TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) COREY LAIR...................................................................... MEMBER	1.00 .................	X			0	0
(2) DEBBIE EDDLEMON...................................................................... MEMBER	1.00 .................	X	X		0	0
(3) DWAYNE LEMOINE...................................................................... MEMBER	1.00 .................	X	X		0	0
(4) JOSEPH R ROSIER JR...................................................................... PRESIDENT & CEO	40.00 .................	X	X		476,964	43,640
(5) MATTHEW T WHITEHEAD DDS...................................................................... MEMBER	2.00 .................	X			0	0
(6) THOMAS J DAVIS MD...................................................................... MEMBER	1.00 .................	X	X		0	0
(7) VALERIE AYMOND...................................................................... MEMBER	1.00 .................	X	X		0	0
(8) BRUCE BARTON MD...................................................................... MEMBER	1.00 .................	X			0	0
(9) KIRK D COOPER...................................................................... MEMBER	1.00 .................	X			0	0
(10) EDWIN URBI MD...................................................................... MEMBER	1.00 .................	X			0	0
(11) ANGELA W DEGRAY...................................................................... MEMBER	1.00 .................	X			0	0
(12) BRIAN ELKINS MD...................................................................... MEMBER	1.00 .................	X			0	0
(13) MARK THOMPSON...................................................................... MEMBER	1.00 .................	X			0	0
(14) MARK BROWN...................................................................... MEMBER	1.00 .................	X			0	0
(15) HENRY WILLIAMS...................................................................... MEMBER	1.00 .................	X			0	0
(16) TONI MCALLISTER...................................................................... MEMBER	1.00 .................		X		0	0
(17) ASHLEY STEWART...................................................................... DIR OF PROGRAMS	40.00 .................			X	199,412	39,935

(A) Name and business address	(B) Description of services	(C) Compensation
JOBS FOR THE FUTURE 116 E CONGRESS ST LAFAYETTE,LA70501	PROGRAM CONSULTING	466,199
CATCH GLOBAL FOUNDATION PO BOX 28282 AUSTIN,TX78755	PROGRAM IMPLEMENTATION	204,167
ICF MACRO INC PO BOX 775367 CHICAGO,IL60677	PROGRAM IMPLEMENTATION	173,807
TURNER TELECO 4216 MICHAELS DR ALEXANDRIA,LA71301	IT SUPPORT	133,226
PHILOPTIMA 455 PARK FORTENBERRY ROAD OAK VALE,MS39656	CONSULTING	109,745
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

THE RAPIDES FOUNDATION

Employer identification number

72-0423603

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
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Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
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Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
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Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
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Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE RAPIDES FOUNDATION

Employer identification number

72-0423603

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	155,000
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	155,000
d	Other exempt purpose expenditures ...............................................................................	12,898,234
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	13,053,234
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	802,662
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	200,666
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount	696,070	971,652	1,000,000	802,662	3,470,384

b	Lobbying ceiling amount (150% of line 2a, column(e))					5,205,576

c	Total lobbying expenditures	26,780	44,980	84,000	155,000	310,760

d	Grassroots nontaxable amount	174,018	242,913	250,000	200,666	867,597

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,301,396

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

THE RAPIDES FOUNDATION

Employer identification number

72-0423603

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	417,074		417,074
b	Buildings ....	3,952,352	2,812,259	1,140,093
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,557,167

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)RHS PARTNERSHIP	30,307,211	C
(2)CENLA REHAB PARTNERSHIP	400,000	C
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	30,707,211

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LIABILITIES	539,958
PAYROLL TAXES & BENEFITS	176,492







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	716,450
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	29,566,176
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	19,310,902
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................			2e	19,310,902
3	Subtract line 2e from line 1..................			3	10,255,274
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	10,255,274

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	12,442,505
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e	0
3	Subtract line 2e from line 1...................		3	12,442,505
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	12,442,505

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE FOUNDATION AND ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS, BUT EACH ENTITY IS REQUIRED TO FILE AN ANNUAL INFORMATION TAX RETURN. THEY ARE ALSO REQUIRED TO REVIEW VARIOUS TAX POSITIONS THEY HAVE TAKEN WITH RESPECT TO THEIR EXEMPT STATUS AND DETERMINE WHETHER IN FACT THEY ARE TAX EXEMPT ENTITIES. THE FOUNDATION AND ITS SUBSIDIARIES MUST ALSO CONSIDER WHETHER THEY HAVE NEXUS IN JURISDICTIONS IN WHICH THEY HAVE INCOME AND WHETHER A TAX RETURN IS REQUIRED IN THOSE JURISDICTIONS. IN ADDITION, AS TAX EXEMPT ENTITIES, EACH ENTITY MUST ASSESS WHETHER IT HAS ANY TAX POSITIONS ASSOCIATED WITH UNRELATED BUSINESS INCOME SUBJECT TO INCOME TAX. THE ENTITIES DO NOT EXPECT THEIR POSITIONS TO CHANGE SIGNIFICANTLY OVER THE NEXT TWELVE MONTHS. ANY PENALTIES RELATED TO LATE FILING OR OTHER REQUIREMENTS WOULD BE RECOGNIZED AS EXPENSE IN THE ENTITIES' ACCOUNTING RECORDS. THE FOUNDATION AND ITS SUBSIDIARIES EACH FILE U.S. FEDERAL FORM 990 FOR INFORMATIONAL PURPOSES. THEIR FEDERAL INCOME TAX RETURNS FOR THE TAX YEARS 2014 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. SINCE ITS INITIAL INCORPORATION IN 1924, THE FOUNDATION HAS BEEN EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS A PUBLIC CHARITY OPERATING A HOSPITAL. DUE TO ITS CONTRIBUTION OF ITS HOSPITAL OPERATIONS TO THE PARTNERSHIP AND ITS NEW GRANT MAKING ACTIVITIES, IT REQUESTED A PRIVATE LETTER RULING FROM THE INTERNAL REVENUE SERVICE TO CONFIRM THE CONTINUATION OF ITS PUBLIC CHARITY STATUS. THE SERVICE DECLINED TO ISSUE SUCH A RULING DUE TO THE NUMBER OF SIMILAR TRANSACTIONS AND ISSUED A REVENUE RULING (REV. RUL. 98-15) DEFINING THE REQUIREMENTS FOR WHOLE HOSPITAL JOINT VENTURES SUCH AS RAPIDES HEALTH SERVICES, LLC. THE SERVICE DECLINED THE FOUNDATION'S REQUEST TO EXAMINE ITS OPERATIONS AND ENTER INTO A CLOSING AGREEMENT. AFTER REV. RUL. 98-15, TWO COURT CASES FOCUSED ON THE CONTROL ISSUE IDENTIFIED BY THE RULING AS DETERMINATIVE OF WHETHER THE JOINT VENTURE JEOPARDIZED THE EXEMPT STATUS OF THE EXEMPT ORGANIZATION. ONE OF THESE, ST. DAVID'S HEALTH CARE SYSTEM, INC. V. UNITED STATES, INVOLVED FACTS VERY SIMILAR TO THOSE PRESENT IN THE FOUNDATION'S OWNERSHIP OF THE LLC, AND WAS A VICTORY FOR THE EXEMPT ORGANIZATION WHOSE STATUS HAD BEEN CHALLENGED. COUNSEL FOR THE FOUNDATION HAS BEEN AT ALL RELEVANT TIMES AND REMAINS OF THE OPINION THAT ANY CHALLENGE TO THE FOUNDATION'S EXEMPT STATUS WOULD BE SIMILARLY DECIDED. THIS OPINION IS BOLSTERED BY REV. RUL. 2004-51, WHICH, WHILE ADDRESSING ANCILLARY ACTIVITY JOINT VENTURES, REPRESENTS AN ACKNOWLEDGMENT BY THE SERVICE THAT SUFFICIENT CONTROL MAY BE MAINTAINED BY THE EXEMPT PARTNER IN SUCH A VENTURE EVEN THOUGH OWNERSHIP AND GOVERNANCE WERE SHARED 50-50 WITH THE FOR-PROFIT VENTURER. IT SHOULD BE NOTED THAT EVEN IF THE FOUNDATION'S PUBLIC CHARITY STATUS SHOULD NOT CONTINUE, THE FOUNDATION BELIEVES THAT IT WOULD CONTINUE TO BE EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE AS A PRIVATE FOUNDATION. PRIVATE FOUNDATIONS ARE SUBJECT TO MORE RESTRICTIONS UNDER THE CODE THAN ARE PUBLIC CHARITIES. THESE RESTRICTIONS INCLUDE STATUTORY PROHIBITIONS AGAINST SELF-DEALING, EXCESS BUSINESS HOLDINGS, JEOPARDY INVESTMENTS, AND TAXABLE EXPENDITURES. IN ADDITION, PRIVATE FOUNDATIONS ARE SUBJECT TO AN EXCISE TAX ON THEIR NET INVESTMENT INCOME AND ARE REQUIRED TO MAKE ANNUAL DISTRIBUTIONS OF FIVE PERCENT (5%) OF THE AVERAGE MARKET VALUE OF THEIR NON-CHARITABLE-USE ASSETS FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND SIMILAR PURPOSES. NON-CHARITABLE-USE ASSETS ARE ASSETS THAT ARE NOT USED OR HELD FOR USE DIRECTLY IN CARRYING ON THE ORGANIZATION'S EXEMPT PURPOSE; THEY INCLUDE ASSETS HELD FOR INVESTMENT AND THE PRODUCTION OF INVESTMENT INCOME. PRIVATE FOUNDATIONS ARE REQUIRED TO PUBLISH A NOTICE THAT THEIR ANNUAL REPORTS ARE AVAILABLE FOR INSPECTION. THESE FINANCIAL STATEMENTS DO NOT CONSIDER THE EFFECTS OF A POSSIBLE RETROACTIVE DETERMINATION BY THE INTERNAL REVENUE SERVICE THAT THE FOUNDATION IS NOT EXEMPT FROM TAXATION OR THAT IT IS A NONPROFIT PRIVATE FOUNDATION. SUCH EFFECTS COULD INCLUDE INCOME TAXES ON ITS EARNINGS, A REQUIREMENT THAT IT DIVEST ITSELF OF A PORTION OF THE LLC, EXCISE TAXES ON NET INVESTMENT INCOME AND VARIOUS PENALTIES. THE CONTRIBUTION AGREEMENT REQUIRES THAT THE PARTNERSHIP, AND THE OPERATING AGREEMENT OF THE LLC REQUIRES THAT THE LLC, OPERATE IN A FASHION SO AS NOT TO ADVERSELY AFFECT THE FOUNDATION'S TAX-EXEMPT STATUS, AND SUPPORT COMMUNITY, CIVIC, CHARITABLE AND CULTURAL ACTIVITIES AT A LEVEL AT LEAST EQUAL TO THAT OF THE RAPIDES REGIONAL MEDICAL CENTER IN THE YEAR ENDED JUNE 30, 1994. IT ALSO CALLS FOR IT TO PROVIDE $2.8 MILLION OF UNCOMPENSATED CARE ANNUALLY TO THE ALEXANDRIA, LOUISIANA COMMUNITY, AS WELL AS CONTINUE HISTORIC LEVELS IN THE OTHER COMMUNITIES WHERE IT HAS HOSPITALS.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

THE RAPIDES FOUNDATION

Employer identification number

72-0423603

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 80000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,255,078	0	3,255,078	2.500 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	3,255,078		3,255,078	2.500 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,842,381	0	5,842,381	4.500 %
f	Health professions education (from Worksheet 5) . . .	1,591,733	106,361	1,485,372	1.100 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	7,136,071	0	7,136,071	5.500 %
j	Total. Other Benefits . .	14,570,185	106,361	14,463,824	11.100 %
k	Total. Add lines 7d and 7j .	17,825,263	106,361	17,718,902	13.600 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			2,154,252		2,154,252	1.650 %
3	Community support			42,669		42,669	0.300 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			2,196,921		2,196,921	1.950 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

228,603

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

16,740,092

Enter Medicare allowable costs of care relating to payments on line 5.....

14,635,113

Subtract line 6 from line 5. This is the surplus (or shortfall)........

2,104,979

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)
1	RAPIDES REGIONAL MEDICAL CENTER 211 FOURTH STREET ALEXANDRIA,LA71301 WWW.RAPIDESREGIONAL.COM	X	X	X	X	LEVEL II TRAUMA CENTER

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	RAPIDES REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.RAPIDESREGIONAL.COM/ABOUT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.RAPIDESREGIONAL.COM/ABOUT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	RAPIDES REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 800.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.RAPIDESREGIONAL.COM/ABOUT

The FAP application form was widely available on a website (list url):

