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        <Description>Education Initiative -- During 2011 the nine parish school districts in TRFs 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 grants also supported the purchase of instructional materials and technology to be used in math and science classes. The Orchard Foundation, TRFs supporting organization, continued its work during 2011 hosting instructional institutes for high school and elementary science and math teachers. The Orchard Foundation offered AIMS science and math workshops for elementary, middle and high school teachers. Students are eager to experiment, investigate, explore and inquire. In the workshops teachers learn to restructure their lessons to capture this student enthusiasm and to help students use tools to better understand the world that surrounds them. AIMS workshops incorporate exciting, see Schedule O</Description>
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      <GrantsToDomesticIndividuals>
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        <Total>0</Total>
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      <BenefitsToMembers>
        <Total>0</Total>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>148902</ManagementAndGeneral>
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        <ManagementAndGeneral>58027</ManagementAndGeneral>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
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        <ManagementAndGeneral>842841</ManagementAndGeneral>
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        <ProgramServices>6466083</ProgramServices>
        <ManagementAndGeneral>21826</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>630948</ProgramServices>
        <ManagementAndGeneral>82155</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>221539</ProgramServices>
        <ManagementAndGeneral>43638</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>49987</ProgramServices>
        <ManagementAndGeneral>33213</ManagementAndGeneral>
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      <Royalties>
        <Total>0</Total>
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      <Occupancy>
        <Total>1684678</Total>
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        <ManagementAndGeneral>42029</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>34229</ProgramServices>
        <ManagementAndGeneral>1281</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>174582</Total>
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        <ManagementAndGeneral>66324</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>13564</ProgramServices>
        <ManagementAndGeneral>7632</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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      <OtherExpenses>
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      <OtherExpenses>
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      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
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        <CurrentYearMinus2>1000000</CurrentYearMinus2>
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        <CurrentYear>1000000</CurrentYear>
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      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The Foundation is a nonprofit organization and exempt from federal income taxes under Section 501c3 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.</Explanation>
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        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>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 Foundations accounting records.</Explanation>
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        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The Foundation files U.S. federal Form 990 for informational purposes. The Foundations federal income tax returns for the tax years 2008 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 501c3 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.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>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 Foundations request to examine its operations and enter into a closing agreement.</Explanation>
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        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>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. Davids Health Care System, Inc. v. United States, involved facts very similar to those present in the Foundations 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 Foundations 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.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>It should be noted that even if the Foundations public charity status should not continue, the Foundation believes that it would continue to be exempt from income tax under Section 501c3 of the Code as a private foundation.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>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 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 organizations 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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
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        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>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 Foundations 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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <WrittenPolicy>true</WrittenPolicy>
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      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>606</PersonsServed>
        <TotalCommunityBenefitExpense>915155</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>208791</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>706364</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01100</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <TotalCommunityBenefitExpense>13633856</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9101051</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4532805</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07060</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <PersonsServed>12418</PersonsServed>
