2013-11-14T12:44:14-06:00 2012-12-31 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2012-01-01 720423603 THE RAPIDES FOUNDATION RAPI 3184433394 1101 FOURTH STREET NO 300 ALEXANDRIA LA 71301 JOE ROSIER 3184433394 2013-11-14 1 RALPH STEPHENS P00638118 2259224600 2012 2016-02-24 21:20:13Z JOE ROSIER 1101 4TH STREET ALEXANDRIA LA 71301 9358111 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 320-BED HOSPITAL IN ALEXANDRIA. ADDITIONALLY, TRF PROVIDES FUNDING FOR PROJECTS WHICH EFFECTIVELY ADDRESS THE FOLLOWING PHILANTHROPIC OBJECTIVES:HEALTHY PEOPLE TO PROMOTE HEALTHY BEHAVIORS AND IMPROVE ACCESS TO HEALTHCARE.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 ENHANCED CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE LEADERS AND ORGANIZATIONS. 16 15 35 15 0 0 0 50728 54051377 5378057 970644 3929326 0 0 55022021 9358111 5362337 6867090 0 0 1642078 1556548 0 0 0 57226392 2411608 64230807 10835246 -9208786 -1477135 215889564 226094641 6982203 3525548 208907361 222569093 X 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 320-BED HOSPITAL IN ALEXANDRIA, LA. ADDITIONALLY, TRF PROVIDES FUNDING FOR PROJECTS WHICH EFFECTIVELY ADDRESS THE FOLLOWING PHILANTHROPIC OBJECTIVES:HEALTHY PEOPLE TO PROMOTE HEALTHY BEHAVIORS AND IMPROVE ACCESS TO HEALTHCARE.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 ENHANCED CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE LEADERS AND ORGANIZATIONS. 0 0 5378057 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 320-BED HOSPITAL IN ALEXANDRIA, LA. AS AN OWNER OF RHS, TRF SEEKS TO PROVIDE THE HIGHEST STANDARD OF PATIENT CARE THAT IS SAFE, EFFECTIVE, EFFICIENT, TIMELY, PATIENT-CENTERED AND EQUITABLE. WITH A 2012 OVERALL RISK-ADJUSTED COMPLICATIONS INDEX OF 0.87, RHS PROVIDED TOP-LEVEL PATIENT-CARE OUTCOMES. FOR THE SECOND YEAR, U.S. NEWS AND WORLD REPORTS' 2012-2013 RANKINGS OF BEST HOSPITALS RECOGNIZED RAPIDES REGIONAL AS NO. 3 IN LOUISIANA. ADDITIONALLY, FOR THE SECOND YEAR, THE HOSPITAL WAS NAMED A TOP PERFORMER ON KEY QUALITY MEASURES FOR EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE BY THE JOINT COMMISSION. RAPIDES REGIONAL WAS RECOGNIZED IN MODERN HEALTHCARE MAGAZINE AS RECEIVING THE 2012/2013 CONSUMER CHOICE AWARD IN ITS MARKET BASED ON NATIONAL RESEARCH CORPORATION CONSUMER SURVEYS ON QUALITY HEALTHCARE SERVICES. THE HOSPITAL ALSO RECEIVED THE 2012/2013 HHS ORGAN DONATION SILVER MEDAL OF HONOR. RAPIDES REGIONAL MEDICAL CENTER IS CERTIFIED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER, WHICH BENEFITS CENTRAL LOUISIANA BY PROVIDING ACCESS TO TRAUMA CARE DURING THE CRITICAL FIRST 60 MINUTES FOLLOWING A TRAUMATIC INJURY, THEREBY REDUCING MORTALITY RATES FROM SUCH INJURIES IN THE REGION. THE FACILITY IS ALSO CERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER AND AN ACCREDITED CYCLE III CHEST PAIN CENTER THE ONLY ONE IN CENTRAL LOUISIANA. TRF ALSO SEEKS TO ASSERT, DEVELOP AND SUPPORT ACCESS TO NON-URGENT CARE FOR THE UNINSURED AND UNDERSERVED POPULATIONS. IN 2012 TRF CHARITY CARE AND OTHER COMMUNITY BENEFITS TOTALED $16.5 MILLION, AS INCLUDED ON SCHEDULE H, PART I, LINE 7K ATTACHED HERETO. THIS INCLUDED $5.8 MILLION OF UNREIMBURSED PATIENT CARE COSTS AND $10.7 MILLION IN HEALTH PROFESSIONS EDUCATION, COMMUNITY EDUCATION, COMMUNITY PROGRAMS AND COMMUNITY DONATIONS. 4587480 3035647 HEALTHY PEOPLE INITIATIVE - TRF PROVIDED CHRONIC CARE PRESCRIPTION MEDICATIONS FOR PEOPLE WHO CANNOT AFFORD THEM THROUGH $300,000 IN GRANTS 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 2012, APPROXIMATELY 1,955 PEOPLE IN CENTRAL LOUISIANA RECEIVED $3.6 MILLION IN PRESCRIPTION MEDICATIONS THEY NEEDED TO MAINTAIN THEIR HEALTH THROUGH CMAP'S PATIENT ASSISTANCE PROGRAM. ANOTHER 5,240 PEOPLE THROUGHOUT THE REST OF THE STATE RECEIVED $14.2 MILLION WORTH OF MEDICATIONS THROUGH CMAP'S CENTRAL FILL PHARMACY, WHICH HAD CONTRACTS TO PROVIDE PHARMACEUTICALS FROM NINE MAJOR COMPANIES. TRF PROVIDED $175,000 IN FUNDING TO CMAP'S CANCER SCREENING PROJECT, WHICH PROVIDED FREE MAMMOGRAMS, PAP SMEARS, PELVIC EXAMS AND COLORECTAL CANCER TESTS TO UNINSURED PATIENTS WHO COULDN'T AFFORD THESE CRITICAL SCREENINGS. ITS CANCER SCREENING VAN, THROUGH A PARTNERSHIP WITH LOUISIANA STATE UNIVERSITY, BROUGHT THESE TESTS TO RURAL AREAS. IN 2012, 672 PATIENTS WERE SEEN, 172 PAP SMEARS DONE, 215 PELVIC EXAMS COMPLETED, 454 MAMMOGRAMS DONE, 235 CLINICAL BREAST EXAMS COMPLETED, AND 355 TAKE HOME COLORECTAL CANCER TESTS DISTRIBUTED. ALMOST $400,000 IN GRANTS WERE AWARDED TO NORTHWESTERN STATE UNIVERSITY AND CENTRAL LOUISIANA COMMUNITY AND TECHNICAL COLLEGE TO SUPPORT THEIR NURSING EDUCATION PROGRAMS OVER THE NEXT TWO YEARS AND BUILD HEALTHCARE ACCESS IN THE CENTRAL LOUISIANA REGION. ALSO IN 2012, TRF AWARDED