2019-11-08T14:12:22-06:00 2018-12-31 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2018-01-01 720423603 THE RAPIDES FOUNDATION RAPI 3184433394 1101 FOURTH STREET NO 300 ALEXANDRIA LA 71301 JOE ROSIER JR CEO 3184433394 2019-11-07 1 JON LEBLANC P01525561 2259224600 206.124.204.139 2019-11-07 12:05:52 CS P CE33A495BB1FB8AB522436F4B687AD83C032BEEC C6ADD9A11D1E3681FCBEE8E595FD3B1E97A690DD 2018 2020-03-31 21:24:44Z JOE ROSIER JR 1101 FOURTH STREET SUITE 300 ALEXANDRIA LA 71301 18831112 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 328-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 41 15 0 0 38288 100 5638606 4494486 12329144 14336492 0 34 18006038 18831112 13380634 5672830 0 0 1249742 1347568 0 0 0 2460322 2788000 17090698 9808398 915340 9022714 292950307 272117857 11107444 7913320 281842863 264204537 X THE MISSION OF THE RAPIDES FOUNDATION (TRF) IS TO IMPROVE THE HEALTH STATUS OF CENTRAL LOUISIANA. 0 0 4494486 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 328-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, 2018, RRMC ADMITTED 15,109 PATIENTS, CARED FOR 84,063 PATIENTS IN THE EMERGENCY ROOM, FACILITATED 8,317 SURGERIES AND WELCOMED 1,759 BABIES. RAPIDES HEALTHCARE SYSTEM PROVIDED $3.6 MILLION IN FINANCIAL SUPPORT DURING 2018 TO THE LOUISIANA STATE UNIVERSITY FAMILY PRACTICE RESIDENCY PROGRAM NEAR ITS CAMPUS. IN 2018 THE PROGRAM GRADUATED 6 PHYSICIANS AND ACCEPTED 6 NEW RESIDENTS INTO ITS THREE-YEAR PROGRAM. SINCE ITS BEGINNING IN 1997, THE PROGRAM HAS GRADUATED 117 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 2018 RAPIDES OPERATED TWO HP LONG CLINIC LOCATIONS THAT PROVIDED URGENT, PRIMARY AND SPECIALTY CARE TO MEDICAID, MEDICARE AND UNINSURED PATIENTS. DURING THE YEAR 34,239 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 9,024 NO-COST MEDICATIONS TO THESE PATIENTS (AT A WHOLESALE VALUE OF $2.5 MILLION) THROUGH ITS PATIENT ASSISTANCE PROGRAM AND CENTRAL FILL PHARMACY. RAPIDES PROVIDED AN ADDITIONAL 3,301 PRESCRIPTIONS TO PATIENTS FOR $4 EACH OR LESS THROUGH A PRESCRIPTION CARD PROGRAM. THESE MEDICATIONS WOULD HAVE COST PATIENTS AN AVERAGE $22 EACH. 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. THE HOSPITAL RECEIVED A "B" RATING FROM THE LEAPFROG GROUP, A NONPROFIT ORGANIZATION DRIVING IMPROVEMENT IN QUALITY AND SAFETY IN AMERICAN HEALTHCARE. THE GRADE REFLECTS THE HOSPITAL'S STRONG RECORD OF PATIENT SAFETY IN 2018. IN 2018, 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 IN THE SUMMER OF 2018. THE TAVR PROCEDURE IS A LESS-INVASIVE OPTION THAN TRADITIONAL OPEN-HEART SURGERY TO REPLACE AN UNHEALTHY AORTIC VALVE. RAPIDES REGIONAL MEDICAL CENTER IN 2018 ACHIEVED THE FOLLOWING ACCREDITATIONS AND CERTIFICATIONS THAT DEMONSTRATE ITS COMMITMENT TO A HIGHER STANDARD OF CARE: CANCER TREATMENT ACCREDITATION, CERTIFIED CARDIAC REHABILITATION PROGRAM, NUCLEAR MEDICINE GOLD SEAL ACCREDITATION, COMPUTED TOMOGRAPHY GOLD SEAL ACCREDITATION, MRI GOLD SEAL ACCREDITATION, MAMMOGRAPHY GOLD SEAL ACCREDITATION, VASCULAR TESTING ACCREDITATION, CAP LABORATORY ACCREDITATION, AND GOLD LEVEL FIT-FRIENDLY WORKSITE. 4156340 2489170 HEALTHY PEOPLE - TRF PROVIDED CHRONIC CARE PRESCRIPTION MEDICATIONS FOR PEOPLE WHO CANNOT AFFORD THEM THROUGH A $500,000 GRANT IN 2018 TO ITS SUPPORTING ORGANIZATION, CENLA MEDICATION ACCESS PROGRAM (CMAP). CMAP'S GOAL IS TO ENSURE APPROPRIATE MEDICATION ACCESS AND EDUCATION AND ALSO PROMOTE OTHER PREVENTIVE HEALTH PRACTICES AMONG RESIDENTS WITH LIMITED INCOMES. IN 2018 CMAP FILLED 13,168 FREE PRESCRIPTIONS AT A WHOLESALE PRICE OF $5.3 MILLION THROUGH CMAP'S PATIENT ASSISTANCE PROGRAM AND ITS CENTRAL FILL PHARMACY, WHICH HAD CONTRACTS TO PROVIDE PHARMACEUTICALS FROM THIRTEEN MAJOR COMPANIES. IN 2018, TRF PROVIDED A $150,000 GRANT TO CMAP'S CANCER SCREENING PROJECT, WHICH PROVIDES FREE MAMMOGRAMS, PAP SMEARS, PELVIC EXAMS AND COLORECTAL CANCER TESTS TO UNINSURED AND UNDERINSURED PATIENTS WHO COULDN'T AFFORD THESE CRITICAL SCREENINGS. ITS CANCER SCREENING VAN, AVAILABLE THROUGH A $200,000 GRANT TO LSU HEALTH SCIENCES CENTER -- SHREVEPORT, BROUGHT THESE TESTS TO RURAL AREAS. IN 2018, 548 PATIENTS RECEIVED SCREENINGS. 