SAME AS ABOVE

A plain language summary of the FAP was widely available on a website (list url):
SAME AS ABOVE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	RAPIDES REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	RAPIDES REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
RAPIDES REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED A TELEPHONE INTERVIEW METHODOLOGY -- ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS -- WAS EMPLOYED. THE PRIMARY ADVANTAGES OF TELEPHONE INTERVIEWING ARE TIMELINESS, EFFICIENCY, AND RANDOM-SELECTION CAPABILITIES.IN 2022, A COMPREHENSIVE HEALTH SURVEY OF CENTRAL LOUISIANA WAS COMPLETED BY PRC ON BEHALF OF THE RAPIDES FOUNDATION. DATA FROM THE THREE-PARISH SERVICE AREA OF RAPIDES REGIONAL MEDICAL CENTER SERVE TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. THE DATA WERE DRAWN FROM A RANDOM SAMPLE OF 1,502 INDIVIDUALS AGE 18 AND OLDER IN THE SERVICE AREA, INCLUDING 399 IN AVOYELLES PARISH, 285 IN GRANT PARISH, AND 773 IN RAPIDES PARISH. ONCE THESE DATA WERE COLLECTED, THE SAMPLE WAS WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION AT THE PARISH LEVEL SO THAT ESTIMATES BETTER REFLECT THE SERVICE AREA AS A WHOLE.POPULATION ESTIMATES WERE BASED ON CENSUS DATA OF ADULTS AGE 18 AND OVER PROVIDED THROUGH THE US CENSUS BUREAU'S 2011-2015 AMERICAN COMMUNITY SURVEY.ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION, AND DATA ANALYSIS WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). TO ACCURATELY REPRESENT THE POPULATION STUDIED, PRC STRIVES TO MINIMIZE BIAS THROUGH APPLICATION OF A PROVEN TELEPHONE METHODOLOGY AND RANDOM-SELECTION TECHNIQUES. WHILE THIS RANDOM SAMPLING OF THE POPULATION PRODUCES A HIGHLY REPRESENTATIVE SAMPLE, IT IS A COMMON AND PREFERRED PRACTICE TO "WEIGHT" THE RAW DATA TO IMPROVE THIS REPRESENTATIVENESS EVEN FURTHER. THIS IS ACCOMPLISHED BY ADJUSTING THE RESULTS OF A RANDOM SAMPLE TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION SURVEYED (POSTSTRATIFICATION), SO AS TO ELIMINATE ANY NATURALLY OCCURRING BIAS. SPECIFICALLY, ONCE THE RAW DATA ARE GATHERED, RESPONDENTS ARE EXAMINED BY KEY DEMOGRAPHIC CHARACTERISTICS (NAMELY SEX, AGE, RACE, ETHNICITY, AND POVERTY STATUS), AND A STATISTICAL APPLICATION PACKAGE APPLIES WEIGHTING VARIABLES THAT PRODUCE A SAMPLE WHICH MORE CLOSELY MATCHES THE POPULATION FOR THESE CHARACTERISTICS. THUS, WHILE THE INTEGRITY OF EACH INDIVIDUAL'S RESPONSES IS MAINTAINED, ONE RESPONDENT'S RESPONSES MAY CONTRIBUTE TO THE WHOLE THE SAME WEIGHT AS, FOR EXAMPLE,1.1 RESPONDENTS. ANOTHER RESPONDENT, WHOSE DEMOGRAPHIC CHARACTERISTICS MAY HAVE BEEN SLIGHTLY OVERSAMPLED, MAY CONTRIBUTE THE SAME WEIGHT AS 0.9 RESPONDENTS.FURTHER NOTE THAT THE POVERTY DESCRIPTIONS AND SEGMENTATION USED IN THIS REPORT ARE BASED ON ADMINISTRATIVE POVERTY THRESHOLDS DETERMINED BY THE US DEPARTMENT OF HEALTH & HUMAN SERVICES. THESE GUIDELINES DEFINE POVERTY STATUS BY HOUSEHOLD INCOME LEVEL AND NUMBER OF PERSONS IN THE HOUSEHOLD (E.G., THE 2022 GUIDELINES PLACE THE POVERTY THRESHOLD FOR A FAMILY OF FOUR AT $27,750 ANNUAL HOUSEHOLD INCOME OR LOWER). IN SAMPLE SEGMENTATION: "VERY LOW INCOME" REFERS TO COMMUNITY MEMBERS LIVING IN A HOUSEHOLD WITH DEFINED POVERTY STATUS; "LOW INCOME" REFERS TO HOUSEHOLDS WITH INCOMES JUST ABOVE THE POVERTY LEVEL AND EARNING UP TO TWICE (100%-199%) THE POVERTY THRESHOLD; AND "MID/HIGH INCOME" REFERS TO THOSE HOUSEHOLDS LIVING ON INCOMES WHICH ARE TWICE OR MORE (=200%) THE FEDERAL POVERTY LEVEL.THE SAMPLE DESIGN AND THE QUALITY CONTROL PROCEDURES USED IN THE DATA COLLECTION ENSURE THAT THE SAMPLE IS REPRESENTATIVE. THUS, THE FINDINGS MAY BE GENERALIZED TO THE TOTAL POPULATION OF COMMUNITY MEMBERS IN THE DEFINED AREA WITH A HIGH DEGREE OF CONFIDENCE.ONLINE KEY INFORMANT SURVEYTO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY RAPIDES REGIONAL MEDICAL CENTER; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 50 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED HERE: PHYSICIANS 2 INVITED, 0 PARTICIPATING; PUBLIC HEALTH REPRESENTATIVES 5 INVITED, 3 PARTICIPATING; OTHER HEALTH PROVIDERS 20 INVITED, 6 PARTICIPATING; SOCIAL SERVICES 23 INVITED, 11 PARTICIPATING; AND OTHER COMMUNITY LEADERS 116 INVITED, 20 PARTICIPATING.
RAPIDES REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS OF THE COMMUNITYTHE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES (SEE ALSO THE SUMMARY TABLES PRESENTED IN THE FOLLOWING SECTION).THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS.AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT ARE: (1) ACCESS TO HEALTH CARE INCLUDING PRIMARY CARE PHYSICIAN RATIO, EMERGENCY ROOM UTILIZATION, AND REGULAR DENTAL CARE FOR ADULTS; (2) CANCER INCLUDING DEATHS, INCIDENCE, PREVALENCE, AND SCREENING; (3) DIABETES, WHICH RANKED AS A TOP CONCERN BY KEY INFORMANTS; (4) HEALTH DISEASE & STROKE INCLUDING DEATHS, PREVALENCE, AND HIGH BLOOD PRESSURE CHECKS; (5) INFANT HEALTH & FAMILY PLANNING; (6) INJURY & VIOLENCE; (7) KIDNEY DISEASE; (8) MENTAL HEALTH; (9) NUTRITION, PHYSICAL ACTIVITY; (10) POTENTIALLY DISABLING CONDITIONS; (11) RESPIRATORY DISEASES; (12) SEXUAL HEALTH; (13) SUBSTANCE ABUSE; AND (14) TOBACCO USE.BASED ON THESE PRIORITIES, RRMC IMPLEMENTED STRATEGIES TO INCREASE ACCESS TO HEALTH SERVICES. BY PARTNERING WITH LSUA, NORTHWESTERN STATE UNIVERSITY, LOUISIANA COLLEGE, THE LSU FAMILY PRACTICE RESIDENCY IN ALEXANDRIA AND PRIMARY CARE PHYSICIANS IN THE HOSPITAL'S SERVICE AREA, RRMC SEEKS TO INCREASE ACCESS TO CARE IN ITS SERVICE AREA, ASSIST INDIVIDUALS WITH IDENTIFYING PRIMARY CARE PROVIDERS, EDUCATE RESIDENTS ON AVAILABILITY AND APPROPRIATE UTILIZATION OF PRIMARY CARE/URGENT CARE/EMERGENCY CARE RESOURCES AND PROVIDE FUNDING TO INCREASE THE GRADUATION RATE AND QUALITY OF THE HEALTHCARE WORKFORCE. RRMC WILL CONTINUE THE 2013AND 2016 COOPERATIVE ENDEAVOR AGREEMENT WITH THE STATE OF LOUISIANA TO PROVIDE HEALTH CARE SERVICES TO THE UNINSURED, UNDERINSURED AND MEDICAID POPULATION IN CENTRAL LOUISIANA THROUGH PRIMARY CARE, URGENT CARE AND SPECIALTY CARE CLINICS, EMERGENCY SERVICES AND INPATIENT HOSPITAL CARE. ALL PATIENTS DISCHARGED FROM THE EMERGENCY DEPARTMENT ARE PROVIDED WITH A PRIMARY CARE PROVIDER REFERRAL, A FREE COMMUNITY RESOURCE GUIDE, AND AN EDUCATIONAL DOCUMENT TO ENCOURAGE USE OF PRIMARY CARE AND URGENT CARE AS BETTER, MORE EFFICIENT AND EFFECTIVE OPTIONS TO EMERGENCY ROOM CARE FOR MANAGING ONGOING HEALTH ISSUES. ADDITIONALLY, PHYSICIAN DIRECTORIES ARE DISTRIBUTED AT COMMUNITY FUNCTIONS, HEALTH FAIRS AND SCREENINGS. FUNDS ARE PROVIDED TO BUILD THE REGION'S HEALTH CARE WORKFORCE THROUGH SUPPORT OF THE LSU FAMILY PRACTICE RESIDENCY PROGRAM AND NURSING AND ALLIED HEALTH TRAINING AT AREA UNIVERSITIES. FUNDS ARE ALSO PROVIDED FOR TRANSPORTATION OF CANCER PATIENTS TO ENSURE THEY ARE ABLE TO ATTEND TREATMENTS. RRMC PROVIDED $7.1M IN FUNDING IN 2017 AND 2018 FOR 11,440 COPIES OF PRIMARY/URGENT/EMERGENT EDUCATION FLYER DISTRIBUTED; 1,002 COPIES OF RRMC'S ANNUAL PHYSICIAN DIRECTORY; $10,000 IN TRANSPORTATION FUNDING TO HELP PATIENTS; SUPPORT OF THE LSU FAMILY RESIDENCY PROGRAM IN THE AMOUNT OF $6,806,089; AND SUPPORTED LOCAL NURSING SCHOOLS IN THE AMOUNT OF $187,500 ANNUALLY. IN ITS EFFORTS TO INCREASE AWARENESS OF NUTRITION, PHYSICAL ACTIVITY AND WEIGHT AS CONTRIBUTING FACTORS IN CHRONIC HEALTH DISEASES AMONG ADULTS SUCH AS DIABETES, HEART DISEASE AND CANCER, RAPIDES REGIONAL MEDICAL CENTER FOCUSED ON THE FOLLOWING STRATEGY: (1) PROVIDED FREE MONTHLY DIABETES/NUTRITION CLASSES TAUGHT BY A REGISTERED DIETITIAN AND REGISTERED NURSE; (2) PROMOTE PHYSICAL ACTIVITY THROUGH SPONSORSHIPS OF ACTIVE COMMUNITY EVENTS, I.E. 5K RUNS, BICYCLE EVENTS, SPORTING EVENTS; (3) PROVIDE NUTRITIONAL INFORMATION AND HEALTH LIFESTYLE RECOMMENDATIONS AT VARIOUS COMMUNITY EVENTS/HEALTH FAIRS; AND (4) PARTNER WITH THE ALEXANDRIA MUSEUM OF ART TO PROMOTE ACTIVITY AND HEALTHY LIFESTYLE. BY PARTNERING WITH THE AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY AND NATIONAL KIDNEY FOUNDATION, RRMC SEEKS TO INCREASE AWARENESS OF NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS AS CONTRIBUTING FACTORS IN CHRONIC HEALTH DISEASES (DIABETES, HEART DISEASE & CANCER). REGISTERED DIETITIANS AND NURSES TEACH MONTHLY DIABETES/NUTRITION CLASSES. RRMC OFFERS FREE DIABETIC SCREENINGS AS WELL AS FREE DIABETIC EDUCATION AND ASSESSMENT, WHICH INCLUDES BLOOD PRESSURE, FOOT ASSESSMENT, HEMOGLOBIN A1C, GLAUCOMA SCREENING AND NUTRITIONAL INFORMATION. PHYSICAL ACTIVITY IS PROMOTED THROUGH SPONSORSHIP OF COMMUNITY RUNS, WALKS, CYCLING EVENTS, GOLF AND ARCHERY TOURNAMENTS AND OTHER EVENTS PROMOTING EXERCISE AND HEALTHY EATING. IN 2017-18, RRMC PROVIDED $85,989 IN FUNDING IN 2017 AND 2018 FOR: (1) DIABETES CLASSES THAT WERE ATTENDED BY 289 PEOPLE AT A COST OF $3,564; (2) PARTICIPATING IN COMMUNITY EVENTS ATTENDED BY 3,130 AT A COST OF $17,635, AND SPONSORSHIP OF LOCAL COMMUNITY EVENTS AND ORGANIZATIONS IN THE AMOUNT OF $62,530.TO ADDRESS HEART DISEASE AND STROKE, RRMC FOCUSED ON THE FOLLOWING STRATEGIES: (1) PROVIDE EDUCATION MATERIALS, PRESENTATIONS, AND SCREENINGS TO COMMUNITY RESIDENTS ON CARDIOVASCULAR HEALTH; (2) EDUCATE THE COMMUNITY ON THE AVAILABILITY OF FREE RESOURCES, SUCH AS THE ONLINE HEART HEALTH PROFILER; (3) PROVIDE MONETARY SUPPORT FOR CARDIOVASCULAR HEALTH AND PREVENTION RESEARCH TO THE AMERICAN HEART ASSOCIATION; (4) PROVIDE BASIC LIFE SUPPORT (BLS) TRAINING TO COMMUNITY ORGANIZATIONS; (5) PARTICIPATE IN START A HEART CENLA TO PROVIDE FREE BLS TRAINING TO THE COMMUNITY; AND (6) PROVIDE STROKE EDUCATION TO CENLA THROUGH TACKLE STROKE PROGRAM.IN THE AREA OF MATERNAL, INFANT AND CHILD HEALTH, RRMC GOAL WAS TO IMPROVE MATERNAL, INFANT AND CHILD HEALTH OF SERVICE AREA RESIDENTS, RAPIDES REGIONAL MEDICAL CENTER BY FOCUSING ON (1) PROVIDING FREE CHILDBIRTH CLASSES ONE-DAY PREPARED CHILDBIRTH, ONE-DAY BREASTFEEDING, SIBLING AND BREATHING & RELAXATION TO SERVICE AREA RESIDENTS; (2) DISTRIBUTING BABY PACKETS TO EXPECTANT MOTHERS THAT PROVIDE EDUCATION, COMMUNITY RESOURCES AND SAFE SLEEP INFORMATION; (3) EDUCATING WOMEN ON THE IMPORTANCE OF 39 WEEKS GESTATION BY HOSTING AN EVENT WITH THE MARCH OF DIMES; AND (4) PROVIDING FREE PERINATAL LOSS SUPPORT. AS A RESULT, RRMC PROVIDED $34,682 