2022-05-12T16:38:09-05:00 2021-06-30 910189318 Moss Adams 2882 Prospeck Park Dr Ste 300 Rancho Cordova CA 95670 990 2020-07-01 460517825 Renown South Meadows 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 165856314 0 X www.renown.org X 2002 NV A 115 bed acute-care hospital and a 62 bed rehabilitation hospital. 18 16 0 29 217379 0 2978016 4830008 145925384 160775227 -150041 -635220 266707 217379 149020066 165187394 185 0 0 0 56101757 63744240 0 0 0 72803711 83174143 128905653 146918383 20114413 18269011 103533011 110673397 84797966 185051267 18735045 -74377870 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 117624388 160558107 See Schedule ORenown South Meadows Medical Center is a 115-bed hospital that offers the latest in medical and surgical care, intensive care, telemetry, a 24-hour emergency room, inpatient and outpatient surgical and lab services. Renown South Meadows provides a wide range of healthcare services to the south Reno and Washoe Valley communities regardless of race, creed, sex, national origin, handicap, age or ability to pay. Renown South Meadows has approximately 540 physicians on its medical staff and extends admitting privileges to all eligible and qualified physicians. Since it opened as an acute care hospital in 2002, Renown South Meadows has tripled its bed capacity by expanding the intensive care, surgical and telemetry units. Renown South Meadows is also the local home of endoscopic ultrasound. This technology, applied with skillful hands, has helped diagnose and treat digestive diseases in thousands of patients. Renown South Meadows is ranked in the top 1 percent nationwide for quality care based on measures for heart attack, heart failure, pneumonia and surgical care. They have the region's only certified pulmonary rehab and interventional pulmonary program, in addition to specializing in joint replacement and upper extremity procedures. Renown South Meadows houses physician offices in the medical pavilion located on its campus. The hospital provides the use of its facility to more than 20 healthcare activity and support groups. These include events that involve nursing students, senior healthcare, and obesity education. Renown South Meadows also donates meeting space to more than a dozen community groups, including local law-enforcement agencies and service organizations. Renown South Meadows supports Partners in Education through activities with Double Diamond Elementary and Damonte Ranch High School.Renown Rehabilitation Hospital is a 62-bed, inpatient rehabilitation environment accredited by the Commission on Accreditation of Rehabilitation Facilities focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness. Renown Rehabilitation offers highly specialized Physical Medicine & Rehabilitation physicians board certified in Spinal Cord Injury Medicine and Traumatic Brain Injury as well as housing an interventional pain management program and northern Nevada's only outpatient Neurorehabilitation clinic.Renown Rehabilitation Hospital has the highest concentration of Certified Rehabilitation Registered Nurses in Northern Nevada. Rehabilitation nurses provide comfort, therapy and education, promote health-conducive adjustments, support adaptive capabilities and promote achievable independence. During fiscal year 2021, there was only one other inpatient acute rehabilitation facility in Northern Nevada. Renown South Meadows and Renown Rehabilitation Hospital are governed by a board of community members, the majority of who live in our primary service area and who are neither employees or independent contractors or family members. All surplus funds are retained in the organization to make improvements in patient care. For the fiscal year ending June 30, 2021, Renown South Meadows, 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/. 117624388 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 0 0 1 0 0 0 0 0 0 1 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 10.00 50.00 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 9.00 51.00 X 0 601098 94641 Dawn Ahner Chief Operating Officer 30.00 30.00 X 0 936811 135647 Chris Nicholas VP & Administrator 60.00 0.00 X 255230 0 31833 Kevin Desmond Pharmacy Manager 60.00 0.00 X 200995 0 28854 Faith Zuehlsdorff Transitional Care Coordinator 60.00 0.00 X 171142 0 14789 Jennifer Allen Director of Nursing 60.00 0.00 X 156387 0 22131 Lyle Case Clinical Pharmacist 60.00 0.00 X 153956 0 19279 937710 3449580 541582 45 0 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 7547015 Aramark Uniform PO Box 340910 Sacramento CA 958340910 Laundry Services 1449466 Total Renal Care Inc PO Box 8500-1607 Philadelphia PA 19178 Healthcare Services 411104 Waste Management PO Box 73356 Chicago IL 60673 Waste Services 399939 ARUP Laboratories Inc PO Box 7964 Salt Lake City UT 841270964 Lab Services 374954 15 1312317 3517691 4830008 Patient Svc Revenue 622110 159696712 159696712 Other Program Support 622110 776517 776517 Cafeteria 722514 217120 217120 Assisted Living 623312 84878 84878 160775227 33700 668920 -635220 -635220 -635220 UBI - LTACH 623990 214443 214443 UBI - Landscaping 561730 2936 2936 217379 165187394 160558107 217379 -418100 X 22938 22938 53400258 52789631 610627 10321044 10181957 139087 11266 11266 34082117 10475370 23606747 4883240 3997255 885985 104091 103623 468 1522294 368303 1153991 1210 1210 31051 20223 10828 850436 850436 5785983 3564157 2221826 110901 5083 105818 Medical Supplies 28008649 28008649 Bad Debts 6890623 6890623 Freight 261244 411 260833 Dues & Subscriptions 131237 28821 102416 499801 304432 195369 146918383 117624388 29293995 0 5392 656183 18336472 21944514 8145085 7519501 170219 426090 