2021-05-14T10:15:50-05:00 2020-06-30 910189318 Moss Adams LLP 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2019-07-01 880213754 Renown Regional Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2021-05-13 1 Tracy S Paglia P00366884 9165038100 2021-05-11 2019 2022-09-23 18:48:47Z Anthony Slonim 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 919297459 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 17 15 0 270 48199 43222 4174395 18570182 896088584 898998098 185148 -79134 832588 747814 901280715 918236960 5043368 3860460 0 0 315323027 328135500 0 0 0 504513241 546219062 824879636 878215022 76401079 40021938 769643633 920238119 540001802 712581205 229641831 207656914 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 720626902 3860460 899160912 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, 2020, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $195 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to www.renown.org/about-us/community. 720626902 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 17 15 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 21.00 39.00 X X 0 1677161 185058 Dawn Ahner Chief Operating Officer 30.00 30.00 X 0 852040 129506 Paul Sierzenski RH VP & CMO Acute Services 60.00 0.00 X 570214 0 33213 Hakeem Olanrewaju Jul-Oct Chief Financial Officer 30.00 30.00 X 0 512829 28638 Erik Olson RH VP & CEO Renown Regional 60.00 0.00 X 453465 0 32126 Lawrence Duncan RH VP & Admin Children's Hospital 60.00 0.00 X 361134 0 33134 Jennifer Richards Chief Nursing Officer Acute Services 60.00 0.00 X 357924 0 27542 Ann Beck Dec-Jun Chief Financial Officer 30.00 30.00 X 0 275617 20667 John Zullo Director of Physics 60.00 0.00 X 251472 0 33400 James DeVolld Chair 3.00 9.00 X X 0 42177 0 Alvaro Devia Director 3.00 9.00 X 0 28397 0 G Blake Smith Director 3.00 9.00 X 0 26339 0 Kimberly Cooney Secretary 3.00 9.00 X X 0 24000 0 Todd McKenzie Treasurer 3.00 9.00 X X 0 24000 0 Harvey Fennell Director 3.00 12.00 X 0 24000 0 Steven Johnson Director 3.00 9.00 X 0 24000 0 Joanne Olson Director 3.00 9.00 X 0 24000 0 Jeff Resnik Director 3.00 9.00 X 0 24000 0 Adam Kramer Vice Chair 3.00 9.00 X X 0 15000 0 Tammy Dermody Director 3.00 9.00 X 0 15000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Christi Matteoni Director 3.00 9.00 X 0 15000 0 Michael Peterson Director 3.00 9.00 X 0 15000 0 Mark Knobel Jan-Jun Director 3.00 9.00 X 0 5000 0 Marc Mora Jan-Jun Director 3.00 9.00 X 0 5000 0 1994209 3643560 523284 280 0 1 0 Medefis Inc 2121 North 117th Ave Suite 200 Omaha NE 68164 Healthcare Labor Services 42827826 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 9273077 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 3827395 Waste Management 1001 Fannin St Houston TX 77002 Waste Services 3606164 Aramark Uniform & Career 1419 National Dr Sacramento CA 95834 Uniform Services 3255339 74 1591626 16932946 45610 18570182 Patient Services 621500 888293281 888293281 Patient Prescriptions 621500 5426694 5426694 Cafeteria 722210 3360031 3360031 Laboratory Services 621511 1918092 1882969 35123 898998098 49175 49175 879441 294441 585000 585000 13076 571924 482836 611145 -128309 -128309 -128309 317727 154913 162814 162814 918236960 895765758 48199 3852821 X 2513727 2513727 1346733 1346733 276407118 272400286 4006832 51728382 50904046 824336 22156 22156 109 109 37965 37965 225837374 92078471 133758903 1285 1285 14868079 13459666 1408413 2023215 1535460 487755 7350291 7267288 83003 481423 435648 45775 243651 225951 17700 17075458 16307521 767937 29238376 18259586 10978790 692865 13111 679754 Medical Supplies 165524199 165524199 Bad Debt 76708689 76708689 Licenses and Taxes 764232 679838 84394 UBIT Tax 6769 6769 5342926 898398 4444528 878215022 720626902 157588120 0 800 600 59453965 102414577 131962336 123862272 26760930 27682145 3134394 3479954 863368986 507799814 339474450 355569172 208856758 307229399 769643633 920238119 41866706 38786080 407845714 397491497 90289382 276303628 540001802 712581205 X 229641831 207656914 229641831 207656914 769643633 920238119 X 40021938 -62006855 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 37965 0 0 0 37965 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 539555384 286271721 253283663 3350915 1922090 1428825 277788759 219606003 58182756 29622859 29622859 355569172 Other Receivables 3844457 Due From Affiliates 276798122 Debt Service Reserve 21433250 Funds Held in Trust 18114 Other 5135456 307229399 Interest Rate SWAP Liability 63402002 Due to Affliates 147096628 Other Liabilities 7979271 Third Party Settlements 57825727 276303628 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 9423842 9423842 0.01180 158540546 80238989 78301557 0.09770 167964388 80238989 87725399 0.10950 5861059 5861059 0.00730 6504558 6504558 0.00810 2513727 2513727 0.00310 1405736 1405736 0.00180 16285080 16285080 0.02030 184249468 80238989 104010479 0.12980 0 76708689 165556745 188493845 -22937100 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 17 1 1 1 1 X www.renown.org/about-us/community X https://www.https://www.washoecounty.us/health/index.php X 1 17 1 www.renown.org/about-us/community 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 Rehabiliation Hospital Renown Regional Medical Center Part V, Section B, Line 6b: Washoe