IN FUNDING FOR 2017 AND 2018 FOR (1) EDUCATIONAL CLASSES ATTENDED BY 618 AT A COST OF $16,790; (2) 1,449 BABY PACKETS TO EXPECTANT MOTHERS AT A COST OF $11,592; (3) PERINATAL LOSS SUPPORT GROUP ATTENDED BY 138 AT A COST OF $1,080; AND A MARCH OF DIMES WALK AND DONATION OF $5,220. RRMC'S STRATEGY TO EDUCATE RESIDENTS ON CANCER PREVENTION AND SCREENINGS INCLUDES THE FOLLOWING PARTNERS: THE RAPIDES FOUNDATION CANCER SCREENING PROJECT, AMERICAN CANCER SOCIETY, COLON CANCER ALLIANCE, AMERICAN ACADEMY OF DERMATOLOGY, NATIONAL COMPREHENSIVE CANCER NETWORK, AND NATIONAL COUNCIL ON SKIN CANCER PREVENTION. RRMC HOSTS EVENTS AND AWARENESS DATES TO EDUCATE RESIDENTS ON THE IMPORTANCE OF CANCER SCREENING. THESE AWARENESS EVENTS FOR THE COMMUNITY ATTENDED BY 5,774 PEOPLE AT A COST OF $9,865. THE HOSPITAL INCREASES THE AWARENESS OF SIGNS AND SYMPTOMS OF SKIN CANCER BY PROMOTING "DON'T FRY DAY, AND PROVIDES EDUCATIONAL MATERIALS ON CANCER (COLORECTAL, SKIN, BREAST, PROSTATE, LUNG) TO COMMUNITY GROUP/HEALTH FAIRS THAT WERE ATTENDED BY 1,437 PEOPLE AT A COST OF $4,827. RRMC ALSO PROMOTES THE FREE BREAST HEALTH PROFILER. LASTLY, THE HOSPITAL PROVIDES MONETARY SUPPORT FOR CANCER RESEARCH AND PREVENTION TO AMERICAN CANCER SOCIETY, AS WELL AS COMMUNITY DONATIONS IN THE AMOUNT OF $10,980. RRMC PARTNERS WITH LOUISIANA STATE POLICE, AARP, SAFE KIDS, NATIONAL OFF-HIGHWAY VEHICLE CONSERVATION COUNCIL, NATIONAL HIGHWAY TRAFFIC AND SAFETY ADMINISTRATION AND RAPIDES SENIOR CITIZEN CENTERS TO DECREASE TRAUMATIC INJURY IN ITS SERVICE AREA. IN COORDINATION WITH LOUISIANA STATE POLICE, THE HOSPITAL CONDUCTS SUDDEN IMPACT COURSES WITH AREA STUDENTS, AS WELL AS, MOCK CRASHES AND MOCK TRIALS THAT EDUCATE HIGH SCHOOL STUDENTS ABOUT IMPAIRED, UNRESTRAINED AND DISTRACTED DRIVING. SENIOR CITIZENS ARE TARGETED THROUGH FALL PREVENTION EDUCATION. ADDITIONALLY, RRMC PROVIDES MONTHLY CHILD PASSENGER SAFETY CHECKS.
RAPIDES REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 13H: UNINSURED PATIENTS MAY QUALIFY FOR 100% DISCOUNT ON THEIR BILL UNDER EXTENUATING CIRCUMSTANCES AFTER MANAGER REVIEW AND APPROVAL, IN CASES SUCH AS THE PATIENT IS NOT ABLE TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION OR PROVIDE SUPPORTING DOCUMENTATION, WHERE PATIENTS ARE IDENTIFIED AS UNDOCUMENTED RESIDENTS OR HOMELESS, OR PATIENTS THAT EXPIRE WITHOUT AN ESTATE.
PART V, SECTION B, LINE 13A:	THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES UTILIZE FPG AS CRITERIA FOR DISCOUNTED CARE. ANY INDIVIDUAL AT INCOME OF 250% OR LESS OF FPG QUALIFIES FOR THE RHS FINANCIAL ASSISTANCE POLICIES (FAP) AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS A PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP USING THE FOLLOWING GUIDELINES: 250% TO 300% OF FPL, FINANCIAL OBLIGATION LIMITED TO 3% OF ANNUAL INCOME; 301% TO 400% OF FPL, FINANCIAL OBLIGATION LIMITED TO 4% OF ANNUAL INCOME; 401% TO 600% OF FPL, FINANCIAL OBLIGATION LIMITED TO 10% OF ANNUAL INCOME; 601% TO 800% OF FPL, FINANCIAL OBLIGATION LIMITED TO 12% OF ANNUAL INCOME; OVER 800% OF FPL FINANCIAL OBLIGATION LIMITED TO 15% OF ANNUAL INCOME.
PART V, SECTION B, LINE 22:	THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES OFFER DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICIES. ANY INDIVIDUAL AT INCOME OF 250% OR LESS OF FPG QUALIFIES FOR THE RHS FAP AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS A PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP USING THE FOLLOWING GUIDELINES: 250% TO 300% OF FPL, FINANCIAL OBLIGATION LIMITED TO 3% OF ANNUAL INCOME; 301% TO 400% OF FPL, FINANCIAL OBLIGATION LIMITED TO 4% OF ANNUAL INCOME; 401% TO 600% OF FPL, FINANCIAL OBLIGATION LIMITED TO 10% OF ANNUAL INCOME; 601% TO 800% OF FPL, FINANCIAL OBLIGATION LIMITED TO 12% OF ANNUAL INCOME; OVER 800% OF FPL FINANCIAL OBLIGATION LIMITED TO 15% OF ANNUAL INCOME. WE CHECK TO MAKE SURE THAT THE PATIENT IS NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address		Type of Facility (describe)
1	1 - RAPIDES URGENT CARE 2389 HWY 28 EAST PINEVILLE,LA71360	URGENT CARE CLINIC
2	2 - RAPIDES URGENT CARE 3800 JACKSON ST EXTENSION ALEXANDRIA,LA71301	URGENT CARE CLINIC
3	3 - HP LONG URGENT CARE 213 HOSPITAL BOULEVARD PINEVILLE,LA71360	URGENT CARE CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS
4	4 - HP LONG MEDICINE CLINIC 213 HOSPITAL BOULEVARD PINEVILLE,LA71360	PRIMARY CARE CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS
5	5 - HP LONG SPECIALTY CLINIC 213 HOSPITAL BOULEVARD PINEVILLE,LA71360	SPEC. MEDICAL CARE CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS
6	6 - HP LONG GYNECOLOGY CLINIC 401 FOURTH ST MEDICAL PLAZA 2ND FL ALEXANDRIA,LA71301	GYNECOLOGY CLINIC FOR UNINSURED, UNDERINSURED AND MEDICAID PATIENTS
7	7 - LSU ORAL MAXILLOFACIAL CLINIC 501 MEDICAL CENTER DRIVE 4B ALEXANDRIA,LA71301	ORAL MAXILLOFACIAL SURGICAL SERVICES
8	8 - TULANE OPHTHALMOLOGY CLINIC & RESIDENCY 301 4TH STREET 3A-1 ALEXANDRIA,LA71301	OPHTHALMOLOGY SERVICES
9	9 - RAPIDES URGENT CARE 6515 COLISEUM BLVD ALEXANDRIA,LA71303	URGENT CARE CLINIC
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	THE RAPIDES HEALTHCARE SYSTEM (RHS) DOES UTILIZE FPG AS CRITERIA FOR DISCOUNTED CARE. ANY INDIVIDUAL AT INCOME OF 250% OR LESS OF FPG QUALIFIES FOR THE RHS FINANCIAL ASSISTANCE POLICIES (FAP) AND RECEIVES A 100% DISCOUNT ON THEIR BILL. THERE IS A PROVISION FOR PARTIAL DISCOUNTS ON PATIENT BILLS UNDER THE FAP USING THE FOLLOWING GUIDELINES: 250% TO 300% OF FPL, FINANCIAL OBLIGATION LIMITED TO 3% OF ANNUAL INCOME; 301% TO 400% OF FPL, FINANCIAL OBLIGATION LIMITED TO 4% OF ANNUAL INCOME; 401% TO 600% OF FPL, FINANCIAL OBLIGATION LIMITED TO 10% OF ANNUAL INCOME; 601% TO 800% OF FPL, FINANCIAL OBLIGATION LIMITED TO 12% OF ANNUAL INCOME; OVER 800% OF FPL FINANCIAL OBLIGATION LIMITED TO 15% OF ANNUAL INCOME.
PART I, LINE 6A:	THE RAPIDES HEALTHCARE SYSTEM (EMPLOYER NO. 61-1267229) PREPARED A COMMUNITY BENEFIT REPORT DURING TAX YEAR 2023.
PART I, LINE 7:	A. THE COST FOR FINANCIAL ASSISTANCE WAS DERIVED USING A COST-TO-CHARGE RATIO FROM SCHEDULE H, WORKSHEET 2 APPLIED IN WORKSHEET 1. FAP-ELIGIBLE PATIENT REVENUE IS BASED ON GAAP, AND BAD DEBT IS NOT INCLUDED IN THIS CALCULATION. NO EXTRAORDINARY ITEMS ARE INCLUDED IN THIS CALCULATION. PERSONS SERVED ARE THE TOTAL FAP-ELIGIBLE INPATIENT ADMISSIONS PLUS TOTAL FAP-ELIGIBLE OUTPATIENT VISITS.B. UNREIMBURSED MEDICAID COSTS WERE DERIVED USING A COST-TO-CHARGE RATIO FROM SCHEDULE H WORKSHEET 2 APPLIED IN WORKSHEET 3. PATIENT REVENUE IS BASED ON GAAP, AND BAD DEBT IS NOT INCLUDED IN THIS CALCULATION. NO EXTRAORDINARY ITEMS ARE INCLUDED IN THIS CALCULATION. PERSONS SERVED ARE THE TOTAL MEDICAID INPATIENT ADMISSIONS PLUS TOTAL MEDICAID OUTPATIENT VISITS.
PART III, LINE 2:	RRMC RECORDS INSURANCE CONTRACTUAL DISCOUNTS TO PATIENT ACCOUNTS AS WELL AS 100% DISCOUNTS FOR FAP-ELIGIBLE PATIENTS AND INSURED DISCOUNTS FOR UNINSURED NON-FAP-ELIGIBLE PATIENTS. THEN NON-FAP ELIGIBLE PATIENTS ARE BILLED, AND RRMC RECORDS A PROVISION FOR BAD DEBT ACCOUNTS ON THE RECEIVABLES BASED UPON ITS HISTORICAL COLLECTION EXPERIENCE. THE METHODOLOGY TO DETERMINE THE BAD DEBT EXPENSE REPORTED AT COST ON PART III, LINE 2 IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR BAD DEBT ACCOUNTS.
PART III, LINE 4:	PART III, SECTION A, LINE 4 & SECTION, C, LINE 9B. COLLECTION OF OUTSTANDING RECEIVABLES FROM THIRD-PARTY PAYORS (MEDICARE, MANAGED CARE PAYERS, ETC.) IS THE HOSPITALS' PRIMARY SOURCE OF CASH AND IS CRITICAL TO OUR ABILITY TO FUND OPERATIONS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. THE PROVISION FOR DOUBTFUL ACCOUNTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTIONS EFFORTS HAVE BEEN PERFORMED. OUR COLLECTION POLICIES INCLUDE A REVIEW OF ALL ACCOUNTS AGAINST CERTAIN STANDARD COLLECTION CRITERIA, UPON COMPLETION OF OUR INTERNAL COLLECTION EFFORTS. ACCOUNTS DETERMINED TO POSSESS POSITIVE COLLECTABILITY ATTRIBUTES ARE FORWARDED TO A SECONDARY EXTERNAL COLLECTIONS AGENCY AND THE OTHER ACCOUNTS ARE WRITTEN OFF. THE ACCOUNTS THAT ARE NOT COLLECTED BY THE SECONDARY EXTERNAL COLLECTION AGENCY ARE WRITTEN OFF WHEN THEY ARE RETURNED TO US BY THE COLLECTION AGENCY (USUALLY WITHIN 12 MONTHS). WRITEOFFS ARE BASED UPON SPECIFIC IDENTIFICATION AND THE WRITEOFF PROCESS REQUIRES A WRITEOFF ADJUSTMENT ENTRY TO THE PATIENT ACCOUNTING SYSTEM. WE DO NOT PURSUE COLLECTION OF AMOUNTS RELATED TO PATIENTS THAT MEET OUR GUIDELINES TO QUALIFY AS CHARITY CARE. THE METHODOLOGY TO DETERMINE THE BAD DEBT EXPENSE REPORTED AT COST ON PART III, LINE 2 IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR BAD DEBT ACCOUNTS.
PART III, LINE 8:	EVEN THOUGH THE AMOUNT REPORTED FOR MEDICARE ACTIVITY IN SECTION B REFLECTS A SURPLUS FOR THE YEAR, IT SHOULD BE NOTED THAT THE AMOUNT OF PATIENT CARE COSTS DO NOT INCLUDE MEDICARE NON-ALLOWABLE EXPENSES. THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED FROM THE INDIVIDUAL FACILITY COST REPORT FOR RAPIDES REGIONAL MEDICAL CENTER.UNINSURED DISCOUNTS. IN ADDITION TO CHARITY COSTS AND BAD DEBT COSTS REPORTED, RHS INCURRS COSTS RELATED TO UNINSURED PATIENTS FOR WHICH DISCOUNTS ARE GIVEN. ALL SELF PAY PATIENT ACCOUNTS, EXCLUDING ELECTIVE COSMETIC PROCEDURES AND FACILITY-DESIGNATED SELF-PAY FLAT-RATE PROCEDURES ARE GIVEN AN UNINSURED DISCOUNT. THE SELF-PAY PATIENT RECEIVES THE UNINSURED DISCOUNT UNLESS THE PATIENT QUALIFIES FOR MEDICAID OR CHARITY. THE METHODOLOGY TO DETERMINE THE UNINSURED DISCOUNTS REPORTED AT COST IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR UNINSURED DISCOUNTS. THE COST FOR UNINSURED DISCOUNTS IN 2020 IS $3,193,045.PROPERTY TAXES. AN ADDITIONAL COMMUNITY BENEFIT PROVIDED BY RHS WAS THE PAYMENT OF $1,880,933 IN PROPERTY TAXES TO LOCAL GOVERNMENTS BASED ON BILLED ASSESSMENTS.