109 PAP SMEARS WERE DONE, 116 PELVIC EXAMS WERE COMPLETED, 409 WERE MAMMOGRAMS DONE, 267 CLINICAL BREAST EXAMS WERE COMPLETED, AND 121 TAKE-HOME COLORECTAL CANCER TESTS WERE DISTRIBUTED. IN 2018, TRF GAVE A $35,000 GRANT TO CMAP TO IMPLEMENT AND MANAGE A COMMUNITY HEALTH ADVISOR PROJECT TO HELP EDUCATE INDIVIDUALS IN THE BENEFITS OF SCREENING. AS WELL AS ASSIST IN ACCESS TO SCREENING FOR BREAST, CERVICAL, AND COLORECTAL CANCERS. THE PROJECT REACHED 1,415 PEOPLE IN 2018. IN 2015 TRF BEGAN AN INITIATIVE TO EXPAND PRIMARY CARE ACCESS IN ITS REGION BY OFFERING A FUNDING OPPORTUNITY TO HELP FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) EXPAND CRITICAL SERVICES TO UNDERSERVED AREAS IN CENTRAL LOUISIANA BY ESTABLISHING NEW ACCESS POINTS OR EXPANDING ACCESS WITH INTEGRATED BEHAVIORAL AND ORAL HEALTH SERVICES. THROUGH 2018 TRF HAS AWARDED JUST UNDER $5 MILLION TO FIVE NEW CLINICS IN CATAHOULA, GRANT, RAPIDES AND VERNON PARISHES, FIVE SCHOOL-BASED HEALTH CENTERS IN RAPIDES PARISH, ONE SCHOOL-BASED HEALTH CENTER IN GRANT PARISH, AND A SCHOOL-BASED HEALTH CENTER SERVING TWO SCHOOLS IN NATCHITOCHES PARISH. APPROXIMATELY 44,000 MEDICAL VISITS HAVE BEEN RECORDED AT THESE FACILITIES SINCE THE INCEPTION OF THE PROGRAM. ALL OF THE CLINICS RECEIVING THE FUNDING ARE DESIGNED TO BE SELF-SUSTAINING ONCE THE GRANT CYCLE ENDS. TRF ALSO CONTINUED TO ADDRESS THE SHORTAGE OF HEALTHCARE PROFESSIONALS IN RURAL COMMUNITIES. A 2017 THREE-YEAR GRANT OF $500,000 TO NORTHWESTERN STATE UNIVERSITY PROVIDED FUNDING FOR FACULTY EXPENSES AND STUDENT STIPENDS TO TRAIN GRADUATE STUDENTS WHO AGREE TO WORK IN CENTRAL LOUISIANA AS PSYCHIATRIC NURSE PRACTITIONERS. THE FOUNDATION ALSO 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 FUNDED A $370,000 GRANT IN 2018 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. ONE ASPECT PROVIDES ONE-ON-ONE COUNSELING TO INDIVIDUALS WHO ARE REFERRED BY THEIR DOCTORS. IN 2018, 624 CLIENTS RECEIVED COACHING FROM A REGISTERED DIETITIAN OR EXERCISE SPECIALIST. TRF PARTNERED WITH 109 CENTRAL LOUISIANA K-12 SCHOOLS IN SEVEN PARISHES THROUGH $174,750 IN HEALTHY BEHAVIORS GRANTS. IN THE 2017-2018 SCHOOL YEAR, 38,363 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 KICK BUTTS DAY ACTIVITIES, NATIONAL DRUG AND ALCOHOL FACTS WEEK AND LIVING HEALTHY CLUBS; AND FOR PROFESSIONAL DEVELOPMENT AND CERTIFICATION FOR NUTRITION STAFF. IN ADDITION TO SCHOOL DISTRICT GRANTS, TRF CONTINUED TO OVERSEE HEALTHY BEHAVIOR GRANTS THAT WERE AWARDED TO COMMUNITIES FOR PROJECTS THAT ADDRESS HEALTH BEHAVIORS. TRF HAS INVESTED OVER $3 MILLION IN 11 GRANTS SINCE THE PROGRAM LAUNCHED IN 2014. THE GRANTS FUNDED IMPROVED PARK AND FITNESS FACILITIES, MOBILE PLAYGROUNDS, FARMERS MARKETS, HEALTHY FOOD DISTRIBUTION PROGRAMS, COMMUNITY GARDENS, AND ALCOHOL AND SUBSTANCE ABUSE PREVENTION. IN SEPTEMBER 2018, 532 STUDENTS AND TEACHERS FROM SEVEN CENTRAL LOUISIANA SCHOOL DISTRICTS ATTENDED THE EIGHTH ANNUAL YOUTH SUMMIT ON HEALTHY BEHAVIORS, A ONE-DAY EVENT FOR STUDENTS TO LEARN HOW TO BECOME ADVOCATES FOR HEALTHY CHOICES AND POLICY CHANGE IN THEIR SCHOOLS AND COMMUNITIES. MEMBERS OF TRF'S YOUTH ADVOCACY COUNCIL PLANNED AND LED THE SUMMIT, WHICH INCLUDED NATIONALLY RECOGNIZED SPEAKERS. STUDENTS CREATED AN ADVOCACY PROJECT THAT FOCUSED ON ENFORCEMENT OF USDA SMART SNACKS GUIDELINES IN SCHOOLS. THE GOAL IS FOR STUDENTS TO WORK WITHIN THEIR SCHOOLS TO REPLACE UNHEALTHY FOODS IN SCHOOL CONCESSIONS WITH HEALTHY ALTERNATIVES. DURING THE YEAR, TRF INVESTED $606,000 IN COMMUNITY MARKETING DESIGNED TO RAISE AWARENESS OF THE IMPORTANCE OF DIET AND PHYSICAL ACTIVITY, TO COUNTER TOBACCO ADVERTISING AND TO PROVIDE AWARENESS AND RESOURCES IN THE AREA OF ALCOHOL AND SUBSTANCE ABUSE. WITH RAPIDES FOUNDATION SUPPORT, CMAP PARTNERED WITH THE LOUISIANA SMOKING CESSATION TRUST TO PROVIDE TOBACCO CESSATION COUNSELING TO INDIVIDUALS IN ITS SERVICE AREA. SINCE THE PARTNERSHIP BEGAN IN 2014, 1,181 AREA RESIDENTS HAVE BEEN REFERRED TO THE PROGRAM, WHO HAVE BEEN OFFERED FREE CESSATION COUNSELING AND MEDICINE TO HELP THEM QUIT. 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) 2910546 2376350 EDUCATION -- DURING 2018 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. IN 2015, TRF PROVIDED A $1.4 MILLION, FOUR-YEAR GRANT TO THE ORCHARD FOUNDATION TO SUPPORT ITS OPERATIONS. ADDITIONALLY, IN 2016, TRF AWARDED EIGHT SCHOOL DISTRICTS $2.25 MILLION IN THREE-YEAR GRANTS FROM A NEW STRATEGIC SOLUTIONS FUND. THE FUND IS DESIGNED TO ENCOURAGE DISTRICTS TO BE CREATIVE AND FORWARD THINKING WHILE ADDING DEPTH TO THEIR CURRENT STRATEGIC VISIONS. DURING 2018 THE RAPIDES FOUNDATION FUNDED A $505,000 GRANT TO THE ORCHARD FOUNDATION FOR PROFESSIONAL DEVELOPMENT TRAINING FOR K-12 STAFF. THE ORCHARD FOUNDATION COORDINATED KAGAN INSTRUCTIONAL INSTITUTES FOR 286 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. ADDITIONALLY, TEACHERS RECEIVED FOLLOW-UP ONE-ON-ONE COACHING IN THE CLASSROOM. ON-SITE COACHING IS PROVIDED BY AREA TEACHERS WHO HAVE COMPLETED PREVIOUS KAGAN TRAININGS, SUCCESSFULLY IMPLEMENTED KAGAN METHODS IN THEIR CLASSROOMS AND ATTENDED COACH TRAINING WORKSHOPS. THE ORCHARD FOUNDATION HAS DEVELOPED 66 KAGAN CERTIFIED COACHES AND 13 CERTIFIED SCHOOL TRAINERS IN ITS SERVICE AREA. 