2019-05-13T14:33:53-05:00 2018-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-07-01 880213754 Renown Regional Medical Center RENO 7759826488 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 Hakeem Olanrewaju Chief Financial Officer 7759826488 2019-05-13 1 Kim Hunwardsen CPA P00484560 6122536500 2019-05-13 8.39.233.107 2019-05-13 11:28:29 CD P 159D60DA7C19331A7948BEBC6B1067FF5545FF60 F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2017 2019-02-21 02:37:17Z Hakeem Olanrewaju 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 851119804 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 17 16 0 564 45607 46342 1379023 3019719 770498493 846647297 -244027 -63707 823734 876619 772457223 850479928 5204949 5819748 0 0 260894176 292420621 0 0 0 455051792 462731034 721150917 760971403 51306306 89508525 748953306 758017408 536842871 520371172 212110435 237646236 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 622219466 5819748 846647297 See Schedule ORenown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada, northeastern California and the adjacent areas of Oregon and Idaho. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the region's healthcare professionals. Renown Regional provides necessary healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including: cancer, heart, neurosciences, orthopedics, surgery, intensive care, behavioral health, addiction, healthy aging, healthcare innovation and women's and children's health. Renown Regional is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown Regional extends privileges on its medical staff to all eligible and qualified physicians. All surplus funds are retained in the organization to make improvements in patient care, medical education and research. As part of an integrated health network, Renown Regional Medical Center provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center, a pediatric intensive care unit, TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Primary Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region. Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. These house medical specialty and subspecialty practices. In partnership with the 852 physicians on its medical staff, Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2018, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $126 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 www.renown.org/about-us/community. 622219466 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 1 1 1 1 0 0 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 X 17 16 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Hakeem Olanrewaju 7759826488 1155 MILL ST Z-4 Reno NV 89502 Anthony Slonim President/CEO 21.00 39.00 X X 0 1306102 165486 James De Volld Treasurer/Vice Chairman 3.00 12.00 X X 0 29240 0 Kimberly Cooney Secretary 3.00 12.00 X X 0 0 0 G Blake Smith Chairman 3.00 12.00 X X 0 45915 0 Bernie Carter Director 3.00 12.00 X 0 25075 0 Michael Peterson Director 3.00 12.00 X 0 15000 0 Jeff Resnik Director 3.00 12.00 X 0 34810 0 Joanne Olson Director 3.00 12.00 X 0 24000 0 Alvaro Devia Director 3.00 12.00 X 0 28507 0 William Newberg Director 3.00 12.00 X 0 28215 0 Christi Matteoni Director 3.00 12.00 X 0 15000 0 Brian Loy Director 3.00 12.00 X 0 27773 0 Steven Johnson Director 3.00 12.00 X 0 34810 0 Richard Bostdorff Director 3.00 15.00 X 0 24000 0 Thomas Deveny Director 3.00 12.00 X 0 15000 0 Todd McKenzie Director (Aug-Jun) 3.00 12.00 X 0 5000 0 Adam Kramer Director (Sep-Jun) 3.00 12.00 X 0 5000 0 Rob Winkel Director (Jul-Dec) 3.00 15.00 X 0 27387 0 Dawn Ahner EVP & Chief Administrative Officer 30.00 30.00 X 0 815014 125638 Hakeem Olanrewaju Apr-Jun SVP & Chief Financial Officer 30.00 30.00 X 0 0 0 Erik Olson RH VP & CEO Renown Regional 60.00 0.00 X 434190 0 30166 Lawrence Duncan RH VP & Admin Children's Hospital 60.00 0.00 X 340088 0 31149 Paul Sierzenski RH VP and CMO Acute Services 60.00 0.00 X 315604 0 14153 Jo Duszkiewicz VP & Admin of Institute for Cancer 60.00 0.00 X 256882 0 18746 Derrick Glum VP Transitional Care 60.00 0.00 X 246776 0 22370 1593540 2505848 407708 156 0 1 0 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 7584031 AYA Healthcare Inc PO Box 123519 Dallas TX 75312 Medical Services 5758448 Atlas Medstaff LLC 1115-9 Mill Valley Rd Omaha NE 68154 Medical Services 4160632 Flexcare Medical Staffing 990 Reserve Dr Ste 250 Roseville CA 95678 Medical Services 3483897 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 3034903 112 3019719 3019719 Patient Services 621500 838744564 838744564 Cafeteria 722210 3155278 3155278 Patient Prescriptions 621500 2755701 2755701 Laboratory Services 621511 1991754 1952847 38907 846647297 39789 39789 860912 290876 570036 570036 570036 25529 129025 -103496 -103496 -103496 519858 219975 299883 299883 Clinical Engineering 621999 6700 6700 6700 850479928 846908273 45607 506329 