2023-05-15T12:16:29-05:00 2022-06-30 910189318 Moss Adams 2882 Prospeck Park Dr Ste 300 Rancho Cordova CA 95670 990 2021-07-01 460517825 Renown South Meadows Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2023-05-13 1 Ann Beck 999009999 Tracy S Paglia P00366884 9165038100 2023-05-13 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Brian Erling 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 182989926 0 X www.renown.org X 2002 NV A 115 bed acute-care hospital and a 62 bed rehabilitation hospital. 12 11 0 4 2936 0 4830008 3414096 160775227 179510894 -635220 -245970 217379 2936 165187394 182681956 0 2595 0 0 63744240 68549031 0 0 0 83174143 99234201 146918383 167785827 18269011 14896129 110673397 128630599 185051267 173632050 -74377870 -45001451 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 131237398 2595 179510894 See Schedule O 131237398 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 11 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Ann Beck 7759826488 1155 Mill St Z-4 Reno NV 89502 Anthony Slonim President/CEO (Jul-Mar) 8.00 52.00 X X 0 2567137 195585 Josiah Johnson - Chief of Staff/President (Mar-Jun) 8.00 52.00 X 0 982301 144520 Dawn Ahner Chief Operating Officer (Jul-Apr) 30.00 30.00 X 0 1038714 38742 Ann Beck Chief Financial Officer 9.00 51.00 X 0 716034 101535 Chris Nicholas VP and Administrator 60.00 0.00 X 279258 0 37632 Kevin Desmond Pharmacy Manager 60.00 0.00 X 200557 0 28043 Thomas Graf - Chief Clinical Quality Officer/CEO (Mar-Jun) 8.00 52.00 X X 0 197909 21404 Seth Langevin - VP and Admin Institute for Neurosciences 60.00 0.00 X 199415 0 15407 Jennifer Crossley - Director of Nursing - Post Acute Care 60.00 0.00 X 169258 0 29117 Jennifer Allen - Director of Nursing - South Meadows 60.00 0.00 X 172770 0 23583 James DeVolld Chair (Jul-Dec)/Director (Jan-Jun) 3.00 9.00 X X 0 43323 0 Alvaro Devia Director (Jul-Dec) 3.00 9.00 X 0 41085 0 G Blake Smith Director (Jul-Dec) 3.00 9.00 X 0 27647 0 Adam Kramer Vice Chair (Jul-Dec)/Chair (Jan-Jun) 3.00 9.00 X X 0 25562 0 Kimberly Cooney Secretary (Jul-Dec) 3.00 9.00 X X 0 24000 0 Harvey Fennell Director (Jul-Dec) 3.00 12.00 X 0 24000 0 Todd McKenzie Treasurer (Jul-Dec) 3.00 9.00 X X 0 24000 0 Jeff Resnik Director 3.00 9.00 X 0 24000 0 Eathan O'Bryant Director (Jul-Mar) 3.00 9.00 X 0 22327 0 Tammy Dermody - Dir Jul-Dec Secretary & Vice Chair (Jan-Jun) 3.00 9.00 X X 0 15000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Steven Johnson Director 3.00 9.00 X 0 15000 0 Mark Knobel Director 3.00 9.00 X 0 15000 0 Christi Matteoni Director 3.00 9.00 X 0 15000 0 Marc Mora Director 3.00 9.00 X 0 15000 0 Michael Peterson Director (Jul-Feb) 3.00 9.00 X 0 15000 0 Joanne Olson Director (Jul-Dec) 3.00 9.00 X 0 6000 0 Bijel Doshi Treasurer (Jan-Jun) 3.00 12.00 X X 0 0 0 Brian Sandoval Director (Aug-Jun) 3.00 9.00 X 0 0 0 1021258 5869039 635568 67 0 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 7460055 Aramark Uniform PO Box 340910 Sacramento CA 958340910 Laundry Services 1601458 Total Renal Care Inc PO Box 8500-1607 Philadelphia PA 19178 Healthcare Services 589218 ARUP Laboratories Inc PO Box 7964 Salt Lake City UT 841270964 Lab Services 409095 Waste Management PO Box 73356 Chicago IL 60673 Waste Services 342564 14 505816 2908280 3414096 Patient Svc Revenue 622110 178584138 178584138 Other Program Support 622110 785507 785507 Cafeteria 722514 141249 141249 179510894 62000 307970 -245970 -245970 -245970 UBI - Landscaping 561730 2936 2936 2936 182681956 179369645 2936 -104721 X 2595 2595 57842906 57064426 778480 10706125 10533386 172739 11011 11011 39715087 11208285 28506802 7536549 4343572 3192977 146261 145793 468 1514748 381691 1133057 7321 3660 3661 35001 29424 5577 2353111 2353111 6760311 4572370 2187941 115521 2524 112997 Medical Supplies 29979606 29979606 Bad Debts 10355984 10355984 Freight 238788 5040 233748 Dues & Subscriptions 162577 69848 92729 302325 175072 127253 167785827 131237398 36548429 0 656183 1419126 21944514 30401446 7519501 4174766 426090 357129 150896501 76747228 67269898 74149273 6662121 5995909 6195090 12132950 110673397 128630599 6401209 7037910 140636436 137076046 38013622 29518094 185051267 173632050 X -74377870 -45001451 -74377870 -45001451 110673397 128630599 X 14896129 14480290 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 11011 0 0 0 11011 0 Schedule C, Part II-B, Line 1f Payments are made to Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 5462783 5462783 75328203 37875115 37453088 2246861 576124 1670737 52285469 38295989 13989480 15573185 15573185 74149273 Miscellaneous Receivables 5291675 Due From Affiliates 813966 Deposits 3738 Right of Usage 6023571 12132950 Bond Interest Payable 424485 Third Party Settlements 90850 Payable to Affiliates 21443107 Operating Lease Liabilities 