PART III, LINE 9B:	PART III, SECTION A, LINE 4 & SECTION, C, LINE 9B. COLLECTION OF OUTSTANDING RECEIVABLES FROM THIRD-PARTY PAYORS (MEDICARE, MANAGED CARE PAYERS, ETC.) IS THE HOSPITALS' PRIMARY SOURCE OF CASH AND IS CRITICAL TO OUR ABILITY TO FUND OPERATIONS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. THE PROVISION FOR DOUBTFUL ACCOUNTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTIONS EFFORTS HAVE BEEN PERFORMED. OUR COLLECTION POLICIES INCLUDE A REVIEW OF ALL ACCOUNTS AGAINST CERTAIN STANDARD COLLECTION CRITERIA, UPON COMPLETION OF OUR INTERNAL COLLECTION EFFORTS. ACCOUNTS DETERMINED TO POSSESS POSITIVE COLLECTABILITY ATTRIBUTES ARE FORWARDED TO A SECONDARY EXTERNAL COLLECTIONS AGENCY AND THE OTHER ACCOUNTS ARE WRITTEN OFF. THE ACCOUNTS THAT ARE NOT COLLECTED BY THE SECONDARY EXTERNAL COLLECTION AGENCY ARE WRITTEN OFF WHEN THEY ARE RETURNED TO US BY THE COLLECTION AGENCY (USUALLY WITHIN 12 MONTHS). WRITEOFFS ARE BASED UPON SPECIFIC IDENTIFICATION AND THE WRITEOFF PROCESS REQUIRES A WRITEOFF ADJUSTMENT ENTRY TO THE PATIENT ACCOUNTING SYSTEM. WE DO NOT PURSUE COLLECTION OF AMOUNTS RELATED TO PATIENTS THAT MEET OUR GUIDELINES TO QUALIFY AS CHARITY CARE. THE METHODOLOGY TO DETERMINE THE BAD DEBT EXPENSE REPORTED AT COST ON PART III, LINE 2 IS TO TAKE THE RATIO OF PATIENT CARE COSTS TO GROSS PATIENT CHARGES AND MULTIPLY THIS RESULTING RATIO BY THE GROSS CHARGES FOR BAD DEBT ACCOUNTS.
PART VI, LINE 2:	IN ADDITION TO THE FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT DIRECTED BY THE RAPIDES HEALTHCARE SYSTEM COMMUNITY BENEFIT COMMITTEE, THERE ARE A NUMBER OF WAYS THAT RAPIDES REGIONAL MEDICAL CENTER (RRMC) STAFF AND TRUSTEES ASSESS THE HEALTH CARE NEEDS OF ITS COMMUNITY ON AN ONGOING BASIS. RRMC TRUSTEES, EXECUTIVES AND MANAGERS NETWORK EXTENSIVELY WITH OTHERS IN THE COMMUNITY WHO SERVE POPULATIONS IN NEED, SUCH AS OTHER HEALTH CARE PROVIDERS, LAW ENFORCEMENT AGENCIES AND GOVERNMENT OFFICIALS. KEY EXECUTIVES AND MANAGERS ALSO SERVE ON BOARDS OF NONPROFIT ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE SERVICES TO POPULATIONS IN NEED. BEGINNING IN DECEMBER 2013, THE PROVISION OF ACUTE CARE MEDICAL, PSYCHIATRIC, URGENT CARE AND EMERGENCY SERVICES, AS WELL AS PRIMARY CARE AND SPECIALTY CLINIC SERVICES FOR THE UN- AND UNDERINSURED AND MEDICAID POPULATIONS OF CENTRAL LOUISIANA SHIFTED TO RRMC AND CHRISTUS HOSPITAL ORGANIZATIONS FROM THE REGION'S LONG-STANDING STATE CHARITY HOSPITAL LOCATED IN PINEVILLE, RAPIDES PARISH. AS A PRIMARY DIRECT PROVIDER OF SAFETY NET SERVICES TO THE INDIGENT POPULATION WITHIN THE SERVICE AREA, RRMC STAFF INTERFACES REGULARLY WITH THAT POPULATION WHILE PROVIDING ROUTINE CLINIC CARE AND IS ABLE TO ASSESS AND ANTICIPATE SPECIALTY AND ACUTE MEDICAL NEEDS AND OFFER BOTH PREVENTIVE AND ACUTE SERVICES.
PART VI, LINE 3:	THE CHARITY CARE POLICY (FINANCIAL ASSISTANCE POLICY), A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND A CHARITY CARE APPLICATION ARE ALL AVAILABLE ON THE HOSPITAL WEBSITE IN ENGLISH AND SPANISH. A PLAIN LANGUAGE SUMMARY OF THE POLICY IS ALSO DISPLAYED FOR DISTRIBUTION IN ALL ADMITTING LOCATIONS IN THE HOSPITAL, ALL WAITING ROOMS AT THE HOSPITAL, THE EMERGENCY ROOM, URGENT CARE FACILITIES, AND HOSPITAL CLINICS. ALSO IN THESE LOCATIONS IS A SIGN READING "RAPIDES REGIONAL MEDICAL CENTER PROVIDES FREE (CHARITY) CARE TO PATIENTS WHO NEED HEALTHCARE, BUT ARE UNABLE TO PAY. ASK US FOR MORE INFORMATION." THERE IS ALSO A POSTED NOTICE TO PATIENTS CONTAINING THE CURRENT POVERTY GUIDELINES SO THAT THEY MAY SEE WHETHER THEY WOULD QUALIFY BASED ON THEIR INCOME. IT READS: "OUR FACILITY OFFERS A CHARITY PROGRAM TO THOSE THAT ARE < 250% OF THE POVERTY GUIDELINES AS DEFINED BELOW. [FPG CHART] ASK THE REPRESENTATIVE FOR A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY AND APPLICATION IF YOU ARE INTERESTED." AT ADMISSION ALL PATIENTS RECEIVE, A PLAIN LANGUAGE SUMMARY OF THE CHARITY CARE POLICY AND A CHARITY CARE APPLICATION. AS SOON AS POSSIBLE AFTER ADMISSION, ALL UNINSURED PATIENTS ARE SCREENED BY AN ON-SITE THIRD-PARTY FIRM HIRED SPECIFICALLY TO DETERMINE IF PATIENTS MEET GOVERNMENT PROGRAM ELIGIBILITY CRITERIA. THE FIRM'S PERSONNEL ARE SPECIFICALLY TRAINED IN MEDICAID, MEDICARE AND OTHER GOVERNMENT PROGRAM ELIGIBILITY CRITERIA AND APPLICATION PROCEDURES. IF THE PATIENT MEETS PROGRAM ELIGIBILITY CRITERIA, THEN ASSISTANCE IS PROVIDED TO THE PATIENT FOR ENROLLMENT. IF THE PATIENT DOES NOT MEET PROGRAM QUALIFICATIONS, THE PATIENT IS ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE. IF THE PATIENT DOES NOT COMPLETE A CHARITY CARE APPLICATION AT THE TIME OF SERVICE, HE RECEIVES THE PLAIN LANGUAGE POLICY SUMMARY AND AN APPLICATION WITH HIS BILLS. HE IS ALSO REMINDED OF THE HOSPITAL'S CHARITY CARE POLICY IN ANY CONVERSATION WITH STAFF CONCERNING BILLING.
PART VI, LINE 4:	RAPIDES REGIONAL MEDICAL CENTER'S PRIMARY COMMUNITY SERVED ENCOMPASSES 2,793 SQUARE MILES AND INCLUDES A THREE-PARISH (COUNTY) SERVICE AREA IN CENTRAL LOUISIANA, INCLUDING AVOYELLES, GRANT AND RAPIDES PARISHES. THIS DEFINED COMMUNITY CONSISTS OF THE AREA COMPOSED OF THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS AT LEAST 75 PERCENT OF ITS INPATIENTS. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 196,000 PEOPLE. IT CONSISTS OF A 50/50 BALANCE OF URBAN AND RURAL AREAS AND IS PREDOMINANTLY NON-HISPANIC AND WHITE (OVER TWO-THIRDS), BUT ALSO HAS SUBSTANTIAL AFRICAN AMERICAN POPULATION (NEARLY ONE-THIRD IN AVOYELLES AND RAPIDES PARISHES). AS THROUGHOUT THE STATE AND NATION, OUR POPULATION IS AGING, WITH APPROXIMATELY 14% CURRENTLY AGE 65 AND OLDER. 20.2% OF OUR POPULATION REMAINS BELOW THE POVERTY LEVEL. IN ALL, 44.5% OF AREA RESIDENTS (82,435 INDIVIDUALS), AND 55.3% OF AREA CHILDREN LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN TERMS OF EDUCATION LEVEL, ONLY 70.2% OF AVOYELLES RESIDENTS ARE HIGH-SCHOOL GRADUATES; 78.8% OF GRANT RESIDENTS; AND 82.4% OF RAPIDES RESIDENTS. NATIONALLY, 86.0% OF THE US POPULATION HOLDS A HIGH-SCHOOL DEGREE. IN 2017, 35.5% OF RRMC PATIENTS WERE COVERED BY MEDICAID, 1.7% WERE UNINSURED AND 43.4% WERE COVERED BY MEDICARE. ALL THREE PARISHES ARE DESIGNATED AS PRIMARY CARE HPSAS (HEALTH PROFESSIONAL SHORTAGE AREAS). THE THREE PARISHES ARE SERVED BY TWO TERTIARY-CARE, ACUTE-CARE HOSPITALS RRMC AND ONE OTHER. ALSO IN THE REGION ARE A VETERAN'S ACUTE-CARE HOSPITAL, A PHYSICIAN-OWNED SURGICAL HOSPITAL, A RURAL CRITICAL-ACCESS FACILITY, AND ONE SMALL RURAL ACUTE-CARE FACILITY.
PART VI, LINE 5:	RAPIDES REGIONAL MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF; MEDICAL STAFF CREDENTIALING IS STRICTLY BASED UPON EDUCATION, CERTIFICATION AND OTHER GENERALLY ACCEPTED OBJECTIVE PROFESSIONAL REQUIREMENTS. THE HOSPITAL MAINTAINS AN OPEN EMERGENCY ROOM, TREATING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ACCEPTS MEDICARE, MEDICAID AND OTHER GOVERNMENT-INSURED PATIENTS, DESPITE THE FACT THAT PAYMENTS FROM THESE PROGRAMS DO NOT NORMALLY REIMBURSE THE HOSPITAL FULLY FOR THE COSTS OF SERVICES RENDERED TO PATIENTS. THE BOARD OF DIRECTORS OF THE RAPIDES HEALTHCARE SYSTEM (RHS) AND THE BOARD OF TRUSTEES OF RAPIDES REGIONAL MEDICAL CENTER BOTH INCLUDE MEMBERS OF THE LOCAL COMMUNITY, WHO ARE FOCUSED ON THE QUALITY OF HEALTHCARE AND AVAILABILITY OF MEDICAL SERVICES IN THEIR COMMUNITY. THE RHS BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE. BEGINNING IN DECEMBER 2013, RAPIDES REGIONAL (UNDER A CONTRACT WITH THE STATE OF LOUISIANA AND IN PARTNERSHIP WITH CHRISTUS ST. FRANCES CABRINI HOSPITAL) PROVIDES SAFETY-NET ACUTE CARE INPATIENT MEDICAL, URGENT CARE AND EMERGENCY SERVICES, AS WELL AS PRIMARY CARE AND SPECIALTY CARE CLINIC SERVICES FOR THE UN- AND UNDERINSURED, MEDICAID AND MEDICARE POPULATIONS OF CENTRAL LOUISIANA. DURING 2018 RAPIDES TREATED 34,239 INDIGENT, MEDICAID AND MEDICARE PATIENTS AT THE CLINICS. BOTH BOARDS OF DIRECTORS AND THE HOSPITAL MANAGEMENT TEAM ARE HEAVILY FOCUSED ON QUALITY AND SAFETY, AND THE HOSPITAL INVESTS IN SERVICES AND TECHNOLOGY NECESSARY TO PROVIDE THE BEST CARE POSSIBLE FOR PATIENTS. HCA HONORED RRMC NURSING UNITS THROUGH ITS 2018 UNITS OF DISTINCTION AWARDS, THE FOURTH YEAR RRMC HAS HAD MULTIPLE NURSING UNITS HONORED FOR EXCELLENCE IN PATIENT CARE. RRMC'S SURGICAL ICU WAS NAMED TOP CRITICAL CARE UNIT FOR 2018, AND ITS MEDICAL ICU WAS RANKED NO. 2. IN ADDITION, ALL SEVEN OF RRMC'S MEDICAL-SURGICAL UNITS WERE RANKED AMONG THE TOP 50 UNITS IN THE COMPANY. RRMC ALSO ACHIEVED THE PRESTIGIOUS PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER, BECOMING ONLY ONE OF THREE LOUISIANA HOSPITALS TO EARN THE DESIGNATION. IN 2018, RRMC RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. RRMC IS VERIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. A LEVEL II TRAUMA CENTER PROVIDES THE SECOND HIGHEST LEVEL OF SURGICAL CARE TO TRAUMA PATIENTS. THE HOSPITAL IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER AND AN ACCREDITED CHEST PAIN CENTER FROM THE JOINT COMMISSION. RRMC BECAME HOME TO A COMPLETE $2.5 MILLION BRAINLAB NEUROSURGICAL SUITE. RRMC IS ONE OF FEWER THAN 100 HOSPITALS IN THE COUNTRY AND THE ONLY ONE IN LOUISIANA TO HAVE THIS MOST TECHNOLOGICALLY ADVANCED NEUROLOGICAL SUITE. THE BRAINLAB TOOLS ALLOW HIGHLY SPECIALIZED NEUROSURGICAL PROCEDURES TO BE PERFORMED IN CENTRAL LOUISIANA. CENTRAL LOUISIANA'S FIRST TRANSCATHETER AORTIC VALVE REPLACEMENT PROCEDURE WAS PERFORMED AT RRMC. THE TAVR PROCEDURE IS A LESS-INVASIVE OPTION THAN TRADITIONAL OPEN-HEART SURGERY TO REPLACE AN UNHEALTHY AORTIC VALVE. RAPIDES REGIONAL MEDICAL CENTER IN 2022 HOLDS THE FOLLOWING ACCREDITATIONS AND CERTIFICATIONS THAT DEMONSTRATE ITS COMMITMENT TO A HIGHER STANDARD OF CARE: ADVANCED CERTIFICATION IN STROKE (PRIMARY STROKE CENTER), CANCER TREATMENT ACCREDITATION, CERTIFIED CARDIAC REHABILITATION PROGRAM, CHEST PAIN CENTER CERTIFICATION, COMPUTED TOMOGRAPHY ACCREDITATION GOLD SEAL, NUCLEAR MEDICINE GOLD SEAL ACCREDITATION, COMPUTED TOMOGRAPHY GOLD SEAL ACCREDITATION, MRI GOLD SEAL ACCREDITATION, MAMMOGRAPHY GOLD SEAL ACCREDITATION, VASCULAR TESTING ACCREDITATION, AND CAP LABORATORY ACCREDITATION. IN ADDITION TO THE COMMUNITY BENEFIT PROVIDED DIRECTLY BY RAPIDES HEALTHCARE SYSTEM, CASH FLOW FROM RHS SUPPORTED THE RAPIDES FOUNDATION'S 2022 PHILANTHROPIC ACTIVITIES, WHICH PROVIDED AN ADDITIONAL $33.6 MILLION IN COMMUNITY BENEFIT TO ITS NINE-PARISH SERVICE AREA. THIS INCLUDED GRANTS OF $4.2 MILLION AND DIRECT CHARITABLE ACTIVITIES
PART VI, LINE 7:	THE RAPIDES FOUNDATION OPERATES ONLY WITHIN THE STATE OF LOUISIANA, WHICH DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT. THE RAPIDES REGIONAL MEDICAL CENTER COMMUNITY BENEFIT REPORT IS POSTED ON ITS WEBSITE AT WWW.RAPIDESREGIONAL.COM/ABOUT.

