE THIRD CONSECUTIVE YEAR IT HAS RECEIVED THIS 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. THE AHA/ASA ALSO AWARDED RRCM WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL STATUS.-AMERICAN COLLEGE OF CARDIOLOGY'S NCDR CHEST PAIN MI REGISTRY SILVER PERFORMANCE ACHIEVEMENT AWARD. RRMC WAS ONE OF 82 HOSPITALS NATIONWIDE TO RECEIVE THIS HONOR. THE AWARD RECOGNIZES RAPIDES REGIONAL MEDICAL CENTER'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS AND SIGNIFIES RRMC HAS REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINICAL GUIDELINES AND RECOMMENDATIONS.-HEALTHGRADES NAMED RAPIDES REGIONAL AS ONE OF AMERICA'S 50 BEST HOSPITALS FOR VASCULAR CARE. THIS ACHIEVEMENT REFLECTS RRMC'S OUTSTANDING CLINICAL OUTCOMES FOR VASCULAR SURGERY, PLACING IT AMONG THE TOP 10 PERCENT OF HOSPITALS NATIONWIDE FOR VASCULAR SURGERY. HEALTHGRADES ALSO NAMED RRMC AS A FIVE-STAR RECIPIENT FOR REPAIR OF ABDOMINAL AORTA FOR 2 YEARS IN A ROW (2022-2023), CAROTID PROCEDURES, HIP FRACTURE TREATMENT FOR 3 YEARS IN A ROW (2021-2023) AND FOR TREATMENT OF DIABETIC EMERGENCIES. 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. 7931507 4989199 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 2022 AND 2023 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 2023 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 2023, CMAP PROVIDED 13,145 FREE PRESCRIPTION MEDICATIONS TO PATIENTS, REPRESENTING A WHOLESALE COST SAVINGS OF $10.5 MILLION. CMAP EXTRA, A PRESCRIPTION-SAVINGS PROGRAM DESIGNED TO HELP LOWER FAMILIES' MEDICATION COSTS, IS AVAILABLE TO EVERYONE REGARDLESS OF AGE OR INCOME. DURING 2023, 148 PRESCRIPTIONS WERE FILLED, FOR A TOTAL RETAIL SAVINGS OF $24,735. THESE MEDICATIONS WOULD HAVE COST PATIENTS AN AVERAGE $22 EACH. IN 2023, 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 440 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 46 CERVICAL SCREENINGS, 455 MAMMOGRAMS. ALSO, APPROXIMATELY 52 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. THE CMAP PATIENT ASSISTANCE PROGRAM SPECIALISTS BRING THE RAPIDES FOUNDATION'S TOBACCO PREVENTION AND CONTROL INITIATIVE INTO THE SAME PHYSICIAN OFFICES THEY SUPPORT FOR MEDICATION ACCESS. BY PROVIDING TRAINING AND MATERIALS TO PHYSICIANS AND THEIR STAFF ABOUT SMOKING CESSATION REFERRAL RESOURCES, THE SPECIALISTS MAKE IT EASY FOR DOCTORS TO ENCOURAGE THEIR PATIENTS TO STOP SMOKING. 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 2022 AND 2023 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 2023, 413 PATIENTS PARTICIPATED IN THE CMAP HEALTHY LIFESTYLE PROGRAM. TRF PARTNERED WITH 102 CENTRAL LOUISIANA K-12 SCHOOLS IN EIGHT PARISHES THROUGH $420,000 IN HEALTHY BEHAVIORS GRANTS. IN THE 2022-2023 SCHOOL YEAR, 44,809 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 2023, APPROXIMATELY 536 STUDENTS AND TEACHERS FROM NINE 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 $1.2 MILLION IN HEALTHY BEHAVIORS PROGRAM GRANTS TO SEVEN ORGANIZATIONS, $126,500 IN SHORT-TERM MINI GRANTS