2017-05-12T16:27:30-05:00 2016-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2015-07-01 880213754 Renown Regional Medical Center RENO 7759824404 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 Dawn D Ahner EVP & Chief Administrative Officer 7759824404 2017-05-10 1 Kim Hunwardsen CPA P00484560 6122536500 2017-05-10 2015 2021-01-29 14:40:06Z Dawn D Ahner 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 729969394 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 9 5 0 482 44752 23877 329310 978673 678626174 717273418 165569 -75109 831475 856523 679952528 719033505 4261385 4694540 0 0 208474156 236601613 0 0 0 393780641 390803424 606516182 632099577 73436346 86933928 817518584 756079976 535291153 541185980 282227431 214893996 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 518059295 4694540 717535373 See Schedule ORenown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in northern 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 that 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, 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 786 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 oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2016, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $85 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. 518059295 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 9 5 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Dawn D Ahner 7759824404 1155 MILL ST Z-4 Reno NV 89502 Josiah Johnson President (Jan-Jun) 27.00 7.00 X X 0 256163 30113 Anthony Slonim President (Jul-Dec)/CEO 32.00 28.00 X X 0 1281325 137049 Bart Scott Director/Sec/Treasurer 3.00 3.00 X X 0 4500 0 Bertha Mullins Director (Jul-Dec) 3.00 0.00 X 0 9249 0 Paul Shonnard Director (Jan-Jun) 3.00 8.00 X 0 30600 0 Bret Frey Director (Jan-Jun) 3.00 4.00 X 0 15255 0 Michael Morkin Director (Jul-Dec) 3.00 0.00 X 0 0 0 Tom Herbert Director (Jul-May) 3.00 57.00 X 0 562662 27961 Harvey Fennell Director (Jan-Jun) 3.00 3.00 X 0 11267 0 Greg Boyer Director/SVP & CEO Acute S 57.00 3.00 X 703281 0 105472 Jim Bauserman Director 3.00 3.00 X 0 4500 0 Melissa Molyneaux Pick Director (Jul-Dec) 3.00 9.00 X 0 12731 0 Paula Dermody Director (Jul-Dec) 3.00 3.00 X 0 7056 0 Jeff Resnik Director 3.00 6.00 X 0 0 0 Steven M Althoff Director (Jan-Jun) / Chief of Staff 14.00 3.00 X 146249 0 0 Dawn Ahner EVP & CAO 30.00 30.00 X 0 833543 118398 Dennis Rochier VP & CMO Acute Services 60.00 0.00 X 373562 0 25787 Jo Duszkiewicz VP Admin of Institute for Cancer 60.00 0.00 X 219637 0 5934 Joan Lapham Business Dev Administrator 60.00 0.00 X 226386 0 14549 Jeffrey Stout VP & CNO Acute Services 60.00 0.00 X 327626 0 59257 Regina Nelson CFO Corporate Services 60.00 0.00 X 200546 0 27590 James Miller Former President/CEO 0.00 0.00 X 0 631302 18945 2197287 3660153 571055 109 1 1 0 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 5010344 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 2530793 Routt Dialysis LLC PO Box 403008 Atlanta GA 30384 Dialysis Services 2401244 Pickert Medical Group PC 1 E Liberty Ste 555 Reno NV 89501 Medical Services 1969189 Trustaff Travel Nurses LLC 4675 Cornell Road Ste 100 Cincinnati OH 45241 Medical Services 1775885 107 978673 978673 Patient Services 621500 709985324 709985324 Patient Prescriptions 621500 3374450 3374450 Cafeteria 722210 2716633 2716633 Laboratory Services 621511 1197011 1197011 717273418 116496 116496 858654 308838 549816 549816 549816 10186101 25000 10359456 43250 -173355 -18250 -191605 -191605 486300 224345 261955 261955 Outside Lab 621999 36773 36773 Clinical Engineering 621999 6658 6658 Pharmacy 621999 1321 1321 44752 719033505 717535373 44752 474707 4538593 4538593 155947 155947 955001 955001 198986721 197440227 1546494 36659891 36335127 324764 54906078 54906078 4260 25 4235 16776 16776 62975559 47645263 15330296 21464891 18868090 2596801 3210790 1506328 1704462 2490380 2320936 169444 604243 563446 40797 340733 337089 3644 21501161 19856540 1644621 36282354 14820014 21462340 6427393 23124 6404269 Medical Supplies 125341747 125341747 UBIT Tax 16610 16610 Bad Debt 46652789 46652789 Overhead 7656704 7656704 910956 665623 245333 632099577 518059295 114040282 0 17650 18230 104261628 51583007 87918593 106391038 18065932 19277106 2343588 2808161 804353816 425964520 376635230 378389296 228275963 197613138 817518584 756079976 34802454 32220940 428880723 420050385 71607976 88914655 535291153 541185980 X 282227431 214893996 282227431 214893996 817518584 756079976 X 86933928 69264 -154336627 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 16776 0 0 0 16776 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 523492358 230926846 292565512 2838453 1249614 1588839 248503644 193788060 54715584 16468292 16468292 378389296 Other Receivables 647579 Due From Affiliates 167596644 Debt Service Reserve 10269323 Funds Held in Trust 18900687 Other 198905 197613138 Other Current Liabilities 621257 Interest Rate SWAP Liability 59504910 Due to Affliates 18986094 Third-Party Settlements 9802394 88914655 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). 