2016-05-16T14:53:15-05:00 2015-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2014-07-01 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 2016-05-16 1 Kim Hunwardsen CPA P00484560 6122536500 2016-05-13 2014 2016-08-17 19:52:53Z Dawn D Ahner 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 684571466 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 10 7 0 355 58342 21655 1216665 329310 572852799 678626174 207115 165569 748160 831475 575024739 679952528 5366323 4261385 0 0 193931732 208474156 0 0 0 323258299 393780641 522556354 606516182 52468385 73436346 988663325 817518584 809843159 535291153 178820166 282227431 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 516276094 4261385 678878046 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 facility 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 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 and Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, Da Vinci Robotic Surgery, 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 and a Chest Pain Center using the D-SPECT heart camera. 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 783 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, 2015, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $78 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. 516276094 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 10 7 1 1 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 X David Line President (Jul) 3.00 18.00 X X 0 58370 0 Anthony Slonim President/CEO (Jul-Jun) 42.00 18.00 X X 0 369367 62216 Bertha Mullins Secretary 3.00 0.00 X X 0 9443 0 Bill Newburg Treasurer (Jul-Dec) 3.00 0.00 X X 0 4500 0 Melissa Molyneaux Director/Tres (Jan-Jun) 3.00 0.00 X X 0 11694 0 Michael Morkin Director 3.00 0.00 X 0 0 0 Bart Scott Director 3.00 0.00 X 0 0 0 Tom Herbert Director/Medical Director 3.00 57.00 X 0 512728 28905 G Blake Smith Director (Jul-Dec) 3.00 0.00 X 0 35653 0 Greg Boyer Director/SVP & CEO Acute Svcs 60.00 0.00 X 699503 0 17858 Jim Bauserman Director 3.00 0.00 X 0 6500 0 Paula Dermody Director 3.00 0.00 X 0 10513 0 Jeff Resnik Director 3.00 0.00 X 0 2000 0 Dawn Ahner EVP & CAO 30.00 30.00 X 0 713516 105113 Donald Sibery Interim CEO (Jul) 42.00 18.00 X 0 0 0 Dennis Rochier VP & CMO Acute Services 60.00 0.00 X 303616 0 19755 Barbara Reynolds VP Quality 60.00 0.00 X 229818 0 14791 Joan Lapham Business Dev Administrator 60.00 0.00 X 202080 0 16918 Jeffrey Stout VP & CNO Acute Services 60.00 0.00 X 329269 0 68662 Cora Case VP & Operations CFO 60.00 0.00 X 275707 0 16690 James Miller Former President/CEO 0.00 0.00 X 0 935610 24299 2039993 2669894 375207 118 1 1 0 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 5597040 Routt Dialysis LLC PO Box 403008 Atlanta GA 30384 Dialysis Services 1791293 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 1791122 Western Surgical Group 645 N Arlington Ave Reno NV 89502 Medical Services 1596617 Aramark Uniform PO BOx 340910 Sacramento CA 95834 Uniform Services 1424172 66 329310 329310 Patient Services 621500 670216998 670216998 Patient Prescriptions 621500 5342345 5342345 Cafeteria 722210 2128436 2128436 Laboratory Services 621511 938395 938395 678626174 109879 109879 823236 301975 521261 521261 521261 3808234 358443 3803468 307519 4766 50924 55690 55690 457848 205976 251872 251872 Security & Outside Lab 621999 58342 58342 58342 679952528 678878046 58342 686830 X 4096797 4096797 164588 164588 717362 717362 172950764 171567799 1382965 34806030 34517550 288480 39673513 39673513 387869 387869 24490 24490 65071591 54058081 11013510 19165094 17239531 1925563 3053042 1360687 1692355 1764930 1596056 168874 687119 639030 48089 358666 352064 6602 23273072 21526096 1746976 33546487 12957803 20588684 2615587 28799 2586788 Medical Supplies 109283802 109283802 UBIT Tax 2100 2100 Bad Debt 77285796 77285796 Extinguishment of Debt 8010476 8010476 9577007 847187 8729820 606516182 516276094 90240088 0 16700 17650 92641853 104261628 87588351 87918593 15661661 18065932 2284083 2343588 785909495 409274265 378883152 376635230 411587525 228275963 988663325 817518584 31042544 34802454 442320312 428880723 336480303 71607976 809843159 535291153 X 178820166 282227431 178820166 282227431 988663325 817518584 X 73436346 -25479 29996398 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 24490 0 0 0 24490 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 515683045 216852839 298830206 2266096 887038 1379058 247552426 191534388 56018038 7356859 7356859 376635230 Other Receivables 621747 Due From Affiliates 204731699 Debt Service Reserve 10286637 Funds Held in Trust 12438872 Other 197008 228275963 Other Current Liabilities 712230 Interest Rate SWAP Liability 41927668 Due to Affliates 21472076 Third-Party Settlements 7496002 71607976 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. Renown Regional Medical Center's Federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2012. 