County Health District Renown Regional Medical Center Part V, Section B, Line 11: Primary Health Priority #1: Mental Health - In FY20, Renown partnered with Communities in Schools and Note-Able Music Therapy Services to reduce depression and suicide among all populations, with a focus on youth.Communities in Schools (CIS) is a national program that operates in local school districts to send staff into schools to link students with services needed for academic achievement. Renown funding expanded programming and services to Desert Skies Middle School, Juniper Elementary School and Traner Middle School. One goal was to have at least 75% improvement in behavior goals, whereas 78% of our case-managed students showed improvement. Another goal was to have at least 75% improvement in academic goals, whereas 91% of case-managed students showed improvement.Note-Able Music Therapy Services (NMTS) provides evidence-based music therapy in group and individual settings to people with chronic and acute health conditions, disabilities, and neurological disorders. Renown funded this project to expand services to individuals dealing with depression, chronic stress, and other mental health issues. NMTS partnered with four community organizations to provide ongoing music therapy groups to participants. NMTS held 198 sessions with 255 unique individuals served. In these sessions participants reported an increase in subjective well-being; a decreased in self-reported level of depression from baseline; a decrease in anxiety scores from baseline; and an improvement in social connectedness (measured as loneliness) scores from baseline.Primary Health Priority #2: Substance Use - In FY20, Renown with Join Together Northern Nevada and Quest Counseling & Consulting provided substance prevention services and education to youth and young adults.Join Together Northern Nevada (JTNN) serves residents in Washoe County to promote substance use awareness, education, and prevention. JTNN is collaborating with the Washoe County School District to implement the evidence-based programming, LifeSkills Training in middle schools. With Renown funding, LifeSkills curriculum was taught to 6 traditional high schools and 2 alternative high schools. 541 students matched by pre/posttest. Students self-reported an average point change of +0.30 increase in knowledge of the impact of media influence; an average point change of +0.80 increase in knowledge of the impact of substance use on physical, mental, and emotional health; and an improvement of self-reported awareness of coping mechanisms, conflict resolution, stress, and anger management skills of +3.495.Quest Counseling & Consulting offers residential and outpatient services to individuals dealing with substance use and mental health issues. Services include comprehensive assessments and screenings, drug testing, crisis intervention and trauma-informed services. Licensed substance abuse and mental health counselors help clients recover from substance use or addiction and neglect of unmet mental health needs. With Renown funding, Quest Increased the number of referrals received from Renown for substance use and mental health counseling and made treatment more accessible to clients. 80% of Renown grant clients demonstrated an improvement in at least two areas of their treatment plan. 61% clients successfully completed alcohol treatment. 73% clients each quarter, reduced alcohol consumption. 85% clients had a reduction in depressive symptoms. 74% clients reported suicidality, 40% had a reduction in symptoms within six months.Primary Health Priority #3: Physical Activity, Nutrition, Weight Physical Activity, Nutrition & Weight - In FY20, Renown and Reno-Sparks Indian Colony have partnered to increase physical activity, improve nutrition, and reduce obesity among all populations.With funding from Renown, Reno-Sparks Indian Colony created the Pathways to Health program. This program aims to reduce barriers to nutrition and physical activity by bringing fresh produce to families of enrolled members and providing free transportation to exercise programs at the Reno-Sparks Tribal Health Center. Since program kickoff in 2018, the Pathways program served 23 households and a total of 56 individuals; household size ranged from one to seven individuals. At the end of the first six-month period, the program was serving 17 households. At end-of-the-program reporting period, the Pathways program serves 20 households of 52 individuals ranging from ages 5-77 years old. Based on community demand, Renown and Washoe County Health District are working to bring fresh, healthy food to sports settings. This is providing athletes, employees and fans the option to choose a healthy snack while they watch sporting events. Renown offers grants to nonprofit youth sports organizations to purchase and offers nutritionist-approved items such as fresh fruit and healthy snack and meal options under 500 calories. Healthy Concessions goals are to increase the number of events where Healthy Concessions items are offered by 10% each year and increase awareness of the benefits of healthy eating among sporting event attendees. Primary Health Priority #4: Chronic Disease, Screenings - In FY20, Renown and Northern Nevada