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 6277677 6277677 0.01070 113471360 68659118 44812242 0.07650 119749037 68659118 51089919 0.08720 3997539 3997539 0.00680 4226125 4226125 0.00720 2799333 2799333 0.00480 564973 564973 0.00100 2518338 2518338 0.00430 14106308 14106308 0.02410 133855345 68659118 65196227 0.11130 0 46652789 0 155921690 143465309 12456381 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 14 1 1 1 1 X www.renown.org/about-us/community X https://www.washoecounty.us/health/data-publications-and-reports.php X 1 14 1 www.renown.org/about-us/community 0 0 1 X 400.000000000000 X X X X X 1 1 X X X 1 X www.renown.org/interact/paying-for-your-care/financial-assistance-program/ X www.renown.org/interact/paying-for-your-care/financial-assistance-program/ X www.renown.org/interact/paying-for-your-care/financial-assistance-program/ X X X X X 1 X 0 X X X X 1 X 0 1 Renown Regional Medical Center Part V, Section B, Line 5: Renown Health consulted several leading community organizations to determine the health status and needs of the surrounding community. The community organizations included Northern Nevada Medical Center, Saint Mary's Hospital, Washoe County Health District, and Healthy People Nevada Moving 2010 to 2020 report. 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 2015. In FY16, Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities, made substantial progress on our Community Benefit priorities. Below is a brief list of accomplishments of each of the priority areas identified in the plan: Behavioral Health - In FY16, Renown Behavioral Health completed over 600 mental health and substance abuse assessments at no charge for community members in crisis. Based on the results of the assessment, patients were connected with appropriate treatment and resource referrals. These assessments were completed in an outpatient setting, often preventing patients from presenting to the ER or an unnecessary inpatient psychiatric stay.Childhood Immunizations - In collaboration with two community organizations, we have increased access points for underserved children and seniors to receive vaccinations. During FY16, Immunize Nevada, with a Renown grant, participated in 15 events where 12,888 lives where touched. From these events, there were 2,543 vaccines given to uninsured children and 301 professionals were trained in WebIZ. Senior Flu Shot Outreach - A partnership with Catholic Charities of Northern Nevada was developed to provide underserved seniors and families with in-home assessments of safety and well-being, education into health and wellness and on-going case management where appropriate. During FY16, the program provided 139 vaccines to underserved seniors and 204 completed in-home assessments of safety and well-being and education into health and wellness. Dental Care - Renown has partnered with Community Health Alliance (CHA), a local FQHC. In FY16, CHA has provided 136 dental exams, 58 emergency exams, 55 extractions, 24 regular cleanings, 117 deep cleanings, 245 restorations (fillings and crowns), 10 dentures (full and partial), 20 denture repairs/relines, 78 nutritional counseling, 4 tobacco cessation counseling, and 80 oral hygiene instruction. Within this year, we saw improvement in oral hygiene in 19% of those presenting with poor or fair oral hygiene status. The populations that were reached included 67% pregnant women, 28% seniors, and 5% all others. Prenatal Care - The Centering Pregnancy model of group prenatal care was utilized by The Pregnancy Center. This dynamic care model integrates health assessment, education, and support in a group setting with courses that include nutrition, exercise and relaxation and family violence and abuse awareness. In FY16, more than 400 women completed Centering training with excellent health outcomes, including a reduced number of premature and/or low birth-weight babies and more women breastfeeding upon discharge. These patients represent about 5 percent of the patients overall who obtain services at the Pregnancy Center annually.Health Literacy and Navigation - During FY16, A one-time grant was given to the Boys & Girls Club of Truckee Meadows (BGCTM) to help support Health Care Literacy and general navigation issues when accessing health care and other services. BGCTM was chosen because it touches several key health issues, in reference to the CHNA, such as: children, the Latino community, health care education, and access to health care. BGCTM and Renown Health have developed an outreach campaign to engage children and families throughout all of their locations. BGCTM will provide Renown Health and all other healthcare partners' access to a defined healthcare space in order to conduct health literacy programming, health care coverage navigation, and wellness checks. Additionally, BGCTM has worked with Renown to conduct health literacy programming, health care coverage navigation, and wellness checks in all of their locations. Mammography Screening - Increase availability of mammography screenings for low-income senior women. The expected outcome is to increase the number of low-income and minority women who have had a screening in the last 2 years. Renown Health and Northern Nevada HOPES, a Federally Qualified