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
THE RAPIDES FOUNDATION

Employer identification number
72-0423603

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ALLEN PARISH SCHOOL BOARD P O DRAWER C OBERLIN,LA70655	72-6000020	GOVERNMENT AGENCY	100,625	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(2) ALLEN PARISH SCHOOL BOARD P O DRAWER C OBERLIN,LA70655	72-6000020	GOVERNMENT AGENCY	37,976	2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTERSHIP GRANT
(3) AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE,LA71351	72-6000115	GOVERNMENT AGENCY	125,000	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(4) AVOYELLES PARISH SCHOOL BOARD 221 TUNICA DRIVE WEST MARKSVILLE,LA71351	72-6000115	GOVERNMENT AGENCY	36,229	2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTERSHIP GRANT
(5) CATAHOULA PARISH SCHOOL BOARD 200 BUSHLY STREET HARRISONBURG,LA71340	72-6000268	GOVERNMENT AGENCY	85,000	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(6) CATHOLIC CHARITIES OF CENTRAL LA 4400 COLISEUM BLVD ALEXANDRIA,LA71303	53-0196617	501(C)(3)	292,543	VAPING AND TOBACCO CESSATION PROGRAM
(7) GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX,LA71417	72-6000494	GOVERNMENT AGENCY	101,558	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(8) GRANT PARISH SCHOOL BOARD PO BOX 208 COLFAX,LA71418	72-6000495	GOVERNMENT AGENCY	338,963	2025-2028 GRANT EARLY CHILDHOOD NETWORK EDUCATION ACCESS
(9) GRANT PARISH SCHOOL BOARD PO BOX 209 COLFAX,LA71419	72-6000496	GOVERNMENT AGENCY	22,758	2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT
(10) LASALLE PARISH SCHOOL BOARD PO DRAWER 90 JENA,LA71342	72-6000656	GOVERNMENT AGENCY	77,834	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(11) LOUISIANA CENTRAL 825 HWY 8 SICILY ISLAND,LA71368	72-0631111	501(C)(3)	1,000,000	2025-2026 LOUISIANA CENTRAL INFRASTRUCTURE MATCHING GRANT
(12) LSU HEALTH SCIENCES CENTER- SHREVEPORT 1501 KINGS HIGHWAY SHREVEPORT,LA71130	72-0702002	GOVERNMENT AGENCY	145,000	2024 MOBILE UNIT
(13) NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES,LA71458	72-0629556	GOVERNMENT AGENCY	142,000	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(14) NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES,LA71458	72-0629556	GOVERNMENT AGENCY	3,103,165	2025-2028 EARLY CHILDHOOD EDUCATION FUNDS
(15) NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES,LA71458	72-0629556	GOVERNMENT AGENCY	20,100	2024-2025 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM
(16) NATCHITOCHES PARISH SCHOOL BOARD 310 ROYAL STREET P O BOX 16 NATCHITOCHES,LA71458	72-0629556	GOVERNMENT AGENCY	81,200	2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT
(17) RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA,LA71306	72-6001133	GOVERNMENT AGENCY	43,010	2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT
(18) RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA,LA71306	72-6001133	GOVERNMENT AGENCY	441,273	INCREASE EDUCATIONAL ATTAINMENT & ACHIEVEMENT
(19) RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA,LA71306	72-6001133	GOVERNMENT AGENCY	5,343,750	2025-2028 RAPIDES EARLY CHILDHOOD NETWORK ECE FUNDING ACCESS PROGRAM
(20) RAPIDES PARISH SCHOOL BOARD PO BOX 7117 ALEXANDRIA,LA71306	72-6001133	GOVERNMENT AGENCY	19,014	YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM
(21) THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA,LA71301	87-0730768	501(C)(3)	587,100	COLLEGE AND CAREER READINESS
(22) VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE,LA71446	72-6001443	GOVERNMENT AGENCY	63,278	2024-25 HEALTHY BEHAVIOR SCHOOL DISTRICT PARTNERSHIP GRANT
(23) VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE,LA71447	72-6001443	GOVERNMENT AGENCY	225,000	2024-25 DISCTRICT GRANT FOR EFFECTIVE SCHOOLS
(24) VERNON PARISH SCHOOL BOARD 201 BELVIEW RD LEESVILLE,LA71448	72-6001443	GOVERNMENT AGENCY	12,010	2024-25 YOUTH VOLUNTEER SCHOOL DISTRICT PROGRAM
(25) VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA 3704 COLISEUM BLVD ALEXANDRIA,LA71303	72-1020853	501(C)(3)	242,593	2025-27 STRENGTHENING FAMILIES PROGRAM
(26) WINN PARISH SCHOOL BOARD P O BOX 430 WINNFIELD,LA71483	72-6001620	GOVERNMENT AGENCY	91,500	INCREASE EDUCATIONAL ACHIEVEMENT
(27) FOX OUTREACH FOUNDATION 3622 GOVERNMENT STREET ALEXANDRIA,LA71302	99-0495218	501(C)(3)	100,000	STRENGTHENING FAMILIES PROGRAM
(28) CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA,LA71301	02-0751416	501(C)(3)	569,355	2025 CMAP HEALTHY LIFESTYLE PROGRAM
(29) CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA,LA71301	02-0751416	501(C)(3)	574,942	2025 CMAP MEDICATION ACCESS
(30) CMAP EXPRESS 1101 FOURTH STREET SUITE 101A ALEXANDRIA,LA71301	02-0751416	501(C)(3)	254,968	2025 CMAP CANCEL AND CHA PROGRAMS
(31) THE DOLLYWOOD FOUNDATION 111 E MAIN ST 2ND FLOOR SEVIERVILLE,TN37862	62-1348105	501(C)(3)	120,336	DOLLY PARTON'S IMAGINATION LIBRARY
(32) ARTS COUNCIL OF CENTRAL LOUISIANA 100 STARCREST DRIVE CLEARWATER,FL33765	59-2551416	501(C)(3)	20,000	2024 FRYE NONPROFIT DEVELOPMENT CENTER
(33) LOUISIANA CENTRAL 1302 MURRAY ST ALEXANDRIA,LA71309	65-1267691	GOVERNMENT AGENCY	760,000	2025-2026 BUSINESS ACCELERATION SYSTEM
(34) LIVING HOPE OUTREACH 602 N KNOLL ST BUNKIE,LA71322	86-2738544	501(C)(3)	100,000	ALL-N STRENGTHENING FAMILIES PROGRAM
(35) LOUISIANA MENTAL HEALTH ASSOCIATION 544 COLONIAL AVE BATON ROUGE,LA70806	72-0688911	501(C)(3)	198,110	THE FISHER PROJECT
(36) RENEWING PATHS INC PO BOX 117 SIMMESPORT,LA71369	83-1302493	501(C)(3)	100,000	STRENGTHENING FAMILIES PROGRAM 7-17(SFP)
(37) THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA,LA71301	87-0730768	501(C)(3)	161,945	SCHOOL READINESS
(38) THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA,LA71301	87-0730768	501(C)(3)	388,710	OPERATING GRANT
(39) THE ORCHARD FOUNDATION 1101 FOURTH STREET SUITE 101C ALEXANDRIA,LA71301	87-0730768	501(C)(3)	284,600	EFFECTIVE SCHOOLS
(40) WINN COMMUNITY HEALTH CENTER PO BOX 1288 WINNFIELD,LA71483	20-5823527	501(C)(3)	60,730	WINN COMMUNITY HEALTH CENTER
(41) VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA 3704 COLISEUM BLVD ALEXANDRIA,LA71303	72-1020853	501(C)(3)	60,588	2025-28 AVOYELLES EC FUND MATCH-APPLICATION FOR TRF GRANT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

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 (Form 990) Rev. 1-2025

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SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

THE RAPIDES FOUNDATION

Employer identification number

72-0423603

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CMAP EXPRESS 1101 FOURTH STREET ALEXANDRIA,LA71301 02-0751416	HEALTHCARE ACCESS	LA	501(C)(3)	LINE 11A, I	THE RAPIDES FOUNDATION		No
(2)THE ORCHARD FOUNDATION 1101 FOURTH STREET ALEXANDRIA,LA71301 87-0730768	EDUCATION	LA	501(C)(3)	LINE 11A, I	THE RAPIDES FOUNDATION		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) RAPIDES HEALTHCARE SYSTEM LLC 211 4TH STREET ALEXANDRIA,LA71301 61-1267229	HOSPITAL	LA	N/A	RELATED				No			No	26.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) THE ORCHARD FOUNDATION	B	388,710	GRANT AGREEMENT
(2) THE ORCHARD FOUNDATION	J	17,112	COST ACCOUNTING SYSTEM
(3) CMAP EXPRESS	B	1,399,266	GRANT AGREEMENT
(4) CMAP EXPRESS	J	22,555	COST ACCOUNTING SYSTEM
(5) THE ORCHARD FOUNDATION	Q	1,057,221	COST ACCOUNTING SYSTEM
(6) CMAP EXPRESS	Q	1,275,083	COST ACCOUNTING SYSTEM

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	888,941	-2,726,285
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,420,118	12,981,559
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	7,309,059	10,255,274
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,054,378	6,534,393
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,061,156	1,990,263
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,985,517	3,917,849
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	20,101,051	12,442,505
19	Revenue less expenses. Subtract line 18 from line 12.......	-12,791,992	-2,187,231
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	352,997,972	363,056,628
21	Total liabilities (Part X, line 26).............	22,412,672	15,347,657
22	Net assets or fund balances. Subtract line 21 from line 20.....	330,585,300	347,708,971

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	ACUTE-CARE HOSPITAL SERVICES THE RAPIDES FOUNDATION IS A MEMBER OF RAPIDES HEALTHCARE SYSTEM LLC (RHS), WHICH OWNS AND OPERATES RAPIDES REGIONAL MEDICAL CENTER (RRMC), A 345-BED HOSPITAL IN ALEXANDRIA, LA. AS AN OWNER OF RHS, TRF SEEKS TO PROVIDE THE HIGHEST STANDARD OF PATIENT CARE, SUPPORT HEALTHCARE ACCESS FOR THE UNINSURED/UNDERSERVED POPULATION, AND MEET THE COMMUNITY BENEFIT STANDARDS UNDER 501(C)(3) AND 501(R) OF THE INTERNAL REVENUE SERVICE CODE. DURING THE TWELVE MONTHS ENDED DECEMBER 31, 2024, RRMC ADMITTED 14,066 PATIENTS, CARED FOR 63,325 PATIENTS IN THE EMERGENCY ROOM, AND FACILITATED 9,241 SURGERIES. RAPIDES HEALTHCARE SYSTEM PROVIDED $3.9 MILLION IN FINANCIAL SUPPORT DURING 2024 TO THE LOUISIANA STATE UNIVERSITY FAMILY PRACTICE RESIDENCY PROGRAM NEAR ITS CAMPUS. IN 2024, THE PROGRAM GRADUATED 6 PHYSICIANS AND ACCEPTED 6 NEW RESIDENTS INTO ITS THREE-YEAR PROGRAM. SINCE ITS BEGINNING IN 1997, THE PROGRAM HAS GRADUATED 148 PRIMARY CARE PHYSICIANS, SUPPORTING ITS MISSION TO ADDRESS THE SHORTAGE OF PRIMARY CARE PHYSICIANS IN THE REGION. CENTRAL LOUISIANA IS DESIGNATED A PRIMARY MEDICAL CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). THE HOSPITAL ALSO SUPPORTS RESIDENTS FROM TULANE UNIVERSITY IN THE AREA OF GYNECOLOGY AND OPHTHALMOLOGY AND FROM LSU IN THE AREA OF ORAL MAXILLOFACIAL SURGERY. IN LATE 2013, AS PART OF THE LOUISIANA GOVERNOR'S PLANS TO PRIVATIZE THE STATE'S SYSTEM OF CHARITY HOSPITALS, REPRESENTATIVES OF RAPIDES HEALTHCARE SYSTEM, THE RAPIDES FOUNDATION AND THE OTHER LARGE COMMUNITY HOSPITAL IN THE REGION REACHED AGREEMENT TO CLOSE THE REGION'S CHARITY HOSPITAL AND MOVE SERVICES TO THE TWO EXISTING HOSPITALS. ACCORDINGLY, THE TWO HOSPITALS AGREED TO PROVIDE EMERGENCY AND INPATIENT SERVICES AS WELL AS ESTABLISH NEW URGENT, PRIMARY AND SPECIALTY CARE CLINICS IN THE COMMUNITY FOR INDIGENT PATIENTS UNDER A COOPERATIVE ENDEAVOR AGREEMENT WITH THE STATE. IN 2024, RAPIDES OPERATED THE HP LONG CLINIC THAT PROVIDED URGENT, PRIMARY AND SPECIALTY CARE TO MEDICAID, MEDICARE AND UNINSURED PATIENTS. DURING THE YEAR 21,017 PATIENTS RECEIVED SERVICES THAT INCLUDED PRIMARY CARE, GENERAL SURGERY, CARDIOLOGY, ORTHOPEDICS, GYNECOLOGY, AND ORAL AND MAXILLOFACIAL SURGERY. ADDITIONALLY, THE RAPIDES FOUNDATION'S CENLA MEDICATION ACCESS PROGRAM (CMAP) PROVIDED 13,377 NO-COST MEDICATIONS TO THESE PATIENTS (AT A WHOLESALE VALUE OF $11.8 MILLION) THROUGH ITS PATIENT ASSISTANCE PROGRAM AND CENTRAL FILL PHARMACY. RAPIDES PROVIDED AN ADDITIONAL 141 PRESCRIPTIONS TO PATIENTS FOR $4 EACH OR LESS THROUGH A PRESCRIPTION CARD PROGRAM FOR A TOTAL RETAIL SAVINGS OF $40,971. IN 2024, RRMC RECEIVED THE FOLLOWING AWARDS AND HONORS:-RAPIDES REGIONAL MEDICAL CENTER HAS BEEN AWARDED A THREE-YEAR TERM OF ACCREDITATION IN POSITRON EMISSION TOMOGRAPHY (PET) AS THE RESULT OF A RECENT REVIEW BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR GOLD SEAL OF ACCREDITATION REPRESENTS THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY. IT IS AWARDED ONLY TO FACILITIES MEETING ACR PRACTICE PARAMETERS AND TECHNICAL STANDARDS AFTER A PEER-REVIEW EVALUATION BY BOARD-CERTIFIED PHYSICIANS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD.-RAPIDES REGIONAL MEDICAL CENTER WAS NAMED BEST IN THE STATE FOR CANCER CARE, CORONARY BYPASS SURGERY AND VASCULAR SURGERY IN THE 2024 QUALITY AWARDS FROM CARECHEX BY QUANTROS.-IN ADDITION TO THE TOP DESIGNATIONS IN LOUISIANA IN MEDICAL EXCELLENCE, RAPIDES REGIONAL MEDICAL CENTER ACHIEVED TOP 100 AND TOP 10 PERCENT IN THE NATION RANKING IN CANCER CARE, MAJOR CARDIAC SURGERY, CORONARY BYPASS SURGERY AND GALL BLADDER REMOVAL. OVERALL SURGICAL CARE ALSO WAS HONORED BY PLACING IN THE TOP 10 PERCENT IN THE NATION.-OVERALL SURGICAL CARE, CANCER CARE, MAJOR CARDIAC SURGERY, CORONARY BYPASS SURGERY AND GALL BLADDER REMOVAL WERE AMONG THE TOP 10 PERCENT IN THE REGION, WHICH IS BASED ON THE FOUR U.S. CENSUS REGIONS. RAPIDES REGIONAL MEDICAL CENTER RANKED IN THE TOP 10 PERCENT IN THE STATE IN 10 CLINICAL CATEGORIES OVERALL HOSPITAL CARE, OVERALL SURGICAL CARE, CANCER CARE, CARDIAC CARE, MAJOR CARDIAC SURGERY, CORONARY BYPASS SURGERY, GALL BLADDER REMOVAL, INTERVENTIONAL CORONARY CARE, ORTHOPEDIC CARE AND VASCULAR SURGERY.-IN PATIENT SAFETY, RAPIDES REGIONAL MEDICAL CENTER RANKED IN THE TOP 10 PERCENT NATIONALLY IN GALL BLADDER REMOVAL, HEART FAILURE TREATMENT, PULMONARY CARE AND STROKE CARE. IT RANKED IN THE TOP 10 PERCENT IN THE STATE IN CARDIAC CARE, GALL BLADDER REMOVAL, HEART FAILURE TREATMENT, HIP FRACTURE CARE, MAJOR NEUROSURGERY, PULMONARY CARE AND STROKE CARE, WHILE RANKING IN THE TOP 10 PERCENT IN THE REGION IN GALL BLADDER REMOVAL, PULMONARY CARE AND STROKE CARE.-THE RAPIDES REGIONAL MEDICAL CENTER SCHOOL OF PHLEBOTOMY HAS BEEN AWARDED CONTINUING ACCREDITATION FOR 10 YEARS BY THE NATIONAL ACCREDITING AGENCY FOR CLINICAL LABORATORY SCIENCES (NAACLS) THE LONGEST ACCREDITATION TIME FRAME POSSIBLE. THE RAPIDES REGIONAL SCHOOL OF PHLEBOTOMY IS THE ONLY NAACLS ACCREDITED HOSPITAL-BASED PROGRAM IN THE FOUR-STATE REGION OF ARKANSAS, LOUISIANA, MISSISSIPPI AND TEXAS.-RAPIDES REGIONAL MEDICAL CENTER HAS ACHIEVED REDESIGNATION AS A PATHWAY TO EXCELLENCE FACILITY BY THE AMERICAN NURSES CREDENTIALING CENTER, RECOGNIZING THE HOSPITAL'S COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. RAPIDES REGIONAL MEDICAL CENTER IS THE ONLY PATHWAY TO EXCELLENCE FACILITY IN LOUISIANA. IT FIRST ACHIEVED PATHWAY TO EXCELLENCE DESIGNATION IN 2018.-RAPIDES REGIONAL MEDICAL CENTER HAS BEEN HONORED FOR EXCELLENCE IN THE FOLLOWING SPECIALTY CARE AREAS IN THE HEALTHGRADES AMERICA'S BEST SPECIALTY EXCELLENCE AWARDS:-CARDIAC FIVE-STAR RECIPIENT FOR TREATMENT OF HEART FAILURE-CRITICAL CARE RECIPIENT OF HEALTHGRADES 2025 CRITICAL CARE EXCELLENCE AWARD; NAMED AMONG TOP 10 PERCENT IN NATION FOR CRITICAL CARE; FIVE-STAR RECIPIENT FOR TREATMENT OF SEPSIS; FIVE-STAR RECIPIENT FOR TREATMENT OF PULMONARY EMBOLISM; FIVE-STAR RECIPIENT FOR TREATMENT OF DIABETIC EMERGENCIES FOR 3 YEARS IN A ROW-GASTROINTESTINAL CARE FIVE-STAR RECIPIENT FOR COLORECTAL SURGERIES; FIVE-STAR RECIPIENT FOR TREATMENT OF GI BLEED; FIVE-STAR RECIPIENT FOR GALLBLADDER REMOVAL SURGERY-NEUROSCIENCES FIVE-STAR RECIPIENT FOR CRANIAL NEUROSURGERY; FIVE-STAR RECIPIENT FOR TREATMENT OF STROKE-ORTHOPEDICS FIVE-STAR RECIPIENT FOR HIP FRACTURE TREATMENT FOR 5 YEARS IN A ROW-PULMONARY CARE - RECIPIENT OF HEALTHGRADES 2025 PULMONARY CARE EXCELLENCE AWARD; NAMED AMONG TOP 5 PERCENT IN NATION FOR OVERALL PULMONARY SERVICES; FIVE-STAR RECIPIENT FOR TREATMENT OF PNEUMONIA-VASCULAR CARE FIVE-STAR RECIPIENT FOR CAROTID SURGERY FOR 3 YEARS IN A ROW RRMC IS VERIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. A LEVEL II TRAUMA CENTER PROVIDES THE SECOND HIGHEST LEVEL OF SURGICAL CARE TO TRAUMA PATIENTS. THE HOSPITAL IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER AND AN ACCREDITED CHEST PAIN CENTER FROM THE JOINT COMMISSION. RAPIDES REGIONAL MEDICAL CENTER HOLDS THE FOLLOWING ACCREDITATIONS AND CERTIFICATIONS THAT DEMONSTRATE ITS COMMITMENT TO A HIGHER STANDARD OF CARE: ADVANCED CERTIFICATION IN STROKE (PRIMARY STROKE CENTER), COMMISSION ON CANCER ACCREDITATION, JOINT COMMISSION ON NATIONAL QUALITY APPROVAL GOLD SEAL, CERTIFIED CARDIAC REHABILITATION PROGRAM, CHEST PAIN CENTER CERTIFICATION, COMPUTED TOMOGRAPHY ACCREDITATION GOLD SEAL, NUCLEAR MEDICINE GOLD SEAL ACCREDITATION, COMPUTED TOMOGRAPHY GOLD SEAL ACCREDITATION, MRI GOLD SEAL ACCREDITATION, MAMMOGRAPHY GOLD SEAL ACCREDITATION, VASCULAR TESTING ACCREDITATION, AND CAP LABORATORY ACCREDITATION.