HOPES addressed diabetes screening and prevention by implementing the National Diabetes Prevention Program. In addition, Nevada Tobacco Prevention Coalition was identified as a community partner to address risk factors associated with asthma. It specifically addressed exposure to second-hand smoke. Northern Nevada HOPES is a community health center for medically underserved populations including uninsured patients Medicare, Medicaid, some private insurers and sliding fee scale. HOPES offers integrated medical care and wellness services including adult and pediatric primary care, HIV and Hep C care, adult psychiatry, chronic disease management, wellness and nutrition, behavioral health counseling, substance use counseling, case management, a pharmacy, and more. Renown funds assisted in the training of four trained lifestyle coaches. HOPES launched 13 classes: eight Spanish and five English, 414 referrals from providers, 146 patients enrolled, 92 participated, 47 completed the program. 32% of clients lost 5-7% of their body weight, with an average weight loss of 2.81%. 73% of clients exercised 150 minutes per week and on average patients exercise 110 minutes. 63% of patients participated in at least 3 classes and 51% of those patients completed the program. We received full program recognition.Nevada Tobacco Prevention Coalition and Renown introduced this policy-based initiative to decrease exposure to second-hand tobacco smoke and reduce the prevalence of the negative health outcomes associated with tobacco smoke. This project has engaged and assisted local businesses in Washoe County to support and voluntarily adopt smoke-free workplace policies and will introduce a smoke-free workplace ordinance in a city or county municipality. To date, Nevada Tobacco Prevention Coalition conducted an economic impact study of comprehensive clean indoor air in Northern Nevada workplaces and assessed current attitudes regarding smoke-free workplaces.Identified Needs Not Being Addressed - We believe our plan will allow us to start addressing some of the most pressing health needs in our community, but we recognize that we will not be able to tackle every issue we would like. The five issues that will not be addressed are crime and violent-related behaviors, injury prevention, maternal and child health, environmental health, sexual health and infectious disease and immunizations. Most of these topics didn't rank among the top two-thirds of the 12 ranked health needs. Although these important health needs weren't funded by Renown Community Benefits in this current plan, we encourage other community partners who may be better suited to address these topics to fund and guide evidence-based programs in these areas. 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 16a, 16b, 16c www.renown.org/interact/bill-pay-accepted-insurance/financial-assistance-program/ 2 1 - Renown Health Home Care 3935 S McCarran Blvd Reno NV 89502 Home Care 2 - Renown Hospice Care 85 Kirman Ave Ste LL1 Reno NV 89502 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 $76,708,689. 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 17 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 FY20 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/about-us/community. Part VI, Line 3: The organization educates patients on assistance eligibility by posting information on its website regarding its financial assistance program and whenever situations indicate that the patient may be unable to pay for services. The organization has a dedicated Patient Financial Assistance department that works with uninsured patients to establish eligibility for a state or local program. For those that do not qualify for a state or local program, they will refer the patient to the organization's charity care process. Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 471,519 as of June 2019 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 10.7% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 8.7% as of June 2020 due to the national pandemic. 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, 2020, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $195 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to www.renown.org/about-us/community. Part VI, Line 7, Reports Filed With States NV 1 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 501(c)(3) 2445802 Patient Assistance Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 501(c)(3) 67925 Patient Assistance 2 0 Patient Assistance 2649 1346733 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 1 0 Anthony Slonim President/CEO 0 1016663 0 654463 0 6035 0 162874 0 22185 0 1862220 0 0 Dawn Ahner Chief Operating Officer 0 651538 0 194760 0 5742 0 108580 0 22992 0 983612 0 0 Paul Sierzenski RH VP & CMO Acute Services 456654 0 95002 0 18558 0 9500 0 25779 0 605493 0 0 0 Hakeem Olanrewaju Jul-Oct Chief Financial Officer 0 375235 0 135002 0 2592 0 11200 0 17438 0 541467 0 0 Erik Olson RH VP & CEO Renown Regional 375165 0 75320 0 2980 0 11200 0 22619 0 487284 0 0 0 Lawrence Duncan RH VP & Admin Children's Hospital 312430 0 41990 0 6714 0 11200 0 23353 0 395687 0 0 0 Jennifer Richards Chief Nursing Officer Acute Services 294558 0 60000 0 3366 0 11200 0 16342 0 385466 0 0 0 Ann