TO SIX ORGANIZATIONS, AND $270,600 TO SUPPORT THE IMPLEMENTATION OF THE STRENGTHENING FAMILIES PROGRAM BY THREE ORGANIZATIONS. THE GRANTS FUNDED OUTDOOR COMMUNITY SPACES, FITNESS PROGRAMS, HEALTHY FOOD DISTRIBUTION PROGRAMS, COMMUNITY GARDENS, WORKSHOPS, CLASSES AND EVENTS THAT ENCOURAGE INDIVIDUALS TO MAKE HEALTHY CHOICES, AND SUBSTANCE AND ALCOHOL. THE RAPIDES FOUNDATION'S GOALS FOR HEALTHY PEOPLE ARE: 10-YEAR IMPACTS (2012-2023): REDUCE ALL-CAUSE MORTALITY FROM 929.7 PER 100,000 TO 757.2. (19% IMPROVEMENT) REDUCE HEART DISEASE MORTALITY RATES FROM 246.6 PER 100,000 TO 158.9. (36% IMPROVEMENT) REDUCE CANCER MORTALITY RATES FROM 203.6 PER 100,000 TO 169.0. (17% IMPROVEMENT) REDUCE DIABETES MORTALITY RATES FROM 24.0 PER 100,000 TO 20.5. (15% IMPROVEMENT) DECREASE SMOKING RATES IN YOUTH FROM 23.9% IN 2013 TO 17%. (29% IMPROVEMENT) DECREASE SMOKING RATES IN ADULTS FROM 23.0% IN 2013 TO 20%. (13% IMPROVEMENT) DECREASE ALCOHOL USE IN YOUTH FROM 40.8% TO 36.7% BY 2013. (10% IMPROVEMENT) DECREASE DRUG-INDUCED DEATHS IN ADULTS FROM 12.3 TO 11.3 PER 100,000 BY 2023. (8% IMPROVEMENT) DECREASE PERCENTAGE OF HOUSEHOLDS WITH CHILDREN WITH A SMOKER FROM 17% IN 2013 TO 15%. (12% IMPROVEMENT) DECREASE THE PERCENTAGE OF ADULTS OVERWEIGHT FROM 73% IN 2013 TO 67%. (8% IMPROVEMENT) DECREASE THE PERCENTAGE OF ADOLESCENTS (9-12 GRADERS) OVERWEIGHT FROM 34.5% IN 2013 TO 31%. (10% IMPROVEMENT) 7722586 3429442 0 EDUCATION -- DURING 2023THE 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 2022, 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 2022-2023 SCHOOL YEAR, 3,436 STUDENTS PARTICIPATED IN ACT'S WORKKEYS CURRICULUM TRAINING, AND 4,420 NATIONAL CAREER READINESS CERTIFICATES WERE EARNED BY CENLA RESIDENTS. IN 2023, THE ORCHARD FOUNDATION CONTINUED ITS PARTNERSHIP WITH THE CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE TO ASSIST EMPLOYERS IN UTILIZING WORKKEYS AND 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 2022-2023 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 4,998 STUDENTS WERE SEEN IN GRADES 8 THROUGH 12 BY COLLEGE AND CAREER COACHES. CAREER SEMINARS WERE ATTENDED BY ANOTHER 20,948 STUDENTS IN GRADES 6 THROUGH 12. 93.59% OF THE SENIORS COUNSELED APPLIED TO A POSTSECONDARY PROGRAM. THE ORCHARD FOUNDATION OFFERS SUMMER EXTERNSHIP OPPORTUNITIES FOR TEACHERS TO LEARN HOW TO TRANSLATE THE SKILLS NEEDED IN TODAY'S WORKFORCE INTO THEIR CLASSROOMS. THE WORKPLACE EXPERIENCE EXCHANGE (WEE) CAMP GIVES 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 2023: WEE CAMP I, WEE CAMP II, AND WEE CAMP ELEMENTARY. A TOTAL OF 45 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 2022. SECO IS A TWO-DAY EVENT THAT INTRODUCES 10TH GRADERS TO CAREER POSSIBILITIES. A TOTAL OF 2,669 STUDENTS PARTICIPATED. 