At one point the Louisiana State University Health Care System was the 9th largest health care system in the nation. R-S-I was contracted to manage the evacuation and re-patriation of the nine of their gulf coast facilities. Within our second year, we did just that. While working hand and hand with system leadership, we were able to manage the safe transport of the patients to designated facilities utilizing both ground and air medical assets. The success of the operation was highly praised by the University leadership.