1 1 X 0 1 X 1000.000000000000 1 1 1 0 1 1 13660450 13660450 0.02580 104759384 60693719 44065665 0.08330 118419834 60693719 57726115 0.10910 2743831 2743831 0.00520 3719447 3719447 0.00700 2616545 2616545 0.00490 286799 286799 0.00050 2172537 2172537 0.00410 11539159 11539159 0.02170 129958993 60693719 69265274 0.13080 0 77285796 0 151924737 132886484 19038253 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 1000.000000000000 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 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: Due to the Implementation Strategy being approved in June 2015, no specific actions have been taken in this fiscal year, but the following is what we intend to accomplish.Behavioral Health - We will invest in behavioral health resources "up-stream" so that we have fewer patients presenting at our Emergency Rooms "in crises". The expected outcomes are to increase the number of low-income residents accessing behavioral health services and decrease the number of adult and child ED visits for mental health crises.Childhood Immunizations - We will increase access points for children to receive vaccinations and collaborate with other community organizations to strengthen existing efforts. The expected outcomes are to increase the percentage of children (19-35 months) receiving full recommended vaccination and increase the percentage of school-age children receiving recommended vaccinations.Senior Flu Shot Outreach - Building on Renown's ACO flu shot outreach, we will target low-income and socially isolated seniors. Low income and isolated senior populations are at high risk of not receiving an annual flu shot and tend to be in poorer health when compared to the rest of the senior population. In addition, by attacking this preventive health shortcoming on two fronts, we have the opportunity to move the needle for the community. The expected outcome is an increase in percentage of seniors (65+) receiving flu vaccinations.Dental Care - Collaborate with local dental care providers, FQHCs, non-profits, WCSD, and dental hygiene schools to provide preventive non-emergent dental care to adults and children and consider investing in screening ultrasound. The expected outcomes are to decrease the number of adult and child ER visits due to dental health and increase the number of low-income community members accessing preventive dental care.Prenatal Care - Provide comprehensive prenatal care to low income mothers in our community. The expected outcomes are to decrease the number of low birth weight babies in Washoe County and to increase the number of low-income and minority mothers accessing prenatal care.Support Local Federally Qualified Health Center (FQHC) - One time grant to support local FQHC capital project to improve access for underserved populations. The expected outcome is to increase access to primary healthcare for uninsured and underinsured community members.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.Community Hub - Support Truckee Meadows Health Communities 89502 project, especially the Family Health Festivals, through funding and in-kind donations. The expected outcomes are to increase the number of low-income families and individuals in 89502 who can easily access social and healthcare services and increase the healthcare literacy of the 89502 community.Safe Kids & Child Passenger Safety Fitting Station - Renown Health will take over leadership and support of the Northern Nevada Child Passenger Safety Seat Fitting Station. The expected outcomes are to maintain a low number of children fatalities in motor vehicle accidents and decrease the number of children injuries in motor vehicle accidents.Partnership with Local Non-Profit - Partner with local non-profit to expand program focused on physical activity and social/emotional well-being to 500 girls grades 3rd-8th in Washoe County. The expected outcomes are to increase the number of Title I schools with programming and increase the percentage of adolescent girls in Washoe County meeting recommended physical activity levels.Healthy foods - Work with local partners to increase community gardens and healthy nutrition education in community. The expected outcomes are to increase healthy cooking skills of low-income families and increase community knowledge and life skills in regards to healthy foods and diets.