80 VOLUNTEERS ASSISTED AND 66 EXHIBITS WERE AVAILABLE FOR STUDENTS TO ENGAGE WITH INDUSTRY PARTNERS. THE ORCHARD FOUNDATION FACILITATED A CARPENTRY COURSE, WHICH IS A COMBINATION OF HANDS-ON AND TEXTBOOK INSTRUCTION AND UTILIZES TEXTBOOKS CERTIFIED AND APPROVED BY THE CARPENTERS INTERNATIONAL TRAINING FUND (CITF) TO INSTRUCT STUDENTS. CO-SPONSORED BY A LOCAL EMPLOYER, IT IS DESIGNED TO HELP STUDENTS GAIN TECHNICAL AND INDUSTRIAL KNOWLEDGE AND ENCOURAGE THEM TO PURSUE A CAREER IN CONSTRUCTION. THE COURSE WAS OFFERED IN FIVE AREA HIGH SCHOOLS AND 82 CITF INDUSTRY BASED CERTIFICATIONS (IBCS) WERE EARNED BY STUDENTS DURING THE 2022-23 SCHOOL YEAR. THE ORCHARD FOUNDATION WAS AWARDED $4,482,635 BY THE U.S. DEPARTMENT OF EDUCATION TO RECRUIT, TRAIN, SUPPORT AND RETAIN EFFECTIVE MATH AND SCIENCE TEACHERS IN CENTRAL LOUISIANA MIDDLE SCHOOLS. THE ORCHARD FOUNDATION AND PROJECT PARTNERS COMMITTED IN-KIND MATCHED FUNDING OF NON-FEDERAL FUNDS IN THE AMOUNT OF $8,801,519 TO IMPLEMENT THE CENTRAL LOUISIANA INSTRUCTIONAL PARTNERSHIP OR CLIP. THIS IS THE ORCHARD FOUNDATION'S FIRST GRANT UNDER THE USDOE'S TEACHER QUALITY PARTNERSHIP GRANT PROGRAM. THE GOAL OF THE CENTRAL LOUISIANA INSTRUCTIONAL PARTNERSHIP PROJECT IS TO IMPROVE STUDENT ACHIEVEMENT IN NINE RURAL, HIGH-NEED SCHOOL DISTRICTS IN UP TO 70 SCHOOLS IN CENTRAL LOUISIANA BY PREPARING HIGHLY QUALIFIED EDUCATORS TO TEACH IN CRITICAL SHORTAGE AREAS MIDDLE SCHOOL MATH AND SCIENCE. CLIP ADDRESSES THE HIGH TEACHER TURNOVER AND SHORTAGES FACING RURAL SCHOOLS BY DEVELOPING AND IMPLEMENTING A MODEL OF MIDDLE SCHOOL MATH AND SCIENCE TEACHER PREPARATION. THE MODEL IS AN INNOVATIVE TEACHER RESIDENCY PROGRAM WITH INTEGRATED PROFESSIONAL DEVELOPMENT AND INDUCTION SUPPORT. IN TURN, CLIP IS EXPECTED TO PRODUCE MEASURABLE POSITIVE IMPACTS ON THE ACADEMIC ACHIEVEMENT OF LOW-PERFORMING RURAL CENTRAL LOUISIANA STUDENTS IN GRADES 6-8.THE ORCHARD FOUNDATION SERVES AS THE LEAD ORGANIZATION FOR THE CENTRAL LOUISIANA INSTRUCTIONAL PARTNERSHIP. CLIP PROJECT PARTNERS INCLUDE: THE NINE CENTRAL LOUISIANA SCHOOL DISTRICTS OF ALLEN, AVOYELLES, CATAHOULA, GRANT, LASALLE, NATCHITOCHES, RAPIDES, VERNON AND WINN; NORTHWESTERN STATE UNIVERSITY'S GALLASPY COLLEGE OF EDUCATION & HUMAN DEVELOPMENT AND COLLEGE OF BUSINESS & TECHNOLOGY-COMPUTER INFORMATION SYSTEMS; URBAN LEARNING & LEADERSHIP CENTER; EVALWORKS; AND THE RAPIDES FOUNDATION, WHICH WILL PROVIDE GRANT ADMINISTRATIVE SUPPORT.APPLICANTS SELECTED FOR THE CLIP PROGRAM WILL COMPLETE A 15-MONTH ACCELERATED GRADUATE PROGRAM OF STUDY CULMINATING IN A MASTER OF ARTS IN TEACHING DEGREE FROM NORTHWESTERN STATE UNIVERSITY AND A PROFESSIONAL TEACHING LICENSE. THEY WILL RECEIVE A STIPEND DURING THEIR TRAINING. WHILE COMPLETING THEIR GRADUATE COURSEWORK, CLIP RESIDENTS WILL BE IMMERSED IN AN ACADEMIC YEAR SCHOOL-BASED RESIDENCY IN A HIGH-NEED SCHOOL IDENTIFIED BY THE NINE PARTNER PUBLIC SCHOOL DISTRICTS. THEY WILL EXPERIENCE A VARIETY OF LEARNING OPPORTUNITIES ALONGSIDE A TRAINED AND EXPERIENCED MENTOR TEACHER. NSU'S COLLEGE OF EDUCATION WILL LEAD THE MENTORING PROGRAM AS AN EXTENSION OF THEIR SUPERVISION OF THE CLINICAL RESIDENCY COMPONENT OF THE PROGRAM. CLIP RESIDENTS WILL RECEIVE CONTENT EXPERTISE IN STEM TEACHING TECHNIQUES