2015-05-15T12:56:19-05:00 2014-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2013-07-01 880213754 Renown Regional Medical Center RENO 7759824780 1155 Mill Street C/O Tax Treasury Z-4 Reno NV 89502 Janette Townsend VP & Corporate CFO 7759824780 2015-05-15 1 Kim Hunwardsen CPA P00484560 6122536500 2015-05-13 2013 2016-02-25 16:41:14Z Janette Townsend 1155 Mill Street C/O Tax Treasury Z-4 Reno NV 89502 575488264 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 9 7 0 335 47775 13279 4538724 1216665 628640864 572852799 88480 207115 6180881 748160 639448949 575024739 5990963 5366323 0 0 190204567 193931732 0 0 0 432487344 323258299 628682874 522556354 10766075 52468385 841895468 988663325 716161159 809843159 125734309 178820166 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 439534014 5366323 573060554 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, 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 more than 850 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, 2014, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided nearly $94 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. 439534014 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 1 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 7 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 1 0 X Janette Townsend 7759824780 1155 MILL ST Z-4 Reno NV 89502 X David Line President 3.00 18.00 X X 0 28497 0 Bertha Mullins Secretary 3.00 0.00 X X 0 7714 0 Rob Winkel Treasurer (Jul-Dec) 3.00 0.00 X X 0 8100 0 Bill Newburg Treasurer (Jan-Jun) 3.00 0.00 X X 0 8176 0 Alvaro Devia Director (Jul-Dec) 3.00 0.00 X 0 1500 0 Lawson Fox Director (Jul-Dec) 3.00 0.00 X 0 3000 0 Christi Matteoni Director (Jul-Dec) 3.00 0.00 X 0 0 0 G Blake Smith Director 3.00 0.00 X 0 19626 0 Greg Boyer Director/CEO Renown Regional 60.00 0.00 X 596560 0 17968 Jim Bauserman Director 3.00 0.00 X 0 2500 0 Paula Dermody Director 3.00 0.00 X 0 4510 0 Jeff Resnik Director 3.00 0.00 X 0 0 0 Melissa Molyneaux Director 3.00 0.00 X 0 8997 0 Dawn Ahner CFO 38.00 22.00 X 0 742858 106396 Donald Sibery Interim CEO 38.00 22.00 X 0 0 0 Max Jackson Chief Medical Officer 60.00 0.00 X 471434 0 21656 Barbara Reynolds VP Quality 60.00 0.00 X 214918 0 16118 Kris Gaw Chief Operating Officer 60.00 0.00 X 403400 0 65260 Jeffrey Stout Chief Nursing Officer 60.00 0.00 X 289853 0 61807 Cora Case CFO Renown Regional 60.00 0.00 X 255374 0 12756 James Miller Former President/CEO 0.00 0.00 X 0 943638 351308 2231539 1779116 653269 110 1 1 0 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 2513654 Routt Dialysis LLC PO Box 403008 Atlanta GA 30384 Dialysis Services 1786731 GE Healthcare Financial Services PO Box 843553 Dallas TX 752843553 Equipment Servicing 1749515 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 1691564 Reno Orthopaedic Clinic Inc 555 N Arlington Ave Reno NV 895034724 Medical Services 1479838 62 1216665 1216665 Patient Services 621500 562274359 562274359 Patient Prescriptions 621500 6994621 6994621 Cafeteria 722210 2422078 2422078 Laboratory Services 621511 1161741 1161741 572852799 216527 216527 743838 251208 492630 492630 492630 14750 24162 -9412 -9412 -9412 418106 188155 229951 229951 Security & Outside Lab 621999 47775 47775 Non-op Bond Int Rate S 621999 -22196 -22196 25579 575024739 573060554 47775 699745 X 5342337 5342337 23986 23986 599073 599073 159002647 156987115 2015532 34330012 33903556 426456 336083 336083 13413 13413 96471273 51970454 44500819 17586095 15958636 1627459 2607675 283720 2323955 1437458 1413831 23627 716400 651587 64813 98670 94405 4265 23636708 21853423 1783285 31590723 11458586 20132137 2600201 25435 2574766 Medical Supplies 101182997 101182997 Unrelated Business Inco 324 324 Bad Debt 37472297 37472297 Other Admin Costs 5854797 5854797 1653185 299163 1354022 522556354 439534014 83022340 0 16500 16700 41815544 92641853 92236353 87588351 14585283 15661661 1519062 2284083 746269899 367386747 388937775 378883152 3988854 298796097 411587525 841895468 988663325 33706646 31042544 447773356 442320312 234681157 336480303 716161159 809843159 X 125734309 178820166 125734309 178820166 841895468 988663325 X 52468385 -78300 695772 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 13413 0 0 0 13413 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. 13051070 13051070 513596625 202959775 310636850 733468 464790 268678 214569746 163962182 50607564 4318990 4318990 378883152 Other Receivables 898592 Unamortized Financing Costs 13559862 Due From Affiliates 365359649 Debt Service Reserve 10201602 Funds Held in Trust 21567820 411587525 Other Current Liabilities 742187 Interest Rate SWAP Liability 36893180 Due to Affliates 295218660 Third-Party Settlements 3626276 336480303 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 2011. 