A FOUR-YEAR GRANT TOTALING $700,000 TO NORTHWESTERN STATE UNIVERSITY TO SUPPORT THE TRAINING OF A TOTAL OF 24 NURSE PRACTITIONERS. TRF CONTRACTED WITH THE AMERICAN CANCER SOCIETY TO IMPLEMENT AND MANAGE A COMMUNITY HEALTH ADVISOR NETWORK TO HELP EDUCATE INDIVIDUALS IN THE BENEFITS OF SCREENING AS WELL AS ASSIST IN ACCESS TO SCREENING FOR BREAST, CERVICAL, AND COLORECTAL CANCERS. TRF AWARDED A TWO-YEAR $400,000 GRANT TO THE LOUISIANA PRIMARY CARE ASSOCIATION TO ENHANCE AN INTEGRATED BEHAVIORAL HEALTH PROGRAM AT THREE FEDERALLY QUALIFIED HEALTH CENTERS IN THE FOUNDATION'S SERVICE AREA. THROUGH THIS PROGRAM, A PRIMARY CARE PROVIDER, BEHAVIORAL HEALTH SPECIALIST, PATIENT NAVIGATOR AND PSYCHIATRIST WORK TOGETHER TO ADDRESS PATIENTS' MENTAL HEALTH ISSUES. TRF AWARDED APPROXIMATELY $700,000 IN GRANTS DURING 2012 TO 31 COMMUNITIES AND ORGANIZATIONS IN NINE PARISHES AS PART OF ITS DIET AND PHYSICAL ACTIVITY INITIATIVE. THESE FUNDS WERE USED TO INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY OPPORTUNITIES FOR ADULTS AND YOUTH THROUGH IMPLEMENTATION OF WALKING TRAILS, PLAYGROUNDS, FARMERS MARKETS, COMMUNITY GARDENS AND OTHER PROJECTS. ADDITIONALLY, EIGHT SCHOOL DISTRICTS WERE GRANTED $112,500 IN FUNDS TO IMPROVE HEALTHY EATING AND PHYSICAL ACTIVITY OPPORTUNITIES THROUGH INNOVATIVE SCHOOL HEALTH MODEL PROGRAMS SUCH AS CATCH, SPARK AND SMART IN GRADES K-8. IN 2012 A NEW PROGRAM CALLED THE LIVING HEALTHY CLUB WAS IMPLEMENTED IN GRADES 9-12. TRF'S HEALTHY LIFESTYLES PROGRAM PROVIDES ONE-ON-ONE COUNSELING TO INDIVIDUALS WHO ARE REFERRED BY THEIR DOCTORS. IN 2012, 180 PEOPLE RECEIVED COACHING FROM A REGISTERED DIETITIAN AND EXERCISE SPECIALIST, WITH 36 INDIVIDUALS COMPLETING THE ENTIRE PROGRAM. THE FOUNDATION PROVIDED A $250,000, THREE-YEAR MATCHING GRANT TO THE CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE TO CREATE THE CENTRAL LOUISIANA LOCAL FOODS INITIATIVE. THE PROJECT CREATES A SUSTAINABLE AGRICULTURAL ECONOMY IN THE REGION AND ENCOURAGES LOCAL FARMERS TO PROVIDE LOCALLY GROWN FOOD FOR THE COMMUNITY. IN 2012, AS PART OF TRF'S TOBACCO PREVENTION AND CONTROL INITIATIVE, TRF RAN HARD-HITTING CAMPAIGNS ON TV, RADIO, BILLBOARD AND FACEBOOK TARGETING SECONDHAND SMOKE, YOUTH AND YOUNG ADULT USE AND THE HEALTH CONSEQUENCES OF TOBACCO USE. TRF'S CESSATION INTERVENTION PROGRAM FEATURES ELEMENTS OF PROVIDER EDUCATION, PROVIDER REMINDER/REFERRAL TOOLS, AND PATIENT EDUCATION. PHYSICIANS AND OTHER HEALTHCARE PROVIDERS ARE ENCOURAGED TO REFER PATIENTS DIRECTLY TO THE STATE'S QUITLINE THROUGH USE OF INFORMATIONAL CARDS AND OTHER COLLATERALS DISPLAYING THE QUITLINE NUMBER. COMMUNITY AND SCHOOL GRANTS TOTALING OVER $200,000 SUPPORTED PROGRAMS SUCH AS "TARS WARS" AND "KICK BUTTS DAY" EVENTS IN THE SCHOOLS, WORKPLACE OUTREACH AND "GREAT AMERICAN SMOKEOUT" ACTIVITIES. TRF FACILITATED A YOUTH SUMMIT ON TOBACCO PREVENTION AND CONTROL, ATTENDED BY 350 YOUTH AND GRANT COORDINATORS. SELECTED LONG-TERM GOALS (2012) FOR THE HEALTHY PEOPLE INITIATIVE INCLUDE:- DECREASE CURRENT SMOKING AMONG YOUTH FROM 24.6% IN 2007 TO 17.1%.- DECREASE CURRENT SMOKING IN ADULTS FROM 24.9% IN 2005 TO 20%.- DECREASE THE PERCENTAGE OF OVERWEIGHT ADULTS FROM 68% TO 67%.- DECREASE THE PERCENTAGE OF ADOLESCENTS WHO ARE OVERWEIGHT FROM 32% TO 27.7%.- INCREASE PERCENTAGE OF ADULTS PARTICIPATING IN MODERATE PHYSICAL ACTIVITY FOR AT LEAST 30 MINUTES PER DAY 5 DAYS PER WEEK FROM 24% TO 35%.- INCREASE THE PERCENTAGE OF ADOLESCENTS ENGAGING IN MODERATE PHYSICAL ACTIVITY FOR 30 MINUTES 5 DAYS PER WEEK FROM 20% TO 30%.- INCREASE THE PERCENTAGE OF ADULTS WHO EAT 5 SERVINGS OF FRUITS AND VEGETABLES PER DAY FROM 32% TO 43.5%.- INCREASE THE PERCENTAGE OF ADOLESCENTS WHO EAT 5 SERVINGS OF FRUITS AND VEGETABLES PER DAY FROM 14% TO 17.5%.- INCREASE THE PERCENTAGE OF ADULTS WITH A SPECIFIC SOURCE OF ONGOING PRIMARY CARE FROM 72% IN 2005 TO 85%.THE RAPIDES FOUNDATION IS COMPLETING A PRIMARY DATA ASSESSMENT IN 2013 TO DETERMINE ITS SUCCESS TOWARD ITS LONG-TERM GOALS. 2652817 1953038 EDUCATION INITIATIVE -- DURING 2012 THE NINE PARISH SCHOOL DISTRICTS IN TRF'S AREA CONTINUED TO WORK UNDER THEIR STRATEGIC PLAN FOCUSED ON SCIENCE, TECHNOLOGY, ENGINEERING AND MATH, AND CAREER AND TECHNICAL EDUCATION. TRF AWARDED A TOTAL OF $1.3 MILLION IN GRANTS TO THE SCHOOL DISTRICTS TO SUPPORT PROFESSIONAL DEVELOPMENT TO ENHANCE CLASSROOM INSTRUCTION AND ADMINISTRATIVE LEADERSHIP. THE ORCHARD FOUNDATION, TRF'S SUPPORTING ORGANIZATION, CONTINUED ITS WORK IN SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) BY CONTINUING PROFESSIONAL AND LEADERSHIP DEVELOPMENT PROGRAMS TO SUPPORT THE RAPIDES FOUNDATION'S STEM/CTE INITIATIVE. DURING 2012, THE ORCHARD FOUNDATION SPONSORED KAGAN INSTRUCTIONAL AND ADMINISTRATOR