BY NSU'S COMPUTER INFORMATION SYSTEMS DEPARTMENT ENSURING THEY WILL POSSESS THE CONTENT KNOWLEDGE TO IMPLEMENT STEM LESSONS USING THE LATEST TECHNOLOGY IN THEIR CLASSROOMS. UPON COMPLETION OF THE PROGRAM, GRADUATES WILL BE PLACED IN CLIP-PARTICIPATING SCHOOLS AND WILL RECEIVE TWO YEARS OF INDUCTION SUPPORT WITH SUSTAINED COACHING AND PROFESSIONAL DEVELOPMENT DELIVERED BY CLIP PARTNER URBAN LEARNING AND LEADERSHIP CENTER. CLIP WILL IDENTIFY, SELECT, TRAIN AND SUPPORT HIGHLY EFFECTIVE SCHOOL-BASED COACHES THAT WILL CARRY OUT THE RIGOROUS INDUCTION PROCESS. CLIP GRADUATES ARE EXPECTED TO BE RETAINED IN CENTRAL LOUISIANA HIGH-NEED SCHOOLS FOR AT LEAST THREE YEARS AS PART OF THE CLIP AGREEMENT. EVALWORKS, ANOTHER CLIP PARTNER, WILL PROVIDE AN INDEPENDENT EVALUATION OF THE PROGRAM TO ENSURE PROJECT GOALS AND OBJECTIVES ARE BEING MET. OVER FIVE YEARS, CLIP IS EXPECTED TO RECRUIT, RETAIN, AND SUPPORT 44 NEW HIGHLY QUALIFIED MIDDLE SCHOOL MATH AND SCIENCE TEACHERS IN HIGH-NEED SCHOOLS IN CENTRAL LOUISIANA. ADDITIONALLY, 44 TEACHERS WITHIN THE SCHOOL DISTRICT WILL BE TRAINED AS MENTORS FOR THE FIELD-BASED RESIDENCY, AND 44 SCHOOL DISTRICT EDUCATORS WILL ALSO LEARN COACHING TECHNIQUES TO IMPLEMENT A REGIONAL INDUCTION PROGRAM. THE FIRST CLIP COHORT PRODUCED 9 MIDDLE SCHOOL MATH OR SCIENCE TEACHERS WHO WOULD COMPLETE YEAR 2 OF THEIR 3-YEAR SERVICE AGREEMENT IN THE 2022-2023 SCHOOL YEAR. THE SECOND CLIP COHORT PRODUCED 9 MIDDLE SCHOOL MATH OR SCIENCE TEACHERS WHO WOULD COMPLETE YEAR 1 OF THEIR 3-YEAR SERVICE AGREEMENT WITH THE 2022-2023 SCHOOL YEAR. THE THIRD CLIP COHORT OF 10 BEGAN THEIR YEAR-LONG RESIDENCY WITH THE 2022-2023 SCHOOL YEAR. THE FOURTH AND FINAL CLIP COHORT OF 6 STARTED THEIR GRADUATE PROGRAM IN SUMMER 2022 AND BEGAN THEIR RESIDENCY IN FALL 2023. 2989372 6635737 0 HEALTHY COMMUNITIES -- THE RAPIDES FOUNDATION'S ECONOMIC DEVELOPMENT 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 DEVELOPMENT 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. IN THE AREA OF WORKFORCE SKILLS AND DEVELOPMENT, TRF IN LATE 2017 AWARDED A $2 MILLION MATCHING GRANT TO THE LOUISIANA COMMUNITY AND TECHNICAL COLLEGE SYSTEM FOUNDATION THAT WAS USED BY CLTCC TO ESTABLISH THE CENTRAL LOUISIANA MANUFACTURING TECHNOLOGY CENTER IN DOWNTOWN ALEXANDRIA AND TO BUILD AND EXPAND ITS MANUFACTURING PROGRAMS LOCATED ON CAMPUSES THROUGHOUT THE REGION. THE STATE OF LOUISIANA MATCHED THE FOUNDATION'S FUNDING WITH $2 MILLION. THE GRANT DOLLARS ARE BEING USED TO FUND A STATE-OF-THE-ART TECHNICAL TRAINING PROGRAM WITH A FOCUS ON ADVANCED MANUFACTURING. THE GOAL IS TO PRODUCE GRADUATES FOR THE HIGH-WAGE, HIGH-DEMAND JOBS IN THE MANUFACTURING SECTOR THROUGHOUT THE REGION. TRF SUPPORTED LOUISIANA CENTRAL, THROUGH $382,255 IN MATCHING GRANTS, AS THE VEHICLE TO BUILD COOPERATION, COORDINATION, TEAMWORK AND SOCIAL COHESIVENESS FOR REGIONAL ECONOMIC DEVELOPMENT OBJECTIVES. THESE EFFORTS WERE KEY TO BRINGING EXPANSIONS AND NEW BUSINESSES TO CENTRAL LOUISIANA. CENTRAL LOUISIANA MAINTAINED ITS STATUS AS LOUISIANA'S ONLY REGION TO BE FULLY ACT WORK READY CERTIFIED. THE REGION'S TEN ACT CERTIFIED PARISHES CONSTITUTE 50% OF ALL CERTIFIED PARISHES IN THE STATE. 