7236996 Other Liabilities 322656 29518094 X Part X, Line 2: Renown South Meadows Medical Center is organized as a Nevada nonprofit entity and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). This entity must annually file Returns of Organizations Exempt from Income Tax (Form 990) with the IRS. In addition, Renown South Meadows Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown South Meadows Medical Center files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown South Meadows Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the combined financial statements. Renown South Meadows Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 0 1 X 600.000000000000 1 1 1 0 1 1 464557 464557 0.00300 15851144 6012142 9839002 0.06250 16315701 6012142 10303559 0.06550 194892 194892 0.00120 168641 168641 0.00110 363533 363533 0.00230 16679234 6012142 10667092 0.06780 0 10355984 45066191 45050128 16063 X 1 1 2 1 Renown South Meadows Medical Center 10101 Double R Boulevard Reno NV 89521 www.renown.org 2373-HOS X X X 2 Renown Rehabilitation Hospital 1495 Mill St Reno NV 89502 www.renown.org 0657-HOS X Renown South Meadows Medical Center 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 20 1 See Part V, Page 8 0 1 X 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X X 1 X 0 1 Renown Rehabilitation Hospital 2 0 0 1 X X X X X X X X X 20 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 20 1 See Part V, Page 8 0 1 X 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X X 0 X X 0 1 Renown South Meadows Medical Center Part V, Section B, Line 5: Renown used validated and reliable data sources, results from an online survey of 1,400 residents, input from local subject matter experts and feedback from over 80 leaders and stakeholders who participated in a community workshop. Renown Rehabilitation Hospital Part V, Section B, Line 5: Renown used validated and reliable data sources, results from an online survey of 1,400 residents, input from local subject matter experts and feedback from over 80 leaders and stakeholders who participated in a community workshop. Renown South Meadows Medical Center Part V, Section B, Line 6a: Renown Regional Medical Center and Renown Rehabilitation Hospital Renown Rehabilitation Hospital Part V, Section B, Line 6a: Renown Regional Medical Center and Renown South Meadows Medical Center Renown South Meadows Medical Center Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown Rehabilitation Hospital Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown South Meadows Medical Center Part V, Section B, Line 11: The prioritized health needs identified in its 2018-2020 CHNA include: Priority 1: Healthy Behaviors (Health Literacy and System Navigation);Priority 2: Immunizations and Infectious Diseases; andPriority 3: Behavioral, Youth, and Adolescent Health (Mental Health, Substance Abuse, and Youth/Adolescent Health).PRIORITY 1: HEALTHY BEHAVIORS (HEALTH LITERACY AND SYSTEM NAVIGATION) Overarching Goal Statement: Early and Equitable Access to Genetic Screening and Application.Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project (HNP) and the Renown Health Communication Team.Three inherited autosomal dominant conditions-BRCA related hereditary breast and ovarian cancer (HBOC), Lynch syndrome (LS) and familial hypercholesterolemia (FH)-have been termed the Centers for Disease Control and Prevention Tier 1 (CDCT1) genetic conditions, for which early identification and intervention have a meaningful potential for clinical actionability and a positive impact on public health. In typical medical practice, genetic testing for these conditions is based on personal or family history, ethnic background or other demographic characteristics. In a study of a cohort of 26,906 participants in the HNP, it was evaluated whether population screening could efficiently identify carriers of these genetic conditions and, second, the impact of genetic risk on health outcomes for these participants. It was found a 1.33% combined carrier rate for pathogenic and likely pathogenic (P/LP) genetic variants for HBOC, LS and FH. Of these carriers, 21.9% of participants had clinically relevant disease, among whom 70% had been diagnosed with relevant disease before age 65. Moreover, 90% of the risk carriers had not been previously identified, and less than 19.8% of these had documentation in their medical records of inherited genetic disease risk, including family history. In a direct follow-up survey with all carriers, only 25.2% of individuals reported a family history of relevant disease. Our experience with the HNP suggests that genetic screening in patients could identify at-risk carriers, who would not be otherwise identified in routine care.PRIORITY 2: IMMUNIZATIONS & INFECTIOUS