        <TotalCommunityBenefitExpense>14549011</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9309842</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5239169</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08160</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <NetCommunityBenefitExpense>3391254</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05280</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <DirectOffsettingRevenue>89496</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>857361</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01330</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
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        <NetCommunityBenefitExpense>5125425</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07980</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>9463536</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>89496</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9374040</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14590</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <PersonsServed>12418</PersonsServed>
        <TotalCommunityBenefitExpense>24012547</TotalCommunityBenefitExpense>
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        <PercentOfTotalExpense>0.22750</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1121000</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>20833011</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>17454143</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>3378868</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>RAPIDES REGIONAL MEDICAL CTR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>211 FOURTH STREET</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>LA</State>
          <ZIPCode>71301</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7</Identifier>
        <Explanation>a-The Cost for Charity Care was derived using a cost-to-charge ratio from Schedule H, Worksheet 2 applied in Worksheet 1. 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 Charity inpatient admissions plus total Charity 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Excerpt from 2011 Notes to Audited Financial Statements of Rapides Healthcare System-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 Companys hospitals for non-elective care, who have income at or below 200 per cent of the federal poverty level, are eligible for charity care. The deferral 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 too many local managed care plans. After the discounts are applied, if the Company is still unable to collect a significant portion of uninsured patients accounts, the Company will record significant provisions for doubtful accounts based upon the Companys historical collection experience related to uninsured patients in the period the services are provided.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>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, increased from 5.5 for 2010 to 10 for 2011. 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 15.8 for 2010 to 21.9 for 2011.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>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. The provision for doubtful accounts and the allowance for doubtful accounts relate primarily to amounts due directly from patients. An estimated allowance for doubtful accounts is recorded for all uninsured accounts, regardless of the aging of those accounts. This allowance is based upon historic experience of collections and charity approvals. No allowance is made for amounts attributable to patients who would likely qualify for charity care if documentation had been available. Accounts are written off when all reasonable internal and external collections efforts have been performed.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>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 the hospital operated by RHS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>Collection of outstanding receivables from third-party payers Medicare, managed-care payers, etc. is Rapides Healthcare Systems RHSs primary source of cash and is critical to its ability to fund operations. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance carrier has paid the amounts covered by the applicable agreement, but patient responsibility amounts deductibles and copayments remain outstanding.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>RHS collection policies include a review of all accounts against certain standard collection criteria, upon completion of internal collection efforts. Accounts determined to possess positive collectability attributes are forwarded to a secondary external collections agency, and the other accounts are written off. The accounts that are not collected by the secondary external collection agency are written off when they are returned by the collection agency usually within 12 months. Write-offs are based upon specific identification, and the write-off process requires a write-off adjustment entry to the patient accounting system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>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 submitted for collection.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 10 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 11 Uninsured patients may qualify for 100 discount on their bill under extenuating circumstances after manager review and approval, in cases such as if the patient is not able to complete the financial assistance application or provide supporting documentation, where medical indigence is determined by medical debt outweighing 25 of the patients annual income, patients identified as undocumented residents or homeless, or patients that expire without an estate.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line19 The Rapides Healthcare System RHS does 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>The Rapides Foundation TRF engages a national expert firm to perform a Community Health Assessment every three years. The assessment is a systematic, data-driven approach to identifying the health status, behaviors and needs of the members of the community within the nine-parish county TRF service area. Sample data is compiled through random telephone interviews within the service area and benchmarked against data from the Centers for Disease Control and Prevention, the U.S. Department of Health - Human Services, and the PRC National Health Survey. Secondary data are gathered from the Centers for Disease Control and Prevention, the ESRI BIS Demographic Portfolio, Louisiana Commission on Law Enforcement, Louisiana Department of Health - Hospitals and the National Center for Health Statistics. The assessment results are reviewed by TRF management and its Board and inform the organizations philanthropic efforts. The assessment is used by Rapides Healthcare System management and its Boards Community Benefit Committee for its hospitals community benefit planning.