1 1 X 1 X 400.000000000000 1 X 1000.000000000000 1 1 1 0 1 1 14260205 14260205 0.02940 79593025 48792416 30800609 0.06350 4973908 3433519 1540389 0.00320 98827138 52225935 46601203 0.09610 3668298 3668298 0.00760 3059047 3059047 0.00630 2702104 2702104 0.00560 313712 313712 0.00060 1144116 1144116 0.00240 10887277 10887277 0.02250 109714415 52225935 57488480 0.11860 0 37472297 0 139738513 117493906 22244607 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 1 X X X X X X X X 12 1 1 1 X www.renown.org/about-us/community X X X 1 0 1 1 400.000000000000 1 1000.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X 1 X 0 0 Renown Regional Medical Center Part V, Section B, Line 3: In an effort to compliment the empirical evidence provided by the Thompson Reuter Community Needs Index, the organization consulted several leading community organizations to determine the health status and needs of the surrounding community. The community organizations included the Washoe County Health District, Health People Nevada Moving 2010 to 2020 Report, the Washoe County School District's 2011 School Climate Report, the 2009 Youth Behavior Risk Survey and the Susan G Komen Breast Cancer Foundation. Renown Regional Medical Center Part V, Section B, Line 6i: The organization's implementaion plan is made publicly available at www.renown.org/about-us/community. Renown Regional Medical Center Part V, Section B, Line 14g: 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 18e: 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 20d: The hospital facility determines charges for financially eligible patients based upon a payment matrix and other factors in the Financial Assistance Policy. The maximum the patient is charged is below the lowest negotiated commercial insurance rates. 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 5b: 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 $37,472,297. 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.The amount included on Line 2 reflects the amount reported in the financial statements. Part III, Line 8: The costing methodology for Line 6 uses the ratio of cost to charges from the FY14 as filed by the Medicare cost report. Part III, Line 9b: Patients in the process of qualifying for state or local indigent programs or the organization's charity program are indicated with a particular payor class/status in the patient accounting system. The patient is not subject to collection efforts while in those classes/statuses. Part VI, Line 2: The organization reviews the current demographic information of the population it serves and the impact those demographics have on the health needs of the community. See explanation 4 below 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 Thomson Reuters, an information services company, 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 in the fall, 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 431,035 according to the 2013 Nevada State Demographer. According to the 2013 Nevada State Demograpers Office, the population in the Washoe County area is 50.5% male and 49.5% female. A quarter (28.0%) of the population is under the age of 24. 11.9% of the population is 65+. Washoe County's population was estimated to have the following breakdown as of 2013: 65.9% Caucasian/white, 2.3% African American / black, 6.3% Asian / Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 23.6% Hispanic. The Washoe County median household income was estimated to be $53,750 according to the American Community Survey. 15.1% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 6.1% as of October 2014, reflecting improvement from a high of 13%. 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 part of Renown Health, northern Nevada's largest, private, not-for-profit healthcare network. As a local not-for-profit health network, Renown Health's income stays right here in the community to provide many programs and services that would otherwise be unavailable. Renown is dedicated to this region and governed by local community leaders and physicians. We are proud to provide the health, education and social welfare that our friends, neighbors and family members expect and deserve.Renown Health has more than 5,300 employees and serves a 17-county region with a total population in excess of 1.9 million. Renown Health includes Renown Regional Medical Center, a 808-bed full service regional hospital, Renown South Meadows Medical Center, a 76-bed acute care community hospital, Renown Rehabilitation Hospital, a 62-bed rehabilitation hospital, Renown Skilled Nursing, a 160-bed skilled nursing facility, a children's hospital, numerous medical-group, urgent-care and outpatient imaging practices, and a health-insurance provider. Renown Health offers advanced care for patients and embraces its role in improving the health and well-being of the people in the communities we serve.Besides our commitment to meeting the healthcare needs of the region, Renown Health gives back to