DISEASES Overarching Goal Statement: Create equity and improve vaccine and immunization access within our communities through structural and systems level changes that are sustainable and culturally reflective.Target Populations include socially vulnerable populations, those without vehicles/transportation opportunities, people with disabilities, older adults, and those with limited English proficiency. Collaboration partners include Immunize Nevada, Nevada Vaccine Equity Collaborative and Community Health Alliance (CHA).From July 1, 2021 to February 28, 2022, the pharmacy department at CHA has given 10,633 vaccines during vaccine events, pop-up events, and walk-ins at one of three pharmacy locations. Of this total, 48% have been to the pediatric population between the ages of 5 and 18. The pharmacy department has conducted 55 off site vaccine clinics and pop-up events. 81.8% of these events have targeted the pediatric population. CHA has collaborated with the Washoe County School District, the Washoe County Health Department, the Boys and Girls Club, Our Place, the Reno Sparks Gospel Mission, Catholic Charities, Immunize Nevada and many other community partners to help host and support these events. Vaccinations have included flu, COVID primary series and boosters, and routine immunizations. Specifically, the newest CHA Pharmacy, funded with support from Renown Health has provided 92 pediatric vaccines and 191 adult vaccine clinics. PRIORITY 3: BEHAVIORAL, YOUTH, AND ADOLESCENT HEALTH Overarching Goal Statement: Systemic approach to supporting the behavioral health needs of Washoe County by building a foundation for a healthier community.Target Populations include providers with first line of sight, teachers, childhood educators, childcare and care providers, young adults, foster care population, students and families (parents and guardians). Collaboration Partners include The Children's Cabinet, Washoe County School District (WCSD), Renown Health, and the Nevada Office of Suicide Prevention which came together to create Connect Washoe County (CWC).CWC continues to provide feedback to WCSD regarding their Suicide Response Policy and held a planning discussion for a student peer support model, including a meeting with the Student Advisory Council. CWC is host to a multi-agency Consultation Supervision team consortium, which includes mental health supervisors from Children's Cabinet, Quest Counseling, WCSD, and CHA. This group published a Washoe County Children's Mental Health Consortium (WCCMHC) annual report community snapshot. The Signs of Suicide education and screening occurred at 21 schools including all WCSD 7th graders. 3289 students were screened with 34.5% scoring at risk or at high risk for mental health or suicide concern.Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2020-2022 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans. Renown Rehabilitation Hospital Part V, Section B, Line 11: The prioritized health needs identified in its 2018-2020 CHNA include: Priority 1: Healthy Behaviors (Health Literacy and System Navigation);Priority 2: Immunizations and Infectious Diseases; andPriority 3: Behavioral, Youth, and Adolescent Health (Mental Health, Substance Abuse, and Youth/Adolescent Health).PRIORITY 1: HEALTHY BEHAVIORS (HEALTH LITERACY AND SYSTEM NAVIGATION) Overarching Goal Statement: Early and Equitable Access to Genetic Screening and Application.Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project (HNP) and the Renown Health Communication Team.Three inherited autosomal dominant conditions-BRCA related hereditary breast and ovarian cancer (HBOC), Lynch syndrome (LS) and familial hypercholesterolemia (FH)-have been termed the Centers for Disease Control and Prevention Tier 1 (CDCT1) genetic conditions, for which early identification and intervention have a meaningful potential for clinical actionability and a positive impact on public health. In typical medical practice, genetic testing for these conditions is based on personal or family history, ethnic background or other demographic characteristics. In a study of a cohort of 26,906 participants in the HNP, it was evaluated whether population screening could efficiently identify carriers of these genetic conditions and, second, the impact of genetic risk on health outcomes for these participants. It was found a 1.33% combined carrier rate for pathogenic and likely pathogenic (P/LP) genetic variants for HBOC, LS and FH. Of these carriers, 21.9% of participants had clinically relevant disease, among whom 70% had been diagnosed with relevant disease before age 65. Moreover, 90% of the risk carriers had not been previously identified, and less than 19.8% of these had documentation in their medical records of inherited