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. THIS 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 SUPPORTS BUSINESS STARTUPS AND EXPANSIONS TO BUILD A COMPREHENSIVE AND COORDINATED ENTREPRENEURSHIP SYSTEM FOR CENTRAL LOUISIANA. THE BUSINESS ACCELERATION SYSTEM IS FUNDED THROUGH A $900,000, TRF GRANT AND ADMINISTERED BY LOUISIANA CENTRAL. BAS PROVIDES TECHNICAL ASSISTANCE, COACHING AND MENTORING SERVICES FOR ENTREPRENEURS AND SMALL BUSINESS OWNERS WHO WANT TO START OR GROW THEIR BUSINESSES. IN 2021, BAS WORKED ONE-ON-ONE WITH 69 BUSINESS OWNERS THROUGHOUT THE REGION. IT ALSO BROUGHT IN QUARTERLY SPEAKERS AND OFFERED 9 WORKSHOPS AND TRAININGS THROUGHOUT THE YEAR, REACHING 168 UNIQUE PARTICIPANTS IN TAKING THEIR BUSINESSES TO THE NEXT LEVEL. IN 2021, TRF AWARDED A $1.4 MILLION GRANT TO CAREER COMPASS OF LOUISIANA THAT ADDRESSES THE HIGH NUMBER OF YOUNG ADULTS BETWEEN THE AGES OF 16 AND 24 WHO ARE NEITHER WORKING NOR PURSUING AN EDUCATION. OFTEN REFERRED TO AS "DISCONNECTED YOUTH". THE PROJECT WILL FUND TRAINED CAREER COACHES TO ASSIST HIGH SCHOOL STUDENTS WITH SUCCESSFULLY TRANSITIONING TO A LOCAL TWO- OR FOUR-YEAR UNIVERSITY OR TECHNICAL COMMUNITY COLLEGE. IT WILL ALSO FUND STAFF AT PARTICIPATING POSTSECONDARY INSTITUTIONS TO PROVIDE ONGOING SERVICES TO BEYOND GRADUATION STUDENTS DURING THEIR COLLEGE TENURE TO ENSURE THEY CONTINUE TO PROGRESS TOWARD COMPLETION. 577 STUDENTS PARTICIPATED IN 2021-22. TRF'S COMMUNITY DEVELOPMENT INITIATIVE ADDRESSES SOCIAL CAPITAL BY SUPPORTING LEADERSHIP AND NONPROFIT DEVELOPMENT, AND INCREASED 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 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 2021-2022 ACADEMIC YEAR, 17 SCHOOLS FACILITATED YVC CLUBS, WITH 453 STUDENTS PARTICIPATING IN OVER 100 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 2021, CDW OFFERED 33 FREE TRAININGS BOTH ONLINE AND ON-SITE TO 307 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. IN ADDITION, CDW OFFERS AN E-LIBRARY SERVICE THAT ALLOWS PEOPLE TO CHECK OUT BOOKS AND OTHER RESOURCES ONLINE. ELEVEN COMMUNITY LEADERS GRADUATED FROM THE POPULAR CENLA BOARDBUILDERS PROGRAM IN 2021. 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 ELEVEN 2021 GRADUATES ARE NOW SERVING ON BOARDS THROUGHOUT CENTRAL LOUISIANA, AND THEY JOIN A GROUP OF 239 CENLA BOARDBUILDERS ALUMNI. IN ADDITION, CDW HOSTED CENLA EXECBUILDERS, A LEADERSHIP DEVELOPMENT PROGRAM FOR NONPROFIT EXECUTIVE DIRECTORS. SEVEN NONPROFIT DIRECTORS GRADUATED FROM THE PROGRAM IN 2021, AND THEY JOIN A GROUP OF 50 CENLA EXECBUILDERS ALUMNI WHO PARTICIPATE IN THE PROGRAM'S PEER LEADERSHIP NETWORK. THE RAPIDES FOUNDATION'S GOALS FOR HEALTHY COMMUNITIES ARE:10-YEAR IMPACTS (2012-2023): ACHIEVE A REAL AVERAGE ANNUAL MEDIAN HOUSEHOLD INCOME GROWTH RATE OF 0.8%, OR A MEDIAN HOUSEHOLD