X 5202657 5202657 617091 617091 248045777 245634602 2411175 44374844 43850545 524299 152436 30275 122161 110 110 39172 39172 176864046 57975931 118888115 259648 258598 1050 10025849 8705218 1320631 2481651 1742217 739434 6847456 6667171 180285 656775 598265 58510 334718 322718 12000 19304655 18135990 1168665 29180741 16948023 12232718 649603 16756 632847 Medical Supplies 152995852 152995852 UBIT Tax 10499 10499 Bad Debt 61730427 61730427 Miscellaneous 687936 427816 260120 509460 309533 199927 760971403 622219466 138751937 0 10750 800 54537056 74040278 114062202 125567727 21444380 26253693 2221131 2905344 821418009 473203020 360488487 348214989 196189300 181034577 748953306 758017408 34206829 36074872 427376688 417657743 75259354 66638557 536842871 520371172 X 212110435 237646236 212110435 237646236 748953306 758017408 X 89508525 -63972724 X X 0 1 X 1 0 X 0 0 0 0 0 1 39172 0 0 0 39172 0 Schedule C, Part II-B, Line 1f Payments are made to American Hospital Association and Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 13051069 13051069 535336008 259451306 275884702 2916263 1541230 1375033 261796206 212210484 49585722 8318463 8318463 348214989 Other Receivables 884445 Due From Affiliates 172397030 Debt Service Reserve 7605383 Funds Held in Trust 140879 Other 6840 181034577 Other Current Liabilities 1180565 Interest Rate SWAP Liability 33991114 Due to Affliates 26666764 Third-Party Settlements 4800114 66638557 X Part X, Line 2: Renown Regional 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 Regional Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown Regional Medical Center files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown Regional 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 Regional 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 1 1 1 0 1 1 7881367 7881367 0.01130 142004203 84338870 57665333 0.08250 149885570 84338870 65546700 0.09380 6509823 6509823 0.00930 6538056 6538056 0.00940 4837432 4837432 0.00690 1250626 1250626 0.00180 19135937 19135937 0.02740 169021507 84338870 84682637 0.12120 0 61730427 0 177325739 175002031 2323708 X 1 1 1 1 Renown Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 www.renown.org 0669-HOS X X X X X X Renown Regional Medical Center 1 0 0 1 X X X X X X X X X 17 1 1 1 1 X www.renown.org/about-us/community X https://www.washoecounty.us/health/data-publications-and-reports.php X 1 17 1 www.renown.org/about-us/community 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 Regional 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 Regional Medical Center Part V, Section B, Line 6a: Renown South Meadows Medical Center and Renown Rehabiliation Hospital Renown Regional Medical Center Part V, Section B, Line 6b: Washoe County Health District Renown Regional Medical Center Part V, Section B, Line 11: The Community Benefits Implementation Strategy was approved in June 2018. No specific actions have been taken in this fiscal year, but the following is what Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities intend to focus on in the next 3 years:Mental Health - Renown will partner with Communities in Schools and Note-Able Music Therapy to help reduce depression among all populations, with a focus on youth and reduce suicide among all populations.Substance Abuse - Renown will partner with Join Together Northern Nevada and Quest Counseling & Consulting to prevent substance use among youth and young adults. Both organizations selected to address substance use issues are heavily incorporating evidence-based programs geared towards improving mental health conditions including depression, stress reduction, resiliency, coping mechanisms, and suicide.Physical Activity, Nutrition & Weight - Renown will partner with Reno-Sparks Indian Colony Tribal Health to implement the Pathways to Health program. The Pathways to Health program is based on Geisinger Health System (PA), "food as medicine" Fresh Food Farmacy model which provides fresh, nutritious food to overweight and obese individuals, people at risk for pre-diabetes, and patients with diabetes.Chronic Diseases & Screenings - Renown will partner with Northern Nevada HOPES and the Renown Medical Group to implement the Diabetes Prevention Program. The CDC's National Diabetes Prevention Program (DPP) is widely recognized as an evidence-based approach to identifying high-risk individuals for diabetes and enrolling them into a lifestyle theory change program to modify health behaviors to reduce and reverse risk for developing diabetes.Identified Needs Not Being Addressed:We believe our plan will allow us to start addressing some of the most pressing health needs in our community, but we recognize that we will not be able to tackle every issue we would like. The five issues that will not be addressed are crime and violent-related behaviors, injury prevention, maternal and child