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>Lastly, results are made available to others in the community to assist them in planning their community-directed efforts. The Community Health Assessment results are available on the TRF website. TRF completed its last assessment in 2010. In accordance with new requirements for Community Health Needs Assessments CHNA for Exempt Hospital Facilities effective for tax years beginning after March 24, 2012, Rapides Regional Medical Center is partnering with another exempt community hospital in 2012 to begin the process of conducting a CHNA to be completed in 2013.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>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 organizations 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 firms 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 explains the hospitals 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 per cent of the Federal Poverty level.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>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 per cent of the Federal Poverty level.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>The Rapides Foundation TRF serves a largely rural nine-parish county area of central Louisiana. These parishes include Allen, Avoyelles, Catahoula, Grant, LaSalle, Natchitoches, Rapides, Vernon, and Winn. Eight of the nine parishes in the service area are federally designated as medically underserved in terms of primary care access. According to 2010 census figures, the median household income level in the nine-parish region ranged between 31,325 in Catahoula Parish to 43,752 in Vernon Parish, all below the US median household income of 50,046. An estimated 34.3 per cent of all households in the TRF service area have annual incomes below 25,000, compared to 23.6 per cent nationally. The population of the region was 67.8 per cent white, 29.1 per cent black and 3.1 per cent other. In 2010, at the time of TRFs latest Community Health Assessment, 22.0 per cent of adults aged 18 to 64 in the TRF service area self reported that they had no health insurance coverage.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>Another 18.6 per cent reported coverage by Medicaid and Medicare. Challenges in the region include infant mortality of 10.1 per cent in 2004-2006, compared to 6.9 per cent nationally, births to unwed mothers of 45.3 per cent 33.5 per cent nationally and births to teenagers under age 20 of 15.3 per cent 10.3 per cent nationally.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>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 2011 overall risk-adjusted complications index of 0.84, RHS provided top-level patient-care outcomes. In 2011, for the fifth year in a row, RRMC received the states highest level healthcare quality award from eQHealth Solutions - the Capstone Quality Award, one of only 24 Louisiana hospitals to receive the award.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>Additionally, the hospital was one of only 405 U.S. hospitals and critical access hospitals named a Top Performer on Key Quality Measures for excellence in accountability measure performance by The Joint Commission in 2011. U.S. News and World Reports 2011-12 rankings of Best Hospitals recognized RRMC as No. 3 in Louisiana. In 2009 the Hospital achieved certification as an Advanced Primary Stroke Center, and in 2010 it became an Accredited Cycle III Chest Pain Center - the only one in Central Louisiana. In 2011, the Hospital was certified as Louisianas only Level II Trauma Center, which will benefit 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>In 2011, RRMC implemented an initiative to reduce elective deliveries between 37 and 39 weeks gestation through education of expectant mothers concerning fetal development and premature birth complications. In fourth quarter 2010, elective deliveries between 37 and 39 weeks were 47.2 per cent of all deliveries, but by fourth quarter 2011, elective deliveries prior to 39 weeks had fallen to 4.8 per cent. During the first two quarters of 2012, there were no such elective deliveries at RRMC.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>With an annual payroll of 20 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 2011 that supported such efforts as schools, roads and other infrastructure projects. In addition to the community benefit provided by Rapides Healthcare System, The Rapides Foundations 2011 philanthropic activities provided an additional 8.3 million in community benefit to the nine-parish service area. This included grants of 5.0 million and direct charitable activities of 3.3 million in three primary areas of focus Healthy People, Healthy Communities, and Education.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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          <AddressLine1>221 TUNICA DRIVE WEST</AddressLine1>
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          <City>NATCHITOCHES</City>
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          <State>LA</State>
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        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <MethodOfValuation>Book</MethodOfValuation>
        <PurposeOfGrant>HEALTHY PEOPLE</PurposeOfGrant>
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        <PurposeOfGrant>HEALTHY PEOPLE</PurposeOfGrant>
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          <AddressLine1>1101 FOURTH STREET 101A</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>LA</State>
          <ZIPCode>71301</ZIPCode>
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        <EINOfRecipient>020751416</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
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        <MethodOfValuation>Book</MethodOfValuation>