141180566 73910668 63940567 67269898 6662121 6662121 6273155 6195090 103533011 110673397 5853553 6401209 44886384 140636436 34058029 38013622 84797966 185051267 X 18735045 -74377870 18735045 -74377870 103533011 110673397 X 18269011 -111381926 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 11266 0 0 0 11266 0 Schedule C, Part II-B, Line 1f Payments are made to Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 5462783 5462783 74543790 35364765 39179025 423815 370511 53304 52001514 38175392 13826122 8748664 8748664 67269898 Miscellaneous Receivables 240637 Due From Affiliates 765678 Deposits 3738 Right of Usage 5185037 6195090 Bond Interest Payable 432886 Third Party Settlements 10715787 Payable to Affiliates 20940873 Operating Lease Liabilities 5544359 Other Liabilities 379717 38013622 X Part X, Line 2: Renown South Meadows 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 South Meadows Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown South Meadows Medical Center files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown South Meadows 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 South Meadows 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 472406 472406 0.00340 14588347 6164683 8423664 0.06020 15060753 6164683 8896070 0.06360 224305 224305 0.00160 223894 223894 0.00160 448199 448199 0.00320 15508952 6164683 9344269 0.06680 0 6890623 41095781 40827436 268345 X 1 1 2 1 Renown South Meadows Medical Center 10101 Double R Boulevard Reno NV 89521 www.renown.org 2373-HOS X X X 2 Renown Rehabilitation Hospital 1495 Mill St Reno NV 89502 www.renown.org 0657-HOS X Renown South Meadows 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 Rehabilitation Hospital 2 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 0 X X 0 1 Renown South Meadows 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 Rehabilitation Hospital 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 South Meadows Medical Center Part V, Section B, Line 6a: Renown Regional Medical Center and Renown Rehabilitation Hospital Renown Rehabilitation Hospital Part V, Section B, Line 6a: Renown Regional Medical Center and Renown South Meadows Medical Center Renown South Meadows Medical Center Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown Rehabilitation Hospital Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown South Meadows 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 Rehabilitation Hospital 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 South Meadows 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 Rehabilitation Hospital 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 South Meadows 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 Rehabilitation Hospital 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 South Meadows 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 Rehabilitation Hospital 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 South Meadows 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. Renown Rehabilitation Hospital 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/ 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 and cash and in-kind contributions on lines 7e 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 $6,890,623. 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 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: 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 are presented to the organization's board as well as the Renown Health Board for review and approval. 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 South Meadows Medical Center is a 115-bed hospital that offers the latest in medical and surgical care, intensive care, telemetry, a 24-hour emergency room, inpatient and outpatient surgical and lab services. Renown South Meadows provides a wide range of healthcare services to the south Reno and Washoe Valley communities regardless of race, creed, sex, national origin, handicap, age or ability to pay. Renown South Meadows has approximately 540 physicians on its medical staff and extends admitting privileges to all eligible and qualified physicians. Since it opened as an acute care hospital in 2002, Renown South Meadows has tripled its bed capacity by expanding the intensive care, surgical and telemetry units. Renown South Meadows is also the local home of endoscopic ultrasound. This technology, applied with skillful hands, has helped diagnose and treat digestive diseases in thousands of patients. Renown South Meadows is ranked in the top 1 percent nationwide for quality care based on measures for heart attack, heart failure, pneumonia and surgical care. They have the region's only certified pulmonary rehab and interventional pulmonary program, in addition to specializing in joint replacement and upper extremity procedures. Renown South Meadows houses physician offices in the medical pavilion located on its campus. The hospital provides the use of its facility to more than 20 healthcare activity and support groups. These include events that involve nursing students, senior healthcare, and obesity education. Renown South Meadows also donates meeting space to more than a dozen community groups, including local law-enforcement agencies and service organizations. Renown South Meadows supports Partners in Education through activities with Double Diamond Elementary and Damonte Ranch High School.Renown Rehabilitation Hospital is a 62-bed, inpatient rehabilitation environment accredited by the Commission on Accreditation of Rehabilitation Facilities focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness. Renown Rehabilitation offers highly specialized Physical Medicine & Rehabilitation