4b	(Code: ) (Expenses $ 3,658,552 including grants of $ 496,057 ) (Revenue $ 0 )
	HEALTHY PEOPLE TRF PROVIDED CHRONIC CARE PRESCRIPTION MEDICATIONS FOR PEOPLE WHO CANNOT AFFORD THEM THROUGH A $1,148,300 TWO-YEAR GRANT FOR THE YEARS 2023 AND 2024 TO ITS SUPPORTING ORGANIZATION, CENLA MEDICATION ACCESS PROGRAM (CMAP). CMAP'S PATIENT ASSISTANCE PROGRAM (PAP) LOCATES CMAP STAFF NEAR PHYSICIAN OFFICES THROUGHOUT CMAP'S PRIMARY NINE-PARISH SERVICE AREA. THESE PAP SPECIALISTS COMPLETE APPLICATIONS FOR PATIENTS WHO ARE UNABLE TO AFFORD THEIR MEDICATION TO RECEIVE FREE CHRONIC CARE MEDICATIONS THROUGH DRUG MANUFACTURERS' PATIENT ASSISTANCE PROGRAMS. PATIENTS ALSO RECEIVE MEDICATIONS AND DIABETIC SUPPLIES THROUGH CMAP'S CENTRAL FILL PHARMACY, WHICH AS OF END OF 2024 HAD CONTRACTS TO WORK WITH AND PROVIDE PHARMACEUTICALS FROM THIRTEEN MAJOR COMPANIES. ADDITIONALLY, RAPIDES REGIONAL MEDICAL CENTER (RRMC) CONTRACTS WITH CMAP TO PROVIDE OUTPATIENT PHARMACY SERVICES TO THE PATIENTS OF OUTPATIENT CLINICS SERVING THE INDIGENT. DURING 2024, CMAP PROVIDED 13,766 FREE PRESCRIPTION MEDICATIONS TO PATIENTS, REPRESENTING A WHOLESALE COST SAVINGS OF $11.8 MILLION. CMAP EXTRA, A PRESCRIPTION-SAVINGS PROGRAM DESIGNED TO HELP LOWER FAMILIES' MEDICATION COSTS, IS AVAILABLE TO EVERYONE REGARDLESS OF AGE OR INCOME. DURING 2024, 141 PRESCRIPTIONS WERE FILLED, FOR A TOTAL RETAIL SAVINGS OF $40,971. IN 2024, IN SUPPORT OF ITS SUPPORTED ORGANIZATION'S (THE RAPIDES FOUNDATION) HEALTHCARE ACCESS INITIATIVE, CMAP'S CANCER SCREENING PROJECT PROVIDED FREE MAMMOGRAMS, PAP SMEARS, PELVIC EXAMS AND COLORECTAL CANCER TESTS TO 545 UNINSURED AND UNDERINSURED PATIENTS WHO COULDN'T AFFORD THESE CRITICAL SCREENINGS. THESE TESTS ARE BROUGHT TO RURAL AREAS THROUGH A CANCER SCREENING VAN. THE VAN IS A PARTNERSHIP BETWEEN THE RAPIDES FOUNDATION, CMAP, THE FEIST-WEILLER CANCER CENTER AT LSU HEALTH SCIENCES CENTER -- SHREVEPORT AND THE LSU FAMILY MEDICINE RESIDENCY IN ALEXANDRIA. THROUGH THE MOBILE UNIT PATIENTS RECEIVED 50 CERVICAL SCREENINGS, 421MAMMOGRAMS. ALSO, APPROXIMATELY 74 WOMEN AND MEN RECEIVED TAKE-HOME COLORECTAL CANCER SCREENING TESTS. CMAP ALSO ADMINISTERS THE COMMUNITY HEALTH ADVISOR (CHA) PROJECT, A COMMUNITY-BASED PROGRAM DESIGNED TO TRAIN COMMUNITY VOLUNTEERS TO HELP EDUCATE THEIR PEERS ABOUT THE IMPORTANCE OF CANCER SCREENINGS. ONCE TRAINED BY THE CANCER SCREENING PROJECT COMMUNITY HEALTH ADVISOR, THESE VOLUNTEERS WILL PROVIDE EDUCATION, OUTREACH AND INFORMATION TO MEN AND WOMEN THROUGHOUT CENTRAL LOUISIANA. THE GOAL IS TO ENCOURAGE RESIDENTS TO PRACTICE EARLY DETECTION OF COLON, BREAST AND CERVICAL CANCER WHILE IT IS IN THE MOST TREATABLE STAGES. TRF ALSO CONTINUED TO ADDRESS THE SHORTAGE OF HEALTHCARE PROFESSIONALS IN RURAL COMMUNITIES. THE FOUNDATION PROVIDES FUNDS TO NORTHWESTERN STATE UNIVERSITY, LOUISIANA STATE UNIVERSITY OF ALEXANDRIA AND THE CENTRAL LOUISIANA TECHNICAL AND COMMUNITY COLLEGE NURSING PROGRAMS TO SUPPORT NURSING INSTRUCTION. TRF PROVIDED FUNDING IN THE FORM OF A $1,105,253 TWO-YEAR GRANT FOR THE YEARS 2023 AND 2024 TO CMAP'S HEALTHY LIFESTYLE PROGRAM, WHICH PROVIDES DEMONSTRATION AND EDUCATION ON PROPER NUTRITION AND PHYSICAL ACTIVITY FOR GOOD HEALTH AND IS DESIGNED TO FIGHT OBESITY IN CENTRAL LOUISIANA. THE GOAL OF THIS PROGRAM, THROUGH PHYSICIAN REFERRAL, COMMUNITY TOOLS, AND WORKPLACE EDUCATION, IS TO PROVIDE CENTRAL LOUISIANA RESIDENTS WITH RESOURCES TO LEAD HEALTHY LIFESTYLES. THIS PROGRAM IS COORDINATED BY A REGISTERED AND LICENSED DIETITIAN AND EMPLOYS AN EXERCISE SPECIALIST. CLIENTS RECEIVE ONE-ON-ONE CONSULTATION WITH THE DIETITIAN AND EXERCISE SPECIALIST FOR PERSONALIZED MEAL PLANNING AND EXERCISE. THE PROGRAM IS DESIGNED TO WORK WITH CLIENTS FOR AT LEAST 3 TO 6 MONTHS, TRACKING THEIR PROGRESS WITH EATING HABITS, BEHAVIOR CHANGES, WEIGHT AND INCHES LOST, AND EDUCATING CLIENTS ON PROPER NUTRITION AND PHYSICAL ACTIVITY. IN 2024, 359 PATIENTS PARTICIPATED IN THE CMAP HEALTHY LIFESTYLE PROGRAM. TRF PARTNERED WITH 106 CENTRAL LOUISIANA K-12 SCHOOLS IN EIGHT PARISHES THROUGH $419,550 IN HEALTHY BEHAVIORS GRANTS. IN THE 2023-2024 SCHOOL YEAR, 46,527 STUDENTS PARTICIPATED IN PROJECTS AND ACTIVITIES THAT POSITIVELY IMPACT STUDENTS AND SCHOOL PERSONNEL IN THE AREAS OF TOBACCO PREVENTION AND CONTROL, SUBSTANCE AND ALCOHOL ABUSE PREVENTION, PHYSICAL ACTIVITY, AND NUTRITION. WHILE THE PROJECTS VARIED, SCHOOLS USED THE FUNDS FOR PHYSICAL EDUCATION EQUIPMENT, SUPPLIES AND CURRICULA; FOR TRAINING AND SUPPORT FOR TAKE DOWN TOBACCO ACTIVITIES, NATIONAL DRUG AND ALCOHOL FACTS WEEK AND LIVING HEALTHY CLUBS; AND FOR PROFESSIONAL DEVELOPMENT AND CERTIFICATION FOR NUTRITION STAFF. THE GOAL IS TO PROVIDE STUDENTS, STAFF AND TEACHERS WITH THE KNOWLEDGE AND SKILLS NECESSARY TO MAKE BETTER AND MORE INFORMED BEHAVIOR DECISIONS LEADING TO HEALTHIER LIVES. IN OCTOBER 2024, APPROXIMATELY 424 STUDENTS AND TEACHERS FROM SEVEN CENTRAL LOUISIANA SCHOOL DISTRICTS PARTICIPATED IN THE YOUTH SUMMIT ON HEALTHY BEHAVIORS. THE ANNUAL EVENT PROVIDES STUDENTS WITH AN OPPORTUNITY TO LEARN HOW TO BECOME ADVOCATES FOR HEALTHY CHOICES AND POLICY CHANGE IN THEIR SCHOOLS AND COMMUNITIES. IN ADDITION TO SCHOOL DISTRICT GRANTS, TRF AWARDED $542,593 TO SUPPORT TWO THREE-YEAR STRENGTHENING FAMILIES PROGRAM GRANTS. THE GRANTS FUNDED ORGANIZATIONS TO IMPLEMENT THE EVIDENCE-BASED FAMILY SKILLS TRAINING PROGRAM DESIGNED TO SUPPORT PREVENTION OF SUBSTANCE AND ALCOHOL MISUSE. THE RAPIDES FOUNDATION'S GOALS FOR HEALTHY PEOPLE ARE:ACCESS:OUTCOME #1 - INCREASED MEDICATION COMPLIANCE. REDUCED ADULTS REPORTING COST AS BARRIER FOR PRESCRIPTIONS. OUTCOME #2 - INCREASED EARLY DETECTION OF CANCER. INCREASED SCREENING RATES FOR: MAMMOGRAPHY TO 80%, CERVICAL TO 82%, AND COLON CANCER TO 69%.OUTCOME #3 - INCREASED QUALITY OF PRIMARY CARE. REDUCE ADULTS REPORTING BARRIERS TO FINDING A DR TO 12%. STABILIZE PREVALENCE OF CHRONIC DISEASE: HEART DISEASE, CANCER, AND DIABETES.OUTCOME #4 - REDUCED SHORTAGES IN MEDICAL STAFF. INCREASE % SHARE OF HEALTHCARE EMPLOYMENT.HEALTHY BEHAVIORS:OUTCOME #1 - INCREASED CONSUMPTION OF HEALTHY FOODS AND INCREASED ACTIVE LIVING INCREASE MEETING PHYSICAL ACTIVITY RECOMMENDATIONS: FOR ADULTS TO 20% AND FOR YOUTH TO 42%. INCREASE ADULTS CONSUMING 5+ SERVINGS OF FRUITS AND VEGETABLES DAILY TO 30%. INCREASE YOUTH CONSUMING 5+ FRUITS/VEGETABLES SERVINGS DAILY TO 17%. OUTCOME #2 - REDUCED INITIATION AND INCREASED CESSATION FOR SMOKING, ALCOHOL, AND SUBSTANCES DECREASE INITIATION BEFORE AGE 13 TO 6% FOR SMOKING, 22% FOR ALCOHOL, 5% FOR MARIJUANA. DECREASE LIFETIME USE IN YOUTH TO 22% FOR SMOKING, 53% FOR ALCOHOL, AND 41% FOR SUBSTANCES. INCREASE SMOKING QUIT ATTEMPTS IN ADULTS AND IN YOUTH TO 58%.