INSTITUTES FOR HIGH SCHOOL, MIDDLE AND ELEMENTARY SCHOOL EDUCATORS. THE INSTITUTES FEATURED HANDS-ON CURRICULUM AND MATERIALS THAT WERE ENGAGING, RIGOROUS AND MOTIVATING FOR STUDENTS AND THAT COULD IMMEDIATELY BE BROUGHT BACK INTO THE CLASSROOM AND IMPLEMENTED IN A COOPERATIVE LEARNING MODEL. A TOTAL OF 119 TEACHERS AND 48 ADMINISTRATORS ATTENDED THE INSTITUTES. ADDITIONALLY, 107 TEACHERS RECEIVED FOLLOW-UP ONE-ON-ONE COACHING IN THE CLASSROOM. THE ORCHARD FOUNDATION ALSO HELD TRAININGS FOR NEW AND ASPIRING LEADERS IN AREA SCHOOLS. THE PROGRAM IS DESIGNED FOR ASSISTANT PRINCIPALS OR TEACHERS WHO ARE DEDICATED TO IMPROVING THE BEST PRACTICES IN INSTRUCTION AND LEADERSHIP. THESE 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 PRINCIPALS TO DEVELOP THEIR LEADERSHIP SKILLS IN GUIDING AND SUPPORTING TEACHERS' PROFESSIONAL LEARNING. PRINCIPALS WERE ALSO TRAINED IN THE 5 DIMENSIONS OF TEACHING AND LEARNING. THEY SPENT TIME DURING THE SCHOOL YEAR WITH FACILITATORS TO MODEL AND COACH THE 5D'S IN THEIR SCHOOL. IN 2012 62 PARTICIPANTS ATTENDED LEADERSHIP DEVELOPMENT ACTIVITIES. TRF AWARDED $350,000 IN GRANTS TO THE ORCHARD FOUNDATION TO SUPPORT ITS INSTRUCTIONAL INSTITUTES. IN 2010 LOUISIANA STATE UNIVERSITY RECEIVED AN $8 MILLION, FIVE-YEAR GRANT FROM THE U.S. DEPARTMENT OF EDUCATION TO RETRAIN CENTRAL LOUISIANA PROFESSIONALS HOLDING A BACHELORS' DEGREE IN A MATH- OR SCIENCE-RELATED FIELD TO TEACH HIGH SCHOOL ADVANCED PLACEMENT MATH AND SCIENCE CLASSES. THE CENTRAL LOUISIANA ACADEMIC RESIDENCY FOR TEACHERS (CART) GRANT IS A COLLABORATIVE EFFORT BETWEEN TRF, THE ORCHARD FOUNDATION, NINE CENTRAL LOUISIANA PARISH SCHOOL DISTRICTS, LSUA AND LSU. DURING 2012, THE PROGRAM'S SECOND COHORT OF 12 RESIDENTS COMPLETED THEIR CO-TEACHING YEAR, EARNED THEIR MASTER'S DEGREES, AND BEGAN TEACHING IN CENTRAL LOUISIANA SCHOOLS. THE THIRD COHORT OF 13 STUDENTS BEGAN THEIR CO-TEACHING YEAR AND MASTERS' PROGRAM STUDY. IN ADDITION TO ONGOING IN-KIND SUPPORT, IN 2012 TRF PROVIDED $220,000 IN CASH MATCHING FUNDS TO SUPPORT THE CART PROGRAM. TRF HAS SET THE FOLLOWING LONG-TERM GOALS FOR ITS EDUCATION INITIATIVE: BY 2012:- ILEAP (LOUISIANA'S STANDARDIZED ACHIEVEMENT TEST) TEST RESULTS WILL INCREASE TO 55% FROM 52.3%.- 75% OF STUDENTS WILL ATTAIN "APPROACHING BASIC" OR ABOVE IN LANGUAGE ARTS, MATH AND SCIENCE ON THE ILEAP TEST.- 25% OF STUDENTS WILL ACHIEVE "ADVANCED/MASTERY" LEVEL ON THE ILEAP TEST.- THE DEMOGRAPHICALLY ADJUSTED PERFORMANCE SCORE WILL INCREASE FROM 0.63% TO 1.98%.- THE GRADUATION COHORT RATE WILL INCREASE TO 77% FROM 68.4%.THE RAPIDES FOUNDATION IS COMPLETING A PRIMARY DATA ASSESSMENT IN 2013 TO DETERMINE ITS SUCCESS TOWARD ITS LONG-TERM GOALS. 2449159 1878404 THE RAPIDES FOUNDATION'S (TRF'S) OTHER PROGRAM SERVICES PRIMARILY CONSIST OF ITS HEALTHY COMMUNITIES INITIATIVE -- IN 2012 TRF PROVIDED $300,000 IN FUNDING TO THE BUSINESS ACCELERATOR SYSTEM (BAS), A PROGRAM OF THE ALEXANDRIA/PINEVILLE CHAMBER OF COMMERCE AND THE CENTRAL LOUISIANA ECONOMIC DEVELOPMENT AUTHORITY (CLEDA). BAS OFFERS COACHING SERVICES AND ENTREPRENEURSHIP CLASSES FOR EARLY-STAGE ENTREPRENEURS, SUCH AS FINANCE, MARKETING, AND OPERATIONS. IN 2012 BAS PROVIDED COACHING SERVICES TO MORE THAN 120 ENTREPRENEURS AND PROVIDED CLASSES TO MORE THAN 500 PARTICIPANTS. IN 2012 TRF PROVIDED MORE THAN $300,000 IN MATCHING FUNDS TO CLEDA DEDICATED TO ECONOMIC AND WORKFORCE DEVELOPMENT IN THE REGION. IN 2012 TRF PROVIDED $515,000 TO SUPPORT THE ORCHARD FOUNDATION'S CENLA WORK READY NETWORK, A SYSTEM DESIGNED TO LINK EDUCATION WITH WORKFORCE DEVELOPMENT EFFORTS AND ALIGN THEM WITH REGIONAL ECONOMIC NEEDS. DURING 2012, ORCHARD ENABLED ALL HIGH SCHOOLS IN ITS SERVICE AREA TO ACCESS 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 ASSESSMENT SCORES IN THREE CORE AREAS: APPLIED MATHEMATICS, READING FOR INFORMATION, AND LOCATING INFORMATION, DETERMINE A STUDENT'S NATIONAL CAREER READINESS CERTIFICATE (NCRC) LEVEL, AN OBJECTIVE DOCUMENTATION OF AN EMPLOYEE'S SKILLS THAT CAN BE ACCEPTED NATIONWIDE. DURING 2012 3,452 STUDENTS PARTICIPATED IN CAREER READY 101 TRAINING. TRF FOCUSED ITS 2012 HIGH SCHOOL VIDEO CHALLENGE ON THE CENLA WORK READY NETWORK. CENLA HIGH SCHOOLS SUBMITTED 32 VIDEO ENTRIES EMPHASIZING CAREER READY 101 AND THE IMPORTANCE OF GETTING THE TRAINING AND SKILLS TO PREPARE FOR A CAREER AFTER HIGH SCHOOL. ALSO DURING 2012 TRF PROVIDED A $200,000 MATCHING GRANT TO ORCHARD TO PROVIDE COLLEGE AND CAREER COACHING FOR 100% OF 12TH GRADE STUDENTS IN ITS SERVICE AREA. COLLEGE AND CAREER AWARENESS SEMINARS WERE PROVIDED FOR 9TH AND 11TH GRADES AT SELECT SCHOOLS. WITH A $35,000 TRF GRANT, CLEDA BEGAN BUILDING JOB PROFILES FOR 7 EMPLOYERS IN CENTRAL LOUISIANA. THESE PROFILES DESCRIBE JOB REQUIREMENTS IN