2024-11-13T18:28:22-06:00 2023-12-31 910189318 Moss Adams 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2023-01-01 880213754 Renown Regional Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Anna Loomis Chief Financial Officer 7759826488 2024-11-12 1 0 Tracy S Paglia P00366884 9165038100 2024-11-12 2023 2024-10-15 13:58:12Z Brian Erling 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 1167993384 0 X www.renown.org X 1985 NV An 826 bed acute-care hospital and the region's only Level II trauma center. 10 9 0 272 3514761 25459 12006056 8955432 533409610 1154578261 1037920 3218295 235861 515809 546689447 1167267797 2462615 4858748 0 0 214768134 455308995 0 0 0 319693266 642511829 536924015 1102679572 9765432 64588225 812060290 800735087 850982911 931395609 -38922621 -130660522 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 910878221 4858748 1149539482 See Schedule ORenown Regional Medical Center is an accredited, 826-licensed bed, general and acute-care hospital serving communities in Nevada and northeastern California. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the University of Nevada-Reno School of Medicine and the region's healthcare professionals.Renown Regional provides necessary healthcare services regardless of race, creed, sex, gender, 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 and emergency care, behavioral health, addiction, and women's and children's health. Renown 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 has a medical staff of 1,132 and extends privileges on its medical staff to all eligible and qualified physicians and allied health professionals. As a non-profit organization, we reinvest every dollar we earn back into the communities we serve, through staffing, technology, treatment, and training to enhance patient care, medical education and research.As part of an integrated health network, Renown Regional provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center for adults and children, a Pediatric Intensive Care Unit, a Level 3 Neonatal Intensive Care Unit, ECMO, TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Comprehensive Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region.Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric pulmonology, adolescent medicine, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the year ended December 31, 2023, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided approximately $274 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: https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/. 910878221 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 0 0 0 0 0 0 0 0 0 0 1 0 X 10 9 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Anna Loomis 7759826488 1155 Mill St Z-4 Reno NV 89502 Dawn Ahner Former Key Employee 0.00 0.00 X 1781034 0 0 Brian Erling President/CEO 23.00 37.00 X X 0 1288090 215714 Ann Beck Chief Financial Officer 32.00 28.00 X 0 822915 110675 Josiah Johnson Former Officer 0.00 60.00 X 0 768059 18368 Thomas Graf Former Officer 0.00 60.00 X 0 593777 11028 Chris Nicholas CEO Renown Regional 60.00 0.00 X 409614 0 72020 Brett Moore CFO Acute Care 60.00 0.00 X 354395 0 27285 Amy McCombs COO Renown Regional 60.00 0.00 X 321354 0 33694 James Ascue Registered Nurse 60.00 0.00 X 280177 0 18901 Marvin Glass Senior Medical Physicist 60.00 0.00 X 243313 0 7961 Adam Kramer Chair 3.00 9.00 X X 0 36000 0 Jeff Resnik Director 3.00 9.00 X 0 29130 0 Tammy Dermody Secretary & Vice Chair 3.00 9.00 X X 0 24000 0 Bijel Doshi Treasurer 3.00 9.00 X X 0 24000 0 Mark Knobel Director 3.00 9.00 X 0 24000 0 Marc Mora Director 3.00 9.00 X 0 24000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Stephanie Lepori Director 3.00 9.00 X 0 15000 0 Brian Sandoval Director 3.00 9.00 X 0 0 0 3389887 3663971 515646 876 1 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 43446263 Clark & Sullivan Constructors 905 Industrial Way Sparks NV 89431 Construction Services 43405332 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 22730390 Sodexo America LLC 9801 Washington Boulevard Gaithersburg MD 20878 Facility Management Services 21570845 Healthtrust Workforce Solutions LLC PO Box 550 Nashville TN 372020550 Healthcare Labor Services 10624418 156 5726740 3228692 8955432 Patient Services 621500 788002200 788002200 Laboratory Services 621500 222725284 222581040 144244 Patient Prescriptions 621500 142170830 138809894 3360936 Cafeteria 722513 1679947 1679947 1154578261 3397863 3397863 706485 337024 369461 369461 9581 359880 71480 251048 -179568 -179568 -179568 283863 137515 146348 146348 1167267797 1149539482 3514761 5258122 X 56430 56430 4802318 4802318 1781034 1781034 382586749 379123113 3463636 9860828 9726125 134703 37456960 36945282 511678 23623424 23300718 322706 39760 39760 154 154 28380 28380 263629898 101360183 