        <PurposeOfGrant>HEALTHY PEOPLE</PurposeOfGrant>
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          <City>ALEXANDRIA</City>
          <State>LA</State>
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          <City>COLFAX</City>
          <State>LA</State>
          <ZIPCode>71417</ZIPCode>
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        <EINOfRecipient>726000494</EINOfRecipient>
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        <AmountOfCashGrant>90000</AmountOfCashGrant>
        <MethodOfValuation>Book</MethodOfValuation>
        <PurposeOfGrant>EDUCATION</PurposeOfGrant>
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          <BusinessNameLine1>GRANT PARISH SCHOOL BAORD</BusinessNameLine1>
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          <AddressLine1>PO BOX 208</AddressLine1>
          <City>COLFAX</City>
          <State>LA</State>
          <ZIPCode>71417</ZIPCode>
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        <EINOfRecipient>726000494</EINOfRecipient>
        <IRCSection>GOV</IRCSection>
        <AmountOfCashGrant>21600</AmountOfCashGrant>
        <MethodOfValuation>Book</MethodOfValuation>
        <PurposeOfGrant>H COMMUNITIES</PurposeOfGrant>
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          <AddressLine1>201 JOHNSTON STREET 601</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>LA</State>
          <ZIPCode>71301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>432039628</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <MethodOfValuation>Book</MethodOfValuation>
        <PurposeOfGrant>HEALTHY PEOPLE</PurposeOfGrant>
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      <GeneralExplanation>
        <Identifier>Form 990 Part I</Identifier>
        <ReturnReference>1</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>1</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4a</ReturnReference>
        <Explanation>Advanced Primary Stroke Center, and in 2010 it became an Accredited Cycle III Chest Pain Center - the only one in Central Louisiana. In 2011, the Hospital was certified as Louisianas only Level II Trauma Center, which will benefit 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. In 2011, RRMC implemented an initiative to reduce elective deliveries between 37 and 39 weeks gestation through education of expectant mothers concerning fetal development and premature birth complications. In fourth quarter 2010, elective deliveries between 37 and 39 weeks were 47.2 of all deliveries, but by fourth quarter 2011, elective deliveries prior to 39 weeks had fallen to 4.8. During the first two quarters of 2012, there were no such elective deliveries at RRMC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4a</ReturnReference>
        <Explanation>TRF also seeks to assert, develop and support access to non-urgent care for the uninsured and underserved populations. In 2011, RHS provided charity care and other community benefits totaling 6.3 million, as included on Schedule H, Part I, Line 7k attached hereto. This included 5.2 million of unreimbursed patient care costs, 0.2 million in community education, community programs and community donations and 0.9 million in support of the LSU Family Practice Residency Program.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>critical role by enabling patients access to chronic care medications prescribed by physicians in the Outpatient Center. In 2011, Huey P. Long enrolled or re-enrolled 956 patients and filled 39,975 prescriptions, for a cost savings of 3.8 million. TRF provided 175,000 in funding to CMAPs Cancer Screening Project, which provided free mammograms, Pap smears, pelvic exams and colorectal cancer tests to uninsured patients who couldnt afford these critical screenings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Its cancer screening van, through a partnership with Louisiana State University, brought these tests to rural areas. In 2011, 386 patients were seen, 139 Pap smears done, 182 pelvic exams completed, 343 mammograms done, 144 clinical breast exams completed, and 200 take-home colorectal cancer tests distributed. More than 275,000 in grants was awarded to Louisiana State University at Alexandria, Northwestern State University and Central Louisiana Community and Technical College to support their nursing education programs and build healthcare access in the Central Louisiana region. In 2011 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 screening for breast, cervical, and colorectal cancers.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>TRF awarded over 550,000 in grants during 2011 to 24 communities in nine parishes as part of TRFs 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 and community gardens. Additionally, eight school districts continued to work with the 840,000 in two-year funding awarded in 2010 to improve healthy eating and physical activity opportunities. The school districts used these funds to implement innovative school health model programs such as CATCH, SPARK and SMART and Healthy Lifestyles.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>TRF invested 250,000 in an innovative high school program held in spring 2011, The Get Healthy Cenla Video Challenge, which involved 39 high schools, whose student teams produced videos promoting healthy eating and exercise. TRF posted the resulting videos on its website, resulting in 44,599 website hits and over 20,000 votes for the winning videos. The top ten videos were viewed and recognized at a Hollywood-style award ceremony. The grand prize winner was professionally produced, with the original student team involved, and used in TRFs 2011 outreach campaigns. Also in 2011, TRF began its Healthy Lifestyles Program, which has both a workplace education component as well as a physician referral one-on-one exercise and healthy eating consultation program.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>In 2011, as part of TRFs Tobacco Prevention and Control Initiative, TRF ran hard-hitting campaigns such as Cigarettes Are Eating You Alive, Reverse the Damage - Heart Attack, and Reverse the Damage - Lung Cancer. TRFs 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 states Quitline through use of informational cards and other collaterals displaying the Quitline number. Community and school grants totaling 219,000 supported programs such as Tar Wars and Kick Butts Day events in the schools, workplace outreach and Great American Smokeout activities. TRF facilitated a Youth Summit on Tobacco and Prevention and Control, attended by 110 youth, representing 18 area schools.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4c</ReturnReference>
