The recipient entity's physical address:
           602 N. Acadia Road
Thibodaux, LA 70301

The recipient entity's mailing address (if different):
           602 N. Acadia Road
Thibodaux, LA 70301

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          Stephen G. Peltier

The last four digits of the entity's taxpayer ID number:  6902

What is the dollar amount of the request?  $19,801,708

What type of request is this?  Both

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           David Wade Elias, MD, Member, 144 Acadia Woods Drive, Thibodaux, LA 70301 Francis Charles Richard, Member, 1606 Hwy 1, Thibodaux, LA 70301
Raja Talluri, MD, Member, 100 Nicholls Drive, Thibodaux, LA 70301
Obie Cleveland, PhD, Member, 2130 Hwy 3185, Thibodaux, LA 70301
Jacob Anthony Giardina, Sr., Chairman, 918 East First Street, Thibodaux, LA 70301
Gregory K Stock, CEO/Secretary, 2349 Saint Mary Street, Thibodaux, LA 70301

Provide a summary of the project or program:
           Update the facility's critical infrastructure systems to enable the health care facility to remain fully functional during hurricanes and other disasters and catastrophic events. This will enable the facility to provide for the health care needs of approximately 300,000 citizens who are served by the facility. This involves power systems, cooling systems, medical air, vacuums and pump systems.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $19,801,708
          Major Repairs . . . . . . . $0
          Operating Services. . . . $0
          Other Charges. . . . . . . $0

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Thibodaux Regional Health System serves Lafourche and surrounding areas as part of the "Hospital of Last Resort" program. It has become the only hospital in a five-parish region to remain open and fully operational in providing emergency medical services during catastrophic weather events. It is also the only hospital in the region with full services to care for the community. In order to
remain fully functional during catastrophic events, the facility's critical infrastructure systems must be updated. Thibodaux Regional
Health System is requesting immediate consideration to replace critical generators, chillers and various other equipment needed to
sustain an entire hospital during catastrophic events. During Hurricane Ida this need for update became more evident as we saw
the current emergency power systems pushed to the limit. Thibodaux Regional Health System has provided emergency health care services for a 5 parish area for the last 25 years. This is true when other area providers have closed during catastrophic weather events. Four area hospitals closed during Hurricane Ida and Thibodaux Regional Health System provided care for very large numbers of area residents for an extended period of time.

What are the goals and objectives for achieving such purpose?
          Make critical and necessary upgrades and improvements in order to be able to provide vital healthcare services to the people in the region during the aftermath of severe weather events and other catastrophic events.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Two years

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 N/A
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 N/A

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 N/A

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  N/A

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               N/A

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               N/A

          Provide the name, address, and office of the official to whom the person is related:
                N/A

          What is the nature of the relationship?  N/A

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 N/A

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               N/A


Contact Information
name:  Gregory K Stock 
                                       address:  602 N Acadia Road
Thibodaux, LA 70301
                                       phone:  985-493-4742
                                       fax:  985-446-5033
                                       e-mail:  Greg.stock@thibodaux.com
                                       relationship to entity:  Chief Executive Officer