health, environmental health, sexual health and infectious disease and immunizations. Most of these topics didn't rank among the top two-thirds of the 12 ranked health needs. Although these important health needs weren't funded by Renown Community Benefits in this current plan, we encourage other community partners who may be better suited to address these topics to fund and guide evidence-based programs in these areas.Although we approved a new Community Benefit Implementation Strategy in June 2018, in FY18 Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities, made substantial progress on our previous Community Benefit priorities. Below is a brief list of accomplishments of each of the priority areas identified in the plan: Behavioral Health - In FY18, The Behavioral Health Institute completed over 241 free behavioral health screenings in the community.Childhood Immunizations - During FY18, Immunize Nevada, with a Renown grant, participated in 62 events where over 7,237 lives where touched. From these events, there was 3,005 vaccines given to uninsured children and parents. Finally for FY18, 998 professionals were trained to be strong vaccinators. Senior Flu Shot Outreach - In FY18, the program provided 354 vaccines to underserved seniors. Dental Care - During FY18, CHA provided 193 dental exams, 312 extractions, 269 regular cleanings, 438 restorations (fillings and crowns), 74 prosthetic services (dentures/partial/relines/adjustments), and 78 nutritional counseling and oral hygiene instruction.Prenatal Care - In FY18, women completing the Centering training had excellent health outcomes. The number of premature pregnancies (2.4% less than Nevada) and/or low birth-weight babies (2.5% less than Nevada) and more women breastfeeding upon discharge (12.5% higher than Nevada). These patients represent about 5 percent of the patients overall who obtain services at the Pregnancy Center annually.Mammography Screening - During FY18, funding helped provide women with 285 screening mammograms, 111 diagnostic mammograms, 109 ultrasounds, and 3 biopsies combined with tissue marker. A total of 381 women were served using Renown funds and a total of 508 services were provided.Community Hub - During FY18, in collaboration with Truckee Meadows Healthy Communities the community hub provided quarterly Family Health Festival events and organized and hosted a Remote Area Medical (RAM) event to provide medical, dental, and vision care to underserved members of the community. These events served over 1,500 community members. Over 150 community-based organizations participated. Organizations that participated provided services such as flu vaccinations, dental fluoride treatments, the Food Bank's mobile pantry, health screenings for kids and adults, DACA & Immigration support, job application and resume help, SNAP assistance, Head Start/affordable day care registration and a variety of other free services.Safe Kids & Child Passenger Safety Fitting Station - In FY18, Renown provided 74% of the car seats to income eligible families. Car seat station also host 3 free community inspection sessions. During these sessions, 25 car seats were found to be not properly installed and corrections were made to ensure the safety of the child when riding in the vehicle. Car seat technician also participated in 9 Point of Impact Community checkpoints at various locations in the community as well as attended 6 family health fairs to provide information on child passenger safety.Partnership with Local Non-Profit - For FY18, Renown partnered with Girls on the Run to provide girls between the grades of 3rd-8th with evidence-based curriculum that will raise emotional, mental and physical development. A total of 549 girls at 20 schools in Washoe County were served with eight of those schools being Title I schools. Healthy foods - During FY18, 1,581 students were served and on average 77% of students (1,217) had improvements in both increasing their interest in learning and healthy eating.The needs identified in the prior assessment that we were not able to address in the current year were substance abuse and adult obesity. We did not address these needs due to these needs being met by other community organizations and we addressed them individually as patients were seen at our high-quality healthcare service locations. Renown Regional 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 Regional 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 Regional 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 Regional 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. Schedule H, Part V, Line 16a, 16b, 16c www.renown.org/interact/bill-pay-accepted-insurance/financial-assistance-program/ 2 1 - Renown Health Home Care 3935 S McCarran Blvd Reno NV 89502 Home Care 2 - Renown Hospice Care 85 Kirman Ave Ste LL1 Reno NV 89502 Hospice Care 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, health professions education, subsidized health services, research and cash and in-kind contributions on lines 7e, 7f, 7g, 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 $61,730,427. 