TERMS OF COMPETENCIES TESTED IN THE NCRC CERTIFICATION EXAM, SO EMPLOYERS CAN APPROPRIATELY MATCH NCRC CERTIFICATE HOLDERS WITH JOBS. ALSO DURING 2012, GRANTS TOTALING $150,000 WERE MADE TO NINE CENTRAL LOUISIANA PARISH SCHOOL DISTRICTS TO SUPPORT CAREER AND TECHNICAL TRAINING IN THE SCHOOLS. SEVENTEEN CENTRAL LOUISIANA PROFESSIONALS GRADUATED FROM CENLA BOARDBUILDERS IN 2012, A TRF COMMUNITY DEVELOPMENT WORKS (CDW) PROGRAM THAT TRAINS EMERGING LEADERS TO BECOME ACTIVE IN THEIR COMMUNITIES AS MEMBERS OF NONPROFIT BOARDS OF DIRECTORS. THE PROFESSIONALS WENT THROUGH A SERIES OF SESSIONS IN 2012 TO LEARN THE ROLES AND RESPONSIBILITIES OF BEING EFFECTIVE BOARD MEMBERS. AFTER COMPLETING THE TRAINING, THEY WERE EACH MATCHED WITH A NONPROFIT ORGANIZATION AND WILL NOW SERVE ON THEIR BOARDS. CENLA EXECBUILDERS, AN INSTITUTE FOR EXECUTIVE DIRECTORS OF LOCAL NONPROFIT ORGANIZATIONS, TRAINED 15 EXECUTIVE DIRECTORS IN 2012. THROUGH ITS FREE TRAINING CLASSES, CDW TRAINED LOCAL NONPROFIT ORGANIZATIONS AND INDIVIDUALS IN ISSUES THAT THEY DEAL WITH EVERY DAY, INCLUDING GRANT WRITING, FINANCIAL MANAGEMENT, FUNDRAISING AND MARKETING. 250 INDIVIDUALS TOOK THESE FREE COURSES IN 2012. UNDER ITS NONPROFIT WORKS PROGRAM, CDW AWARDED GRANTS TOTALING $135,000 TO THREE LOCAL ORGANIZATIONS. THE GRANTS ARE USED TO EXPAND THE GOVERNANCE, ORGANIZATIONAL DEVELOPMENT AND LEADERSHIP CAPACITIES OF THE ORGANIZATIONS THROUGH PERSONALIZED TECHNICAL ASSISTANCE AND TRAINING OVER A TWO-YEAR PERIOD. SELECTED LONG-TERM GOALS (2012) FOR THE HEALTHY COMMUNITIES INITIATIVE INCLUDE:- GROW THE REAL MEDIAN HOUSEHOLD INCOME TO $34,000. (5-YR GROWTH RATE OF 1.2%)- INCREASE THE IMPORTANCE OF CITIZEN-LED EFFORTS IN THE COMMUNITY TO 85%.- INCREASE THE NUMBER OF RESIDENTS WHO VOLUNTEER FREQUENTLY TO 25%.- INCREASE THE NUMBER OF RESIDENTS WHO ENGAGE FREQUENTLY IN FUNDRAISING FOR COMMUNITY EFFORTS TO 72%.- INCREASE THE NUMBER OF LEADERS WHO REGULARLY PARTNER WITH OTHER ORGANIZATIONS TO ACCOMPLISH THEIR MISSIONS TO 58%.- INCREASE THE NUMBER OF COMMUNITY GROUPS ACHIEVING EXCELLENCE IN BEST PRACTICES FOR NONPROFIT MANAGEMENT TO 58%.THE RAPIDES FOUNDATION IS COMPLETING A PRIMARY DATA ASSESSMENT IN 2013 TO DETERMINE ITS SUCCESS TOWARD ITS LONG-TERM GOALS. 2449159 1878404 9689456 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 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 49 0 1 35 1 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 PRESIDENT & CEO 3184433394 1101 FOURTH STREET ALEXANDRIA LA 71301 JAMES R BAKER JR 0.50 X 0 0 0 JOAN BRUNSON MD 0.50 X 0 0 0 LAURA DAUZAT 0.50 X 0 0 0 ROSA FIELDS 0.50 X 0 0 0 DAVID R GILCHRIST 0.50 X 0 0 0 CYNTHIA A GILLESPIE PHD 0.50 X 0 0 0 ERNEST KELLY MD 0.50 X 0 0 0 DONALD KRAMER 0.50 X X 0 0 0 DONALD R MALLET 0.50 X X 0 0 0 NANCY MCCABE 0.50 X 0 0 0 MIKE NEWTON 0.50 X X 0 0 0 CRAIG PEARCE MD 0.50 X 0 0 0 FRANKIE ROSENTHAL 0.50 X 0 0 0 TAMMI SALAZAR 0.50 X X 0 0 0 HOWARD WOLD MD 1.00 X X 0 0 0 JOSEPH R ROSIER JR 40.00 X X 290353 0 32058 KATHLEEN F NOLEN 40.00 X 172499 0 20471 ANNETTE BEUCHLER 40.00 X 152460 0 22228 615312 0 74757 3 0 1 0 RTI INTERNATIONAL PO BOX 900002 RALEIGH NC 276759000 CONSULTING 209170 EVALWORKS 150 SOLTERRA WAY DURHAM NC 27705 CONSULTING 151537 KALB-TV PO BOX 951 ALEXANDRIA LA 71309 OUTREACH SERVICES 138730 BLUE CROSS BLUE SHIELD OF LA PO BOX 65007 DALLAS TX 752650007 HEALTH INSURANCE 137697 4 50728 50728 5378057 5378057 5378057 3109408 3109408 819918 0 819918 819918 819918 9358111 0 0 9307383 X 6867090 6867090 615312 467103 148209 652875 184163 468712 211765 108750 103015 76596 39335 37261 5968 3065 2903 34352 17641 16711 8908 4575 4333 19270 9896 9374 103491 53147 50344 154568 79377 75191 826 424 402 12271 6301 5970 78792 40463 38329 36285 18634 17651 DIRECT CHARITABLE ACTIV 1885120 1885120 PROGRAM DEVELOPMENT 224144 224144 PUBLIC RELATIONS 175327 90038 85289 -327714 -409810 82096 10835246 9689456 1145790 0 5164674 2375914 2912715 11346330 126631 1801382 529186 23096 3441087 1462051 23886506 1979036 161588198 181524125 444946 39961544 8076323 139304 104295 215889564 226094641 4969476 627401 2012727 2898147 6982203 3525548 X 208907361 222569093 208907361 222569093 215889564 226094641 -1477135 15138867 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 22770 22770 10812476 10835246 691762 172941 0 0 1000000 1000000 1000000 691762 3691762 5537643 29170 28784 20733 22770 101457 250000 250000 250000 172941 922941 1384412 0 0 0 0 59900 59900 3381187 1462051 1919136 1979036 REHAB ASSOC LTD PARTNERSHIP 443999 C RHS PARTNERSHIP 39517545 C 39961544 X 24496978 15138867 15138867 9358111 0 9358111 10835246 0 10835246 0 10835246 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION IS A NONPROFIT ORGANIZATION AND 