        <Explanation>hands-on activities that develop students deeper understanding of the content. This approach also helps ensure that students acquire the necessary skills to succeed and be productive in the 21st century. During 2011, 210 teachers participated in AIMS training. Also during 2011, the Orchard Foundation sponsored Kagan instructional 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 312 teachers attended the institutes. TRF awarded 200,000 in grants to the Orchard Foundation to support its instructional institutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4c</ReturnReference>
        <Explanation>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 2011, the programs first cohort of 12 residents completed their co-teaching year, earned their masters degrees, and began teaching in Central Louisiana schools. The second cohort of 12 students began their co-teaching year and masters program study. In addition to ongoing in-kind support, in 2011 TRF provided 220,000 in cash matching funds to support the CART program.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4c</ReturnReference>
        <Explanation>TRF has set the following long-term goals for its Education Initiative By 2012 iLEAP Louisianas 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>The Rapides Foundations TRFs other program services primarily consists of its Healthy Communities Initiative -- In 2011 TRF provided 400,000 in funding to the Business Accelerator System BAS, a program of the Alexandria/Pineville Chamber of Commerce and the Central Louisiana Economic Development Authority. BAS partnered with Louisiana State University at Alexandria and the Central Louisiana Business Incubator to offer entrepreneurship classes for early-stage entrepreneurs, such as finance, marketing, operations, and opportunity engineering. BAS also offers coaching services to entrepreneurs. As of December 21, 2011, BAS was providing services to 46 entrepreneurs in the emerging level and 13 in the advanced level. In 2011 TRF provided 646,000 in matching funds to Cenla Advantage Partnership, a Central Louisiana business coalition dedicated to economic development in the region.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>In 2011 TRF provided 300,000 to support the Orchard Foundations Cenla Work Ready Network, a system designed to link education with workforce development efforts and align them with regional economic needs. During 2011, 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 students National Career Readiness Certificate NCRC level, an objective documentation of an employees skills that can be accepted nationwide. During 2011 2,318 students participated in Career Ready 101 training, and 90 students achieved NCRC certification.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>A portion of TRFs 2011 funding to the Orchard Foundation supported a Workforce Summit, which provided an opportunity for employers, educators and economic development professionals to collaborate and share the benefits of using the National Career Readiness Certificate NCRC to build a work-ready region in Central Louisiana. The summit brought nationally recognized best practices in manufacturing, healthcare, career and technical education to Central Louisiana. 209 educators and business leaders attended the summit. Also during 2011, grants totaling 300,000 were made to nine Central Louisiana parish school districts to support career and technical training in the schools. Thirteen Central Louisiana professionals graduated from Cenla Boardbuilders in 2010, 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 2011 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>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. In 2011 CDW began offering some of its classes online. 254 individuals took these free courses in 2011. Under its Nonprofit Works program, CDW awarded grants totaling 190,000 to five local organizations. The grants will be used to expand the governance, organizational development and leadership capacities of the organizations through personalized technical assistance and training over a two-year period. Also during 2011, four organizations who received grants during 2010 completed their development work under the two-year program.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>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 interests.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a/b</ReturnReference>
        <Explanation>The Rapides Foundation Board Compensation Committee, which is composed of the independent members of its Executive Committee, 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. The process is conducted every three years. In interim years, the consultant recommends inflationary adjustments to pay ranges.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a/b</ReturnReference>
        <Explanation>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 consultant meets with the Compensation Committee independently to discuss recommendations for CEO pay.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>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 organizations website at www.rapidesfoundation.