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. 86 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 OR PRINCIPALS TO DEVELOP THEIR LEADERSHIP SKILLS IN GUIDING AND SUPPORTING TEACHERS' PROFESSIONAL LEARNING. 82 ASSISTANT PRINCIPALS AND PRINCIPALS WERE ALSO TRAINED IN THE 5 DIMENSIONS OF TEACHING AND LEARNING AND THE 4 DIMENSIONS OF INSTRUCTIONAL LEADERSHIP. A DISTRICT LEADERS' 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. 47 LEADERS PARTICIPATED. AS PART OF A $1 MILLION GRANT FROM THE RAPIDES FOUNDATION UNDER ITS CAREER AND POSTSECONDARY READINESS INITIATIVE, THE ORCHARD FOUNDATION ADMINISTERS THREE PROGRAMS - 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 2018, ALL PUBLIC HIGH SCHOOLS IN THE FOUNDATION'S SERVICE AREA ACCESSED CAREER READY 101, 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 2017-2018 SCHOOL YEAR, 6,169 STUDENTS PARTICIPATED IN CAREER READY 101 TRAINING, AND 5,756 NATIONAL CAREER READINESS CERTIFICATES WERE EARNED BY CENLA RESIDENTS. IN 2018 THE ORCHARD FOUNDATION ALSO PARTNERED 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 2017-2018 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 IN THE SERVICE REGION. THE SCOPE OF SERVICES INCLUDED ONE-ON-ONE COACHING WORK WITH 3,367 SENIORS IN 45 HIGH SCHOOLS AS WELL AS CAREER SEMINARS ATTENDED BY ANOTHER 15,874 STUDENTS. 92 PERCENT OF THE SENIORS COUNSELED APPLIED TO A POSTSECONDARY PROGRAM. THE ORCHARD FOUNDATION OFFERED SUMMER CAMPS 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. NINETEEN SELECTED EDUCATORS ATTENDED THE 3-DAY 2018 WEE CAMP, WHILE SIX EDUCATORS TOOK PART IN THE IN-DEPTH WEE CAMP II EXPERIENCE, WHERE THEY SPENT TWO ADDITIONAL DAYS LEARNING THE DAY-TO-DAY OPERATIONS OF SOME OF THE REGION'S KEY MANUFACTURERS. IN LATE 2018, ORCHARD HELD ITS ANNUAL STUDENTS EXPLORING CAREER OPPORTUNITIES EXPO, A TWO-DAY EVENT THAT INTRODUCES 10TH GRADERS TO CAREER POSSIBILITIES. THE EVENT ATTRACTED 2,458 STUDENTS WHO PARTICIPATED IN INTERACTIVE, HANDS-ON ACTIVITIES AT 47 STATIONS STAFFED BY 33 AREA BUSINESSES. 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 NATIONAL CENTER FOR CONSTRUCTION EDUCATION AND RESEARCH (NCCER) 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 51 STUDENTS EARNED INDUSTRY BASED CERTIFICATIONS (IBCS) IN SPRING 2018. A WELDING CURRICULUM THAT PREPARES HIGH SCHOOL STUDENTS FOR WELDING CAREERS IN VARIOUS INDUSTRIAL SETTINGS WAS OFFERED IN TWO CENTRAL LOUISIANA SCHOOLS. THE PROGRAM PROVIDES TRAINING IN INDUSTRY FUNDAMENTALS, PRINT READING, LAYOUT/FABRICATION AND THERMAL CUTTING. HIGH SCHOOL STUDENTS THAT SUCCESSFULLY COMPLETE THE COURSE ARE REGISTERED INTO THE NCCER DATABASE FOR POTENTIAL EMPLOYMENT IN WELDING. DURING THE 2017-2018 SCHOOL YEAR, 70 STUDENTS EARNED IBCS IN THE WELDING COURSE. IN 2017, THE ORCHARD FOUNDATION PARTNERED WITH THE LOUISIANA DEPARTMENT OF EDUCATION TO FACILITATE A $1.95 MILLION, THREE-YEAR NEW SKILLS FOR YOUTH GRANT FROM J.P. MORGAN CHASE AND THE COUNCIL OF CHIEF SCHOOL OFFICERS. THE ORCHARD FOUNDATION SERVES AS FISCAL SPONSOR FOR THE GRANT. IN 2018, THROUGH A $211,490 GRANT FROM THE RAPIDES FOUNDATION, THE ORCHARD FOUNDATION ADMINISTERED SCHOOL READINESS INSTITUTES FOR CENTRAL LOUISIANA PRE-K, HEAD START AND CHILDCARE PROVIDERS THAT PARTICIPATE IN THE STATE OF LOUISIANA'S EARLY CHILDHOOD SYSTEM COMMUNITY NETWORK. THE NETWORK SEEKS TO EXPAND ACCESS TO HIGH QUALITY, PUBLICLY FUNDED EARLY CHILDHOOD EDUCATION PROGRAMS. THE INSTITUTES FOR CENTRAL LOUISIANA PROVIDERS ARE PRESENTED BY TEACHSTONE. ORCHARD ADMINISTERED 21 TRAININGS IN 2018, REACHING 194 EDUCATORS AND PROVIDERS. TO EXPAND THE REACH, ORCHARD PROVIDES OPPORTUNITIES FOR INDIVIDUALS TO BECOME CERTIFIED TEACHSTONE INSTRUCTORS. IN 2018, SEVEN INDIVIDUALS RECEIVED THEIR CERTIFICATION AS MAKING THE MOST OF CLASSROOM INTERACTION (MMCI) INSTRUCTORS. ORCHARD HAS TRAINED A TOTAL OF 24 MMCI INSTRUCTORS FOR THE REGION. DURING 2017, WITH A $654,725 GRANT FROM THE RAPIDES FOUNDATION, THE ORCHARD FOUNDATION BEGAN DEVELOPMENT OF AN EARLY CHILDHOOD LITERACY PROGRAM. THE READ TO SOAR EARLY LITERACY PROGRAM WAS LAUNCHED IN CENTRAL LOUISIANA COMMUNITIES DURING 2018. DEVELOPED AND ADMINISTERED BY THE ORCHARD FOUNDATION, READ TO SOAR IS A FREE, 8-SESSION WORKSHOP FOR CHILDREN AGES 5 AND UNDER AND THEIR PARENTS OR CAREGIVERS. SESSIONS HELP DEVELOP AND STRENGTHEN A CULTURE OF READING AT HOME BY EDUCATING PARENTS, BUILDING A CHILD'S HOME LIBRARY AND INCREASING AWARENESS ABOUT COMMUNITY RESOURCES TO HELP ENSURE THE CHILD HAS THE TOOLS FOR SCHOOL SUCCESS. IN 2018, ORCHARD LED 20 READ TO SOAR WORKSHOPS, REACHING 250 CHILDREN FROM 185 FAMILIES. 