2022-05-12T16:41:43-05:00 2021-06-30 910189318 Moss Adams 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2020-07-01 880213754 Renown Regional Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2022-05-11 1 Ann Beck 999009999 Tracy S Paglia P00366884 9165038100 2022-05-11 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Thomas Graf 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 965845664 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 18 16 0 121 49054 39134 18570182 27419538 898998098 937094305 -79134 -1710738 747814 633721 918236960 963436826 3860460 2657151 0 0 328135500 362429068 0 0 0 546219062 579912577 878215022 944998796 40021938 18438030 920238119 1403197593 712581205 1104184074 207656914 299013519 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 777008385 2657151 934608333 See Schedule ORenown Regional Medical Center is an accredited, 808-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, healthy aging, healthcare innovation and women's and children's health. Renown Regional is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown Regional extends privileges on its medical staff to all eligible and qualified physicians 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, a pediatric intensive care unit, 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. These house medical specialty and subspecialty practices. In partnership with the 793 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 orthopedics, pediatric ophthalmology, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2021, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $198 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/. 777008385 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 16 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Ann Beck 7759826488 1155 MILL ST Z-4 Reno NV 89502 Anthony Slonim President/CEO 23.00 37.00 X X 0 1573616 194408 James DeVolld Chair 3.00 9.00 X X 0 42213 0 Kimberly Cooney Secretary 3.00 9.00 X X 0 24000 0 Adam Kramer Vice Chair 3.00 9.00 X X 0 15000 0 Todd McKenzie Treasurer 3.00 9.00 X X 0 24000 0 G Blake Smith Director 3.00 9.00 X 0 25681 0 Michael Peterson Director 3.00 9.00 X 0 15000 0 Jeff Resnik Director 3.00 9.00 X 0 24000 0 Joanne Olson Director 3.00 9.00 X 0 6000 0 Alvaro Devia Director 3.00 9.00 X 0 28493 0 Christi Matteoni Director 3.00 9.00 X 0 15000 0 Steven Johnson Director 3.00 9.00 X 0 24000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Harvey Fennell Director 3.00 12.00 X 0 24000 0 Tammy Dermody Director 3.00 9.00 X 0 15000 0 Mark Knobel Director 3.00 9.00 X 0 15000 0 Marc Mora Director 3.00 9.00 X 0 15000 0 Eathan O'Bryant Director (Jan-Jun) 3.00 9.00 X 0 10668 0 Ann Beck Chief Financial Officer 32.00 28.00 X 0 601098 94641 Paul Sierzenski CMO Acute Services 60.00 0.00 X 625858 0 33931 Erik Olson CEO Renown Regional 60.00 0.00 X 493590 0 35609 Jennifer Richards Chief Nursing Officer Acute Services 60.00 0.00 X 350715 0 26155 John Zullo Director of Physics 60.00 0.00 X 261836 0 33940 Alan Herak Director of Decision Support 60.00 0.00 X 247607 0 18117 Dawn Ahner Chief Operating Officer 30.00 30.00 X 936811 0 135647 2916417 2512769 572448 358 0 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 48726005 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 10698635 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 4233851 Aramark Uniform & Career 1419 National Dr Sacramento CA 95834 Uniform Services 3945283 Waste Management 1001 Fannin Street Houston TX 77002 Waste Services 2779112 86 4085612 23333926 27419538 Patient Services 621500 926646486 926646486 Patient Prescriptions 621500 6072710 6072710 Cafeteria 722210 2589276 2589276 Laboratory Services 621511 1785833 1750906 34927 937094305 11149 11149 885722 355305 530417 530417 14127 516290 205850 1927737 -1721887 -1721887 -1721887 229100 125796 103304 103304 963436826 934573406 49054 1394828 X 1562778 1562778 1094373 1094373 304801001 299784461 5016540 57628067 56587098 1040969 20919 20919 109 109 24986 24986 235099089 91159973 143939116 25 25 16845340 14928200 1917140 3596851 2441794 1155057 7547756 7547348 408 256030 254651 1379 316809 316809 8054218 7783033 271185 31891913 20897753 10994160 829276 19160 810116 Medical Supplies 182474569 182474569 UBIT Tax 9193 9193 Bad Debt 53340955 53340955 Settlement of Interest 28725203 28725203 10879336 8034995 2844341 944998796 777008385 167990411 0 600 600 102414577 224613344 123862272 151039853 27682145 26597142 3479954 3657313 896117039 529068598 355569172 367048441 307229399 630240900 920238119 1403197593 38786080 45984892 397491497 694350411 276303628 363848771 712581205 1104184074 X 207656914 299013519 207656914 299013519 920238119 1403197593 X 18438030 72918575 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 24986 0 0 0 24986 0 Schedule C, Part II-B, Line 1f Payments are