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 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. Renown Regional Medical Center Part V, Section B, Line 13h: In addition to the federal poverty guidelines, for those not covered by insurance with an annual income between 400-1000% of FPG, the hospital also considers the amount of the hospital bill compared to annual household income. We also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. 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 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Part V, Section B, Line 16 Financial Assistance Policy Website Availability Renown Regional Medical Center Part V, Section B, line 16a website: www.renown.org/interact/paying-for-your-care/financial-assistance-program/ Renown Regional Medical Center Part V, Section B, line 16b website: www.renown.org/interact/paying-for-your-care/financial-assistance-program/ Renown Regional Medical Center Part V, Section B, line 16c website: www.renown.org/interact/paying-for-your-care/financial-assistance-program/ Part I, Line 3c: In addition to the federal poverty guidelines, for those not covered by insurance with an annual income between 400-1000% of FPG, the hospital also considers the amount of the hospital bill compared to annual household income. 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 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, 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 $77,285,796. 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 FY15 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 440,938 according to the 2015 Nevada Demographer's office. According to the 2015 Nevada Demographer's office the population is Washoe County was 50.4% male and 49.6% female. Over a quarter (33.1%) of the population is under the age of 25. 14.3% of the population is 65+. Washoe County's population was estimated to have the following breakdown as of 2015: 65.8% Caucasian/white, 2.5% African American / black, 6.7% Asian / Hawaiian or Pacific Islander, 1.6% American Indian and Alaska Native and 24.1% Hispanic. The Washoe County median household income was estimated to be $54,910 in 2014 according to the American Fact Finder. 15.7% of Washoe County residents are under the federal poverty guidelines in 2014. In June 2015, unemployment was estimated to be at 6.4%. Since the passing of the Affordable Care Act (ACA) the number of unisureds 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 facility 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 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 and Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, Da Vinci Robotic Surgery, 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 and a Chest Pain Center using the D-SPECT heart camera. 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 783 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, 2015, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $78 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) 2616545 Patient Assistance Renown Network Services 1155 Mill St Z-4 Reno NV 89502 880231828 501 (c)(3) 1206716 Patient Assistance Access to Healthcare Network Inc 4001 S Virginia Street Suite F Reno NV 89502 721619489 501 (c)(3) 273536 Community Support 3 0 Patient Assistance 1003 164588 Part I, Line 2: The organization's grants are given directly to the vendor 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 Anthony Slonim President/CEO (Jul-Jun) 0 368578 0 0 0 789 0 60000 0 2425 0 431792 0 0 Tom Herbert Director/Medical Director 0 288172 0 222816 0 1740 0 9089 0 19963 0 541780 0 0 Greg Boyer Director/SVP & CEO Acute Svcs 515408 0 179781 0 4314 0 10000 0 8128 0 717631 0 0 0 Dawn Ahner EVP & CAO 0 514191 0 190546 0 8779 0 86618 0 18494 0 818628 0 0 Dennis Rochier VP & CMO Acute Services 287533 0 14250 0 1833 0 3745 0 16280 0 323641 0 0 0 Barbara Reynolds VP Quality 184090 0 38062 0 7666 0 0 0 15052 0 244870 0 0 0 Joan Lapham Business Dev Administrator 176292 0 23544 0 2244 0 8133 0 9028 0 219241 0 0 0 Jeffrey Stout VP & CNO Acute Services 259113 0 65611 0 4545 0 49735 0 19557 0 398561 0 0 0 Cora Case VP & Operations CFO 233211 0 39474 0 3022 0 10400 0 6560 0 292667 0 0 0 James Miller Former President/CEO 0 7436 0 0 0 928174 0 10000 0 14299 0 959909 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 severance payments. Payments of $916,432 were