Beck Dec-Jun Chief Financial Officer 0 260497 0 13326 0 1794 0 4972 0 16138 0 296727 0 0 John Zullo Director of Physics 243856 0 0 0 7616 0 10369 0 23474 0 285315 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 and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $151,674 to Anthony Slonim and $97,380 to Dawn Ahner are included in Schedule J, Part II, Column (C). Part I, Line 7 In accordance with Renown Health's Senior Leadership Incentive Plan's provisions, a discretionary one-time bonus in 2019 was approved by the Executive Committee for the President/CEO, Anthony Slonim, for exceptional performance. A City of Reno Nevada 886000201 759836JC4 2008-06-26 260935965 See Part IV 1 0 0 B City of Reno Nevada 886000201 759836JE0 2009-01-15 63600000 Refund Series 2004B Bonds 0 0 0 C City of Reno Nevada 886000201 759836JU4 2010-03-31 48028335 Convert remaining Series 2004C Bonds to Fixed Rate 1 0 0 D Public Finance Authority 273866124 74442CAX2 2015-06-03 149946826 See Part IV 0 0 0 A 173560000 261010587 4846564 3429228 1000956 256580404 1 0 1 1 B 3480000 63600395 672051 369398 62558946 1 0 1 1 C 36775000 48028335 1913775 566802 47461533 1 0 1 1 D 10265000 151351816 1319162 150032654 1 1 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 0 1 1 0 0 0 0 1 D 0 0 1 1 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Column (c), Entity 1 The CUSIP numbers associated with the Bond Issue A are: 759836JC4 759836JB6 The CUSIP numbers associated with the Bond Issue B are: 759836JE0 759836JD2 Schedule K, Part I, Bond Issue A, Column (f), Entity 1 Refund Series 2006 and Convert Series 2005, 2004A and partial 2004C Bond Schedule K, Part I, Bond Issue D, Column (f), Entity 1 Refund Series 2001A Bonds and Advance Refund Series 2007A Bonds Schedule K, Part I, Bond Issue A, Column (f), Entity 2 Advance Refund Series 2004C (2010) and Refund Series 2005, 2004A and 2004C (Converted in 2008) Schedule K, Part II, Columns A, B & D, Line 3, Entity 1 & 2 The difference between Part II, Line 3 and Part I (e) is due to interest earned on invested proceeds. Schedule K, Part II, Columns A & C, Line 4, Entity 1 The Debt Service Reserve Fund was funded by proceeds of the Reissued Bonds. Schedule K, Part II, Column D, Line 13, Entity 1 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 & D, Line 7, Entity 1 & 2 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, Entity 1 The current refunding portion of the Bonds has met the 6-month exception to rebate. Schedule K, Part IV, Column B & C, Line 2b, Entity 1 The Bonds met the 6-month exception to rebate. Schedule K, Part IV, Column D, Line 2b, Entity 1 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 2b, Entity 2 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, Entity 1 The rebate computation was performed on June 23, 2020. Schedule K, Part IV, Column B, Line 2c, Entity 1 The rebate computation was performed on March 1, 2010. Schedule K, Part IV, Column C, Line 2c, Entity 1 The rebate computation was performed on June 1, 2020. Schedule K, Part IV, Column D, Line 2c, Entity 1 The interim rebate computation was performed on June 8, 2017. Schedule K, Part IV, Column A, Line 2c, Entity 2 The rebate computation was performed on June 1, 2020. A Public Finance Authority 273866124 74442CBS2 2016-07-27 162793319 See Part IV 0 0 0 A 6450000 165241485 1426291 163815194 0 1 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0 0 1 A 0 0 1 1 0 0 0 0 1 A 1 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 Marc Knobel have a business relationship. Anthony Slonim and Dawn Ahner has a business relationship with Ann Beck and Hakeem Olanrewaju. 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, Ann Beck, and Hakeem Olanrewaju. 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 VP of Finance 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 2020 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 11,296,393. Management and general expenses 856. Fundraising expenses 0. Total expenses 11,297,249. Other Purchased Services: Program service expenses 3,322,034. Management and general expenses 933,992. Fundraising expenses 0. Total expenses 4,256,026. Laundry Service: Program service expenses 3,499,048. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,499,048. Medical Services: Program service expenses 62,197,651. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,197,651. Other Services: Program service expenses 4,014,512. Management and general expenses 3,133,063. Fundraising expenses 0. Total expenses 7,147,575. Med Equip Svc Agreements: Program service expenses 5,234,836. Management and general expenses 124,918. Fundraising expenses 0. Total expenses 5,359,754. Overhead Allocation: Program service expenses 0. Management and general expenses 129,382,884. Fundraising expenses 0. Total expenses 129,382,884. Medical Waste: Program service expenses 2,513,997. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,513,997. Bond Administration Services: Program service expenses 0. Management and general expenses 183,190. Fundraising expenses 0. Total expenses 183,190. Form 990, Part XI, line 9: SWAP Mark to Market Adjustment -17,632,471. Intercompany Settlements -44,374,384. 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 55455721 General Ledger