INCOME OF $42,184. INCREASE CENTRAL LOUISIANA'S MEDIAN HOUSEHOLD INCOME TO 92% OF THE SOUTHERN MEDIAN HOUSEHOLD INCOME. INCREASE CENTRAL LOUISIANA'S MEDIAN HOUSEHOLD INCOME TO 80% OF THE U.S MEDIAN HOUSEHOLD INCOME. INCREASE PERCENTAGE OF POSTSECONDARY DEGREES FROM 2 AND 4-YEAR INSTITUTIONS FROM 21% IN 2012 TO 26%. (24% IMPROVEMENT) INCREASE POSTSECONDARY GRADUATION RATES FROM 73% IN 2012 TO 86%. (18% IMPROVEMENT) 2989372 6635737 0 18643465 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 75 0 1 34 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 479856 0 40773 MARK BROWN MEMBER 1.00 X 0 0 0 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 GLENN CURTIS MEMBER 1.00 X 0 0 0 MARK THOMPSON MEMBER 1.00 X 0 0 0 TONI MCALLISTER MEMBER 1.00 X 0 0 0 ASHLEY STEWART DIR OF PROGRAMS 40.00 X 195157 0 35863 KAYREN SEGALL DIR OF ADMIN 40.00 X 196037 0 34125 AKESHIA SINGLETON DIR OF EVALUATION 40.00 X 126738 0 26474 TAMMY MOREAU DIR OF COMMUNICATIONS 40.00 X 129998 0 41316 1127786 0 178551 5 0 1 0 BRAND RUSSO 116 E CONGRESS ST LAFAYETTE LA 70501 MARKETING 466199 BLUE CROSS BLUE SHIELD PO BOX 65007 DALLAS TX 75265 HEALTH INSURANCE 387294 TURNER TELECO 4216 MICHAELS DR ALEXANDRIA LA 71301 IT SUPPORT 150105 AON HEWITT 39584 TREASURY CENTER CHICAGO IL 60694 INVESTMENT CONSULTING 101624 4 888941 888941 888941 6216656 6216656 203462 0 203462 203462 203462 7309059 888941 0 6420118 15054378 15054378 850194 557536 292658 783114 516851 266263 164322 103305 61017 166453 59049 107404 97073 32674 64399 149738 76954 72784 717795 577279 140516 65374 18643 46731 205943 58730 147213 96668 27567 69101 25489 8360 17129 99122 41526 57596 36416 10385 26031 51333 14639 36694 CONTRACT SERVICES 1456943 1431125 25818 PROGRAM SUPPLIES 44000 44000 MEMBERSHIPS & DUES 25782 7352 18430 OTHER 10914 3112 7802 20101051 18643465 1457586 0 6314251 3772008 536648 578525 244619 198387 4246547 2638365 1592750 1608182 275822362 305727891 41515346 40707266 238939 405713 326264915 352997972 357206 1423143 15653753 20329803 441658 659726 16452617 22412672 X 309812298 330585300 309812298 330585300 326264915 352997972 -12791992 33564993 0 X X 0 1 X 1 0 X 0 84000 84000 18643465 18727465 1000000 250000 0 0 696582 696070 971652 1000000 3364304 5046456 31460 26780 44980 84000 187220 174146 174018 242913 250000 841077 1261616 0 417074 417074 3829473 2638365 1191108 1608182 RHS PARTNERSHIP 40307266 C CENLA REHAB PARTNERSHIP 400000 C 40707266 OTHER LIABILITIES 389774 PAYROLL TAXES & BENEFITS 269952 659726 X 40874052 33564993 33564993 7309059 0 7309059 20101051 0 20101051 0 20101051 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 1942120 1942120 0.02100 22070241 22609558 0 0.00000 0 0 0.00000 24012361 22609558 1942120 0.02100 11119748 11119748 0.12500 1685382 109816 1575486 0.01710 5109092 5109092 0.05540 17914222 109816 17804326 0.19750 41926583 22719374 19746446 0.21850 3543815 3543815 0.03840 45766 45766 0.00050 3589581 3589581 0.03890 0 221853 17141988 15645442 1496546 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 2018, 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 1,458 INDIVIDUALS AGE 18 AND OLDER IN THE SERVICE AREA, INCLUDING 400 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 2019. 