genetic disease risk, including family history. In a direct follow-up survey with all carriers, only 25.2% of individuals reported a family history of relevant disease. Our experience with the HNP suggests that genetic screening in patients could identify at-risk carriers, who would not be otherwise identified in routine care.PRIORITY 2: IMMUNIZATIONS & INFECTIOUS DISEASES Overarching Goal Statement: Create equity and improve vaccine and immunization access within our communities through structural and systems level changes that are sustainable and culturally reflective.Target Populations include socially vulnerable populations, those without vehicles/transportation opportunities, people with disabilities, older adults, and those with limited English proficiency. Collaboration partners include Immunize Nevada, Nevada Vaccine Equity Collaborative and Community Health Alliance (CHA).From July 1, 2021 to February 28, 2022, the pharmacy department at CHA has given 10,633 vaccines during vaccine events, pop-up events, and walk-ins at one of three pharmacy locations. Of this total, 48% have been to the pediatric population between the ages of 5 and 18. The pharmacy department has conducted 55 off site vaccine clinics and pop-up events. 81.8% of these events have targeted the pediatric population. CHA has collaborated with the Washoe County School District, the Washoe County Health Department, the Boys and Girls Club, Our Place, the Reno Sparks Gospel Mission, Catholic Charities, Immunize Nevada and many other community partners to help host and support these events. Vaccinations have included flu, COVID primary series and boosters, and routine immunizations. Specifically, the newest CHA Pharmacy, funded with support from Renown Health has provided 92 pediatric vaccines and 191 adult vaccine clinics. PRIORITY 3: BEHAVIORAL, YOUTH, AND ADOLESCENT HEALTH Overarching Goal Statement: Systemic approach to supporting the behavioral health needs of Washoe County by building a foundation for a healthier community.Target Populations include providers with first line of sight, teachers, childhood educators, childcare and care providers, young adults, foster care population, students and families (parents and guardians). Collaboration Partners include The Children's Cabinet, Washoe County School District (WCSD), Renown Health, and the Nevada Office of Suicide Prevention which came together to create Connect Washoe County (CWC).CWC continues to provide feedback to WCSD regarding their Suicide Response Policy and held a planning discussion for a student peer support model, including a meeting with the Student Advisory Council. CWC is host to a multi-agency Consultation Supervision team consortium, which includes mental health supervisors from Children's Cabinet, Quest Counseling, WCSD, and CHA. This group published a Washoe County Children's Mental Health Consortium (WCCMHC) annual report community snapshot. The Signs of Suicide education and screening occurred at 21 schools including all WCSD 7th graders. 3289 students were screened with 34.5% scoring at risk or at high risk for mental health or suicide concern.Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2020-2022 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans. Renown South Meadows Medical Center Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Renown Rehabilitation Hospital Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Renown South Meadows Medical Center Part V, Section B, Line 16j: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Rehabilitation Hospital Part V, Section B, Line 16j: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown South Meadows Medical Center Part V, Section B, Line 20e: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Rehabilitation Hospital Part V, Section B, Line 20e: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown South Meadows Medical Center Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Renown Rehabilitation Hospital Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Schedule H, Part V, Line 7a, 10a: https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/ Schedule H, Part V, Line 7b: https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/ Schedule H, Part V, Line 16a, 16b & 16c: https://www.renown.org/patients-and-visitors/billing/financial-assistance/ Part I, Line 3c: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Part I, Line 6a: The organization's community benefit report is contained in a report prepared by its parent corporation, Renown Health.Part I, Line 5c: The organization budgets the amount of charity care expected in the next year but does not use that estimate as a constraint on the amount of charity care provided. Part I, Line 7: Charity care expense was converted to cost on line 7a using the cost-to-charge ratio derived from Worksheet 2. Unreimbursed Medicaid and other unreimbursed costs on line 7b was calculated using the cost-to-charge ratio derived from Worksheet 2. Community health improvement and cash and in-kind contributions on lines 7e and 7i are reported from the organization's records. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $10,355,984. Part III, Line 2: The amount included on Line 2 reflects the amount at charges reported in the financial statements. Part III, Line 4: The footnote to the audited financial statements that addresses bad debt is on page 17 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the ratio of cost to charges from FY22 as filed by the Medicare cost report. Part III, Line 9b: Patients in the process of qualifying for state or local indigent programs or the organization's charity program are indicated with a particular payor class/status in the patient accounting system. The patient is not subject to collection efforts while in those classes/statuses. Part VI, Line 2: The organization reviews the current demographic information of the population it serves and the impact those demographics have on the health needs of the community. See explanation 4 for a description of the community. While the demographics start to tell the story of community health needs, Renown Health also consults with community partners and draws from state and local government, non-profits, and school district data sources to assess healthcare needs in the community. Renown Health also used data from the Washoe County Health District to identify health care needs and barriers in its service area.Renown Health's Community Benefit Committee spearheads the development of an annual community needs assessment and corresponding community benefit plan, and oversees the tracking and reporting of community benefit activities. The committee oversees the development or updating of a community needs assessment, and from that assessment develops a community benefit plan that prioritizes and identifies community needs that the organization can support with its finite resources. The needs assessment and community benefit plan are presented to the organization's board as well as the Renown Health Board for review and approval. The needs assessment and the community benefit plan are posted to the organization's website at www.renown.org/en/about/community-commitment/. Part VI, Line 3: The organization educates patients on assistance eligibility by posting information on its website regarding its financial assistance program and whenever situations indicate that the patient may be unable to pay for services. The organization has a dedicated Patient Financial Assistance Department that works with uninsured patients to establish eligibility for a state or local program. For those that do not qualify for a state or local program, they will refer the patient to the organization's charity care process. Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 493,392 as of July 2021 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.7% male and 49.3% female. A fifth (21.2%) of the population is under the age of 18. 17.2% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 60.9% Caucasian/White, 2.9% African American/Black, 6.9% Asian/Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 25.9% Hispanic/Latino.The Washoe County median household income was estimated to be $68,272 according to the US Census Bureau and 10.2% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.3% as of June 2022 below the state of Nevada at 4.7%. Part VI, Line 5: See Schedule O, Part III, Line 4a for a description of how the organization furthers its exempt purpose by promoting the health of the community. Part VI, Line 6: Renown South Meadows Medical Center is a 115-bed hospital that offers the latest in medical and surgical care, intensive care, telemetry, a 24-hour emergency room, inpatient and outpatient surgical and lab services. Renown South Meadows Medical Center provides a wide range of healthcare services to the south Reno and Washoe Valley communities regardless of race, creed, sex, national origin, handicap, age or ability to pay. Renown South Meadows Medical Center has approximately 560 physicians on its medical staff and extends admitting privileges to all eligible and qualified physicians. Since it opened as an acute care hospital in 2002, Renown South Meadows Medical Center has tripled its bed capacity by expanding the intensive care, surgical and telemetry units. Renown South Meadows Medical Center is also the local home of endoscopic ultrasound. This technology, applied with skillful hands, has helped diagnose and treat digestive diseases in thousands of patients. Renown