made to American Hospital Association and Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 13051069 13051069 556690229 299133486 257556743 3437255 2203485 1233770 293473974 227731627 65742347 29464512 29464512 367048441 Other Receivables 4625507 Due From Affiliates 437960680 Funds Held in Trust 183685205 Other 3969508 630240900 Due to Affliates 303247024 Other Liabilities 8518322 Third Party Settlements 52083425 363848771 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 990T) with the IRS to report any unrelated business taxable income. Renown Regional Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the combined financial statements. Renown Regional Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 0 1 X 1 1 1 0 1 1 9213769 9213769 0.01030 174076614 88543248 85533366 0.09590 183290383 88543248 94747135 0.10620 4755901 4755901 0.00530 4798646 4798646 0.00540 1562778 1562778 0.00180 1496592 1496592 0.00170 12613917 12613917 0.01420 195904300 88543248 107361052 0.12040 0 53340955 178814052 197678216 -18864164 X 1 1 1 1 Renown Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 www.renown.org 0669-HOS X X X X X X Renown Regional Medical Center 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 20 1 See Part V, Page 8 0 1 X 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 2018-2021 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.System Strategy 1: Support public health genomics by incorporating and building on the previous success of state public health genomics program. System Strategy 2: Communication foundation and expansion by developing and distributing standardized communication materials for Tier 1 Genomics applications including educational materials for patients, providers, and public health practitioners.System Strategy 3: Partnership development and sustainability by building strong partnerships toward mutual goals which include healthcare payers, healthcare providers, advocacy groups, and other key stakeholders.System Strategy 4: Develop and use standardized surveillance indicators to measure success.Anticipated Outcomes will be an increased number of community participants for genomic resources, increased education, increased reach and impact with diverse populations. Target Populations include high risk and historically underserved patients. Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project and the Renown Health Communication Team.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.System Strategy 1: Partner with Immunize Nevada, a non-profit agency, to ensure equitable distribution of COVID-19 vaccines.System Strategy 2: Equitable health communications by developing a comprehensive communication plan to meet the cultural and linguistic needs of communities highly impacted by COVID-19.System Strategy 3: Navigation and sustainable expansion by maximizing and leveraging community partnerships, resources, and opportunities.System Strategy 4: Develop and use standardized surveillance indicators to measure success.Anticipated Outcomes will be increased awareness of availability of services and decreased misinformation associated with vaccinations and immunization. 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 (NVEC), Community Health Alliance and the Renown Health's Communication Team.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.System Strategy 1: Partner with the Children's Cabinet, a non-profit agency, to advance linkages of community support services, Government officials, and Health Practitioners.System Strategy 2: Early intervention and programmatic support to strengthen, expand, and support interventions and programs within specific environments by building creative and non-traditional care avenues.System Strategy 3: Improve and support data collection, analysis, and dissemination efforts for behavioral health needs.System Strategy 4: Develop a multi-tiered communication strategy centering around non-traditional partnerships and joint messaging with an emphasis on eliminating the stigma surrounding mental health.System Strategy 5: Strengthen networks of care for teens and adolescents and their families.System Strategy 6: Prevention efforts to combat deaths by suicide through the expansion of prevention, treatment, and family centric support services.Anticipated outcomes include increased reach and impact among targeted population resulting in reduced deaths by suicide, and increased awareness, knowledge, and linkages within behavioral health network. 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, University of Nevada Reno and UNR Med, Local Pediatricians, Renown Health's Communication Team, NV Office of Suicide Prevention.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 2021-2023 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. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Renown Regional Medical Center Part V, Section B, Line 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. Schedule H, Part V, Line 7a, 10a https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/ Schedule H, Part V, Line 7b https://www.nevadatomorrow.org/content/sites/renown/Renown_Files/Reports/Implementation_Strategy_Renown_2021-2023.pdf Schedule H, Part V, Line 16a, 16b, 16c www.renown.org/interact/bill-pay-accepted-insurance/financial-assistance-program/ 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. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Part I, Line 6a: The organization's community benefit report is contained in a report prepared by its parent corporation, Renown Health.Part I, Line 5c: The organization budgets the amount of charity care expected in the next year but does not use that estimate as a constraint on the amount of charity care provided. Part I, Line 7: Charity care expense was converted to cost on line 7a using the cost-to-charge ratio derived from Worksheet 2. Unreimbursed Medicaid and other unreimbursed costs on line 7b 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 $53,340,955. 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 16 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the ratio of cost to charges from the FY21 as filed by the Medicare cost report. Part III, Line 9b: Patients in the process of qualifying for state or local indigent programs or the organization's charity program are indicated with a particular payor class/status in the patient accounting system. The patient is not subject to collection efforts while in those classes/statuses. Part VI, Line 2: Explanation: The organization reviews the current demographic information of the population it serves and the impact those demographics have on the health needs of the community. See explanation 4 for a description of the community. While the demographics start to tell the story of community health needs, Renown Health also consults with community partners and draws from state and local government, non-profits, and school district data sources to assess healthcare needs in the community. Renown Health also used data from the Washoe County Health District to identify health care needs and barriers in its service area. Renown Health's Community Benefit Committee spearheads the development of an annual community needs assessment and corresponding community benefit plan, and oversees the tracking and reporting of community benefit activities. The committee oversees the development or updating of a community needs assessment, and from that assessment develops a community benefit plan that prioritizes and identifies community needs that the organization can support with its finite resources. The needs assessment and community benefit plan then go before the Renown Health Board for review and approval on behalf of all Renown organizations. The needs assessment and the community benefit plan are posted to the organization's website at www.renown.org/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 486,492 as of April 2020 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.5% male and 49.5% female. A fifth (21.3%) of the population is under the age of 18. 16.8% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 62.3% Caucasian/White, 2.8% African American/Black, 6.5% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 25.0% Hispanic/Latino.The Washoe County median household income was estimated to be $64,791 according to the US Census Bureau and 10.2% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 4.9% as of June 2021 below the state of Nevada at 7.2%. Part VI, Line 5: See Schedule O, Part III, Line 4a for a description of how the organization furthers its exempt purpose by promoting the health of the community. Part VI, Line 6: Renown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in 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, healthy aging, healthcare innovation and women's and children's health. Renown Regional is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown Regional extends privileges on its medical staff to all eligible and qualified physicians 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, a pediatric intensive care unit, 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. These house medical specialty and subspecialty practices. In partnership with the 793 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 orthopedics, pediatric ophthalmology, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2021, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $198 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 Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 501(c)(3) 1435865 Patient Assistance Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 501(c)(3) 126913 Patient Assistance 