162269715 3845 2903 942 17096253 14509890 2586363 4856092 3736823 1119269 12090194 12020045 70149 526729 498018 28711 294493 230941 63552 22547906 22547906 38892576 27782252 11110324 1636338 298622 1337716 Medical Supplies 231964791 231964791 Bad Debt 35537626 35537626 Licenses and Taxes 4658960 4578717 80243 UBIT Tax 1604 1604 8706230 1785620 6920610 1102679572 910878221 191801351 0 400 400 42645501 85408828 167143878 179636414 24496228 25342681 3815152 7984145 1009564582 552281825 432750372 457282757 141208759 45079862 812060290 800735087 55538924 43704795 676438794 660536550 119005193 227154264 850982911 931395609 X -38922621 -130660522 0 0 -38922621 -130660522 812060290 800735087 X 64588225 -156326126 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 28380 0 0 0 28380 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. 359660 12691410 13051070 2501491 627158430 338093203 291566718 10420288 5847592 4572696 284256523 208341030 75915493 72176780 72176780 457282757 Other Receivables 13355528 Due From Affiliates 292106 Funds Held in Trust 29215259 Other 2216969 45079862 Due to Affliates 218425553 Other Liabilities 6623346 Third Party Settlements 2105365 227154264 X Part X, Line 2: Renown Regional Medical Center is organized as a Nevada nonprofit entity and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). This entity must annually file Returns of Organizations Exempt from Income Tax (Form 990) with the IRS. In addition, Renown Regional Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax-exempt purpose. Renown Regional Medical Center files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report any unrelated business taxable income. Renown Regional Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the combined financial statements. Renown Regional Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 1 0 1 1 12047699 12047699 0.01130 193438116 110926607 82511509 0.07730 1866965 1866965 0.00170 207352780 110926607 96426173 0.09030 6976046 6976046 0.00650 15027176 5165441 9861735 0.00920 56430 56430 0.00010 454119 454119 0.00040 22513771 5165441 17348330 0.01620 229866551 116092048 113774503 0.10650 0 35537626 212506387 218885465 -6379078 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 X Renown Regional Medical Center 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 23 1 See Part V, Page 8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X X 1 X 0 1 Renown Regional Medical Center Part V, Section B, Line 5: Renown used validated and reliable data sources, results from an online survey of 1,400 residents, input from local subject matter experts and feedback from over 80 leaders and stakeholders who participated in a community workshop. Renown Regional Medical Center Part V, Section B, Line 6a: Renown South Meadows Medical Center and Renown Rehabilitation Hospital Renown Regional Medical Center Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown Regional Medical Center Part V, Section B, Line 11: The prioritized health needs identified in its 2020 CHNA include: Priority 1: Healthy Behaviors (Health Literacy and System Navigation);Priority 2: Immunizations and Infectious Diseases; andPriority 3: Behavioral, Youth, and Adolescent Health (Mental Health, Substance Abuse, and Youth/Adolescent Health).PRIORITY 1: HEALTHY BEHAVIORS (HEALTH LITERACY AND SYSTEM NAVIGATION) Overarching Goal Statement: Early and Equitable Access to Genetic Screening and Application.Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project (HNP) and the Renown Health Communication Team.Three inherited autosomal dominant conditions-BRCA related hereditary breast and ovarian cancer (HBOC), Lynch syndrome (LS) and familial hypercholesterolemia (FH)-have been termed the Centers for Disease Control and Prevention Tier 1 (CDCT1) genetic conditions, for which early identification and intervention have a meaningful potential for clinical actionability and a positive impact on public health. In typical medical practice, genetic testing for these conditions is based on personal or family history, ethnic background or other demographic characteristics. In a study of a cohort of 26,906 participants in the HNP, it was evaluated whether population screening could efficiently identify carriers of these genetic conditions and, second, the impact of genetic risk on health outcomes for these participants. It was found a 1.33% combined carrier rate for pathogenic and likely pathogenic (P/LP) genetic variants for HBOC, LS and FH. Of these carriers, 21.9% of participants had clinically relevant disease, among whom 70% had been diagnosed with relevant disease before age 65. Moreover, 90% of the risk carriers had not been previously identified, and less than 19.8% of these had documentation in their medical records of inherited genetic disease