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 FINANCIAL STATEMENTS, BUT THE FOUNDATION IS REQUIRED TO FILE AN ANNUAL INFORMATION TAX RETURN. THE FOUNDATION IS ALSO REQUIRED TO REVIEW VARIOUS TAX POSITIONS IT HAS TAKEN WITH RESPECT TO ITS EXEMPT STATUS AND DETERMINE WHETHER IN FACT IT IS A TAX EXEMPT ENTITY. THE FOUNDATION MUST ALSO CONSIDER WHETHER IT HAS NEXUS IN JURISDICTIONS IN WHICH IT HAS INCOME AND WHETHER A TAX RETURN IS REQUIRED IN THOSE JURISDICTIONS. IN ADDITION, AS A TAX EXEMPT ENTITY, THE FOUNDATION MUST ASSESS WHETHER IT HAS ANY TAX POSITIONS ASSOCIATED WITH UNRELATED BUSINESS INCOME SUBJECT TO INCOME TAX. THE FOUNDATION DOES NOT EXPECT ITS 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 FOUNDATION'S ACCOUNTING RECORDS. THE FOUNDATION FILES U.S. FEDERAL FORM 990 FOR INFORMATIONAL PURPOSES. THE FOUNDATION'S FEDERAL INCOME TAX RETURNS FOR THE TAX YEARS 2009 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 1 318 950773 -18634 969407 0.01470 12332 14326565 9512797 4813768 0.07310 12650 15277338 9494163 5783175 0.08780 4529460 0 4529460 0.06880 946857 90572 856285 0.01300 5326515 0 5326515 0.08090 10802832 90572 10712260 0.16270 12650 26080170 9584735 16495435 0.25050 0 897482 0 21235501 17252111 3983390 X 1 1 1 1 RAPIDES REGIONAL MEDICAL CTR

211 FOURTH STREET ALEXANDRIA LA 71301

WWW.RAPIDESREGIONAL.COM X X X X RAPIDES REGIONAL MEDICAL CTR 1 1 1 200.000000000000 0 1 X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 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, OR FREE CARE. 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 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, SECTION A, LINE 2: RRMC RECORDS PATIENT PAYMENTS TO ACCOUNTS AS WELL AS 100% DISCOUNTS FOR FAP-ELIGIBLE PATIENTS AND PARTIAL DISCOUNTS FOR UNINSURED PATIENTS. THEN NON-FAP ELIGIBLE PATIENTS ARE BILLED, AND RRMC RECORDS A PROVISION FOR BAD DEBT ACCOUNTS ON THE REMAINING 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 2012 NOTES TO AUDITED FINANCIAL STATEMENTS OF RAPIDES HEALTHCARE SYSTEM, LLC:"THE COMPANY 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 COMPANY'S HOSPITALS 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 COMPANY PROVIDES DISCOUNTS TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR CHARITY CARE. THESE DISCOUNTS ARE SIMILAR TO THOSE PROVIDED TO MANY LOCAL MANAGED CARE PLANS. AFTER THE DISCOUNTS ARE APPLIED, IF THE COMPANY IS STILL UNABLE TO COLLECT A SIGNIFICANT PORTION OF UNINSURED PATENTS' ACCOUNTS, THE COMPANY WILL RECORD SIGNIFICANT PROVISIONS FOR DOUBTFUL ACCOUNTS (BASED UPON THE COMPANY'S HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. "THE REVENUE DEDUCTIONS RELATED TO UNINSURED ACCOUNTS (CHARITY CARE AND UNINSURED DISCOUNTS) GENERALLY HAVE THE INVERSE EFFECT ON THE PROVISION FOR DOUBTFUL ACCOUNTS. TO QUANTIFY THE TOTAL IMPACT OF AND TRENDS RELATED TO UNINSURED ACCOUNTS, THE COMPANY BELIEVES IT IS BENEFICIAL TO VIEW THESE REVENUE DEDUCTIONS AND PROVISION FOR DOUBTFUL ACCOUNTS IN COMBINATION, AS WELL AS SEPARATELY. "THE PROVISION FOR DOUBTFUL ACCOUNTS, AS A PERCENTAGE OF NET PATIENT SERVICE REVENUES, DECREASED FROM 10% FOR 2011 TO 8% FOR 2012. THE SUM OF THE PROVISION FOR DOUBTFUL ACCOUNTS, UNINSURED DISCOUNTS AND CHARITY CARE, AS A PERCENTAGE OF THE SUM OF NET PATIENT SERVICE REVENUES, UNINSURED DISCOUNTS AND CHARITY CARE INCREASED FROM 21.9% FOR 2011 TO 24.8% FOR 2012." 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. 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 GIVEN A FINANCIAL ASSISTANCE APPLICATION AND SCREENED FOR FINANCIAL ASSISTANCE. RHS DOES NOT PURSUE COLLECTION OF ACCOUNTS WHILE IT ATTEMPTS TO DETERMINE WHETHER UNINSURED OR UNDERINSURED PATIENTS MEET ITS GUIDELINES TO QUALIFY FOR FREE CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY (FAP). THE RAPIDES HEALTHCARE SYSTEM "DISCOUNT CHARITY POLICY FOR PATIENTS" 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, NOR SUBMITTED FOR COLLECTION. 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. RAPIDES REGIONAL MEDICAL CTR PART V, SECTION B, LINE 11: 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, OR FREE CARE. 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. RAPIDES REGIONAL MEDICAL CTR PART V, SECTION B, LINE 12H: 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. RAPIDES REGIONAL MEDICAL CTR PART V, SECTION B, LINE 20D: 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, OR FREE CARE. THUS, FAP-ELIGIBLE INDIVIDUALS ARE NOT CHARGED FOR CARE. 