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 11 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the ratio of cost to charges from the FY18 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: Explanation: 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 then go before the Renown Health Board for review and approval on behalf of all Renown organizations. The needs assessment and the community benefit plan are posted to the organization's website at www.renown.org/about-us/community. 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 460,587 as of June 2017 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.3% male and 49.7% female. A quarter (21.9%) of the population is under the age of 18. 15.9% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown as of 2015: 62.8% Caucasian/White, 2.6% African American/Black, 6.6% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 24.6% Hispanic/Latino.The Washoe County median household income was estimated to be $58,595 according to the US Census Bureau and 11.1% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.3% as of June 2018, reflecting continual improvements. Since the passing of the Affordable Care Act (ACA) the number of uninsured have decreased dramatically. There exists, however, a shortage of health care providers. 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 Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada, northeastern California and the adjacent areas of Oregon and Idaho. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the region's healthcare professionals. Renown Regional provides necessary healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including: cancer, heart, neurosciences, orthopedics, surgery, intensive care, behavioral health, addiction, healthy aging, healthcare innovation and women's and children's health. Renown Regional is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown Regional extends privileges on its medical staff to all eligible and qualified physicians. All surplus funds are retained in the organization to make improvements in patient care, medical education and research. As part of an integrated health network, Renown Regional Medical Center provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center, a pediatric intensive care unit, TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Primary Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region. Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. These house medical specialty and subspecialty practices. In partnership with the 852 physicians on its medical staff, Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2018, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $126 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 www.renown.org/about-us/community. Part VI, Line 7, Reports Filed With States NV 1 Renown Skilled Nursing 1155 Mill St Z-4 Reno NV 89502 201347269 501 (c)(3) 2806707 Patient Assistance Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 501 (c)(3) 1973510 Patient Assistance Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 501 (c)(3) 422440 Patient Assistance 3 0 Patient Assistance 69 617091 Part I, Line 2: Assistance in Part II is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. The patient assistance reported in Part III is requested by a Renown social worker on behalf of a patient once it is determined that all eligibility criteria is met. The manager and director review the request and if approved, payment is made directly to the vendor, so there is no ongoing monitoring necessary for this assistance. X X X X 0 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO 0 955815 0 347209 0 3078 0 152551 0 12935 0 1471588 0 0 Dawn Ahner EVP & Chief Administrative Officer 0 633264 0 170907 0 10843 0 106272 0 20391 0 941677 0 0 Erik Olson RH VP & CEO Renown Regional 362027 0 68885 0 3278 0 10800 0 20169 0 465159 0 0 0 Lawrence Duncan RH VP & Admin Children's Hospital 296312 0 40488 0 3288 0 10784 0 20856 0 371728 0 0 0 Paul Sierzenski RH VP and CMO Acute Services 294521 0 20000 0 1083 0 0 0 14153 0 329757 0 0 0 Jo Duszkiewicz VP & Admin of Institute for Cancer 221441 0 30735 0 4706 0 1430 0 17747 0 276059 0 0 0 Derrick Glum VP Transitional Care 210313 0 31606 0 4857 0 7295 0 15480 0 269551 0 0 0 Part I, Line 3 Renown Regional 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 Schedule O, Form 990, Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Line 4b Anthony Slonim and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $141,751 to Anthony Slonim and $95,472 to Dawn Ahner are included in Schedule J, Part