Health Center (FQHC), will be partnering in FY17 to provide mammography services as well as provide patient care coordination.Community Hub - In FY16, in collaboration with Truckee Meadows Healthy Communities and several partners, 4 Family Health Festivals events were hosted. These events served over 1500 community members. Family Health Festivals included healthy cooking tips, Test Your Health Know-How, a book drive, 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 - For FY16, The Child Passenger Safety Fitting Station at Renown reached 1,561 children and of those children, 83% received new, safer car seats. Partnership with Local Non-Profit - For FY16, Renown partnered with Girls on the Run and a total of 327 girls at 22 schools in Washoe County were served. The Renown Grant expansion plan called for the addition of 5 new schools and so far, Girls on the Run has added 9 new schools, of which six are Title I schools. Healthy foods - In FY16, Renown Health worked with Urban Roots, a non-profit organization dedicated to growing healthy minds, bodies, and communities, by transforming the education process through hands on agricultural education services for youth in Northern Nevada. In collaboration, an Urban Farm location at Renown Health is currently under construction. The Urban Farm will provide vegetables to 100 families of four, for a year. Additionally, Urban Roots developed Farm to School, an educational curriculum that meets Next Generation Science Standards as well as Common Core reading and math standards. It includes 25 lessons for grades K-8 that include "How Much Sugar", "Worm Anatomy and "Food Mayhem Race". During FY16, the Farm-to-School educators visited school sites and worked with 838 students in 9 schools delivering the newly developed curriculum. Only students that participated in five or more Urban Roots lessons were asked to take pre- and post- surveys to determine changes in preference for healthy foods. Of the 838 students served, 533 participated in 5 or more lessons where 47.7% of the surveyed students demonstrated an improved preference for healthy foods.Identified Needs Not Being AddressedWe believe that 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. Two issues in particular are substance abuse and adult obesity. Here are the reasons these health needs are not addressed as part of our plan.Substance Abuse: This community health need is being addressed by over 25 other organizations that offer a variety of substance abuse services including counseling, clinical treatment, rehabilitation, and social support for substance users. Join Together Northern Nevada also regularly convenes organizations for community wide efforts related to substance abuse.Adult Obesity: As part of Renown Health's high-quality healthcare services, we continue to work with all of our adult patients to address health concerns such as obesity. We do this one on one with patients through their doctors, or through visits and referrals to our nutritionists, or through our weekly health newsletter offering healthy lifestyle tips. In addition, we routinely arrange for classes and lectures on topics related to overall health including having speakers on proper exercise and nutrition. There is no new work being done in addition to the services we currently provide. 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 16i: 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 22d: The hospital facility determines the amounts generally billed using the look back method. 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. 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 and 7c were 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, 7h 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 $46,652,789. 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 and 12 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 FY16 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 453,616 as of June 2016 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 (22.2%) of the population is under the age of 18. 15.1% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown as of 2015: 63.7% Caucasian/White, 2.6% African American/Black, 6.7% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 23.9% Hispanic/Latino.The Washoe County median household income was estimated to be $52,870 according to the US Census Bureau. 13.8% of Washoe County residents are under the federal poverty guidelines according to the 2015 SAIPE. Reno-Sparks unemployment currently is estimated to be at 5.9% as of June 2016, 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 northern 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 that 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, 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 786 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 oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2016, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $?? 