included in Schedule J, Part II, Column (B)(iii). Anthony Slonim, Dawn Ahner, and Jeffrey Stout are parties to a supplemental nonqualified retirement plan. Contributions of $60,000 to Anthony Slonim, $76,218 to Dawn Ahner, and $39,335 to Jeffrey Stout 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 10625000 105100000 127776622 988672 123513610 3274364 2014 0 0 0 1 B 24725000 270798443 7655830 2537159 256517329 2008 1 0 1 1 C 2140000 63600000 918613 369398 62311988 2009 1 0 1 1 D 6840000 48028335 2607185 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 0.00230 0.00230 0 0 1 C 0 1 1 1 0 0.00600 0.00600 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 0 1 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: 06/01/2015 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 03/01/2010 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/01/2015 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 0.00100 0.00100 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 G. Blake Smith, Paula Dermody, Dawn Ahner, James Miller, Donald Sibery and David Line have a business relationship. Form 990, Part VI, Section A, line 3 Renown Health paid Decisive Consulting Solutions, LLC for Donald Sibery's services as the Interim CEO for all the Renown entities. Renown Health paid $412,000 for fiscal year ending June 30, 2015 for the Interim CEO services and reimbursed travel and business expenses. 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 CFO and current EVP & 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 2015 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 VI, Line 16b, Written Policy There is no written policy or procedure that is specific to joint ventures. Instead, there is a written policy in regards to financial transactions with physicians and physician entities. Any future ventures with physicians would also be evaluated in accordance with that policy. Other types of transactions would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Form 990, Part IX, line 11g Professional Fees: Program service expenses 23,221,210. Management and general expenses 8,233,263. Fundraising expenses 0. Total expenses 31,454,473. Ambulance charges: Program service expenses 51,937. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,937. Bond Admin Services: Program service expenses 0. Management and general expenses 142,006. Fundraising expenses 0. Total expenses 142,006. Collection Agencies: Program service expenses 179,103. Management and general expenses 0. Fundraising expenses 0. Total expenses 179,103. Consulting Fee: Program service expenses 240,964. Management and general expenses 82,712. Fundraising expenses 0. Total expenses 323,676. Garbage: Program service expenses 459,919. Management and general expenses 0. Fundraising expenses 0. Total expenses 459,919. Laundry Service: Program service expenses 1,422,016. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,422,016. Medical Services: Program service expenses 5,993,991. Management and general expenses 27,520. Fundraising expenses 0. Total expenses 6,021,511. Other Services: Program service expenses 18,857,767. Management and general expenses 2,416,147. Fundraising expenses 0. Total expenses 21,273,914. Med Equip Svc Agreements: Program service expenses 3,476,691. Management and general expenses 650. Fundraising expenses 0. Total expenses 3,477,341. Transportation Services: Program service expenses 135,848. Management and general expenses 24,980. Fundraising expenses 0. Total expenses 160,828. Snow Removal/Ice Melt: Program service expenses 6,635. Management and general expenses 420. Fundraising expenses 0. Total expenses 7,055. Other Service Contracts: Program service expenses 12,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,000. System Charges: Program service expenses 0. Management and general expenses 85,812. Fundraising expenses 0. Total expenses 85,812. Form 990, Part XI, line 9: SWAP Mark to Market Adjustment -5,034,486. Other -3,778. Intercompany Settlements 35,034,662. 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 Network Services 1155 Mill St Z-4 Reno NV 89502 880231828 Outpatient Imaging and 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 Nevada Heart Institute 1155 Mill St Z-4 Reno NV 89502 880247743 Cardiology NV N/A C 0 NHI-1 Inc 1155 Mill St Z-4 Reno NV 89502 880303924 Cardiology NV N/A C 0 Elko Heart Institute 1155 Mill St Z-4 Reno NV 89502 452152594 Cardiology NV N/A C 0 0 1 1 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 1 Hometown Health Plan Inc L 63865615 General Ledger