4,960 BOOKS WERE DISTRIBUTED TO PARTICIPANTS.THE RAPIDES FOUNDATION'S GOALS FOR ITS EDUCATION WORK ARE: 6-10 YEAR IMPACTS: *INCREASE GRADUATION RATES FROM 73% IN 2012 TO 86% BY 2023. (18% IMPROVEMENT) *INCREASE PERCENTAGE OF ADULTS 25 YEARS AND OLDER WITH POSTSECONDARY DEGREES FROM 2-YEAR AND 4-YEAR INSTITUTIONS FROM 21% IN 2012 TO 26% IN 2023. (24% IMPROVEMENT) 1729107 807310 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 WILL BE 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. THE MANUFACTURING TECHNOLOGY CENTER IS EXPECTED TO BE OPEN BY THE FALL 2019. TRF SUPPORTED THE CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE, THROUGH $587,800 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 IN 2018. 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 85% 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 $600,000, 2-YEAR TRF GRANT AND ADMINISTERED BY CLEDA. BAS PROVIDES TECHNICAL ASSISTANCE, COACHING AND MENTORING SERVICES FOR ENTREPRENEURS AND SMALL BUSINESS OWNERS WHO WANT TO START OR GROW THEIR BUSINESSES. IN 2018, BAS WORKED ONE-ON-ONE WITH 55 BUSINESS OWNERS THROUGHOUT THE REGION. IT ALSO BROUGHT IN QUARTERLY SPEAKERS AND OFFERED 35 WORKSHOPS AND TRAININGS THROUGHOUT THE YEAR, REACHING 350 PEOPLE INTERESTED IN TAKING THEIR BUSINESSES TO THE NEXT LEVEL. 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 SPRING 2018, CDW OPERATED YVC CLUBS IN 15 SCHOOLS, WITH 110 STUDENT PARTICIPATING IN 12 COMMUNITY SERVICE PROJECTS. IN THE FALL, THREE SCHOOL DISTRICTS WERE AWARDED GRANTS TO OPERATE YVC CLUBS IN 15 SCHOOLS, WITH 262 STUDENTS PARTICIPATING IN 37 COMMUNITY SERVICE PROJECTS. IN 2018, STUDENTS COMPLETED A COMBINED 1,877 SERVICES HOURS IN THEIR COMMUNITIES. 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 2018, CDW OFFERED 24 FREE TRAININGS BOTH ONLINE AND ON-SITE TO 433 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 ELIBRARY SERVICE THAT ALLOWS PEOPLE TO CHECK OUT BOOKS AND OTHER RESOURCES ONLINE. ELEVEN COMMUNITY LEADERS GRADUATED FROM THE POPULAR CENLA BOARDBUILDERS PROGRAM IN 2018. 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 2018 GRADUATES ARE NOW SERVING ON BOARDS THROUGHOUT CENTRAL LOUISIANA, AND THEY JOIN A GROUP OF 212 CENLA BOARDBUILDERS ALUMNI. IN ADDITION, CDW OFFERED CENLA EXECBUILDERS, A LEADERSHIP DEVELOPMENT PROGRAM FOR NONPROFIT EXECUTIVE DIRECTORS. SIX NONPROFIT LEADERS GRADUATED FROM THE PROGRAM IN 2018, AND THEY JOIN A GROUP OF 44 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) 1729107 807310 8795993 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 65 0 1 41 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 LAURA CLARK TRUSTEE 0.50 X X 0 0 0 BEN CLOSE MD TRUSTEE 0.50 X 0 0 0 JACQUELYN DAENEN TRUSTEE 0.50 X X 0 0 0 CURMAN GAINES PHD TRUSTEE 0.50 X 0 0 0 DOUG GODARD TRUSTEE 0.50 X 0 0 0 ROBERT HUGHES TRUSTEE 0.50 X 0 0 0 ROSEADA MAYEUX TRUSTEE 0.50 X 0 0 0 MURPHY MCMILLIN TRUSTEE 0.50 X 0 0 0 ANNA MOREAU DDS TRUSTEE 0.50 X 0 0 0 SHADHID MANSOOR MD TRUSTEE 0.50 X 0 0 0 MICHAEL REESE TRUSTEE 0.50 X X 0 0 0 JANNEASE SEASTRUNK TRUSTEE 0.50 X 0 0 0 EDWIN URBI MD TRUSTEE 0.50 X 0 0 0 HENRY WILLIAMS TRUSTEE 0.50 X 0 0 0 DENNIS WIMMERT TRUSTEE 0.50 X X 0 0 0 JOSEPH R ROSIER JR PRESIDENT & CEO 40.00 X X 379448 0 53349 KATHLEEN F NOLEN DIR OF ADMIN 40.00 X 216245 0 24909 ASHLEY STEWART DIR OF PROGRAMS 40.00 X 166769 0 24093 KEVIN BROWN PHARMACIST 40.00 X 0 122602 19629 PAT LACOUR ACCY & SYS MGR 40.00 X 105305 0 18054 MARJORIE TAYLOR EXEC DIR OF ORCHARD 40.00 X 0 118578 14982 TAMMY MOREAU DIR OF COMMUNICATIONS 40.00 X 106868 0 18071 AKESHIA SINGLETON DIR OF EVALUATION 40.00 X 105060 0 17757 1079695 241180 190844 6 0 1 0 MORGAN & COMPANY 4407 CANAL STREET NEW ORLEANS LA 70119 PROGRAM MARKETING 593307 PROFESSIONAL RESEARCH CONSULTING INC 11326 P ST OMAHA NE 68137 EVALUATION SERVICES 308492 BLUE CROSS BLUE SHIELD PO BOX 65007 DALLAS TX 75265 HEALTH INSURANCE 190959 CAPITAL ONE NA PO BOX 60024 NEW ORLEANS LA 70160 CREDIT CARD SERVICES 177861 ICF MACRO PO BOX 775367 CHICAGO IL 60677 EVALUATION SERVICES 175152 6 100 100 4494486 4494486 4494486 4095698 4095698 10240794 0 10240794 10240794 10240794 OTHER INCOME 900099 34 34 34 18831112 4494520 0 14336492 5672830 5672830 480923 166069 314854 621349 444915 176434 113127 62318 50809 64198 39845 24353 67971 38509 29462 8025 2867 5158 13702 13702 90996 86673 4323 776433 673381 103052 40846 18758 22088 75506 16761 58745 76914 37109 39805 22249 22148 101 124248 22080 102168 23497 23497 17886 17886 CONTRACT