2 0 Patient Assistance 2927 1094373 Part I, Line 2: Assistance in Part II is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. The patient assistance reported in Part III 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 X X 0 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO 0 1104553 0 463028 0 6035 0 172174 0 22235 0 1768025 0 0 Ann Beck Chief Financial Officer 0 503371 0 92700 0 5027 0 78901 0 15739 0 695738 0 0 Paul Sierzenski CMO Acute Services 512505 0 108757 0 4596 0 10072 0 25346 0 661276 0 0 0 Erik Olson CEO Renown Regional 404714 0 86226 0 2650 0 11400 0 25481 0 530471 0 0 0 Jennifer Richards Chief Nursing Officer Acute Services 216319 0 66745 0 67651 0 11400 0 14755 0 376870 0 0 0 John Zullo Director of Physics 259457 0 0 0 2379 0 10843 0 23416 0 296095 0 0 0 Alan Herak Director of Decision Support 213161 0 29985 0 4461 0 9849 0 8586 0 266042 0 0 0 Dawn Ahner Chief Operating Officer 707966 0 222960 0 5885 0 114622 0 22512 0 1073945 0 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, Line 4b Anthony Slonim, Ann Beck, and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $160,774 to Anthony Slonim, $67,501 to Ann Beck, and $103,222 to Dawn Ahner are 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 15195000 151351816 1319162 150032654 1 1 1 1 B 10280000 165241485 1426291 163815194 0 1 1 1 C 354633824 673367 17582763 152692546 183685148 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 1 0 0 0 0 0 0 1 C 0 1 1 0 1 0 0 0 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) and to advance refund Series 2007A Bonds (issued 4/19/2007). Schedule K, Part I, Bond Issue B, Column (f): Bonds were issued to advance refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010) and Series 2008AB/2008 Conversion Bonds (issued 6/23/2008). Schedule K, Part I, Bond Issue C, Column (f): Bonds were issued to current refund Series 2004C/2010 Reissued Bonds (issued on 3/31/2010), Series 2008AB (issued on 6/26/2008), Series 2008 Conversion Bonds (issued on 6/23/2008), and Series 2009AB Bonds (issued on 11/15/2009) (collectively, the "Prior Bonds"). Schedule K, Part II, Columns A, B & C, Line 3: The difference between Part I, (e) and Part II, Line 3 is due to interest earnings on invested bond proceeds. 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 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 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 are reported on line 7 of Part IX. Form 990, Part VI, Section A, line 2 Steven Johnson and Mark Knobel have a business relationship. Anthony Slonim, Ann Beck, and Dawn Ahner have a business relationship. All of the Trustees of the filing organization are also Trustees of related tax-exempt organization, Renown Health. The Trustees have a business relationship with the Renown Health officers: Anthony Slonim and Ann Beck. 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) contacts 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 the organization's tax department with support from a certified tax preparer. The form is reviewed by the organization's current Controller and current 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 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 fiscal year 2021 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 7,118,719. Management and general expenses 138,162. Fundraising expenses 0. Total expenses 7,256,881. Other Purchased Services: Program service expenses 5,204,111. Management and general expenses 4,414,506. Fundraising expenses 0. Total expenses 9,618,617. Laundry Service: Program service expenses 4,119,507. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,119,507. Medical Services: Program service expenses 62,006,149. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,006,149. Other Services: Program service expenses 5,246,190. Management and general expenses 2,941,447. Fundraising expenses 0. Total expenses 8,187,637. Med Equip Svc Agreements: Program service expenses 5,504,768. Management and general expenses 8,605. Fundraising expenses 0. Total expenses 5,513,373. Overhead Allocation: Program service expenses 0. Management and general expenses 136,346,498. Fundraising expenses 0. Total expenses 136,346,498. Medical Waste: Program service expenses 1,960,529. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,960,529. Bond Administration Services: Program service expenses 0. Management and general expenses 89,898. Fundraising expenses 0. Total expenses 89,898. Form 990, Part XI, line 9: SWAP Mark to Market Adjustment 27,471,106. Intercompany Settlements 45,406,741. Net Asset Reclass 40,728. 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 Pregnancy Center NV 501(c)(3) Line 3 Renown Health 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 0 0 0 0 0 1 1 1 1 0 1 0 0 1 1 Hometown Health Plan Inc L 60104507 General Ledger