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 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 NON-PROFIT ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE SERVICES TO POPULATIONS IN NEED. BEGINNING IN LATE 2012 AND CONTINUING THROUGH 2013, RRMC AND THE OTHER LARGE ACUTE-CARE HOSPITAL IN THE COMMUNITY (A CHRISTUS FACILITY) BEGAN DISCUSSIONS WITH THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS ABOUT THE DESIGN OF A NEW HEALTH CARE SAFETY-NET SOLUTION FOR THE CENTRAL LOUISIANA REGION. THIS WAS IN RESPONSE TO THE LOUISIANA GOVERNOR'S DECISION TO DISMANTLE THE STATE'S LONG-STANDING CHARITY HOSPITAL SYSTEM AND MOVE THE RESPONSIBILITY FOR PROVISION OF ALL HEALTH CARE FOR THE INDIGENT TO THE PRIVATE SECTOR. RRMC DISCUSSIONS WERE SPECIFICALLY ABOUT THE TRANSITION OF SERVICES NOW PERFORMED AT THE STATE-RUN HUEY P. LONG HOSPITAL FACILITY IN PINEVILLE, IN RAPIDES PARISH. A COOPERATIVE ENDEAVOR AGREEMENT WAS EXECUTED IN OCTOBER 2013 WHICH CALLS FOR ACUTE CARE MEDICAL, PSYCHIATRIC, AND EMERGENCY SERVICES, AS WELL AS PRIMARY AND SPECIALTY CLINIC SERVICES FOR THE UN- AND UNDERINSURED POPULATION OF CENTRAL LOUISIANA TO BE PROVIDED BY RRMC AND CHRISTUS HOSPITALS, PARTIALLY SUPPORTED BY A STATE SUBSIDY, TRANSITIONING BEGINNING DECEMBER 1, 2013, COMPLETED BY JUNE 30, 2014. PART VI, LINE 3: A "NOTICE TO PATIENTS" IS POSTED AT INPATIENT AND EMERGENCY DEPARTMENT ADMITTING LOCATIONS. THE NOTICE CONTAINS THE FOLLOWING LANGUAGE: "AN UNINSURED DISCOUNT POLICY IS AVAILABLE TO PATIENTS WITHOUT INSURANCE COVERAGE FOR MEDICALLY NECESSARY SERVICES. A CHARITY CARE DISCOUNT POLICY IS AVAILABLE FOR CERTAIN QUALIFYING PATIENTS." CHARITY CARE AND DISCOUNT POLICIES ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE IN BOTH ENGLISH AND SPANISH. 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 GIVEN A FINANCIAL ASSISTANCE APPLICATION AND LETTER. HOSPITAL STAFF EXPLAIN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, WHAT THE QUALIFICATIONS ARE FOR ASSISTANCE, AND WHAT DOCUMENTATION IS REQUIRED IN ORDER FOR PATIENTS TO RECEIVE ASSISTANCE. HOSPITAL REGISTRAR STAFF IS TRAINED IN FINANCIAL ASSISTANCE POLICIES AND PROCEDURES. THE PATIENT IS THEN ASKED TO COMPLETE AND RETURN THE DOCUMENTATION. A PATIENT QUALIFIES FOR CHARITY CARE IF HOUSEHOLD INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. PART VI, LINE 4: RAPIDES REGIONAL MEDICAL CENTER'S PRIMARY COMMUNITY SERVED IS A THREE-PARISH (COUNTY) SERVICE AREA IN CENTRAL LOUISIANA, INCLUDING AVOYELLES, GRANT AND RAPIDES PARISHES. THE SERVICE AREA IS LARGELY RURAL AND ECONOMICALLY CHALLENGED. THE MEDIAN HOUSEHOLD INCOME FOR 2007-2011 VARIED FROM A LOW OF $32,321 IN AVOYELLES PARISH TO A HIGH OF $40,470 IN RAPIDES PARISH, STILL SIGNIFICANTLY LOWER THAN THE STATE AVERAGE OF $44,086 AND US AVERAGE OF $52,762 DURING THE SAME PERIOD. IN AVOYELLES PARISH, 23.9% OF THE POPULATION WAS BELOW THE POVERTY LEVEL, WHILE 18.8% WERE IN RAPIDES, AND 16.6% WERE IN GRANT. IN THE US, ONLY 14.3% OF THE POPULATION LIVES BELOW THE POVERTY LEVEL. IN TERMS OF EDUCATION LEVEL, ONLY 70.2% OF AVOYELLES RESIDENTS ARE HIGH-SCHOOL GRADUATES; 77.1% OF GRANT RESIDENTS; AND 81.8% OF RAPIDES RESIDENTS. NATIONALLY, 85.4% OF THE US POPULATION HOLDS A HIGH-SCHOOL DEGREE. IN TERMS OF HIGHER EDUCATION, ONLY 9.6% OF AVOYELLES RESIDENTS HOLD BACHELOR DEGREES; 10.6% OF GRANT RESIDENTS; AND 18.5% OF RAPIDES RESIDENTS. NATIONALLY, 28.2% OF THE POPULATION HOLDS A BACHELOR DEGREE. HEALTH CHALLENGES IN THE COMMUNITY INCLUDE 22.3% OF THE POPULATION REPORTING A LACK OF MEDICAL INSURANCE, COMPARED TO 14.9% FOR THE US. REPORTED PREVALENCE OF DIABETES IN THE AREA IS 15.8% COMPARED TO 10.1% NATIONALLY. IN 2012, 42% OF THE POPULATION OF AVOYELLES WAS ENROLLED IN MEDICAID, 32% OF GRANT RESIDENTS, AND 35% OF RAPIDES RESIDENTS. ALL THREE PARISHES ARE DESIGNATED AS PRIMARY CARE HRSAS (HEALTH PROFESSIONAL SHORTAGE AREAS). HIGH BLOOD PRESSURE WAS REPORTED BY 44.8% OF THE POPULATION, COMPARED TO 34.3% NATIONALLY. HEART DISEASE PREVALENCE IS 14.4%, MORE THAN DOUBLE THE NATIONAL PREVALENCE OF 6.1%. 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, ONE SMALL RURAL ACUTE-CARE FACILITY, AND A PUBLIC FACILITY WITH EMERGENCY AND CLINIC SERVICES BUT EXTREMELY LIMITED ACUTE-CARE SERVICES. 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. 