SERVICES 1314418 1308194 6224 PROGRAM SUPPLIES 183354 183354 MEMBERSHIPS & DUES 19913 182 19731 OTHER 13 13 9808398 8795993 1012405 0 2141288 4970900 1713 13562 39085 22402 3723574 2214778 1548508 1508796 251890191 229568508 36758357 35998342 571165 35347 292950307 272117857 390420 351403 10145859 7526570 571165 35347 11107444 7913320 X 281842863 264204537 281842863 264204537 292950307 272117857 9022714 -26661040 0 X X 0 1 X 1 0 X 31595 31595 9776803 9808398 640420 160105 0 0 706699 860159 957431 640420 3164709 4747064 164601 85767 32431 31595 314394 176699 215040 239358 160105 791202 1186803 127064 42500 169564 0 59900 59900 3663674 2214778 1448896 1508796 RHS PARTNERSHIP 35554342 C CENLA REHAB PARTNERSHIP 444000 C 35998342 OTHER LIABILITIES 35347 35347 X -7829928 -26661040 -26661040 18831112 0 18831112 9808398 0 9808398 0 9808398 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 0 1 1 1 0 1 1 2335 693661 39 693622 0.00840 25139 22567868 21077293 1490575 0.01810 27474 23261529 21077332 2184197 0.02650 4772026 4772026 0.05810 1038832 123331 915501 0.01110 5540088 5540088 0.06740 11350946 123331 11227615 0.13660 27474 34612475 21200663 13411812 0.16310 0 732254 21602784 18767124 2835660 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 16 1 0 0 1 X WWW.RAPIDESREGIONAL.COM/ABOUT X 1 16 1 WWW.RAPIDESREGIONAL.COM/ABOUT 0 1 X 200.000000000000 0.000000000000 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 X 1 0 0 RAPIDES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED. THOSE INVITED TO PARTICIPATE INCLUDED 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, 72 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY: 52 BUSINESS LEADERS, 13 SOCIAL SERVICE PROVIDERS, FIVE HEALTH PROVIDERS AND TWO PUBLIC HEALTH REPRESENTATIVES. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. MINORITY POPULATIONS REPRESENTED INCLUDED THOSE WITH ACUTE INJURY, AFRICAN-AMERICANS, ASIANS, HISPANICS, LOW INCOME RESIDENTS AND NATIVE AMERICANS. MEDICALLY UNDERSERVED POPULATIONS REPRESENTED INCLUDED CHILDREN, THE DISABLED, THE ELDERLY, THE HOMELESS, IMMIGRANTS, INDIVIDUALS NEEDING CHRONIC WOUND CARE, LGBT INDIVIDUALS, MEDICARE/MEDICAID RECIPIENTS, THE MENTALLY ILL, THOSE WITH SEVERE/PROFOUND LEARNING DISABILITIES, UNEMPLOYED INDIVIDUALS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS AND YOUNG ADULTS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED. RAPIDES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: BASED ON PRIORITIES IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), 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 2013 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. AN AVERAGE OF 49,000 PATIENT VISITS ARE RECORDED AT THESE OUTPATIENT CLINICS EACH YEAR. 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'S STRATEGY TO EDUCATE RESIDENTS ON CARDIOVASCULAR HEALTH INCLUDES PARTNERSHIPS WITH AMERICAN HEART ASSOCIATION, AMERICAN STROKE ASSOCIATION, NATIONAL COALITION OF WOMEN WITH HEART DISEASE, NATIONAL INSTITUTES OF HEALTH (NIH) AND AMERICAN RED CROSS. THE HOSPITAL PROVIDES EDUCATIONAL MATERIALS, PRESENTATIONS AND SCREENINGS TO RESIDENTS ON CARDIOVASCULAR HEALTH AND EDUCATES THE COMMUNITY ON FREE RESOURCES - HEART HEALTH AND STROKE PROFILERS. RRMC SUPPORTS CARDIOVASCULAR HEALTH AND PREVENTION RESEARCH THROUGH MONETARY DONATIONS TO AHA. RRMC ALSO PROVIDES BASIC LIFE SUPPORT TRAINING TO COMMUNITY ORGANIZATIONS, INCLUDING THROUGH PARTICIPATION IN "START A HEART CENLA AND OTHER EVENTS. ADDITIONALLY, THE HOSPITAL HOLDS A "TACKLE STROKE" NIGHT AT AREA HIGH SCHOOL FOOTBALL GAMES. 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. 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. RRMC ALSO PROMOTES THE FREE BREAST HEALTH PROFILER. LASTLY, THE HOSPITAL PROVIDES MONETARY SUPPORT FOR CANCER RESEARCH AND PREVENTION TO AMERICAN CANCER SOCIETY. RRMC ALSO IMPLEMENTED STRATEGIES TO ADDRESS NUTRITION, PHYSICAL ACTIVITY AND WEIGHT IN BOTH ADULTS AND CHILDREN. 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. 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. RRMC'S STRATEGY TO IMPROVE MATERNAL, INFANT AND CHILD HEALTH INCLUDES PARTNERSHIPS WITH NURSE FAMILY PARTNERSHIP, DEPARTMENT OF HEALTH & HOSPITALS/FIMR AND CENTRAL LOUISIANA BREASTFEEDING COALITION. THE HOSPITAL PROVIDES FREE CHILDBIRTH CLASSES TO COMMUNITY RESIDENTS: ONE-DAY PREPARED CHILDBIRTH, ONE-DAY BREASTFEEDING CLASS, SIBLING CLASS, AND BREATHING AND RELAXATION. BABY PACKETS ARE DISTRIBUTED TO EXPECTANT MOTHERS, PROVIDING EDUCATION, COMMUNITY RESOURCES AND SAFE SLEEP INFORMATION. EDUCATION MATERIALS ARE ALSO DISTRIBUTED THAT PROMOTE 39-WEEK GESTATION. LASTLY, THE HOSPITAL FACILITATES A FREE PERINATAL LOSS SUPPORT GROUP. RRMC DID NOT CHOOSE TO IMPLEMENT AN ACTION PLAN TO ADDRESS SUBSTANCE ABUSE AND TOBACCO BECAUSE IT HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ALCOHOL, TOBACCO AND OTHER DRUG ISSUES. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. OTHER ORGANIZATIONS ADDRESSING THE NEED INCLUDE: THE RAPIDES FOUNDATION, TOBACCO COALITION, REGION VI HUMAN SERVICES DISTRICT, ALCOHOLICS ANONYMOUS, RED RIVER TREATMENT CENTER, COMPASS BEHAVIORAL CENTER, GATEWAY ADOLESCENT CENTER, LONGLEAF HOSPITAL AND OCEANS BEHAVIORAL HOSPITAL. MENTAL HEALTH WAS ANOTHER AREA IN WHICH RRMC CHOSE NOT TO IMPLEMENT AN ACTION PLAN DUE TO LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS MENTAL HEALTH AND DISORDERS. OTHER COMMUNITY ORGANIZATIONS WHICH HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO MEET THIS NEED INCLUDE: CHRISTUS ST. FRANCES CABRINI HOSPITAL, LONGLEAF HOSPITAL, OCEANS BEHAVIORAL HOSPITAL, COMPASS BEHAVIORAL CENTER, REGION VI HUMAN SERVICES DISTRICT, AND VOLUNTEERS OF AMERICA. RRMC ALSO CHOSE NOT IMPLEMENT AN ACTION PLAN FOR DEMENTIA BECAUSE IT HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS DEMENTIA. COMMUNITY ORGANIZATIONS IN THE REGION THAT HAVE PROGRAMS IN PLACE TO ADDRESS DEMENTIA INCLUDE: FRIENDSHIP HOUSE ADULT DAY CARE, ALZHEIMER'S ASSOCIATION, AND MULTIPLE NURSING HOMES WITH DEMENTIA/ALZHEIMER UNITS. RRMC CHOSE NOT TO IMPLEMENT INTERVENTIONS IN THE AREA OF SEXUALLY TRANSMITTED DISEASES, WHICH FALLS MORE WITHIN THE PURVIEW OF THE HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. OTHER COMMUNITY ORGANIZATIONS WHICH HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO MEET THIS NEED INCLUDE THE RAPIDES PARISH HEALTH UNIT, CENTRAL LOUISIANA AIDS SUPPORT SERVICES AND TULANE MEDICAL CLINIC. RRMC CHOSE NOT TO ACT IN THE AREA OF POTENTIALLY DISABLING CONDITIONS, SINCE THE ADVISORY COMMITTEE FELT MORE PRESSING HEALTH NEEDS EXISTED. RRMC DID NOT CHOOSE TO IMPLEMENT AN ACTION PLAN TO ADDRESS ORAL HEALTH BECAUSE IT HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS THESE ISSUES. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED, INCLUDING HEAD START AND VARIOUS SCHOOL-BASED HEALTH CENTERS. RRMC CHOSE NOT TO ACT IN THE AREA OF CHRONIC KIDNEY DISEASE, SINCE THE ADVISORY COMMITTEE FELT MORE PRESSING HEALTH NEEDS EXISTED. RRMC CHOSE NOT TO ACT IN THE AREA OF RESPIRATORY DISEASE, SINCE THE ADVISORY COMMITTEE FELT MORE PRESSING HEALTH NEEDS EXISTED. 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 NOT UTILIZE FPG AS CRITERIA FOR DISCOUNTED CARE. ANY INDIVIDUAL AT INCOME OF 200% OR LESS OF FPG QUALIFIES FOR THE RHS FINANCIAL ASSISTANCE POLICIES (FAP) AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS NO PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP. ALL UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP RECEIVE AN UNINSURED DISCOUNT ON THEIR BILLS. PART V, SECTION B, LINE 22: THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES NOT OFFER DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICIES. ANY INDIVIDUAL AT INCOME OF 200% OR LESS OF FPG QUALIFIES FOR THE RHS FAP AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS NO PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP. ALL UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP RECEIVE AN UNINSURED DISCOUNT ON THEIR BILLS. 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 NOT UTILIZE FPG AS CRITERIA FOR DISCOUNTED CARE. ANY INDIVIDUAL AT INCOME OF 200% OR LESS OF FPG QUALIFIES FOR THE RHS FINANCIAL ASSISTANCE POLICIES (FAP) AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS NO PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP. ALL UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP RECEIVE AN UNINSURED DISCOUNT ON THEIR BILLS. PART I, LINE 6A: THE RAPIDES HEALTHCARE SYSTEM (EMPLOYER NO. 61-1267229) PREPARED A COMMUNITY BENEFIT REPORT DURING TAX YEAR 2018. 