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) 2799333 Patient Assistance Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 501 (c)(3) 1452403 Patient Assistance Access to Healthcare Network Inc 4001 S Virginia Street Suite F Reno NV 89502 721619489 501 (c)(3) 247148 Community Support University of Nevada Reno UNR Mail Stop 162 Reno NV 89557 942781749 501 (c)(3) 39210 Community Support 4 0 Patient Assistance 299 155947 Part I, Line 2: The organization's grants are given directly to the entity on behalf of the recipient to cover a need that was identified during the granting process. There is no ongoing monitoring necessary for these grants. X X X X X 1 1 0 0 0 0 0 0 0 Josiah Johnson President (Jan-Jun) 0 228358 0 20000 0 7805 0 25000 0 5113 0 286276 0 0 Anthony Slonim President (Jul-Dec)/CEO 0 845350 0 431760 0 4215 0 130600 0 7175 0 1419100 0 0 Tom Herbert Director (Jul-May) 0 348553 0 211379 0 2730 0 9208 0 18972 0 590842 0 0 Greg Boyer Director/SVP & CEO Acute S 524254 0 163292 0 15735 0 90285 0 15699 0 809265 0 0 0 Dawn Ahner EVP & CAO 0 599598 0 225000 0 8945 0 100600 0 18822 0 952965 0 0 Dennis Rochier VP & CMO Acute Services 319772 0 50929 0 2861 0 10600 0 15508 0 399670 0 0 0 Jo Duszkiewicz VP Admin of Institute for Cancer 194153 0 12936 0 12548 0 0 0 6249 0 225886 0 0 0 Joan Lapham Business Dev Administrator 186578 0 37380 0 2428 0 9053 0 5716 0 241155 0 0 0 Jeffrey Stout VP & CNO Acute Services 276394 0 48554 0 2678 0 51964 0 7904 0 387494 0 0 0 Regina Nelson CFO Corporate Services 175515 0 21950 0 3081 0 8307 0 19503 0 228356 0 0 0 James Miller Former President/CEO 0 14491 0 0 0 616811 0 10600 0 8943 0 650845 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, Lines 4a-b James Miller received a severance payment. A payment of $563,958 to James Miller included in Schedule J, Part II, Column (B)(iii). Anthony Slonim, Dawn Ahner, Jeff Stout, Greg Boyer, and Josiah Johnson are parties to a supplemental nonqualified retirement plan. Contributions of $120,000 to Anthony Slonim, $90,000 to Dawn Ahner, $41,499 to Jeff Stout, $79,685 to Greg Boyer, and $25,000 to Josiah Johnson were included in Schedule J, Part II, Column (C). A City of Reno Nevada 886000201 759836ER6 2007-04-19 124114034 Construction and equipment purchase 0 0 0 B City of Reno Nevada 886000201 759836JC4 2008-06-26 260935965 Refunded 2006A&B and Conversion of 2005A&B, 2004A and partial 2004C 0 0 0 C City of Reno Nevada 886000201 759836JE0 2009-01-15 63600000 Refunded 2004B 0 0 0 D City of Reno Nevada 886000201 759836JU4 2010-03-31 48028335 Partial conversion of 2004C to fixed rate 0 0 0 A 12710000 105100000 127776622 988672 126788914 2015 0 0 0 1 B 34300000 270798443 7667261 2537159 256517329 2008 1 0 1 1 C 2500000 63600000 918613 369398 62311988 2009 1 0 1 1 D 8590000 48028335 2602062 566802 47461533 2010 1 0 1 1 A 0 0 1 1 0 0.00100 0.00100 0 0 1 B 0 1 1 1 0 0.00200 0.00200 0 0 1 C 0 1 1 1 0 0.00300 0.00300 0 0 1 D 0 0 1 1 0 0.00600 0.00600 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 1 0 1 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: 04/19/2012 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/01/2016 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 03/31/2016 Form 990, Schedule K, Part I, Column C The CUSIP numbers associated with the bond issue issued on 10/4/2006 are: 759836DX4 759836EC9 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 The CUSIP numbers associated with the bond issue issued on 6/3/2015 are: 74442CAB0 74442CAX2 A Public Finance Authority 273866124 74442CAX2 2015-06-03 149946826 Refund Issues Dated 4/19/2007 and 11/8/2001 0 0 0 A 149946826 114584609 1352651 34009566 2014 1 1 0 1 A 0 0 1 1 0 0.00000 0.00000 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 Josiah Johnson, Dawn Ahner, Anthony Slonim, Bart Scott, Bertha Mullins, Paul Shonnard, Bret Frey, Tom Herbert, Harvey Fennell, Jim Bauserman, Melissa Molyneaux Pick, Paula Dermody, and Steven Althoff have a business relationship. 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 any merger, consolidation or dissolution of Renown Regional Medical Center, any borrowing in excess of $1 million In any fiscal year, and encumbrances of assets and certain other actions not in the 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 11 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 EVP and Chief Administrative 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. 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. The Executive Committee is comprised of members of the Renown Health Board of Directors unrelated to and not subject to the control or undue influence of executives, with no material financial interest in transactions of the Company or any other perceived or actual conflicts of interest. 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 2016 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 XI, line 9: SWAP Mark to Market Adjustment -17,577,242. Other 3. Intercompany Settlements -136,759,388. 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) 9 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 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 The Provider Network Inc 1155 Mill St Z-4 Reno NV 89502 880376369 Health Care NV N/A C 0 Remittance Assistance Corporation 1155 Mill St Z-4 Reno NV 89502 880277761 Collections 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 66048909 General Ledger