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. WITH A 2012 OVERALL RISK-ADJUSTED COMPLICATIONS INDEX OF 0.87, RRMC PROVIDED TOP-LEVEL PATIENT-CARE OUTCOMES. FOR THE SECOND YEAR, U.S. NEWS AND WORLD REPORTS' 2012-2013 RANKINGS OF BEST HOSPITALS RECOGNIZED RAPIDES REGIONAL AS NO. 3 IN LOUISIANA. ADDITIONALLY, FOR THE SECOND YEAR, THE HOSPITAL WAS NAMED A TOP PERFORMER ON KEY QUALITY MEASURES FOR EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE BY THE JOINT COMMISSION. RAPIDES REGIONAL WAS RECOGNIZED IN MODERN HEALTHCARE MAGAZINE AS RECEIVING THE 2012/2013 CONSUMER CHOICE AWARD IN ITS MARKET BASED ON NATIONAL RESEARCH CORPORATION CONSUMER SURVEYS ON QUALITY HEALTHCARE SERVICES. THE HOSPITAL ALSO RECEIVED THE 2012/2013 HHS ORGAN DONATION SILVER MEDAL OF HONOR. RAPIDES REGIONAL MEDICAL CENTER IS CERTIFIED AS ONE OF LOUISIANA'S TWO LEVEL II TRAUMA CENTERS, WHICH BENEFITS CENTRAL LOUISIANA BY PROVIDING ACCESS TO TRAUMA CARE DURING THE CRITICAL FIRST 60 MINUTES FOLLOWING A TRAUMATIC INJURY, THEREBY REDUCING MORTALITY RATES FROM SUCH INJURIES IN THE REGION. THE FACILITY IS ALSO CERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER AND AN ACCREDITED CYCLE III CHEST PAIN CENTER THE ONLY ONE IN CENTRAL LOUISIANA. WITH AN ANNUAL PAYROLL OF $21 MILLION (RAPIDES FOUNDATION OWNERSHIP PERCENTAGE SHARE), RHS IS A SIGNIFICANT EMPLOYER IN ITS COMMUNITIES AND PAID $0.5 MILLION (RAPIDES FOUNDATION SHARE) IN PROPERTY TAXES DURING 2012 THAT SUPPORTED SUCH EFFORTS AS SCHOOLS, ROADS AND OTHER INFRASTRUCTURE PROJECTS. IN ADDITION TO THE COMMUNITY BENEFIT PROVIDED BY RAPIDES HEALTHCARE SYSTEM, THE RAPIDES FOUNDATION'S 2012 PHILANTHROPIC ACTIVITIES PROVIDED AN ADDITIONAL $9.7 MILLION IN COMMUNITY BENEFIT TO ITS NINE-PARISH SERVICE AREA. THIS INCLUDED GRANTS OF $6.9 MILLION AND DIRECT CHARITABLE ACTIVITIES OF $2.2 MILLION IN THREE PRIMARY AREAS OF FOCUS: HEALTHY PEOPLE, HEALTHY COMMUNITIES, AND EDUCATION. 1 ACCION TEXAS INC 2014 S HACKBERRY SAN ANTONIO TX 782103541 742712770 501(C)(3) 100000 HEALTHY COMMUNITIES ALEXANDRIA COUNTRY DAY SCHOOL 5603 BAYOU RAPIDES ROAD ALEXANDRIA LA 71303 237080248 501(C)(3) 35000 HEALTHY COMMUNITIES ALLEN PARISH SCHOOL BOARD PO DRAWER C OBERLIN LA 70655 726000020 GOVERNMENT AGENCY 133200 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE LA 71351 726000115 GOVERNMENT AGENCY 158750 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES BATON ROUGE AIDS SOCIETY 4560 NORTH BLVD STE 100 BATON ROUGE LA 70806 721436877 501(C)(3) 67000 HEALTHY PEOPLE BUCKEYE RECREATION COMPLEX 6 REED LAWRENCE RD DEVILLE LA 71328 726001132 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE CASA OF CENTRAL LOUISIANA INC 1200 KEYSER AVENUE SUITE B NATCHITOCHES LA 71457 680573326 501(C)(3) 50000 HEALTHY COMMUNITIES CATAHOULA PARISH SCHOOL BOARD PO BOX 690 HARRISONBURG LA 71340 726000268 GOVERNMENT AGENCY 87000 EDUCATION & HEALTHY COMMUNITIES CENLA ADVANTAGE PARTNERSHIP PO BOX 465 ALEXANDRIA LA 71309 651267691 501(C)(3) 307550 HEALTHY COMMUNITIES CENTRAL HIGH SCHOOL 244 LARTO BAYOU ROAD JONESVILLE LA 71343 726000268 GOVERNMENT AGENCY 21875 HEALTHY PEOPLE CENTRAL LA ECONOMIC DEVELOPMENT ALLIANCE PO BOX 465 ALEXANDRIA LA 71309 651267691 501(C)(3) 585000 HEALTHY COMMUNITIES & HEALTHY PEOPLE CENTRAL LOUISIANA AHEC 2225 NORTH BOLTON AVENUE ALEXANDRIA LA 71303 721204210 501(C)(3) 150000 HEALTHY PEOPLE CENTRAL LOUISIANA COMMUNITY FOUNDATION P O BOX 66 ALEXANDRIA LA 71309 721446378 501(C)(3) 10000 HEALTHY PEOPLE CITY OF ALEXANDRIA P O BOX 71 ALEXANDRIA LA 713090071 726000014 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE CITY OF BUNKIE PO BOX 630 BUNKIE LA 71322 726000215 GOVERNMENT AGENCY 23857 HEALTHY PEOPLE CITY OF OAKDALE P O BOX 728 OAKDALE LA 71463 726001026 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA LA 71301 020751416 501(C)(3) 525000 HEALTHY PEOPLE COMMUNITY FOOD PANTRY OF WINN P O BOX 302 WINNFIELD LA 71483 720998305 501(C)(3) 7500 HEALTHY PEOPLE FOOD BANK OF CENTRAL LA INC 3223 BALDWIN AVENUE ALEXANDRIA LA 71301 721154072 501(C)(3) 49998 HEALTHY PEOPLE GRANT PARISH SCHOOL BOARD P O BOX 208 COLFAX LA 71417 726000494 GOVERNMENT AGENCY 118150 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES J I BARRON ELEMENTARY SCHOOL 3655 TRINITY CHURCH ROAD PINEVILLE LA 71360 726001133 GOVERNMENT AGENCY 24127 HEALTHY PEOPLE LA COMMUNITY & TECH COLLEGE SYSTEM 265 SOUTH FOSTER DRIVE BATON ROUGE LA 70806 205432053 GOVERNMENT AGENCY 186048 HEALTHY PEOPLE LASALLE HOSPITAL SERVICE DISTRICT #1 1102 NORTH PINE ROAD OLLA LA 71465 720652984 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE LASALLE PARISH SCHOOL BOARD P O DRAWER 90 JENA LA 71342 726000656 GOVERNMENT AGENCY 100600 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES LOUISIANA PRIMARY CARE ASSOCIATION INC PO BOX 966 BATON ROUGE LA 708210966 721040949 501(C)(3) 400000 HEALTHY PEOPLE MABEL BRASHER ELEMENTARY SCHOOL 601 CLOVERDALE BLVD ALEXANDRIA LA 71303 726001133 GOVERNMENT AGENCY 24600 HEALTHY PEOPLE NATCHITOCHES PARISH SCHOOL BOARD PO BOX 16 NATCHITOCHES LA 71458 720629556 GOVERNMENT AGENCY 182750 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES NORTHWESTERN STATE UNIVERSITY OFFICE OF THE PRESIDENT NATCHITOCHES LA 71497 726000783 GOVERNMENT AGENCY 904113 HEALTHY PEOPLE OAKDALE MIDDLE SCHOOL 124 SOUTH 13TH STREET OAKDALE LA 71463 726000020 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE RAPIDES