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: EXCERPT FROM NOTE 3:"THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS RELATED TO PATIENTS WHO MEET THE GUIDELINES TO QUALIFY AS CHARITY CARE; THEREFORE, THEY ARE NOT REPORTED IN REVENUES. PATIENTS TREATED AT THE SYSTEM'S FACILITIES FOR NON-ELECTIVE CARE, WHO HAVE INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, ARE ELIGIBLE FOR CHARITY CARE. THE FEDERAL POVERTY LEVEL IS ESTABLISHED BY THE FEDERAL GOVERNMENT AND IS BASED ON INCOME AND FAMILY SIZE. THE SYSTEM PROVIDES DISCOUNTS TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR CHARITY CARE. AFTER THE DISCOUNTS ARE APPLIED, THE AMOUNTS EXPECTED TO BE COLLECTED FROM UNINSURED PATIENTS ARE FURTHER REDUCED BY IMPLICIT PRICE CONCESSIONS (BASED UPON THE SYSTEM'S HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED PATENTS IN THE PERIOD THE SERVICES ARE PROVIDED RECOGNIZING THE FACT THAT THESE PATIENTS ARE UNLIKELY TO PAY THE FULL AMOUNTS OWED." PART III, LINE 8: THE SHORTFALL AMOUNT, AS WELL AS OTHER NON-ALLOWABLE EXPENSES INCURRED BY THE SYSTEM IN TREATING MEDICARE PATIENTS REFLECT NECESSARY, ALTHOUGH UNREIMBURSED, COSTS OF PATIENT TREATMENT, THUS THE EXPENSES SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT OF THE SYSTEM. THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED FROM THE INDIVIDUAL FACILITY COST REPORT FOR RAPIDES REGIONAL MEDICAL CENTER. PART III, LINE 9B: UNINSURED PATIENTS ARE FIRST SCREENED TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL OR STATE GOVERNMENTAL HEALTHCARE PROGRAMS (MEDICAID, MEDICARE). WHILE ELIGIBILITY IS BEING DETERMINED, THEIR ACCOUNT IS "PENDING, AND NO BILL IS SENT TO THE PATIENT. IF THE PATIENT IS FOUND NOT TO BE ELIGIBLE FOR SUCH A PROGRAM, THEN THEY ARE SCREENED FOR FINANCIAL ASSISTANCE UNDER THE DISCOUNT CHARITY POLICY FOR PATIENTS. RHS DOES NOT PURSUE COLLECTION OF ACCOUNTS WHILE IT ATTEMPTS TO DETERMINE WHETHER UNINSURED OR UNDERINSURED PATIENTS MEET ITS GUIDELINES TO QUALIFY FOR GOVERNMENT ASSISTANCE OR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY (FAP). THE RAPIDES HEALTHCARE SYSTEM CHARITY CARE POLICY CLEARLY DESCRIBES IN DETAIL THE PROCESS THAT IS FOLLOWED IN DETERMINING WHETHER A PATIENT IS QUALIFIED FOR CHARITY CARE. UNTIL IT IS DETERMINED WHETHER A PATIENT ACCOUNT QUALIFIES FOR CHARITY CARE, THE ACCOUNT IS HELD IN A "PENDING" STATE, AND THE ACCOUNT IS NOT BILLED. ONCE AN ACCOUNT IS APPROVED AS FAP-ELIGIBLE BY AN AUTHORIZED MANAGER, THE APPROPRIATE CODE IS POSTED TO THE ACCOUNT IN THE BILLING SYSTEM, THE ACCOUNT IS WRITTEN OFF, AND NO BILL IS SENT TO THE PATIENT. IF AN UNINSURED OR UNDERINSURED PATIENT DOES NOT COMPLETE A FINANCIAL ASSISTANCE APPLICATION INITIALLY, THEY WILL BE BILLED, HOWEVER, THEY WILL RECEIVE A FAP APPLICATION AND COMMUNICATION WITH THEIR BILLS ENCOURAGING THEM TO APPLY. ACCOUNTS ARE NOT SUBMITTED FOR COLLECTION PRIOR TO 120 DAYS FOLLOWING THE ISSUANCE OF THE FIRST PATIENT BILLING. PATIENTS HAVE A TOTAL OF 240 DAYS FOLLOWING THE FIRST BILLING TO SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE, AND SHOULD ANY COLLECTION ACTION BE IN PROCESS AT THE TIME AN APPLICATION IS SUBMITTED, SUCH ACTION WILL BE SUSPENDED WHILE THE APPLICATION IS PROCESSED. 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 < 200% 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 2018, 34.3% OF RRMC PATIENTS WERE COVERED BY MEDICAID, 1.8% WERE UNINSURED AND 44.6% WERE COVERED BY MEDICARE. ALL THREE PARISHES ARE DESIGNATED AS PRIMARY CARE HRSAS (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. THE HOSPITAL RECEIVED A "B" RATING FROM THE LEAPFROG GROUP, A NONPROFIT ORGANIZATION DRIVING IMPROVEMENT IN QUALITY AND SAFETY IN AMERICAN HEALTHCARE. THE GRADE REFLECTS THE HOSPITAL'S STRONG RECORD OF PATIENT SAFETY IN 2018. IN 2018, 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 IN THE SUMMER OF 2018. THE TAVR PROCEDURE IS A LESS-INVASIVE OPTION THAN TRADITIONAL OPEN-HEART SURGERY TO REPLACE AN UNHEALTHY AORTIC VALVE. RAPIDES REGIONAL MEDICAL CENTER IN 2018 ACHIEVED THE FOLLOWING ACCREDITATIONS AND CERTIFICATIONS THAT DEMONSTRATE ITS COMMITMENT TO A HIGHER STANDARD OF CARE: CANCER TREATMENT ACCREDITATION, CERTIFIED CARDIAC REHABILITATION PROGRAM, NUCLEAR MEDICINE GOLD SEAL ACCREDITATION, COMPUTED TOMOGRAPHY GOLD SEAL ACCREDITATION, MRI GOLD SEAL ACCREDITATION, MAMMOGRAPHY GOLD SEAL ACCREDITATION, VASCULAR TESTING ACCREDITATION, CAP LABORATORY ACCREDITATION, AND GOLD LEVEL FIT-FRIENDLY WORKSITE. IN ADDITION TO THE COMMUNITY BENEFIT PROVIDED DIRECTLY BY RAPIDES HEALTHCARE SYSTEM, CASH FLOW FROM RHS SUPPORTED THE RAPIDES FOUNDATION'S 2018 PHILANTHROPIC ACTIVITIES, WHICH PROVIDED AN ADDITIONAL $8.8 MILLION IN COMMUNITY BENEFIT TO ITS NINE-PARISH SERVICE AREA. THIS INCLUDED GRANTS OF $5.7 MILLION AND DIRECT CHARITABLE ACTIVITIES OF $3.1 MILLION IN THREE PRIMARY AREAS OF FOCUS: HEALTHY PEOPLE, HEALTHY COMMUNITIES, AND EDUCATION. 