4c	(Code: ) (Expenses $ 6,517,854 including grants of $ 3,147,434 ) (Revenue $ 0 )
	EDUCATION -- DURING 2024, THE RAPIDES FOUNDATION PROVIDED $1.5 MILLION IN GRANTS TO THE NINE PUBLIC SCHOOL DISTRICTS IN TRF'S SERVICE AREA. THE GRANTS WERE USED FOR TARGETED PROFESSIONAL DEVELOPMENT, COACHING AND MENTORING OF TEACHERS; LEADERSHIP DEVELOPMENT FOR ADMINISTRATORS; AND FUNDING TO ALLOW THE DISTRICTS TO PARTICIPATE IN INSTITUTES PROVIDED BY THE ORCHARD FOUNDATION. THE ORCHARD FOUNDATION'S WORK IN COLLEGE AND CAREER READINESS ENCOMPASSES THREE AREAS THE CENLA WORK READY NETWORK, COLLEGE AND CAREER COACHING FOR HIGH SCHOOL STUDENTS, AND JUMP START PROGRAMS TO EXPOSE CENLA EDUCATORS AND STUDENTS TO CAREER OPPORTUNITIES IN THE CENTRAL LOUISIANA REGION. THE CENLA WORK READY NETWORK IS A SYSTEM DESIGNED TO LINK EDUCATION WITH WORKFORCE DEVELOPMENT EFFORTS AND ALIGN THEM WITH REGIONAL ECONOMIC NEEDS. DURING 2024, ALL PUBLIC HIGH SCHOOLS IN THE FOUNDATION'S SERVICE AREA, CENTRAL LOUISIANA TECHNICAL COMMUNITY COLLEGE CAMPUSES, AND REGIONAL BUSINESS AND CAREER SOLUTIONS CENTERS ACCESSED ACT'S WORKKEYS CURRICULUM, A CAREER TRAINING COURSE THAT PREPARES STUDENTS FOR CERTIFICATION WITH WORKKEYS ASSESSMENTS. WORKKEYS IS A JOB SKILLS ASSESSMENT SYSTEM MEASURING REAL WORLD SKILLS THAT EMPLOYERS BELIEVE ARE CRITICAL TO JOB SUCCESS. WORKKEYS ASSESSES THREE CORE AREAS: APPLIED MATHEMATICS; WORKPLACE DOCUMENTS; AND GRAPHIC LITERACY; WHICH DETERMINES A STUDENT'S NATIONAL CAREER READINESS CERTIFICATE (NCRC) LEVEL, AN OBJECTIVE DOCUMENTATION OF AN EMPLOYEE'S SKILLS THAT CAN BE ACCEPTED NATIONWIDE. DURING THE 2023-2024 SCHOOL YEAR, 4,146 STUDENTS PARTICIPATED IN ACT'S WORKKEYS CURRICULUM TRAINING, AND 5,040 NATIONAL CAREER READINESS CERTIFICATES WERE EARNED BY CENLA RESIDENTS. IN 2024, THE ORCHARD FOUNDATION CONTINUED ITS PARTNERSHIP WITH THE LOUISIANA CENTRAL, CENTRAL LOUISIANA'S REGIONAL ECONOMIC DEVELOPMENT ORGANIZATION, TO ASSIST EMPLOYERS IN UTILIZING WORKKEYS AND THE NCRC IN THEIR HIRING PROCESSES. ALL NINE PARISHES IN THE ORCHARD FOUNDATION SERVICE AREA ARE ACT CERTIFIED WORK READY COMMUNITIES: ALLEN, AVOYELLES, CATAHOULA, GRANT, LASALLE, NATCHITOCHES, RAPIDES, VERNON, AND WINN. DURING THE 2023-2024 SCHOOL YEAR, THE ORCHARD FOUNDATION PARTNERED WITH CAREER COMPASS OF LA TO WORK WITH AREA SCHOOL DISTRICTS TO PROVIDE COLLEGE AND CAREER COACHING SERVICES IN ALL HIGH SCHOOLS AND MIDDLE SCHOOLS IN THE SERVICE REGION. A TOTAL OF 4,870 STUDENTS WERE SEEN IN GRADES 8 THROUGH 12 BY COLLEGE AND CAREER COACHES. CAREER SEMINARS WERE ATTENDED BY ANOTHER 21,463 STUDENTS IN GRADES 6 THROUGH 12. 95.38% OF THE SENIORS COUNSELED APPLIED TO A POSTSECONDARY PROGRAM. THE WORKPLACE EXPERIENCE EXCHANGE (WEE) CAMPS GIVE TEACHERS THE OPPORTUNITY TO ENGAGE IN BUSINESS AND INDUSTRY ACTIVITIES TO LEARN HOW CLASSROOM CONTENT AND LEARNING STRATEGIES ARE APPLIED IN THE WORKPLACE. THREE SEPARATE WEE CAMPS WERE HELD IN SUMMER 2024: WEE CAMP I, WEE CAMP II, AND WEE CAMP ELEMENTARY. A TOTAL OF 57 TEACHERS PARTICIPATED IN THE CAMPS AND COMPLETED A SMALL GROUP ACTIVITY ON THE FINAL DAY THAT INCLUDED A PRESENTATION OF A CAREER LESSON PLAN. ORCHARD HELD ITS ANNUAL STUDENTS EXPLORING CAREER OPPORTUNITIES EXPO (SECO) IN LATE FALL 2024. SECO IS A TWO-DAY EVENT THAT INTRODUCES 10TH GRADERS TO CAREER POSSIBILITIES. A TOTAL OF 2,306 STUDENTS PARTICIPATED. 66 VOLUNTEERS ASSISTED AND 70 EXHIBITS WERE AVAILABLE FOR STUDENTS TO ENGAGE WITH INDUSTRY PARTNERS. IN THE 2023-2024 ACADEMIC YEAR, THE ORCHARD FOUNDATION CONTINUED TO ADMINISTER SCHOOL READINESS INSTITUTES FOR CENTRAL LOUISIANA PRE-K, HEAD START AND CHILDCARE PROVIDERS THAT PARTICIPATE IN THE STATE OF LOUISIANA'S EARLY CHILDHOOD COMMUNITY NETWORKS. THE NETWORKS SEEK TO EXPAND ACCESS TO HIGH QUALITY, PUBLICLY FUNDED EARLY CHILDHOOD EDUCATION PROGRAMS. IN THE SCHOOL YEAR 2023-2024, ORCHARD ADMINISTERED 11 TRAININGS REACHING 134 EDUCATORS AND PROVIDERS. TO EXPAND COACHING CAPACITY IN THE REGION, ORCHARD PROVIDES OPPORTUNITIES FOR INDIVIDUALS TO BECOME CERTIFIED AS MAKING THE MOST OF CLASSROOM INTERACTIONS (MMCI) / CLASS GROUP COACHING (CGC) INSTRUCTORS THROUGH TEACHSTONE. TOF'S CURRENT MMCI INSTRUCTORS HAVE CONTINUED TO PROVIDE MMCI WORKSHOPS THROUGHOUT THE REGION. ORCHARD HAS TRAINED A TOTAL OF 20 PRE-K INSTRUCTORS FOR THE REGION, AND 7 IN INFANT/TODDLER. THE ORCHARD FOUNDATION CREATED AND LED TWO FAMILY EARLY LITERACY PROGRAMS, READ TO SOAR AND MATH TO BUILD ON. IN 2024, ORCHARD LED 15 READ TO SOAR WORKSHOPS, REACHING 187 CHILDREN FROM 143 FAMILIES. 4,200 BOOKS WERE DISTRIBUTED TO PARTICIPANTS. ORCHARD ALSO LED 12 MATH TO BUILD ON WORKSHOPS IN 2024, REACHING 137 CHILDREN FROM 102 FAMILIES. 2,935 BOOKS WERE DISTRIBUTED TO PARTICIPANTS. THE ORCHARD FOUNDATION CREATED AND DELIVERED TWO ENHANCED COACHING PROGRAMS FOR EARLY LEARNING CENTER DIRECTORS: ENHANCED INSTRUCTIONAL LEADERSHIP INSTITUTE FOR EARLY LEARNING LEADERS (E-ILI) AND ENHANCED BUSINESS LEADERSHIP INSTITUTE FOR EARLY LEARNING LEADERS (E-BLI). BOTH INSTITUTES ARE DESIGNED FOR EARLY LEARNING CENTER LEADERS IN ANY SETTING. FAMILY CHILDCARE, TYPE I, II, AND III CENTERS, AND HEAD START AND EARLY HEAD START DIRECTORS WHO HAVE COMPLETED OUR COACHING PROGRAMS, BUSINESS LEADERSHIP INSTITUTE AND INSTRUCTIONAL LEADERSHIP INSTITUTE, ARE ELIGIBLE TO PARTICIPATE. EACH INSTITUTE RUNS FOR 10 MONTHS, WITH SESSIONS BEGINNING IN AUGUST AND ENDING IN MAY. EACH MODULE BEGINS WITH A READ AND REFLECT ASSIGNMENT, FOLLOWED BY A WHOLE-GROUP CONTENT SESSION. THESE SESSIONS ARE FOLLOWED BY ONE-ON-ONE COACHING ON THE CONTENT AND ASSIGNMENTS. THE MAXIMUM CAPACITY FOR THE E-ILI AND E-BLI COHORTS IS 15. IN THE 2023-2024 ACADEMIC YEAR, 8 EARLY LEARNING CENTER DIRECTORS COMPLETED E-ILI, AND 7 EARLY LEARNING CENTER DIRECTORS COMPLETED E-BLI. THE ORCHARD FOUNDATION HOSTED A COHORT OF 29 CHILDCARE DIRECTORS IN 2023-2024 TO PARTICIPATE IN A SCIENCE OF READING TRAINING, GROWING READING BRAINS. THE PROGRAM RAN FROM AUGUST TO MAY AND PROVIDED EDUCATORS AND LEADERS WITH NEARLY 40 HOURS OF PRACTICAL PROFESSIONAL DEVELOPMENT, WHICH WAS IMMEDIATELY APPLICABLE TO THE EARLY CHILDHOOD CLASSROOM. DURING 2023-2024, THE ORCHARD FOUNDATION COORDINATED KAGAN INSTRUCTIONAL INSTITUTES FOR 43 AREA EDUCATORS. THE INSTITUTES FEATURED HANDS-ON CURRICULUM AND MATERIALS THAT ARE ENGAGING, RIGOROUS AND MOTIVATING FOR STUDENTS AND THAT CAN IMMEDIATELY BE BROUGHT BACK INTO THE CLASSROOM AND IMPLEMENTED IN A COOPERATIVE LEARNING MODEL. ORCHARD ALSO HELD TRAININGS FOR NEW AND ASPIRING LEADERS IN AREA SCHOOLS. THE PROGRAM IS DESIGNED FOR TEACHERS WHO ARE DEDICATED TO IMPROVING THE BEST PRACTICES IN INSTRUCTION AND LEADERSHIP. 77 PARTICIPANTS WERE TRAINED IN THE 5 DIMENSIONS OF TEACHING AND LEARNING FRAMEWORK BY THE UNIVERSITY OF WASHINGTON CENTER FOR EDUCATIONAL LEADERSHIP. THROUGHOUT THE YEAR THEY HAD THE OPPORTUNITY TO COLLABORATE AND OBSERVE OTHERS TO DEVELOP THE EXPERTISE NEEDED TO RECOGNIZE HIGH QUALITY INSTRUCTION. THE LEADING FOR BETTER INSTRUCTION PROGRAM ALLOWS ASSISTANT PRINCIPALS AND PRINCIPALS TO DEVELOP THEIR LEADERSHIP SKILLS IN GUIDING AND SUPPORTING TEACHERS' PROFESSIONAL LEARNING. 55 ASSISTANT PRINCIPALS AND PRINCIPALS WERE ALSO TRAINED IN THE 5 DIMENSIONS OF TEACHING AND LEARNING AND 4 DIMENSIONS OF INSTRUCTIONAL LEADERSHIP. A DISTRICT LEADERS/SUPERINTENDENTS NETWORK WAS ESTABLISHED TO PROVIDE SESSIONS FOR SUPERINTENDENTS AND KEY CENTRAL OFFICE LEADERS, FOCUSED ON THE ROLE OF CENTRAL OFFICE LEADERSHIP IN DEVELOPING AND SUPPORTING PRINCIPAL INSTRUCTIONAL LEADERSHIP. 62 LEADERS PARTICIPATED.THE RAPIDES FOUNDATION'S GOALS FOR ITS EDUCATION WORK ARE: OUTCOME #1 INCREASED ACADEMIC PERFORMANCE IN PREK-12 INCREASE 3RD & 8TH GRADE STUDENT ACHIEVEMENT AT BASIC FOR CORE SUBJECTS TO 75%. INCREASE 3RD & 8TH GRADE STUDENT ACHIEVEMENT AT MASTERY FOR CORE SUBJECTS TO 27.5%. INCREASE AVERAGE ACT SCORE FOR HIGH SCHOOL STUDENTS TO 19.2. INCREASE HIGH SCHOOL STUDENTS ACHIEVING AP SCORES >3 TO 43%. OUTCOME #2 - IMPROVED SCHOOL READINESS FOR YOUTH AGES 0-6 YEARS OLD. INCREASE KINDERGARTEN READINESS TO 13%.OUTCOME #3 - ENHANCED CAREER AND POSTSECONDARY READINESS FOR HIGH SCHOOL STUDENTS. INCREASE FRESHMEN ENROLLMENT IN 2- & 4-YEAR INSTITUTIONS TO 55%. INCREASE CAREER CERTIFICATIONS TO 4,500. INCREASE GOLD NCRCS TO 900 & PLATINUM NCRCS TO 600.

