2014-05-15T11:37:14-05:00 2013-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2012-07-01 880213754 Renown Regional Medical Center RENO 7759824404 1155 MILL STREET C/O TAX TREASURY Z-5 RENO NV 89502 Dawn D Ahner 7759824404 2014-05-15 1 Kim Hunwardsen CPA P00484560 6122536500 2014-05-14 2012 2015-11-30 17:44:51Z Dawn D Ahner 1155 Mill St Z-6 Reno NV 89502 639928711 0 X WWW.RENOWN.ORG X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 13 12 0 277 40764 2158 2922688 4538724 580587881 628640864 -19173 88480 771538 6180881 584262934 639448949 6127514 5990963 0 0 183829036 190204567 0 0 0 403484458 432487344 593441008 628682874 -9178074 10766075 648625391 841895468 544865011 716161159 103760380 125734309 X Our purpose is to make a genuine difference for the many lives we touch by optimizing our patients' healthcare experience. 0 0 549693319 5990963 634363073 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 the 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 comprises 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, 2013, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $105 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/communitybenefit. 549693319 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 13 12 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 0 X Dawn D Ahner 7759824404 1155 MILL ST Z-7 Reno NV 89502 X James Miller 44.00 16.00 X X 0 1313224 350091 David Line 3.00 18.00 X X 0 19822 0 Bertha Mullins 3.00 0.00 X X 0 8493 0 Maureen Mullarkey 3.00 0.00 X X 0 10479 0 Alvaro Devia 3.00 0.00 X 0 2000 0 Lawson Fox 3.00 0.00 X 0 3160 0 Christi Matteoni 3.00 0.00 X 0 0 0 Bill Newburg 3.00 0.00 X 0 7793 0 G Blake Smith 3.00 0.00 X 0 7600 0 Rob Winkel 3.00 0.00 X 0 3900 0 Greg Boyer 60.00 0.00 X 561114 0 7674 Jim Bauserman 3.00 0.00 X 0 0 0 Paula Dermody 3.00 0.00 X 0 0 0 Jeff Resnik 3.00 0.00 X 0 0 0 Melissa Molyneaux 3.00 0.00 X 0 0 0 Dawn Ahner 38.00 22.00 X 0 656728 90001 Donald Sibery 44.00 16.00 X 0 0 0 Max Jackson 60.00 0.00 X 449072 0 14740 David Veillette 60.00 0.00 X 414839 0 22561 Kris Gaw 60.00 0.00 X 390380 0 62278 Jeffrey Stout 60.00 0.00 X 250678 0 56844 Cora Case 60.00 0.00 X 220209 0 6551 2286292 2033199 610740 114 0 1 0 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 1607790 Harmony Healthcare LLC 600 S Magnolia Ave Ste 375 Tampa FL 33606 Consulting Services 915788 Comforce Medical OFC Support 3492 Momentum Pl Chicago IL 60689 Staffing Services 824302 On Call Consulting Inc PO Box 4729 Winter Park FL 327934729 Coding Services 806934 Kforce Healthcare Inc PO Box 277997 Atlanta GA 30384 Staffing Services 748544 27 4538724 4538724 Patient Services 621500 622374899 622374899 Cafeteria 722210 2457758 2457758 Patient Prescriptions 621500 2422078 2422078 Laboratory Services 621511 1260823 1260823 Disease Management Ser 621999 125306 125306 628640864 91013 91013 713902 295994 417908 417908 417908 1500 4033 -2533 -2533 -2533 396664 179735 216929 216929 Non-op Bond Int Rate S 621999 5505280 5505280 Unrelated Business Inc 621999 40764 40764 5546044 639448949 634363073 40764 506388 5738244 5738244 252719 252719 648712 648712 155883804 153342647 2541157 33672051 33132635 539416 27728973 27728973 276564 276564 26082 26082 60970836 50507879 10462957 315 45 270 13756107 12107737 1648370 2439522 115567 2323955 1794166 1541342 252824 467351 372098 95253 145310 122258 23052 24366620 22588138 1778482 33186656 12818987 20367669 3124162 47093 3077069 Bad Debt 159968902 159968902 Medical Supplies 95964503 95964503 Other Admin Costs 6211588 6211588 Miscellaneous 1528699 75234 1453465 530988 322497 208491 628682874 549693319 78989555 0 18049 16500 8407483 41815544 115375428 92236353 13851871 14585283 1555234 1519062 731222829 342285054 397636500 388937775 3509245 3988854 108271581 298796097 648625391 841895468 30408903 33706646 455180255 447773356 59275853 234681157 544865011 716161159 X 103760380 125734309 103760380 125734309 648625391 841895468 X 10766075 119293 11088561 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 26082 0 0 0 26082 0 Part IV, Supplemental Information: 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 506342875 189204794 317138081 695048 449262 245786 204276620 152630998 51645622 6857216 6857216 388937775 OTHER RECEIVABLES 398377 DEPOSITS 10171 UNAMORTIZED FINANCING COSTS 14131830 DUE FROM AFFILIATES 252752633 DEBT SERVICE RESERVE 10171574 FUNDS HELD IN TRUST 21331512 298796097 Other Current Liabilities 794595 Interest Rate SWAP Liability 37566540 Due to Affliates 191898117 Third-Party Settlements 4421905 234681157 X Description of Uncertain Tax Positions Under FIN 48: 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 2010. 1 1 X 1 X 1 X 1000.000000000000 1 1 1 0 1 1 11319255 0 11319255 0.02410 60371635 37068486 23303149 0.04970 8241793 2135767 6106026 0.01300 79932683 39204253 40728430 0.08680 4963630 0 4963630 0.01060 2773400 0 2773400 0.00590 2738244 0 2738244 0.00580 213390 0 213390 0.00050 826891 0 826891 0.00180 11515555 11515555 0.02460 91448238 39204253 52243985 0.11140 0 159968902 76241179 127274600 116531484 10743116 X 1 1 1 1 Renown Regional Medical Center