physicians board certified in Spinal Cord Injury Medicine and Traumatic Brain Injury as well as housing an interventional pain management program and northern Nevada's only outpatient Neurorehabilitation clinic.Renown Rehabilitation Hospital has the highest concentration of Certified Rehabilitation Registered Nurses in Northern Nevada. Rehabilitation nurses provide comfort, therapy and education, promote health-conducive adjustments, support adaptive capabilities and promote achievable independence. During fiscal year 2021, there was only one other inpatient acute rehabilitation facility in Northern Nevada. Renown South Meadows and Renown Rehabilitation Hospital are governed by a board of community members, the majority of who live in our primary service area and who are neither employees or independent contractors or family members. All surplus funds are retained in the organization to make improvements in patient care. For the fiscal year ending June 30, 2021, Renown South Meadows, 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/. Part VI, Line 7, Reports Filed With States NV 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 Dawn Ahner Chief Operating Officer 0 707966 0 222960 0 5885 0 114622 0 22512 0 1073945 0 0 Chris Nicholas VP & Administrator 223563 0 30240 0 1427 0 9785 0 22367 0 287382 0 0 0 Kevin Desmond Pharmacy Manager 183443 0 13480 0 4072 0 8316 0 20857 0 230168 0 0 0 Faith Zuehlsdorff Transitional Care Coordinator 154226 0 16200 0 716 0 6879 0 8229 0 186250 0 0 0 Jennifer Allen Director of Nursing 135968 0 19454 0 965 0 6392 0 16027 0 178806 0 0 0 Lyle Case Clinical Pharmacist 152402 0 0 0 1554 0 6239 0 13056 0 173251 0 0 0 Part I, Line 3 Renown South Meadows 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). Ashley Klein Family member of James DeVolld, a board member 22938 Employee Compensation 0 Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Renown South Meadows Medical Center has 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 South Meadows 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 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. Steven Johnson and Mark Knobel have a business relationship. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown South Meadows 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 South Meadows 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 South Meadows 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 South Meadows 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 CONSULTING SERVICES: Program service expenses 0. Management and general expenses 181,900. Fundraising expenses 0. Total expenses 181,900. GARBAGE: Program service expenses 104,051. Management and general expenses 0. Fundraising expenses 0. Total expenses 104,051. LAUNDRY SERVICES: Program service expenses 1,560,256. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,560,256. MEDICAL SERVICES: Program service expenses 5,763,763. Management and general expenses 5,693. Fundraising expenses 0. Total expenses 5,769,456. OTHER MISC SERVICES: Program service expenses 1,717,418. Management and general expenses 459,102. Fundraising expenses 0. Total expenses 2,176,520. Transportation Services: Program service expenses 18,660. Management and general expenses 31,198. Fundraising expenses 0. Total expenses 49,858. Snow Removal Services: Program service expenses 119,513. Management and general expenses 0. Fundraising expenses 0. Total expenses 119,513. Medical Equipment Service Agreements: Program service expenses 686,437. Management and general expenses 17,983. Fundraising expenses 0. Total expenses 704,420. Medical Waste: Program service expenses 300,167. Management and general expenses 0. Fundraising expenses 0. Total expenses 300,167. Document Destruction: Program service expenses 0. Management and general expenses 7,480. Fundraising expenses 0. Total expenses 7,480. Overhead Allocation: Program service expenses 0. Management and general expenses 22,891,235. Fundraising expenses 0. Total expenses 22,891,235. Cleaning Services: Program service expenses 197,246. Management and general expenses 0. Fundraising expenses 0. Total expenses 197,246. Ambulance Charges: Program service expenses 7,859. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,859. Billing Services: Program service expenses 0. Management and general expenses 12,156. Fundraising expenses 0. Total expenses 12,156. Form 990, Part XI, line 9: Intercompany Settlements -111,390,632. Net Asset Reclass 8,706. Form 990, Part X, Line 20 The issue price includes the filing organization's share of the entire bond issue, which was issued to Renown Regional Medical Center on behalf of the Renown Obligated Group. The Renown Obligated Group consists of Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Transitional Care Services, but amounts are only listed on the financials of Renown Regional Medical Center and Renown South Meadows Medical Center as they specifically relate to those entities. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Renown Regional Medical Center's tax return (EIN 88-0213754). 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. 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 Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 880213754 Hospital NV 501(c)(3) Line 3 Renown Health 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) Line 7 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 Hometown Health Plan 1155 Mill St Z-4 Reno NV 89502 880231433 HMO NV 501(c)(4) 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 Co 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 1 Hometown Health Plan Inc L 16167242 General Ledger