risk, including family history. In a direct follow-up survey with all carriers, only 25.2% of individuals reported a family history of relevant disease. Our experience with the HNP suggests that genetic screening in patients could identify at-risk carriers, who would not be otherwise identified in routine care.In 2023, Renown worked with the HNP to increase marketing efforts and community engagement around genetic testing. From those efforts, 17 unique materials were developed and distributed among patients, providers and public health practitioners. In addition to physical materials, the HNP team attended 12 community events to build strong partnerships toward mutual goals, which include healthcare payers, healthcare providers, advocacy groups and other key stakeholders. Enrollment numbers increased by 3,216 in 2023, for a total of 54,994 participants in the project.PRIORITY 2: IMMUNIZATIONS & INFECTIOUS DISEASES Overarching Goal Statement: Create equity and improve vaccine and immunization access within our communities through structural and systems level changes that are sustainable and culturally reflective.Target Populations include socially vulnerable populations, those without vehicles/transportation opportunities, people with disabilities, older adults, and those with limited English proficiency. Collaboration partners include Immunize Nevada, Nevada Vaccine Equity Collaborative and Community Health Alliance (CHA).From the most recent report dated February 2022, the pharmacy department at CHA has given 10,633 vaccines during vaccine events, pop-up events, and walk-ins at one of three pharmacy locations. Of this total, 48% have been to the pediatric population between the ages of 5 and 18. The pharmacy department has conducted 55 off site vaccine clinics and pop-up events. 81.8% of these events have targeted the pediatric population. CHA has collaborated with the Washoe County School District, the Washoe County Health Department, the Boys and Girls Club, Our Place, the Reno Sparks Gospel Mission, Catholic Charities, Immunize Nevada and many other community partners to help host and support these events. Vaccinations have included flu, COVID primary series and boosters, and routine immunizations. Specifically, the newest CHA Pharmacy, funded with support from Renown Health has provided 92 pediatric vaccines and 191 adult vaccine clinics. In 2023, 76% of the allocated efforts were in support of these socially vulnerable populations. In addition to this, five communications campaigns were posted and got 336,549 unique views to meet the cultural and linguistic needs of communities highly impacted by COVID-19. Immunize Nevada had 5,232 attendees during vaccine clinic events and 3,858 attendees at vaccine outreach events to give a total of 1,900 vaccines.PRIORITY 3: BEHAVIORAL, YOUTH, AND ADOLESCENT HEALTH Overarching Goal Statement: Systemic approach to supporting the behavioral health needs of Washoe County by building a foundation for a healthier community.Target Populations include providers with first line of sight, teachers, childhood educators, childcare and care providers, young adults, foster care population, students and families (parents and guardians). Collaboration Partners include The Children's Cabinet, Washoe County School District (WCSD), Renown Health, and the Nevada Office of Suicide Prevention which came together to create Connect Washoe County (CWC).CWC continues to provide feedback to WCSD regarding their Suicide Response Policy and held a planning discussion for a student peer support model, including a meeting with the Student Advisory Council. CWC is host to a multi-agency Consultation Supervision team consortium, which includes mental health supervisors from Children's Cabinet, Quest Counseling, WCSD, and CHA. This group published a Washoe County Children's Mental Health Consortium (WCCMHC) annual report community snapshot. The Signs of Suicide education and screening occurred at 21 schools including all WCSD 7th graders. 3,289 students were screened with 34.5% scoring at risk or at high risk for mental health or suicide concern.The WCSD Suicide Response Policy has been revised and finalized, with the help of CWC. CWC hosted the 2nd annual Washoe County Youth Mental Health Summit in 2023, which had 400 attendees present. The Children's Cabinet was a prominent partner of Renown Health that aimed to strengthen networks of care for teens and adolescents and their families. The number of support programs increased from 8 programs in 2022 to 12 programs in 2023. Renown partnered with several other organizations to provide support to youth populations which helped to reduce the suicides of people 18 or younger in Washoe County from 6 in 2022 to 5 in 2023. These partners include Amplify Life, Boys & Girls Club of Truckee Meadows, Child Assault Prevention, The City of Reno, Communities in Schools, Education Alliance of Washoe County, Food Bank of Northern Nevada, Forever14, High Fives, Hope Means Nevada, Make-A-Wish Northeastern & Central California and Northern Nevada, Northern Nevada Children's Cancer Foundation, Quest Counseling & Consulting, ReDirect Youth Outreach, Ronald McDonald House Charities Northern Nevada, Safe Kids Washoe County, Safe Talk For Teens, and Step2.Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2021 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans. Renown Regional Medical Center Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. Renown Regional Medical Center Part V, Section B, Line 16j: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Regional Medical Center Part V, Section B, Line 20e: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Regional Medical Center Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Part V, Lines 7a and 10a: https://www.renown.org/en/about/community-commitment/community-health-needs-assessment Part V, Line 7b: https://www.renown.org/en/about/community-commitment/community-health-needs-assessment Part V, Lines 16a, 16b, and 16c: https://www.renown.org/patients-and-visitors/billing/financial-assistance/ 2 1 - Renown Health Home Care 10315 Professional Cir Reno NV 89521 Home Care 2 - Renown Hospice Care 10315 Professional Cir Reno NV 89521 Hospice Care Part I, Line 3c: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. Part I, Line 6a: The organization's community benefit report is contained in a report prepared by its parent corporation, Renown Health.Part I, Line 5c: The organization budgets the amount of charity care expected in the next year but does not use that estimate as a constraint on the amount of charity care provided. Part I, Line 7: Charity care expense was converted to cost on line 7a using the cost-to-charge ratio derived from Worksheet 2. Unreimbursed Medicaid and other unreimbursed costs on line 7b was calculated using the cost-to-charge ratio derived from Worksheet 2. Community health improvement, health professions education, subsidized health services, research and cash and in-kind contributions on lines 7e, 7f, 7g, and 7i are reported from the organization's records. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $35,537,626. 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 18 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the cost accounting system in the year ended December 31, 2023, as filed in 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/en/about/community-commitment/. 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 498,022 as of July 2023 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.9% male and 49.1% female. A fifth (20.5%) of the population is under the age of 18 and 17.7% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 60.2% Caucasian/White, 3.0% African American/Black, 7.1% Asian/Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 26.2% Hispanic/Latino.The Washoe County median household income was estimated to be $81,531 according to the US Census Bureau and 10.3% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.9% as of December 2023, below the state of Nevada at 5.3%. 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, 826-licensed bed, general and acute-care hospital serving communities in Nevada and northeastern California. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the University of Nevada-Reno School of Medicine and the region's healthcare professionals.Renown Regional provides necessary healthcare services regardless of race, creed, sex, gender, 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 and emergency care, behavioral health, addiction, and women's and children's health. Renown 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 has a medical staff of 1,132 and extends privileges on its medical staff to all eligible and qualified physicians and allied health professionals. As a non-profit organization, we reinvest every dollar we earn back into the communities we serve, through staffing, technology, treatment, and training to enhance patient care, medical education and research.As part of an integrated health network, Renown Regional provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center for adults and children, a Pediatric Intensive Care Unit, a Level 3 Neonatal Intensive Care Unit, ECMO, TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Comprehensive Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region.Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric pulmonology, adolescent medicine, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the year ended December 31, 2023, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided approximately $274 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: https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/. Part VI, Line 7, Reports Filed With States NV 1 Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 501(c)(3) 56430 0 Patient Assistance 1 0 Patient Assistance 5507 4739156 Scholarships/Continuing Education 420 63162 Part I, Line 2: For Part II- Assistance is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. For Part III- The patient assistance is requested by a Renown social worker on behalf of a patient once it is determined that all eligibility criteria is met. The manager and director review the request and if approved, payment is made directly to the vendor, so there is no ongoing monitoring necessary for this assistance. X X 1 1 1 1 0 0 0 0 0 0 0 Dawn Ahner Former Key Employee 0 0 0 0 1781034 0 0 0 0 0 1781034 0 1781034 0 Brian Erling President/CEO 0 1220589 0 0 0 67501 0 197268 0 18446 0 1503804 0 0 Ann Beck Chief Financial Officer 0 613763 0 197753 0 11399 0 101462 0 9213 0 933590 0 0 Josiah Johnson Former Officer 0 18377 0 0 0 749682 0 1030 0 17338 0 786427 0 0 Thomas Graf Former Officer 0 20157 0 0 0 573620 0 985 0 10043 0 604805 0 0 Chris Nicholas CEO Renown Regional 408225 0 0 0 1389 0 0 53537 0 18483 409614 72020 0 0 Brett Moore CFO Acute Care 353945 0 0 0 450 0 0 13200 0 14085 354395 27285 0 0 Amy McCombs COO Renown Regional 319877 0 0 0 1477 0 0 20078 0 13616 321354 33694 0 0 James Ascue Registered Nurse 274010 0 3745 0 2422 0 0 11229 0 7672 280177 18901 0 0 Marvin Glass Senior Medical Physicist 242125 0 0 0 1188 0 0 0 0 7961 243313 7961 0 0 Part I, Line 1a Travel for Companions: Chris Nicholas - not included in taxable compensation Tax Indemnification and Gross-up Payments: Amy McCombs, James Ascue, and Chris Nicholas - included in taxable compensation Part I, Line 3 Renown Regional Medical Center relied on Renown Health, a related organization to establish compensation for its top management official. Renown Health used the following methods to establish compensation: compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee. See Renown Health's Form 990, Schedule O, narrative for Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Lines 4a-b Thomas Graf and Josiah Johnson received severance payments of $573,471 and $749,539, respectively. These amounts are included in Schedule J, Part II, Column (B)(iii). Brian Erling, Ann Beck, and Chris Nicholas are parties to a supplemental nonqualified retirement plan. Contributions of $184,068 to Brian Erling, $88,989 to Ann Beck, and $40,000 to Chris Nicholas are included in Schedule J, Part II, Column (c). Dawn Ahner received a distribution of $1,781,034 from a 457(f) retirement plan. This amount is included in Schedule J, Part II, Column (C). A Public Finance Authority 273866124 74442CAX2 2015-06-03 149946826 See Part IV 0 0 0 B Public Finance Authority 273866124 74442CBS2 2016-07-27 162793319 See Part IV 0 0 0 C Public Finance Authority 273866124 74442CDB7 2020-10-01 354623837 See Part IV 0 0 0 A 25825000 151351816 1319162 150032654 1 1 1 1 B 18750000 165241495 1426291 163815204 0 1 1 1 C 8435000 358874387 673367 176300091 152692546 29208383 1 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 1 0 0 0 0 1 1 A 1 B 1 C 1 Schedule K, Part I, Bond Issue A, Column (f) Bonds were issued to current refund Series 2001A Bonds (issued 11/8/2001), advance refund Series 2007A Bonds (issued 4/19/2007) and to pay costs of issuance. Schedule K, Part I, Bond Issue B, Column (f) Bonds were issued to advance refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010), advance refund Series 2008AB/2008 Conversion Bonds (issued 6/23/2008) and to pay costs of issuance. Schedule K, Part I, Bond Issue C, Column (f) Bonds were issued to finance capital projects and to current refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010), Series 2008AB (issued on 6/26/2008), Series 2008 Conversion Bonds (issued 6/23/2008) and Series 2009AB Bonds (issued 11/15/2009) (collectively, the "Prior Bonds"). Schedule K, Part II, Columns A & B, Line 13 Since the proceeds of the Bonds are used for refunding purposes, the year of substantial completion is not applicable. Schedule K, Part II, Columns A, B & C, Line 3 The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I (e) due to interest earnings on invested proceeds. Schedule K, Part III, Columns A, B, & C, Line 7 As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, line 6. The organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code. Schedule K, Part IV, Column A, Line 2b The portion of bonds used to current refund Series 2001A Bonds has met the 6-month expenditure exception to rebate. Schedule K, Part IV, Column A, Line 2c The interim rebate report was performed on June 8, 2017. Schedule K, Part IV, Column B, Line 2c The fifth year rebate report was prepared on September 1, 2021. Schedule K, Part IV, Column C, Line 2b The portion of bonds used to current refund the Prior Bonds has met the 6-month expenditure exception to rebate. 