2020-05-15T09:23:59-05:00 2019-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-07-01 460517825 Renown South Meadows Medical Center RENO 7759826488 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2020-05-14 1 Kim Hunwardsen CPA P00484560 6122536500 2020-05-14 216.147.181.49 2020-05-14 14:30:30 CD P 159D60DA7C19331A7948BEBC6B1067FF5545FF60 F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2018 2020-11-19 02:30:22Z Ann Beck 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 154956869 0 X www.renown.org X 2002 NV A 76 bed acute-care hospital and a 62 bed rehabilitation hospital. 15 14 0 118 733494 0 423115 824491 143198004 153392934 -233307 -83972 1005931 733494 144393743 154866947 48610 837 0 0 46295306 52368254 0 0 0 70370970 77262385 116714886 129631476 27678857 25235471 89552870 90549265 61278731 62663029 28274139 27886236 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 102235978 837 153392934 See Schedule ORenown South Meadows Medical Center is a 76-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 around 500 physicians on its medical staff and extends privileges on its medical staff to all eligible and qualified physicians. Since it opened as an acute care hospital in 2002, Renown South Meadows has doubled 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 has earned eight times since 2010, the honor of the HealthInsight Quality Award for high performance on quality-of-care outcome measures and patient satisfaction.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. 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 focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness.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 2019, 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, 2019, Renown South Meadows, along with its parent, Renown Health and its subsidiaries, provided more than $158 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. 102235978 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 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 15 14 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 9.00 51.00 X X 0 1560947 184005 James De Volld - Treas Vice Chair (Jul-Dec)/Chair (Jan-Jun) 3.00 12.00 X X 0 29408 0 G Blake Smith Chair (Jul-Dec)/Director (Jan-Jun) 3.00 12.00 X X 0 46678 0 Adam Kramer - Director (Jul-Dec)/Vice Chair (Jan-Jun) 3.00 12.00 X X 0 15000 0 Todd McKenzie Director (Aug-Jun)/Treas (Jan-Jun) 3.00 15.00 X X 0 12917 0 Kimberly Cooney Secretary 3.00 12.00 X X 0 24000 0 Michael Peterson Director 3.00 12.00 X 0 15000 0 Jeff Resnik Director 3.00 12.00 X 0 35195 0 Joanne Olson Director 3.00 12.00 X 0 24000 0 Alvaro Devia Director 3.00 12.00 X 0 28974 0 Christi Matteoni Director 3.00 12.00 X 0 15000 0 Steven Johnson Director 3.00 12.00 X 0 35195 0 Thomas Deveny Director 3.00 12.00 X 0 15000 0 Harvey Fennell Director (Jan-Jun) 3.00 15.00 X 0 10918 0 Tammy Dermody Director (Jan-Jun) 3.00 12.00 X 0 0 0 Brian Loy Director (Jul-Dec) 3.00 12.00 X 0 27065 0 William Newberg Director (Jul-Dec) 3.00 12.00 X 0 24121 0 Bernie Carter Director (Jul-Dec) 3.00 12.00 X 0 25391 0 Richard Bostdorff Director (Jul-Dec) 3.00 15.00 X 0 24000 0 Hakeem Olanrewaju Chief Financial Officer 9.00 51.00 X 0 366968 14776 Dawn Ahner COO Acute Services 30.00 30.00 X 0 896573 128435 Siri Nelson South Meadows CEO 60.00 0.00 X 325096 0 32144 Kevin Desmond Pharmacy Manager 60.00 0.00 X 185323 0 31181 Christopher Sullivan Pharmacist Lead 60.00 0.00 X 155294 0 22739 Katie Kucera Director of Finance 60.00 0.00 X 151913 0 30465 Lyle Case Clinical Pharmacist 60.00 0.00 X 147350 0 22192 964976 3232350 465937 36 0 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 1375631 Aramark Uniform PO Box 340910 Sacramento CA 958340910 Laundry Services 615511 Waste Management PO Box 73356 Chicago IL 60673 Waste Services 413743 Mobile Instrument 6625 West 78th Street Suite 300 Minneapolis MN 55439 Equipment Repair Services 313662 Reno Orthopaedic Clinic 555 North Arlington Ave Reno NV 89503 Orthopaedic Services 312000 21 824491 824491 Patient Svc Revenue 622110 150417993 150417993 Assisted Living 623312 1814664 1814664 Other Program Support 622110 807745 807745 Cafeteria 722514 352532 352532 153392934 5950 89922 -83972 -83972 -83972 UBI - LTACH 623990 730558 730558 UBI - Landscaping 561730 2936 2936 733494 154866947 153392934 733494 -83972 X 837 837 43959120 43559801 399319 8409134 8330411 78723 9899 9899 29855915 7338176 22517739 4342600 3807039 535561 70952 70952 1749923 563711 1186212 29874 20006 9868 3045 3045 2111081 2111081 4658593 2447417 2211176 98971 7079 91892 Medical Supplies 22436708 22436708 Bad Debts 11326649 11326649 Freight 221468 2356 219112 Dues & Subscriptions 140452 28606 111846 206255 175250 31005 129631476 102235978 27395498 0 4133 3767 20036015 19581324 5005884 5640210 292507 264160 124514029 66843227 56966921 57670802 6662121 6662121 585289 726881 89552870 90549265 5111949 5404837 46941833 45620452 9224949 11637740 61278731 62663029 X 28274139 27886236 28274139 27886236 89552870 90549265 X 25235471 -25623374 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 9899 0 0 0 9899 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 70492391 30110530 40381861 423815 299133 124682 44987127 36433564 8553563 3147913 3147913 57670802 Bond Interest Payable 56966 Third Party Settlements 198354 Payable to Affiliates 11378704 Deferred Revenue 3716 11637740 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 571414 571414 0.00480 11852310 5297039 6555271 0.05540 12423724 5297039 7126685 0.06020 232135 232135 0.00200 218668 218668 0.00180 450803 450803 0.00380 12874527 5297039 7577488 0.06400 0 11326649 33618357 32658597 959760 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 Rehabilitation Hospital Renown South Meadows 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.washoecounty.us/health/data-publications-and-reports.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 1 X 0 1 Renown Rehabilitation Hospital 2 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.washoecounty.us/health/data-publications-and-reports.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 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: Washoe County Health District Renown Rehabilitation Hospital Part V, Section B, Line 6b: Washoe County Health District Renown South Meadows Medical Center Part V, Section B, Line 11: Primary Health Priority #1: Mental Health - In FY19, Renown Health 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 Health funding expanded programming and services to Anderson Elementary School and Glenn Duncan STEM Academy. 