II, Column (C). A City of Reno Nevada 886000201 759836JC4 2008-06-26 260935965 Refunded 2006A&B and Conversion of 2005A&B, 2004A and partial 2004C 1 0 0 B City of Reno Nevada 886000201 759836JE0 2009-01-15 63600000 Refunded 2004B 0 0 0 C City of Reno Nevada 886000201 759836JU4 2010-03-31 48028335 Partial conversion of 2004C to fixed rate 1 0 0 D Public Finance Authority 273866124 74442CAX2 2015-06-03 149946826 Refund Issues Dated 4/19/2007 and 11/8/2001 0 0 0 A 44450000 129955000 260935965 2528207 1952211 256455547 1 0 1 1 B 3055000 63600000 918613 369398 62311989 1 0 1 1 C 12375000 22240000 48028335 566802 47461533 1 0 1 1 D 2730000 149946826 1352566 148594260 1 1 1 1 A 0 0 1 1 0 0.00060 0.00060 0 0 1 B 0 0 1 1 0 0.00110 0.00110 0 0 1 C 0 0 1 1 0 0.00110 0.00110 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/01/2018 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 03/31/2018 Issuer Name: Public Finance Authority Date the Rebate Computation was Performed: 06/03/2017 Form 990, Schedule K, Part I, Column C The CUSIP numbers associated with the bond issue issued on 6/23/2008 are: 759836JC4 759836JB6 The CUSIP numbers associated with the bond issue issued on 1/15/2009 are: 759836JE0 759836JD2 A Public Finance Authority 273866124 74442CBS2 2016-07-27 162793319 Refunded 2004C(10) and 2008 Conversion of 2005AB, 2004A, and partial 2004C 0 0 0 A 162793319 161367028 1426291 0 1 0 1 A 0 0 1 1 0 0.00080 0.00080 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096 Renown Regional Medical Center pays 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 Regional 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 are reported on line 7 of Part IX. Form 990, Part VI, Section A, line 2 Bernie Carter, Steve Johnson, and Brian Loy have a business relationship. Steven Johnson, G Blake Smith, and Rob Winkel have a business relationship. Anthony Slonim, Dawn Ahner and Hakeem Olanrewaju have a business relationship with each other and all of the members on the board. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown Regional Medical Center. Form 990, Part VI, Section A, line 7a Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional 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 aquisition 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 Regional 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 2018 executive compensation. Form 990, Part VI, Section C, line 19 Renown Regional 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 Professional Fees: Program service expenses 29,855,016. Management and general expenses 17,574,274. Fundraising expenses 0. Total expenses 47,429,290. Repairs and Maintenance: Program service expenses 4,348,046. Management and general expenses 25,968. Fundraising expenses 0. Total expenses 4,374,014. Other Purchased Services: Program service expenses 2,148,998. Management and general expenses 453,155. Fundraising expenses 0. Total expenses 2,602,153. Laundry Service: Program service expenses 2,079,069. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,079,069. Medical Services: Program service expenses 7,821,162. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,821,162. Other Services: Program service expenses 5,137,319. Management and general expenses 1,492,321. Fundraising expenses 0. Total expenses 6,629,640. Med Equip Svc Agreements: Program service expenses 4,695,709. Management and general expenses 24,467. Fundraising expenses 0. Total expenses 4,720,176. Overhead Allocation: Program service expenses 0. Management and general expenses 99,094,751. Fundraising expenses 0. Total expenses 99,094,751. Medical Waste: Program service expenses 1,890,612. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,890,612. Bond Administration Services: Program service expenses 0. Management and general expenses 223,179. Fundraising expenses 0. Total expenses 223,179. Form 990, Part XI, line 9: SWAP Mark to Market Adjustment 9,891,851. Other 38,078. Intercompany Settlements -73,902,653. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501 (c) (3) III-FI N/A 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501 (c) (3) 7 Renown Health 0 Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 Hospital NV 501 (c) (3) 3 Renown Health 0 Hometown Health Plan Inc 1155 Mill St Z-4 Reno NV 89502 880231433 HMO NV 501 (c) (4) Renown Health 0 Renown Skilled Nursing 1155 Mill St Z-4 Reno NV 89502 201347269 Nursing Facility NV 501 (c) (3) 10 Renown Health 0 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Pregnancy Center NV 501 (c) (3) 3 Renown Health 0 Routt Dialysis LLC 1155 Mill St Z-4 Reno NV 89502 263558729 Kidney Dialysis NV N/A 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 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 1 1 1 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 1 Hometown Health Plan Inc L 67735500 General Ledger