1155 Mill St Reno NV 89502

X X X X X X Renown Regional Medical Center 1 1 X X X X X X X X 12 1 0 1 X X X 1 0 1 1 200.000000000000 1 1000.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X 1 X 0 0 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, L7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $159,968,902. 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.The amount included on Line 3 is calculated as the amount of uninsured patient charges written off as bad debt that is estimated to qualify as charity under the organization's charity care policy. The organization estimated the amount based upon an analysis of the FICO scores of its uninsured population. A FICO score below 500 is presumed to qualify under the organization's charity policy based upon an analysis of the bankcard balances and mortgage balalnces of this population and the FICO scores of the population that did qualify for charity under the organization's policy. The organization estimated that 47.66% of the uninsured population has a FICO score under 500. To calculate the amount included on Line 3, the total bad debt expense at cost was multiplied by 47.66% Part III, Line 8: The costing methodology for Line 6 uses the ratio of cost to charges from the FY13 as filed Medicare cost report. If the Ratio of Cost to Charges from the Form 990, worksheet 2, which includes the complete costs of the organization were used, the net community benefit in Line 7 would be $3.8 million. The Medicare cost report excludes certain costs that are incurred by the organization for the delivery and support of patient care. The major excluded costs are : costs incurred by the orgnization and paid to related parties for services that deliver and support patient care, costs incurred by the organization related to amounts paid to physicians who deliver and support patient care and costs paid by the organization to support The Pregnancy Center and Renown Skilled Nursing which are 501c3 organizations and are integral to the delivery of care at the organization. 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. 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 4: The organization's community health needs assessment and implementaion plan are made publicly available at www.renown.org/community benefit. Renown Regional Medical Center Part V, Section B, Line 5c: The organization's community health needs assessment and implementaion plan are made publicly available at www.renown.org/community benefit. Renown Regional Medical Center Part V, Section B, Line 6i: The organization's implementaion plan is made publicly available at www.renown.org/community benefit. 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 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/communitybenefit. 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 427,704 according to the 2012 Nevada State Demographer. According to the 2012 US Census Bureau, the population in the Washoe County area is 50.4% male and 49.6% female. A quarter (23.0%) of the population is under the age of 18. 13.3% of the population is 65+. Washoe County's population was estimated to have the following breakdown as of 2012: 65.1% Caucasian/white, 2.6% African American / black, 6.2% Asian / Hawaiian or Pacific Islander, 2.1% American Indian and Alaska Native and 23.0% Hispanic. The Washoe County median household income was estimated to be $53,994 according to the US Federal Census. 14.7% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 8.2% as of November 2013, reflecting improvement from a high of 13%. Twenty two percent of Nevada residents were without health insurance in 2012, which is the most recently available study specific to Nevada. 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 5,200 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, 2013, Renown Health and its subsidiaries provided over $105 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/communitybenefit. Reports Filed With States Part VI, Line 7 NV 1 Renown Skilled Nursing 1155 Mill St Reno NV 89502 201347269 501 (c)(3) 2738244 Skilled Nursing Services Renown Network Services 1155 Mill St Reno NV 89502 880231828 501 (c)(3) 3000000 Pregnancy Services 2 0 Patient Assistance 195 252719 The organization's grants are given directly to 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 0 1 0 0 0 0 0 0 0 James Miller 0 891572 0 392757 0 28895 0 335873 0 14218 0 1663315 0 0 Greg Boyer 473517 0 83305 0 4292 0 0 0 7944 0 569058 0 0 0 Dawn Ahner 0 484725 0 169050 0 2953 0 72450 0 17551 0 746729 0 0 Max Jackson 353569 0 83169 0 12334 0 0 0 15010 0 464082 0 0 0 David Veillette 348667 0 59364 0 6808 0 0 0 22831 0 437670 0 0 0 Kris Gaw 329529 0 58626 0 2225 0 49398 0 12880 0 452658 0 0 0 Jeffrey Stout 231267 0 17716 0 1695 0 35341 0 22133 0 308152 0 0 0 Cora Case 197866 0 15368 0 6975 0 0 0 6810 0 227019 0 0 0 Part I, Line 4b Dawn Ahner, Kristina Gaw and Jeffrey Stout are parties to a supplemental nonqualified retirement plan. Contributions of $72,450 to Dawn Ahner, $49,398 to Kristina Gaw and $35,341 to Jeffrey Stout were included in Schedule J, Part II, Column (C). Supplemental Information Part III 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. 