South Meadows Medical Center is ranked in the top 1 percent nationwide for quality care based on measures for heart attack, heart failure, pneumonia and surgical care. They have the region's only certified pulmonary rehab and interventional pulmonary program, in addition to specializing in joint replacement and upper extremity procedures. Renown South Meadows Medical Center is engaged in a large facility expansion that will include interventional radiology, diagnostic and interventional catheterization, a retail pharmacy, and a 121,000 square foot medical office building with a hospital outpatient department and 6 new operating rooms. Renown South Meadows Medical Center was the only hospital in Nevada to be awarded a CMS 5-star facility in 2022.Renown Rehabilitation Hospital is a 62-bed, inpatient rehabilitation environment, and the only CARF (Commission on Accreditation of Rehabilitation Facilities) accredited facility in the region, focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness. Renown Rehabilitation offers physical, occupational, speech, recreational and cognitive therapies, highly specialized Physical Medicine & Rehabilitation physicians board certified in Spinal Cord Injury Medicine and Traumatic Brain Injury as well as housing an interventional pain management program and northern Nevada's only outpatient Neurorehabilitation clinic.Renown Rehabilitation Hospital has the highest concentration of Certified Rehabilitation Registered Nurses in Northern Nevada. Rehabilitation nurses provide comfort, therapy and education, promote health-conducive adjustments, support adaptive capabilities and promote achievable independence. During fiscal year 2022, there was only one other inpatient acute rehabilitation facility in Northern Nevada. Renown South Meadows Medical Center and Renown Rehabilitation Hospital are governed by a board of community members, the majority of who live in our primary service area and who are neither employees or independent contractors or family members. All surplus funds are retained in the organization to make improvements in patient care. For the fiscal year ending June 30, 2022, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided more than $260 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to https://www.renown.org/en/about/community-commitment/. Part VI, Line 7, Reports Filed With States NV X X X X 1 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO (Jul-Mar) 0 1080946 0 1482321 0 3870 0 172374 0 23211 0 2762722 0 0 Josiah Johnson - Chief of Staff/President (Mar-Jun) 0 733027 0 246844 0 2430 0 121309 0 24673 0 1128283 0 0 Dawn Ahner Chief Operating Officer (Jul-Apr) 0 183094 0 0 0 855620 0 31371 0 7858 0 1077943 0 0 Ann Beck Chief Financial Officer 0 516116 0 193750 0 6168 0 85000 0 16535 0 817569 0 0 Chris Nicholas VP and Administrator 241486 0 37502 0 270 0 10008 0 27937 0 317203 0 0 0 Kevin Desmond Pharmacy Manager 180868 0 17567 0 2122 0 8218 0 20139 0 228914 0 0 0 Thomas Graf - Chief Clinical Quality Officer/CEO (Mar-Jun) 0 147511 0 50000 0 398 0 17135 0 4269 0 219313 0 0 Seth Langevin - VP and Admin Institute for Neurosciences 179207 0 0 0 20208 0 6154 0 9488 0 215057 0 0 0 Jennifer Crossley - Director of Nursing - Post Acute Care 150824 0 17487 0 947 0 7004 0 22426 0 198688 0 0 0 Jennifer Allen - Director of Nursing - South Meadows 151692 0 20264 0 814 0 7049 0 16842 0 196661 0 0 0 Part I, Line 3 Renown South Meadows Medical Center relies on Renown Health, a related organization to establish compensation for officers and other key employees. Renown Health uses the identified methods to establish compensation. See Renown Health Schedule O, Form 990, Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Lines 4a-b Severance payments of $688,147 to Dawn Ahner were included in Schedule J, Part II, Column (B)(iii). Anthony Slonim, Thomas Graf, Josiah Johnson, Ann Beck, and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $160,774 to Anthony Slonim, $13,750 to Thomas Graf, $109,709 to Josiah Johnson, $75,000 to Ann Beck, and $25,806 to Dawn Ahner were included in Schedule J, Part II, Column (C). Form 990, Part III, Line 4a Renown South Meadows Medical Center is a 115-bed hospital that offers the latest in medical and surgical care, intensive care, telemetry, a 24-hour emergency room, inpatient and outpatient surgical and lab services. Renown South Meadows Medical Center provides a wide range of healthcare services to the south Reno and Washoe Valley communities regardless of race, creed, sex, national origin, handicap, age or ability to pay. Renown South Meadows Medical Center has approximately 560 physicians on its medical staff and extends admitting privileges to all eligible and qualified physicians. Since it opened as an acute care