communities by contributing funds, services, facilities and the time and expertise of employees. These benefits to the community flow from Renown Health as a whole and from the individual hospitals, facilities and departments that make up our health network.For the fiscal year ending June 30, 2014, Renown Health and its subsidiaries provided nearly $94 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) 2702104 Patient Assistance Renown Network Services 1155 Mill St Z-4 Reno NV 89502 880231828 501 (c)(3) 2318233 Patient Assistance University of Nevado Reno Foundation Morrill Hall/0162 Reno NV 895570162 942781749 501 (c)(3) 322000 Community Support 2 0 Patient Assistance 45 23986 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 Greg Boyer Director/CEO Renown Regional 498075 0 84995 0 13490 0 10000 0 8238 0 614798 0 0 0 Dawn Ahner CFO 0 501030 0 237526 0 4302 0 86072 0 20323 0 849253 0 0 Max Jackson Chief Medical Officer 369123 0 87104 0 15207 0 6916 0 15010 0 493360 0 0 0 Barbara Reynolds VP Quality 177802 0 33152 0 3964 0 0 0 16367 0 231285 0 0 0 Kris Gaw Chief Operating Officer 344330 0 56783 0 2287 0 51621 0 13638 0 468659 0 0 0 Jeffrey Stout Chief Nursing Officer 244863 0 42799 0 2191 0 41104 0 21333 0 352290 0 0 0 Cora Case CFO Renown Regional 220171 0 28081 0 7122 0 5799 0 7228 0 268401 0 0 0 James Miller Former President/CEO 0 563084 0 0 0 380554 0 335873 0 15435 0 1294946 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 $363,048 were included in Schedule J, Part II, Column (B)(iii). Dawn Ahner, Kristina Gaw and Jeffrey Stout are parties to a supplemental nonqualified retirement plan. Contributions of $76,072 to Dawn Ahner, $51,621 to Kristina Gaw and $37,109 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 8625000 127766600 988672 112532498 14251837 0 0 0 1 B 24900000 260935965 7486860 2537159 1952211 256517329 2008 1 0 1 1 C 1785000 63600000 918613 369398 62311988 2009 1 0 1 1 D 5265000 48028335 2691120 566802 47461533 2010 1 0 1 1 A 0 0 1 1 0 0.00090 0.00090 0 0 1 B 0 1 1 1 0 0.00230 0.00230 0 0 1 C 0 1 1 1 0 0.00610 0.00610 0 0 1 D 0 0 1 1 0 0.00910 0.00910 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: 06/01/2014 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: 06/01/2014 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 Premiere Surgical Specialists Board Member, Alvaro Devia, has an ownership interest 1626517 Surgical services and board member payments 0 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 Maureen Mullarkey, G. Blake Smith, Rob Winkel, 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 $970,982 for fiscal year ending June 30, 2014 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 Controller and current VP & Corporate CFO 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 2014 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 18,512,471. Management and general expenses 8,930,315. Fundraising expenses 0. Total expenses 27,442,786. Ambulance charges: Program service expenses 54,068. Management and general expenses 0. Fundraising expenses 0. Total expenses 54,068. Bond Admin Services: Program service expenses 0. Management and general expenses 169,905. Fundraising expenses 0. Total expenses 169,905. Collection Agencies: Program service expenses 184,289. Management and general expenses 0. Fundraising expenses 0. Total expenses 184,289. Consulting Fee: Program service expenses 76,614. Management and general expenses 760,779. Fundraising expenses 0. Total expenses 837,393. Garbage: Program service expenses 357,748. Management and general expenses 0. Fundraising expenses 0. Total expenses 357,748. Laundry Service: Program service expenses 1,331,858. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,331,858. Medical Services: Program service expenses 6,809,063. Management and general expenses 33,375. Fundraising expenses 0. Total expenses 6,842,438. Other Services: Program service expenses 20,882,854. Management and general expenses 1,321,155. Fundraising expenses 0. Total expenses 22,204,009. Med Equip Svc Agreements: Program service expenses 3,599,026. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,599,026. Transportation Services: Program service expenses 111,697. Management and general expenses 0. Fundraising expenses 0. Total expenses 111,697. Snow Removal/Ice Melt: Program service expenses 50,766. Management and general expenses 1,024. Fundraising expenses 0. Total expenses 51,790. Overhead Allocation Professional Fees: Program service expenses 0. Management and general expenses 33,284,266. Fundraising expenses 0. Total expenses 33,284,266. Form 990, Part XI, line 9: SWAP Mark to Market Adjustment 695,559. Other 213. 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 Nevada Heart Institute Clinic LLC 1155 Mill St Z-4 Reno NV 89502 453571779 Cardiology 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 60912428 General Ledger