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 6740000 127766600 988672 112532498 14245454 2013 0 0 0 1 B 20450000 270798443 7482138 256517329 2537159 1952211 2007 1 0 1 1 C 1460000 66968699 62311988 918613 369398 2007 1 0 1 1 D 3755000 50676717 2583968 47461533 566802 2007 1 0 1 1 A 0 0 1 1 0 0.00090 0.00090 0 0 1 B 0 1 1 1 0 0.00220 0.00220 0 0 1 C 0 1 1 1 0 0.00580 0.00580 0 0 1 D 0 0 1 1 0 0.00870 0.00870 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 Schedule K Part IV, Arbitrage, Line 2c 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: 06/23/2013 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: 03/31/2013 Premiere Surgical Specialists Board member has an ownership interest 1398729 Professional services and board member payments 0 Employees reported on W-3 Form 990, Part V, Question 2a 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. Number reported in Box 3 of Form 1096 Form 990, Part V, Line 1a 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 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 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 Chief Accounting Officer and/or the Chief Financial Officer prior to the final Form 990 being sent to the board. The IRS Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the forms, the Renown Health board is provided with a narrative that explains the various parts of the Form and their content. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Regional Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15 Renown Health's executive compensation is set by the Renown Health Compensation Committee. Members of this committee review and approve various employee pay practices and parameters, as well as compensation for the CEO and certain executives. The Compensation Committee is comprised of independent 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. The Compensation Committee members are appointed by the Chairman of the Renown Health Board of Directors. The Compensation Committee meets approximately five times per year. Meeting minutes are kept documenting the deliberations and decisions regarding the compensation arrangements. Total cash compensation for the organization's executives are 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 Compensation Committee undertook the process outlined above for the fiscal year 2013 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 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: SWAP Mark to Market Adjustment 11,123,343. Other -34,782. Audit Committee Form 990, Part XII, Line 2b Renown Health, the sole member of this entity has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant. 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 Renown Health 1155 Mill St Z-5 Reno NV 89502 942972845 Health Care NV 501 (c) (3) III-FI N/A 0 Renown Health Foundation 1155 Mill St Z-5 Reno NV 89502 942972749 Foundation NV 501 (c) (3) 7 Renown Health 0 Renown South Meadows Medical Center 1155 Mill St Z-5 Reno NV 89502 460517825 Hospital NV 501 (c) (3) 3 Renown Health 0 Hometown Health Plan 1155 Mill St Z-5 Reno NV 89502 880231433 HMO NV 501 (c) (4) Renown Health 0 Renown Skilled Nursing 1155 Mill St Z-5 Reno NV 89502 201347269 Hospital NV 501 (c) (3) 3 Renown Health 0 Renown Network Services 1155 Mill St Z-5 Reno NV 89502 880231828 Outpatient Imaging and Pregnancy Center NV 501 (c) (3) 3 Renown Health 0 Routt Dialysis LLC 1155 Mill St Z-5 Reno NV 89502 263558729 Dialysis NV N/A Nevada Heart Institute Clinic LLC 1155 Mill St Z-5 Reno NV 89502 453571779 Cardiology NV N/A Renown Businesses 1155 Mill St Z-5 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Management Company 1155 Mill St Z-5 Reno NV 89502 880236758 Management Services NV N/A C 0 The Provider Network Inc 1155 Mill St Z-5 Reno NV 89502 880376369 Health Care NV N/A C 0 Remittance Assistance Corporation 1155 Mill St Z-5 Reno NV 89502 880277761 Collections NV N/A C 0 Hometown Health Providers Insurance Company 1155 Mill St Z-5 Reno NV 89502 880177026 Insurance NV N/A C 0 Nevada Heart Institute 1155 Mill St Z-5 Reno NV 89502 880247743 Cardiology NV N/A C 0 NHI-1 Inc 1155 Mill St Z-5 Reno NV 89502 880303924 Cardiology NV N/A C 0 Elko Heart Institute 1155 Mill St Z-5 Reno NV 89502 452152594 Cardiology NV N/A C 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 Hometown Health Plan Inc L 48252951 General Ledger Hometown Health Plan Inc M 3845540 General Ledger