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 and benefits are reported on lines 7 through 10 of Part IX. Form 990, Part VI, Section A, line 2 All the directors of the filing organization are also directors of the related tax-exempt organization, Renown Health. The directors have a business relationship with individuals reported on Part VII that are employed by Renown Health. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown Regional Medical Center. Form 990, Part VI, Section A, line 7a Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional Medical Center. Form 990, Part VI, Section A, line 7b Renown Health must approve: 1) any changes of a strategic plan 2) selection of independent auditors, employee benefit consultants, legal counsel, and investment advisors 3) insurance and risk management programs 4) annual operating or capital budgets 5) material changes to the budget 6) investment policies 7) contracts among Renown entities 8) changes to governing documents 9) encumbrances of assets in excess of $1 million or real property 10) any borrowing in excess of $1 million in any fiscal year 11) merger, purchase or acquisition of another organization 12) joint venture with any other organization, entity or persons 13) any other material action take outside of ordinary course of business Form 990, Part VI, Section A, line 8b There was no committee during the year that had the broad authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm with support from the organization's tax department. The Form 990 is reviewed by the organization's current Corporate Controller and current Chief Financial Officer prior to the final version being sent to the Board. The Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the Form 990 and Schedules, the Renown Health Board is provided with a narrative that explains the contents of the various parts of the return. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Regional Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15a Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health executive committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the year ended December 31, 2023 executive compensation. Form 990, Part VI, Section C, line 19 Renown Regional Medical Center doesn't make its governing documents or conflict of interest policy available to the public. A copy of the audited financial statements is part of the Form 990 which is made available to the public. Form 990, Part IX, line 11g Repairs and Maintenance: Program service expenses 6,395,577. Management and general expenses 49,617. Fundraising expenses 0. Total expenses 6,445,194. Other Purchased Services: Program service expenses 21,914,829. Management and general expenses 5,916,813. Fundraising expenses 0. Total expenses 27,831,642. Laundry Service: Program service expenses 3,909,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,909,976. Medical Services: Program service expenses 61,067,667. Management and general expenses 0. Fundraising expenses 0. Total expenses 61,067,667. Med Equip Svc Agreements: Program service expenses 7,704,513. Management and general expenses 24,463. Fundraising expenses 0. Total expenses 7,728,976. Overhead Allocation: Program service expenses 0. Management and general expenses 156,143,691. Fundraising expenses 0. Total expenses 156,143,691. Medical Waste: Program service expenses 367,621. Management and general expenses 0. Fundraising expenses 0. Total expenses 367,621. Bond Administration Services: Program service expenses 0. Management and general expenses 135,131. Fundraising expenses 0. Total expenses 135,131. Form 990, Part XI, line 9: Intercompany Settlements -156,326,126. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501(c)(3) Line 12c, III-FI N/A 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) Line 7 Renown Health 0 Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 Hospital NV 501(c)(3) Line 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 Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Health Care NV 501(c)(3) Line 12b, II Renown Health 0 Renown Medical School Associates North 1155 Mill St Z-4 Reno NV 89502 860881749 Patient Care NV 501(c)(3) Line 10 Hometown Health Plan 0 Renown Businesses 1155 Mill St Z-4 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Management Company 1155 Mill St Z-4 Reno NV 89502 880236758 Management Services NV N/A C 0 Hometown Health Providers Insurance Company 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 1 1 1 1 0 0 1 0 1 1 1 1 0 1 1 1 1 1 Hometown Health Plan Inc L 80861319 General Ledger