	(Code: ) (Expenses $ 0 including grants of $ 2,890,902 ) (Revenue $ 0 )
	HEALTHY COMMUNITIES -- HEALTHY COMMUNITIES FOCUSES ON IMPROVING ECONOMIC OPPORTUNITY AND FAMILY INCOME; AND ENHANCING CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE LEADERS AND ORGANIZATIONS. IT CONSIST OF THE ECONOMIC ENVIRONMENT INITIATIVE AND THE SOCIAL ENVIRONMENT INITIATIVE. THE RAPIDES FOUNDATION'S ECONOMIC ENVIRONMENT INITIATIVE MAKES THE LINK BETWEEN HEALTHY ECONOMIES AND HEALTHY PEOPLE. HEALTHY ECONOMIES WITH LOW UNEMPLOYMENT RATES AND HIGHER WAGE JOBS PROVIDE PEOPLE WITH THE MEANS TO PURCHASE MEDICAL INSURANCE, MAKE BETTER HEALTHCARE CHOICES AND LIVE HEALTHIER LIFESTYLES. THE WORK THAT TAKES PLACE UNDER THE ECONOMIC ENVIRONMENT INITIATIVE IS DESIGNED TO HELP RAISE THE STANDARD OF LIVING IN CENTRAL LOUISIANA BY IMPROVING THE REGION'S CAPACITY TO PRODUCE HIGHER WAGE JOBS FOR ALL INCOME LEVELS AND GENERATE MORE WEALTH IN ITS COMMUNITIES. TRF CONTINUED TO MONITOR THE WORK OF LOUISIANA CENTRAL'S 2022 INFRASTRUCTURE GRANT AND THE BUSINESS ACCELERATION SYSTEM (BAS) GRANT. THE INFRASTRUCTURE GRANT SUPPORTS LOUISIANA CENTRAL, AS THE VEHICLE TO BUILD COOPERATION, COORDINATION, TEAMWORK, AND SOCIAL COHESIVENESS FOR REGIONAL ECONOMIC DEVELOPMENT OBJECTIVES. THESE EFFORTS ARE KEY TO BUSINESS EXPANSION, RETENTION AND RECRUITMENT IN CENTRAL LOUISIANA. THE BAS PROVIDES TECHNICAL ASSISTANCE, COACHING AND MENTORING SERVICES FOR ENTREPRENEURS AND SMALL BUSINESS OWNERS WHO WANT TO START OR GROW THEIR BUSINESSES. CENTRAL LOUISIANA MAINTAINED ITS STATUS AS A FULLY ACT WORK READY CERTIFIED REGION. THIS CERTIFICATION DEMONSTRATES THE HIGH LEVEL OF SKILLS IN OUR WORKFORCE. MAINTAINING THIS STATUS RELIES HEAVILY ON BUILDING A GROWING BASE OF EMPLOYEES AND POTENTIAL EMPLOYEES WHO HAVE EARNED ACT'S NATIONAL CAREER READINESS CERTIFICATE. THESE IMPORTANT, NATIONALLY PORTABLE CREDENTIAL SHOWS EMPLOYERS THE CALIBER OF SKILLS DEMONSTRATED BY POTENTIAL EMPLOYEES. ALL OF THIS ENHANCES CENTRAL LOUISIANA'S ABILITY TO RECRUIT, RETAIN AND EXPAND BUSINESSES WITHIN THE REGION. TRF'S SOCIAL ENVIRONMENT INITIATIVE ADDRESSES SOCIAL CAPITAL BY SUPPORTING LEADERSHIP AND NONPROFIT DEVELOPMENT AND INCREASED COMMUNITY AND CIVIC ENGAGEMENT THROUGH FOUNDATION FUNDING PROVIDED TO ITS COMMUNITY DEVELOPMENT WORKS PROGRAM. COMMUNITY DEVELOPMENT WORKS PROVIDES AN INTEGRATED APPROACH TO ENHANCE CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE NONPROFIT LEADERS AND ORGANIZATIONS. ITS STRATEGIES SEEK TO FOSTER INCREASED COMMUNITY AND CIVIC ENGAGEMENT, DEVELOP ENHANCED LEADERSHIP SKILLS AND IMPROVE THE EFFECTIVENESS OF NONPROFIT ORGANIZATIONS. IN 2017, CDW EXTENDED ITS REACH TO THE YOUTH OF CENTRAL LOUISIANA WITH THE LAUNCH OF MY CIVIC LIFE, A CIVIC ENGAGEMENT AND SERVICE LEADERSHIP PROGRAM FOR HIGH SCHOOL STUDENTS MODELED ON AN EVIDENCE-BASED PROGRAM. THE MY CIVIC LIFE PROGRAM PROVIDES HIGH SCHOOL STUDENTS WITH LEADERSHIP AND VOLUNTEER SERVICE OPPORTUNITIES THROUGH THEIR PARTICIPATION IN SCHOOL-BASED COMMUNITY SERVICE CLUBS CALLED YOUTH VOLUNTEER CORPS (YVC) CLUBS. THE YVC CLUBS PERFORM SERVICE PROJECTS THROUGHOUT THE SCHOOL YEAR FOLLOWING THE NATIONALLY RECOGNIZED YOUTH VOLUNTEER CORPS MODEL. IN THE 2023-2024 ACADEMIC YEAR, THE FOUNDATION FUNDED YVC CLUBS IN 18 SCHOOLS, WITH 386 STUDENTS PARTICIPATING IN OVER 78 COMMUNITY SERVICE PROJECTS. CDW ALSO CONTINUED TO OFFER ITS FREE, SKILL-BUILDING TRAININGS ON A WIDE VARIETY OF TOPICS FOR PEOPLE INTERESTED IN IMPROVING THEIR COMMUNITIES. CDW WORKSHOPS ARE TARGETED FOR NONPROFIT STAFF AND VOLUNTEERS, FOR PEOPLE IN THE COMMUNITY WHO ARE LOOKING TO CREATE NONPROFITS, OR INDIVIDUALS WHO ARE TRYING TO CREATE A COMMUNITY PROJECT THAT ADDRESSES A NEED IN THEIR COMMUNITY. IN 2024, CDW OFFERED FREE TRAININGS BOTH ONLINE AND ON-SITE TO 147 INDIVIDUALS. IN-HOUSE WORKSHOPS AND WEBINARS ARE HELD IN THE SPRING AND FALL, SO THAT PARTICIPANTS CAN EXPAND THEIR KNOWLEDGE IN AREAS SUCH AS FUND DEVELOPMENT, EVALUATION AND GRANT PROPOSAL WRITING. CDW'S LEARNING LAB IS OPEN TO THE PUBLIC AND PROVIDES A VALUABLE RESOURCE FOR NONPROFITS AND INDIVIDUALS SEEKING INFORMATION ABOUT GRANTS, BOARD GOVERNANCE AND OTHER RESOURCES NEEDED TO SUPPORT THEIR CITIZEN-LED COMMUNITY DEVELOPMENT EFFORTS. TEN COMMUNITY LEADERS PARTICIPATED IN THE POPULAR CENLA BOARDBUILDERS PROGRAM IN 2024. CENLA BOARDBUILDERS IS A LEADERSHIP DEVELOPMENT PROGRAM FOR EMERGING LEADERS TO BECOME ACTIVE IN THEIR COMMUNITIES AS MEMBERS OF LOCAL NONPROFIT BOARDS. PARTICIPANTS ARE TRAINED THROUGH A SERIES OF SESSIONS ON THE ROLES AND RESPONSIBILITIES OF AN EFFECTIVE BOARD MEMBER. EMPLOYER PARTNERS PARTICIPATE BY ALLOWING THEIR EMPLOYEE TIME OFF DURING WORK HOURS TO ATTEND TRAINING SESSIONS AND BOARD MEETINGS. NONPROFIT PARTNERS CONNECT WITH CENLA BOARDBUILDERS GRADUATES TO OFFER BOARD SERVICE OPPORTUNITIES. THE 2024 GRADUATES ARE NOW SERVING ON BOARDS THROUGHOUT CENTRAL LOUISIANA, AND THEY JOIN A GROUP OF 264 CENLA BOARDBUILDERS ALUMNI.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 0 including grants of $ 2,890,902 ) (Revenue $ 0 )
4e	Total program service expenses10,176,406

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) KAYREN SEGALL........................................................................ DIR OF ADMIN	40.00 .......................	X		200,757	0	38,418
(19) AKESHIA SINGLETON........................................................................ DIR OF EVALUATION	40.00 .......................		X	131,190	0	28,429
(20) KATHY GUNN........................................................................ DIR OF COMMUNICATIONS	40.00 .......................		X	99,898	0	22,089

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,108,221	0	172,511

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE RAPIDES FOUNDATION (TRF) IS TO IMPROVE THE HEALTH STATUS OF CENTRAL LOUISIANA. TRF IS A MEMBER OF RAPIDES HEALTHCARE SYSTEM LLC, WHICH OWNS AND OPERATES RAPIDES REGIONAL MEDICAL CENTER, A 346-BED HOSPITAL IN ALEXANDRIA. ADDITIONALLY, TRF PROVIDES FUNDING FOR PROJECTS WHICH EFFECTIVELY ADDRESS THE FOLLOWING PHILANTHROPIC OBJECTIVES: HEALTHY PEOPLE TO IMPROVE ACCESS TO HEALTHCARE AND PROMOTE HEALTHY BEHAVIORS. EDUCATION TO INCREASE THE LEVEL OF EDUCATIONAL ATTAINMENT AND ACHIEVEMENT AS THE PRIMARY PATH TO IMPROVED ECONOMIC, SOCIAL AND HEALTH STATUS. HEALTHY COMMUNITIES TO IMPROVE ECONOMIC OPPORTUNITY AND FAMILY INCOME; AND ENHANCE CIVIC AND COMMUNITY OPPORTUNITIES FOR MORE EFFECTIVE LEADERS AND ORGANIZATIONS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	32
6	Total number of volunteers (estimate if necessary) .............	6	15
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a
b
c
d
e
f	All other program service revenue.		-2,726,285	10,879	-2,737,164
g	Total. Add lines 2a–2f .....		-2,726,285

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,534,991			6,534,991
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	6,446,568
b	Less: cost or other basis and sales expenses	7b	0
c	Gain or (loss)	7c	6,446,568
d	Net gain or (loss).........			6,446,568			6,446,568
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			10,255,274	10,879	0	10,244,395

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	6,534,393	6,534,393
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,108,221	428,563	679,658
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	428,516	112,701	315,815
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	160,050	33,083	126,967
9	Other employee benefits .......	192,075	43,419	148,656
10	Payroll taxes ...........	101,401	21,599	79,802
11	Fees for services (non-employees):
a	Management ......	269,136	82,091	187,045
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	483,298	359,494	123,804
13	Office expenses .......	37,140	7,356	29,784
14	Information technology ......	227,635	50,597	177,038
15	Royalties ..
16	Occupancy ...........	131,875	44,329	87,546
17	Travel ............	53,220	49,967	3,253
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	195,771	45,606	150,165
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	38,515	6,646	31,869
23	Insurance ...	51,427	8,874	42,553
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	CONTRACT SERVICES	2,140,629	2,092,872	47,757
b	PROGRAM SUPPLIES	247,644	247,644
c	MEMBERSHIPS & DUES	29,912	5,162	24,750
d	OTHER	11,647	2,010	9,637
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	12,442,505	10,176,406	2,266,099	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			3,772,008	1	3,110,695
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			578,525	4	662,967
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			198,387	9	134,428
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,369,426
b	Less: accumulated depreciation	10b	2,812,259	1,608,182	10c	1,557,167
11	Investments—publicly traded securities .			305,727,891	11	326,342,779
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			40,707,266	13	30,707,211
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			405,713	15	541,381
16	Total assets. Add lines 1 through 15 (must equal line 33)...			352,997,972	16	363,056,628

17	Accounts payable and accrued expenses .....	1,423,143	17	603,019
18	Grants payable ...	20,329,803	18	14,028,188
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	659,726	25	716,450
26	Total liabilities. Add lines 17 through 25..	22,412,672	26	15,347,657

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	330,585,300	27	347,708,971
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	330,585,300	32	347,708,971
33	Total liabilities and net assets/fund balances ........	352,997,972	33	363,056,628

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOSEPH R ROSIER JR PRESIDENT & CEO	(i) (ii)	476,964 ------------- 0	0 ------------- 0	0 ------------- 0	30,500 ------------- 0	13,140 ------------- 0	520,604 ------------- 0	0 ------------- 0
2ASHLEY STEWART DIR OF PROGRAMS	(i) (ii)	199,412 ------------- 0	0 ------------- 0	0 ------------- 0	21,426 ------------- 0	18,509 ------------- 0	239,347 ------------- 0	0 ------------- 0
3KAYREN SEGALL DIR OF ADMIN	(i) (ii)	200,757 ------------- 0	0 ------------- 0	0 ------------- 0	20,396 ------------- 0	18,022 ------------- 0	239,175 ------------- 0	0 ------------- 0
4AKESHIA SINGLETON DIR OF EVALUATION	(i) (ii)	131,190 ------------- 0	0 ------------- 0	0 ------------- 0	13,119 ------------- 0	15,310 ------------- 0	159,619 ------------- 0	0 ------------- 0
5KATHY GUNN DIR OF COMMUNICATIONS	(i) (ii)	99,898 ------------- 0	0 ------------- 0	0 ------------- 0	4,573 ------------- 0	17,516 ------------- 0	121,987 ------------- 0	0 ------------- 0

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE RAPIDES FOUNDATION'S TRUSTEES ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE RAPIDES FOUNDATION'S TRUSTEES, WHO ARE THE MEMBERS OF THE ORGANIZATION, HOLD AN ANNUAL MEETING EACH DECEMBER TO ELECT NEW MEMBERS OF THE ORGANIZATION. EACH TRUSTEE, OR MEMBER, IS ELECTED FOR A TERM OF THREE YEARS AND MAY BE RE-ELECTED FOR ONE ADDITIONAL TERM.
FORM 990, PART VI, SECTION B, LINE 11B	A FINAL COPY OF THE FORM 990 IS FURNISHED TO THE AUDIT COMMITTEE OF THE RAPIDES FOUNDATION BOARD (TRF) FOR REVIEW AND APPROVAL, AND A MEETING IS HELD TO DISCUSS THE FORM 990 IN DETAIL. THE MEETING IS ATTENDED BY STAFF THAT ASSISTED IN COMPILING THE FORM, AS WELL AS, REPRESENTATIVES OF THE EXTERNAL ACCOUNTING FIRM WHO COMPILED THE FORM. ALL TRF BOARD MEMBERS RECEIVE THE FINAL FORM 990 COPY WHEN IT IS SENT TO THE AUDIT COMMITTEE, AND ALL BOARD MEMBERS ARE INVITED TO ATTEND THE AUDIT COMMITTEE MEETING TO REVIEW THE FORM IN DETAIL.
FORM 990, PART VI, SECTION B, LINE 12C	THE RAPIDES FOUNDATION HAS BOTH A "STAFF CODE OF ETHICS AND CONDUCT AND A "TRUSTEE CODE OF ETHICS AND CONDUCT," BOTH OF WHICH DEFINE AND DESCRIBE ACTIONS TO BE TAKEN IN THE EVENT OF CONFLICTS OF INTEREST. THE "STAFF CODE OF ETHICS AND CONDUCT" IS MONITORED AND ENFORCED THROUGH ORGANIZATIONAL PROCEDURES, CONTROLS AND DAILY SUPERVISION OF EMPLOYEES BY THE NEXT LEVEL OF MANAGEMENT. THE "TRUSTEE CODE OF ETHICS AND CONDUCT" IS MONITORED AT EACH TRUSTEE BOARD AND COMMITTEE MEETING, BECAUSE THE FIRST AGENDA ITEM IS ONE IN WHICH THE MEETING CHAIRMAN ASKS TRUSTEES TO DISCLOSE ANY POTENTIAL CONFLICTS WITH LISTED AGENDA ITEMS. A TRUSTEE THAT HAS A POTENTIAL CONFLICT OF INTEREST WITH A MATTER THAT COMES BEFORE THE BOARD OR COMMITTEE IS REQUIRED TO LEAVE THE ROOM BEFORE THE MATTER IS DISCUSSED, AND A MAJORITY VOTE OF THE REMAINING DISINTERESTED BOARD TRUSTEES DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THEN THE CONFLICTED TRUSTEE IS NOT ALLOWED TO BE PRESENT DURING BOARD DISCUSSION NOR VOTE ON THE ISSUE CREATING THE CONFLICT. EACH YEAR, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE TO DISCLOSE BUSINESS AND PERSONAL RELATIONSHIPS THAT COULD BE POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE RAPIDES FOUNDATION BOARD COMPENSATION COMMITTEE, WHICH IS COMPOSED OF THE INDEPENDENT MEMBERS OF ITS EXECUTIVE COMMITTEE, PERIODICALLY ENGAGES A THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE MARKET INFORMATION CONCERNING PAY AND BENEFITS AND MAKE COMPENSATION STRUCTURE RECOMMENDATIONS FOR ALL ORGANIZATION POSITIONS. THE CONSULTANT IS PROVIDED WITH JOB DESCRIPTIONS FOR ALL JOB POSITIONS. THE CONSULTANT THEN COMPARES THOSE JOBS WITH SIMILAR POSITIONS AT SIMILAR TYPES AND SIZES OF ORGANIZATIONS. THE CONSULTANT MEETS WITH THE COMPENSATION COMMITTEE AND PROVIDES THE COMPARISON DATA, ALONG WITH THEIR RECOMMENDATIONS FOR PAY RANGES FOR EACH POSITION (MINIMUM, MIDPOINT, MAXIMUM). RECOMMENDATIONS ARE BASED UPON MARKET AVERAGES OF SIMILAR TYPES AND SIZES OF ORGANIZATIONS. IN INTERIM YEARS, INCREASES IN PAY RANGES ARE RECOMMENDED TO THE BOARD BY MANAGEMENT BASED ON SURVEY INFORMATION OF SIMILAR ORGANIZATIONS. THE CEO RECOMMENDS A SALARY BUDGET FOR EMPLOYEES OF THE RAPIDES FOUNDATION AND ITS SUPPORTING ORGANIZATIONS TO THE COMPENSATION COMMITTEE FOR APPROVAL. THE COMPENSATION COMMITTEE INDEPENDENTLY DISCUSSES ITS RECOMMENDATIONS FOR CEO PAY.
FORM 990, PART VI, SECTION C, LINE 19	THE RAPIDES FOUNDATION MISSION, PHILANTHROPIC OBJECTIVES, GUIDING ORGANIZATIONAL PRINCIPLES, STAFF CODE OF ETHICS AND CONDUCT, TRUSTEE CODE OF ETHICS AND CONDUCT, AND ANNUAL REPORT (INCLUDING FINANCIAL STATEMENTS) ARE ALL AVAILABLE ON THE ORGANIZATION'S WEBSITE AT WWW.RAPIDESFOUNDATION.ORG.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.