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>8</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part I Section 1 Line 1 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. Form 990 Part III Section 1 Line 1 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. Form 990 Part III Section 1 Line 4a Advanced Primary Stroke Center, and in 2010 it became an Accredited Cycle III Chest Pain Center - the only one in Central Louisiana. In 2011, the Hospital was certified as Louisianas only Level II Trauma Center, which will benefit 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. In 2011, RRMC implemented an initiative to reduce elective deliveries between 37 and 39 weeks gestation through education of expectant mothers concerning fetal development and premature birth complications. In fourth quarter 2010, elective deliveries between 37 and 39 weeks were 47.2 of all deliveries, but by fourth quarter 2011, elective deliveries prior to 39 weeks had fallen to 4.8. During the first two quarters of 2012, there were no such elective deliveries at RRMC. Form 990 Part III Section 1 Line 4a TRF also seeks to assert, develop and support access to non-urgent care for the uninsured and underserved populations. In 2011, RHS provided charity care and other community benefits totaling 6.3 million, as included on Schedule H, Part I, Line 7k attached hereto. This included 5.2 million of unreimbursed patient care costs, 0.2 million in community education, community programs and community donations and 0.9 million in support of the LSU Family Practice Residency Program. Form 990 Part III Section 1 Line 4b critical role by enabling patients access to chronic care medications prescribed by physicians in the Outpatient Center. In 2011, Huey P. Long enrolled or re-enrolled 956 patients and filled 39,975 prescriptions, for a cost savings of 3.8 million. TRF provided 175,000 in funding to CMAPs Cancer Screening Project, which provided free mammograms, Pap smears, pelvic exams and colorectal cancer tests to uninsured patients who couldnt afford these critical screenings. Form 990 Part III Section 1 Line 4b Its cancer screening van, through a partnership with Louisiana State University, brought these tests to rural areas. In 2011, 386 patients were seen, 139 Pap smears done, 182 pelvic exams completed, 343 mammograms done, 144 clinical breast exams completed, and 200 take-home colorectal cancer tests distributed. More than 275,000 in grants was awarded to Louisiana State University at Alexandria, Northwestern State University and Central Louisiana Community and Technical College to support their nursing education programs and build healthcare access in the Central Louisiana region. In 2011 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 screening for breast, cervical, and colorectal cancers. Form 990 Part III Section 1 Line 4b TRF awarded over 550,000 in grants during 2011 to 24 communities in nine parishes as part of TRFs 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 and community gardens. Additionally, eight school districts continued to work with the 840,000 in two-year funding awarded in 2010 to improve healthy eating and physical activity opportunities. The school districts used these funds to implement innovative school health model programs such as CATCH, SPARK and SMART and Healthy Lifestyles. Form 990 Part III Section 1 Line 4b TRF invested 250,000 in an innovative high school program held in spring 2011, The Get Healthy Cenla Video Challenge, which involved 39 high schools, whose student teams produced videos promoting healthy eating and exercise. TRF posted the resulting videos on its website, resulting in 44,599 website hits and over 20,000 votes for the winning videos. The top ten videos were viewed and recognized at a Hollywood-style award ceremony. The grand prize winner was professionally produced, with the original student team involved, and used in TRFs 2011 outreach campaigns. Also in 2011, TRF began its Healthy Lifestyles Program, which has both a workplace education component as well as a physician referral one-on-one exercise and healthy eating consultation program. Form 990 Part III Section 1 Line 4b In 2011, as part of TRFs Tobacco Prevention and Control Initiative, TRF ran hard-hitting campaigns such as Cigarettes Are Eating You Alive, Reverse the Damage - Heart Attack, and Reverse the Damage - Lung Cancer. TRFs 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 states Quitline through use of informational cards and other collaterals displaying the Quitline number. Community and school grants totaling 219,000 supported programs such as Tar Wars and Kick Butts Day events in the schools, workplace outreach and Great American Smokeout activities. TRF facilitated a Youth Summit on Tobacco and Prevention and Control, attended by 110 youth, representing 18 area schools. Form 990 Part III Section 1 Line 4b 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. Form 990 Part III Section 1 Line 4c hands-on activities that develop students deeper understanding of the content. This approach also helps ensure that students acquire the necessary skills to succeed and be productive in the 21st century. During 2011, 210 teachers participated in AIMS training. Also during 2011, the Orchard Foundation sponsored Kagan instructional 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 312 teachers attended the institutes. TRF awarded 200,000 in grants to the Orchard Foundation to support its instructional institutes. Form 990 Part III Section 1 Line 4c 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 2011, the programs first cohort of 12 residents completed their co-teaching year, earned their masters degrees, and began teaching in Central Louisiana schools. The second cohort of 12 students began their co-teaching year and masters program study. In addition to ongoing in-kind support, in 2011 TRF provided 220,000 in cash matching funds to support the CART program. Form 990 Part III Section 1 Line 4c TRF has set the following long-term goals for its Education Initiative By 2012 iLEAP Louisianas standardized achievement test test results will increase to 55</Explanation>
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      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE ORCHARD FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>836247</AmountInvolved>
        <MethodOfAmtDetermination>GRANT AGREEMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE ORCHARD FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>304925</AmountInvolved>
        <MethodOfAmtDetermination>COST ACCOUNTING</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CMAP EXPRESS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>673544</AmountInvolved>
        <MethodOfAmtDetermination>COST ACCOUNTING</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CMAP EXPRESS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>812500</AmountInvolved>
        <MethodOfAmtDetermination>WRITTEN CONTRACT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>RAPIDES HEALTHCARE SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>5057818</AmountInvolved>
        <MethodOfAmtDetermination>LETTER AGREEMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>