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 PO DRAWER C OBERLIN LA 70655 726000020 GOVERNMENT AGENCY 120000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT ALLEN PARISH SCHOOL BOARD PO DRAWER C OBERLIN LA 70655 726000020 GOVERNMENT AGENCY 22550 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE LA 71351 726000115 GOVERNMENT AGENCY 125000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE LA 71351 726000115 GOVERNMENT AGENCY 15700 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY CATAHOULA PARISH HOSPITAL DISTRICT NO2 PO BOX 8 SICILY ISLAND LA 71368 720838896 GOVERNMENT AGENCY 560787 PREVENT TOBACCO USE & PROMOTE QUITTING; PROMOTE EATING HEALTHY & INCREASED PHYSICAL ACTIVITY CATAHOULA PARISH SCHOOL BOARD PO BOX 690 BUSHLEY HARRISONBURG LA 71340 726000268 GOVERNMENT AGENCY 85000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT CATAHOULA PARISH SCHOOL BOARD PO BOX 690 BUSHLEY HARRISONBURG LA 71340 726000268 GOVERNMENT AGENCY 4300 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY CENTRAL LA ECONOMIC DEVELOPMENT ALLIANCE PO BOX 465 ALEXANDRIA LA 71301 651267691 501(C)(3) 587800 INCREASE MEDIUM HOUSEHOLD INCOME AND RAISE STANDARD OF LIVING CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA LA 71301 020751416 501(C)(3) 370000 IMPROVE PRIMARY CARE ACCESS AND PROMOTE EARLY CANCER DETECTION CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA LA 71301 020751416 501(C)(3) 730000 PREVENT TOBACCO USE & PROMOTE QUITTING; PROMOTE EATING HEALTHY & INCREASED PHYSICAL ACTIVITY GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX LA 71417 726000494 GOVERNMENT AGENCY 102000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX LA 71417 726000494 GOVERNMENT AGENCY 17400 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER 806 JEFFERSON TERRACE BLVD NEW IBERIA LA 70560 582164455 PUBLIC AGENCY 900000 PREVENT TOBACCO USE & PROMOTE QUITTING; PROMOTE EATING HEALTHY & INCREASED PHYSICAL ACTIVITY LASALLE PARISH SCHOOL BOARD PO DRAWER 90 JENA LA 71342 726000656 GOVERNMENT AGENCY 91500 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 142000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 26550 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 1950000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 518000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA LA 71306 726001133 GOVERNMENT AGENCY 98500 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY VERNON PARISH SCHOOL BOARD 201 BELVIEW ROAD LEESVILLE LA 71446 726001443 GOVERNMENT AGENCY 225000 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT VERNON PARISH SCHOOL BOARD 201 BELVIEW ROAD LEESVILLE LA 71446 726001443 GOVERNMENT AGENCY 35050 PREVENT TOBACCO USE AND PROMOTE QUITTING; PROMOTE EATING HEALTHY AND INCREASED PHYSICAL ACTIVITY WINN PARISH SCHOOL SYSTEM PO BOX 430 WINNFIELD LA 71483 726001620 GOVERNMENT AGENCY 91500 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT LSU HEALTH SCIENCES CENTER - SHREVEPORT 2015 FAIRFEILD AVENUE SUITE 2B SHREVEPORT LA 71104 720702002 GOVERNMENT AGENCY 200000 IMPROVE PRIMARY CARE ACCESS AND PROMOTE EARLY CANCER DETECTION VARIOUS 2018 GRANT AMENDMENTS -1094650 INCREASE EDUCATIONAL ATTAINMENT AND ACHIEVEMENT VARIOUS 2018 GRANT AMENDMENTS -48159 INCREASE MEDIUM HOUSEHOLD INCOME AND RAISE STANDARD OF LIVING VARIOUS 2018 GRANT AMENDMENTS -448367 IMPROVE PRIMARY CARE ACCESS AND PROMOTE EARLY CANCER DETECTION 15 0 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. SCHEDULE I, PART II: DURING 2018, THE RAPIDES FOUNDATION RECORDED AMENDMENTS TO GRANTS IN THE AMOUNT OF $(1,591,176.92). THE AMENDMENTS LARGELY RELATED TO PRIOR YEAR GRANTS AND COULD NOT BE ALLOCATED AMONG CURRENT YEAR GRANTS. THEREFORE, ON SCHEDULE I PART II, THERE ARE THREE NEGATIVE GRANT AMOUNTS THAT CORRESPOND TO THE AMOUNT OF AMENDMENTS PER EACH GRANT PROGRAM AREA. X X X X 0 1 0 0 0 0 0 0 0 JOSEPH R ROSIER JR PRESIDENT & CEO 379448 0 0 0 0 0 45500 0 7849 0 432797 0 0 0 KATHLEEN F NOLEN DIR OF ADMIN 216245 0 0 0 0 0 21624 0 3285 0 241154 0 0 0 ASHLEY STEWART DIR OF PROGRAMS 166769 0 0 0 0 0 16830 0 7263 0 190862 0 0 0 PART I, LINE 4B DURING 2018, THE FOUNDATION'S PRESIDENT AND CEO, JOSEPH R. ROSIER, JR., CONTRIBUTED $18,000 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 THE PAY OF THOSE EMPLOYEES REPORTING DIRECTLY TO HIM AND A SALARY BUDGET FOR THE REMAINING 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 OBJECTIVES, 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 12A, I THE RAPIDES FOUNDATION 0 THE ORCHARD FOUNDATION 1101 FOURTH STREET ALEXANDRIA LA 71301 870730768 EDUCATION LA 501(C)(3) LINE 12A, I THE RAPIDES FOUNDATION 0 RAPIDES HEALTHCARE SYSTEM LLC 211 4TH STREET ALEXANDRIA LA 71301 611267229 HOSPITAL LA N/A RELATED 4450486 35554342 0 0 0.26000 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 THE ORCHARD FOUNDATION B 892768 GRANT AGREEMENT THE ORCHARD FOUNDATION J 450196 COST ACCOUNTING SYSTEM CMAP EXPRESS B 718718 GRANT AGREEMENT CMAP EXPRESS J 1079884 COST ACCOUNTING SYSTEM