CHILDREN'S ADVOCACY CENTER INC PO BOX 228 ALEXANDRIA LA 71303 721299269 501(C)(3) 50000 HEALTHY PEOPLE RAPIDES PARISH SCHOOL BOARD P O BOX 1230 ALEXANDRIA LA 71309 726001133 GOVERNMENT AGENCY 468000 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES SOUTHERN FOREST HERITAGE MUSEUM P O BOX 101 LONG LEAF LA 71448 721243061 501(C)(3) 25000 HEALTHY PEOPLE SOUTHWEST LOUISIANA AHEC 103 INDEPENDENCE BLVD LAFAYETTE LA 70506 721191867 501(C)(3) 30000 HEALTHY PEOPLE THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA LA 71301 870730768 501(C)(3) 1570000 EDUCATION & HEALTHY COMMUNITIES THE RAPIDES EXPLORATORY EDUCATION HOUSE INC 1403 THIRD STREET ALEXANDRIA LA 71301 721414935 501(C)(3) 10570 HEALTHY PEOPLE TIOGA HISTORICAL SOCIETY INC PO BOX 151 TIOGA LA 71477 010593546 501(C)(3) 25000 HEALTHY PEOPLE TOWN OF BALL P O BOX 800 BALL LA 71405 720743991 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE TOWN OF BOYCE P O BOX 146 BOYCE LA 71409 726000191 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE TOWN OF COTTONPORT P O BOX 118 COTTONPORT LA 71327 726008510 GOVERNMENT AGENCY 20000 HEALTHY PEOPLE TOWN OF ELIZABETH P O BOX 457 ELIZABETH LA 70638 720603095 GOVERNMENT AGENCY 15250 HEALTHY PEOPLE TOWN OF MONTGOMERY PO BOX 99 MONTGOMERY LA 71454 726001703 GOVERNMENT AGENCY 50000 HEALTHY PEOPLE TOWN OF OBERLIN P O BOX 337 OBERLIN LA 70655 726001763 GOVERNMENT AGENCY 33800 HEALTHY PEOPLE TOWN OF ROSEPINE P O BOX 528 ROSEPINE LA 70634 720752635 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE TOWN OF TULLOS P O BOX 749 TULLOS LA 71479 720568783 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE UNITED BAPTIST CHURCH 7687 HWY 9 CAMPTI LA 71411 800152201 501(C)(3) 25000 HEALTHY PEOPLE VERNON PARISH SCHOOL BOARD 201 BELVIEW ROAD LEESVILLE LA 71446 726001443 GOVERNMENT AGENCY 256310 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES VILLAGE OF GEORGETOWN PO BOX 220 GEORGETOWN LA 71432 720601348 GOVERNMENT AGENCY 20000 HEALTHY PEOPLE VILLAGE OF MOREAUVILLE P O BOX 57 MOREAUVILLE LA 71355 720720280 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE VILLAGE OF SICILY ISLAND P O BOX 45 SICILY ISLAND LA 71368 720758855 GOVERNMENT AGENCY 23906 HEALTHY PEOPLE WARD ONE COMMUNITY FOUNDATION PO BOX 35 EFFIE LA 71331 726000119 GOVERNMENT AGENCY 25000 HEALTHY PEOPLE WINN PARISH SCHOOL BOARD P O BOX 430 WINNFIELD LA 71483 726001620 GOVERNMENT AGENCY 104300 EDUCATION, HEALTHY PEOPLE & HEALTHY COMMUNITIES WOMEN'S RESOURCE CENTER OF NATCHITOCHES INC 107 NORTH STREET NATCHITOCHES LA 71457 581882982 501(C)(3) 10000 HEALTHY PEOPLE YMCA OF CENTRAL LOUISIANA 724 SCOTT STREET ALEXANDRIA LA 71301 720408980 501(C)(3) 7778 HEALTHY PEOPLE VARIOUS 2012 GRANT AMENDMENTS -356155 HEALTHY PEOPLE VARIOUS 2012 GRANT AMENDMENTS -169461 EDUCATION VARIOUS 2012 GRANT AMENDMENTS -123398 HEALTHY COMMUNITIES 53 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 2012, THE RAPIDES FOUNDATION RECORDED AMENDMENTS TO GRANTS IN THE AMOUNT OF $649,014. 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 PURPOSE. X X X 0 0 0 0 0 0 0 0 0 JOSEPH R ROSIER JR 290353 0 0 0 0 0 25000 0 7058 0 322411 0 0 0 KATHLEEN F NOLEN 172499 0 0 0 0 0 17250 0 3221 0 192970 0 0 0 ANNETTE BEUCHLER 152460 0 0 0 0 0 15246 0 6982 0 174688 0 0 0 FORM 990, PART I, LINES 9 AND 17: IN ACCORDANCE WITH INSTRUCTIONS, 2012 FINANCIAL RESULTS FROM THE RAPIDES FOUNDATION'S 26% INTEREST IN RAPIDES HEALTHCARE SYSTEM ARE PRESENTED IN THE FINANCIAL STATEMENTS NET AS PROGRAM SERVICE REVENUE. IN PRIOR YEARS, RESULTS HAD BEEN PRESENTED GROSS IN APPROPRIATE REVENUE AND EXPENSE CATEGORIES. 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 11 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 IF THEY SO CHOOSE. 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 AND TWO DIRECTORS OF THE ORGANIZATION ARE CONSIDERED KEY EMPLOYEES. THE CEO RECOMMENDS THE PAY FOR THE TWO DIRECTORS AND A SALARY BUDGET FOR THE REMAINING EMPLOYEES 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 IX, LINE 24E THE TOTAL OF ALL OTHER EXPENSES IS NEGATIVE DUE TO $496,476 OF INVESTMENT EXPENSES BEING SUBTRACTED OUT OF TOTAL EXPENSES. INVESTMENT INCOME ON PAGE 9, LINE 3 IS REPORTED NET OF INVESTMENT EXPENSES, AND BECAUSE INVESTMENT EXPENSES ARE BEING REPORTED ON PAGE 9, THEY NEEDED TO BE REMOVED FROM THE TOTALS ON PAGE 10. 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 6884285 39437838 0 0 0.26000 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 THE ORCHARD FOUNDATION B 1335854 GRANT AGREEMENT THE ORCHARD FOUNDATION J 343193 COST ACCOUNTING SYSTEM CMAP EXPRESS B 678859 GRANT AGREEMENT CMAP EXPRESS J 779054 COST ACCOUNTING SYSTEM CMAP EXPRESS M 67429 WRITTEN CONTRACT RAPIDES HEALTHCARE SYSTEM F 5905876 LETTER AGREEMENT