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 29403 0 2023-24 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 9603 0 2023-24 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTERSHIP GRANT THE BEN D JOHNSON EDUCATIONAL 400 MARTIN LUTHER KING BLVD NATCHITOCHES LA 71457 474073505 501(C)(3) 300000 0 LEGACY WORKFORCE DEVELOPMENT PROGRAM BOYS & GIRLS CLUB OF ACADIANA INC PO BOX 62166 LAFAYETTE LA 70596 720940072 501(C)(3) 75000 0 NATCHITOCHES CLUB COOKING PROGRAM AND HEALTHY OUTCOMES 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) 25000 0 VAPING AND TOBACCO CESSATION PROGRAM CENTRAL LOUISIANA TECHNICAL COMMUNITY COLLEGE 4311 S MACAUTHUR DRIVE ALEXANDRIA LA 71302 272961167 PUBLIC AGENCY 300000 0 CENLA OUTREACH, ENGAGE, & RECONNECT (COER) COTTONPORT MAYOR'S COMMISSION FOR WOMEN PO BOX 3 COTTONPORT LA 71327 721312952 501(C)(3) 200000 0 COTTONPORT COMMUNITY HEALTH AND FITNESS PARK CAMPTI COMMUNITY DEVELOPMENT CENTER PO BOX 255 CAMPTI LA 71411 432008828 501(C)(3) 198000 0 SEEDS TO SUCCESS CITY OF WINNFIELD PO BOX 509 WINNFIELD LA 71483 726001086 GOVERNMENT AGENCY 25000 0 GREAUX HEALTHY WINN! ECKERD CONNECTS 100 STARCREST DRIVE CLEARWATER FL 33765 592551416 501(C)(3) 300000 0 ECKERD CONNECTS: OPPORTUNITY YOUTH PROGRAM LASALLE ECONOMIC DEVELOPMENT DISTRICT (LEDD) 1850 N 2ND STREET JENA LA 71342 721405752 GOVERNMENT AGENCY 25000 0 EXPANSION OF THE STRAND VILLAGE PROJECT #THRIVE FOOD BANK OF CENTRAL LOUISIANA 3223 BALDWIN AVENUE ALEXANDRIA LA 71301 721154072 501(C)(3) 279411 0 SENIOR NUTRITION PROGRAM GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX LA 71417 726000494 GOVERNMENT AGENCY 84256 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX LA 71418 726000495 GOVERNMENT AGENCY 126000 0 2024-2025 ECE COMMUNITY ENGAGEMENT & ACCESS MATCHING GRANTS GRANT PARISH SCHOOL BOARD PO BOX 209 COLFAX LA 71419 726000496 GOVERNMENT AGENCY 25868 0 2023-24 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER 806 JEFFERSON TERRACE BLVD NEW IBERIA LA 70560 582164455 501(C)(3) 300000 0 IBH IMPLEMENTATION-IBERIA CCHC LASALLE PARISH SCHOOL BOARD PO DRAWER 90 JENA LA 71342 726000656 GOVERNMENT AGENCY 63309 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT LASALLE COMMUNITY ACTION ASSN INC 825 HWY 8 SICILY ISLAND LA 71368 720631111 501(C)(3) 300000 0 CATAHOULA YOUTH ENRICHMENT PROGRAM LASALLE ECONOMIC DEVELOPMENT DISTRICT (LEDD) PO BOX 775 JENA LA 71342 721405752 GOVERNMENT AGENCY 300000 0 RECONNECT LASALLE: YOUTH EMBRACING A GREATER FUTURE LOUISIANA CHRISTIAN UNIVERSITY 1140 COLLEGE DRIVE PINEVILLE LA 71360 720467515 PUBLIC AGENCY 30000 0 STEP UP CENLA LSU HEALTH SCIENCES CENTER- SHREVEPORT 1501 KINGS HIGHWAY SHREVEPORT LA 71130 720702002 GOVERNMENT AGENCY 145000 0 2023 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 