hospital in 2002, Renown South Meadows Medical Center has tripled its bed capacity by expanding the intensive care, surgical and telemetry units. Renown South Meadows Medical Center is also the local home of endoscopic ultrasound. This technology, applied with skillful hands, has helped diagnose and treat digestive diseases in thousands of patients. Renown South Meadows Medical Center is ranked in the top 1 percent nationwide for quality care based on measures for heart attack, heart failure, pneumonia and surgical care. They have the region's only certified pulmonary rehab and interventional pulmonary program, in addition to specializing in joint replacement and upper extremity procedures. Renown South Meadows Medical Center is engaged in a large facility expansion that will include interventional radiology, diagnostic and interventional catheterization, a retail pharmacy, and a 121,000 square foot medical office building with a hospital outpatient department and 6 new operating rooms. Renown South Meadows Medical Center was the only hospital in Nevada to be awarded a CMS 5-star facility in 2022. Renown Rehabilitation Hospital is a 62-bed, inpatient rehabilitation environment, and the only CARF (Commission on Accreditation of Rehabilitation Facilities) accredited facility in the region, focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness. Renown Rehabilitation offers physical, occupational, speech, recreational and cognitive therapies, highly specialized Physical Medicine & Rehabilitation physicians board certified in Spinal Cord Injury Medicine and Traumatic Brain Injury as well as housing an interventional pain management program and northern Nevada's only outpatient Neurorehabilitation clinic. Renown Rehabilitation Hospital has the highest concentration of Certified Rehabilitation Registered Nurses in Northern Nevada. Rehabilitation nurses provide comfort, therapy and education, promote health-conducive adjustments, support adaptive capabilities and promote achievable independence. During fiscal year 2022, there was only one other inpatient acute rehabilitation facility in Northern Nevada. Renown South Meadows Medical Center and Renown Rehabilitation Hospital are governed by a board of community members, the majority of who live in our primary service area and who are neither employees or independent contractors or family members. All surplus funds are retained in the organization to make improvements in patient care. For the fiscal year ending June 30, 2022, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided more than $260 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to https://www.renown.org/en/about/community-commitment/. Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Renown South Meadows Medical Center has independent contractors, however, Renown Health, the parent organization, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. The highest compensated independent contractors are reported on Part VII, Section B. Form 990, Part V, Line 2a, Number of employees on W-3: Renown South Meadows Medical Center has its own employees, however, Renown Health, the parent organization, pays all compensation and employee benefit amounts under a common paymaster arrangement. The actual compensation of each employee is directly charged to their assigned entity. Salaries and benefits are reported on line 7 and 9 of Part IX, respectively. Form 990, Part VI, Section A, line 2 Anthony Slonim and Alvaro Devia have a business relationship. Thomas Graf and Christi Matteoni have a business relationship. All the directors of the filing organization are also directors of the related tax-exempt organization, Renown Health. The directors have a business relationship with individuals reported on part VII that are employed by Renown Health. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown South Meadows Medical Center. Form 990, Part VI, Section A, line 7a Renown Health, acting through its board of directors, appoints the members of the board of governors of Renown South Meadows Medical Center. Form 990, Part VI, Section A, line 7b Renown Health must approve: 1) any changes of a strategic plan 2) selection of independent auditors, employee benefit consultants, legal counsel, and investment advisors 3) insurance and risk management programs 4) annual operating or capital budgets 5) material changes to the budget 6) investment policies 7) contacts among Renown entities 8) changes to governing documents 9) encumbrances of assets in excess of $1 million or real property 10) any borrowing in excess of $1 million in any fiscal year 11) merger, purchase or acquisition of another organization 12) joint venture with any other organization, entity or persons 13) any other material action take outside of ordinary course of business Form 990, Part VI, Section A, line 8b There was no committee during the year that had the broad authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by the organization's tax department with support from a certified tax preparer. The form is reviewed by the organization's current Controller and current Chief Financial Officer prior to the final Form 990 being sent to the board. The IRS Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the forms, the Renown Health board is provided with a narrative that explains the various parts of the Form and their content. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown South Meadows Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15a Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health executive committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the fiscal year 2022 executive compensation. Form 990, Part VI, Section C, line 19 Renown South Meadows Medical Center doesn't make its governing documents or conflict of interest policy available to the public. A copy of the audited financial statements is part of the Form 990 which is made available to the public. Form 990, Part IX, line 11g CONSULTING SERVICES: Program service expenses 0. Management and general expenses 6,941. Fundraising expenses 0. Total expenses 6,941. GARBAGE: Program service expenses 98,825. Management and general expenses 2,105. Fundraising expenses 0. Total expenses 100,930. LAUNDRY SERVICES: Program service expenses 1,670,439. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,670,439. MEDICAL SERVICES: Program service expenses 5,678,500. Management and general expenses 1,703. Fundraising expenses 0. Total expenses 5,680,203. OTHER MISC SERVICES: Program service expenses 2,303,499. Management and general expenses 2,974,659. Fundraising expenses 0. Total expenses 5,278,158. Transportation Services: Program service expenses 8,515. Management and general expenses 18,828. Fundraising expenses 0. Total expenses 27,343. Snow Removal Services: Program service expenses 142,540. Management and general expenses 0. Fundraising expenses 0. Total expenses 142,540. Medical Equipment Service Agreements: Program service expenses 1,014,064. Management and general expenses 18,315. Fundraising expenses 0. Total expenses 1,032,379. Medical Waste: Program service expenses 167,025. Management and general expenses 0. Fundraising expenses 0. Total expenses 167,025. Document Destruction: Program service expenses 0. Management and general expenses 11,651. Fundraising expenses 0. Total expenses 11,651. Overhead Allocation: Program service expenses 0. Management and general expenses 25,412,347. Fundraising expenses 0. Total expenses 25,412,347. Cleaning Services: Program service expenses 122,835. Management and general expenses 0. Fundraising expenses 0. Total expenses 122,835. Ambulance Charges: Program service expenses 2,043. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,043. Billing Services: Program service expenses 0. Management and general expenses 60,253. Fundraising expenses 0. Total expenses 60,253. Form 990, Part XI, line 9: Intercompany Settlements 14,480,290. Form 990, Part X, Line 20 The issue price includes the filing organization's share of the entire bond issue, which was issued to Renown Regional Medical Center on behalf of the Renown Obligated Group. The Renown Obligated Group consists of Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Transitional Care Services, but amounts are only listed on the financials of Renown Regional Medical Center and Renown South Meadows Medical Center as they specifically relate to those entities. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Renown Regional Medical Center's tax return (EIN 88-0213754). Renown Health, the sole member of this entity, has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501(c)(3) Line 12c, III-FI N/A 0 Renown Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 880213754 Hospital NV 501(c)(3) Line 3 Renown Health 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) Line 7 Renown Health 0 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Pregnancy Center NV 501(c)(3) Line 3 Renown Health 0 Hometown Health Plan 1155 Mill St Z-4 Reno NV 89502 880231433 HMO NV 501(c)(4) Renown Health 0 Renown Medical School Associates North 1155 Mill St Z-4 Reno NV 89502 860881749 Patient Care NV 501(c)(3) Line 10 Hometown Health Plan 0 Renown Businesses 1155 Mill St Z-4 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Management Company 1155 Mill St Z-4 Reno NV 89502 880236758 Management Services NV N/A C 0 Hometown Health Providers Insurance Company Inc 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 1 Hometown Health Plan Inc L 16254346 General Ledger