634700 0 2024-2025 ECE COMMUNITY ENGAGEMENT & ACCESS MATCHING GRANTS NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 12011 0 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 24955 0 2023-24 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT ON POINT BROADCASTING COMMUNITY OUTREACH 3652 GOVERNMENT STREET ALEXANDRIA LA 71302 461858018 501(C)(3) 100000 0 STRENGTHENING FAMILIES RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 88910 0 2023-24 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT REINVESTING IN SIMMESPORT'S EXPANSION AKA RISE PO BOX 117 SIMMESPORT LA 71369 831302493 501(C)(3) 25000 0 T.I.D.Y. [TAKE INITIATIVES DEDICATED TO YOU] IN SIMMESPORT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 434567 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 1880000 0 2024-2025 ECE COMMUNITY ENGAGEMENT & ACCESS MATCHING GRANTS RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 15469 0 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM RAPIDES PARISH POLICE JURY 5610-B COLISEUM BLVD ALEXANDRIA LA 71303 726001132 GOVERNMENT AGENCY 300000 0 YOUTH EMPOWERMENT SERVICES (YES) THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 4308154 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT TOWN OF BUNKIE 105 WALNUT STREET BUNKIE LA 71322 726000215 GOVERNMENT AGENCY 221046 0 MOVE BUNKIE FORWARD VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE LA 71446 726001443 GOVERNMENT AGENCY 56408 0 2023-24 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE LA 71447 726001443 GOVERNMENT AGENCY 225000 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE LA 71448 726001443 GOVERNMENT AGENCY 7849 0 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM YOUNG WOMEN'S CHRISTIAN ASSOCIATION 5912 JAMES STREET ALEXANDRIA LA 71303 726001511 501(C)(3) 150000 0 GIRLS ON THE RUN SCHOLARSHIP EXPANSION VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA 3704 COLISEUM BLVD ALEXANDRIA LA 71303 721020853 501(C)(3) 99135 0 STRENGTHENING FAMILIES WINN PARISH SCHOOL BOARD P O BOX 430 WINNFIELD LA 71483 726001620 GOVERNMENT AGENCY 91500 0 INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT 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 479856 0 0 0 0 0 30000 0 10773 0 520629 0 0 0 ASHLEY STEWART DIR OF PROGRAMS 195157 0 0 0 0 0 20700 0 15163 0 231020 0 0 0 KAYREN SEGALL DIR OF ADMIN 196037 0 0 0 0 0 19604 0 14521 0 230162 0 0 0 TAMMY MOREAU DIR OF COMMUNICATIONS 129998 0 0 0 0 0 27500 0 13816 0 171314 0 0 0 AKESHIA SINGLETON DIR OF EVALUATION 126738 0 0 0 0 0 12674 0 13800 0 153212 0 0 0 PART I, LINE 4B DURING 2023, THE FOUNDATION'S PRESIDENT AND CEO, JOSEPH R. ROSIER, JR., CONTRIBUTED $30,000 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 4308154 GRANT AGREEMENT THE ORCHARD FOUNDATION J 19591 COST ACCOUNTING SYSTEM CMAP EXPRESS B 0 GRANT AGREEMENT CMAP EXPRESS J 23686 COST ACCOUNTING SYSTEM THE ORCHARD FOUNDATION Q 1034103 COST ACCOUNTING SYSTEM CMAP EXPRESS Q 1221413 COST ACCOUNTING SYSTEM