83% of case-managed students made progress in behavior (goal was 75%). 78% of case-managed students made progress in academic scores and 100% of CIS site coordinators are now trained in Applied Suicide Intervention Skills Training (ASIST).Note-Able Music Therapy Services provides evidence-based music therapy in group and individual settings to people with chronic and acute health conditions, disabilities, and neurological disorders. Renown Health funded this project to expand services to individuals dealing with depression, chronic stress, and other mental health issues. Note-Able's partnered with four community organizations to provide ongoing music therapy groups to participants. Note-Able's held 205 sessions with 348 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 FY19, Renown Health 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 Health funding, LifeSkills curriculum was taught to 6 traditional high schools and 2 alternative high schools. 539 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 +0.08 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 +1.36.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 Health funding, Quest Increased the number of referrals received from Renown for substance use and mental health counseling and made treatment more accessible to clients. Quest opened a "Girls House" a residential option in Reno vs going out-of-state which allows their families to participate in treatment. 77% of Renown Grant clients demonstrated an improvement in at least two areas of their treatment plan. 54% clients successfully completed alcohol treatment. 73% clients each quarter, reduced alcohol consumption. 84% 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 - In FY19, Renown Health and Reno-Sparks Indian Colony have partnered to increase physical activity, improve nutrition, and reduce obesity among all populations.With funding from Renown Health, 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 inception, the program has grown to 16 households, serving from 1-7 adults and children in each household, to equal 41 food insecure individuals served weekly, 8 of the 16 primary household heads are in diabetes management. 7 of the 16 Pathways household participants have received regular transport to the gym to equal approximately 51 transports for exercise. Based on community demand, Renown Health 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. Healthy Concessions was offered at five sporting events and increased awareness of the benefits of healthy eating to over 8792 people. Primary Health Priority #4: Chronic Disease, Screenings - In FY19, Renown Medical Group 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. Renown Medical Groups see patients of all ages and coordinate medical care including checkups, immunizations, referrals to specialists, lab work, x-ray & imaging and hospital admissions. Renown Medical group has implemented the CDC-recognized National Diabetes Prevention Program (DPP). The DPP program currently holds CDC Pending Status and on track to obtain CDC-preliminary recognition. The program offered participants 18 sessions in the first six months and three monthly sessions have been completed this year. To date participants have lost over a hundred pounds or 3% of their total weight. The starting average number of activity minutes per week was 100 minutes and participants have been able to increase this amount to an average of 500 minutes per week. 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 Health funds assisted in the training of two trained lifestyle coaches. HOPES launched seven classes: four Spanish and three English, 234 referrals from providers, 100 patients enrolled, 67 participated, 41 patients actively participating. 25% of clients lost 5-7% of their body weight. 72% of clients exercised 150 minutes per week. 61% of clients retained and completed the entire program. It is in pending status and on track to obtain CDC-preliminary recognition.Nevada Tobacco Prevention Coalition and Renown Health 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 Rehabilitation Hospital Part V, Section B, Line 11: Primary Health Priority #1: Mental Health - In FY19, Renown Health 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 Health funding expanded programming and services to Anderson Elementary School and Glenn Duncan STEM Academy. 83% of case-managed students made progress in behavior (goal was 75%). 78% of case-managed students made progress in academic scores and 100% of CIS site coordinators are now trained in Applied Suicide Intervention Skills Training (ASIST).Note-Able Music Therapy Services provides evidence-based music therapy in group and individual settings to people with chronic and acute health conditions, disabilities, and neurological disorders. Renown Health funded this project to expand services to individuals dealing with depression, chronic stress, and other mental health issues. Note-Able's partnered with four community organizations to provide ongoing music therapy groups to participants. Note-Able's held 205 sessions with 348 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 FY19, Renown Health 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 Health funding, LifeSkills curriculum was taught to 6 traditional high schools and 2 alternative high schools. 539 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 +0.08 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 +1.36.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 Health funding, Quest Increased the number of referrals received from Renown for substance use and mental health counseling and made treatment more accessible to clients. Quest opened a "Girls House" a residential option in Reno vs going out-of-state which allows their families to participate in treatment. 77% of Renown Grant clients demonstrated an improvement in at least two areas of their treatment plan. 54% clients successfully completed alcohol treatment. 73% clients each quarter, reduced alcohol consumption. 84% 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 - In FY19, Renown Health and Reno-Sparks Indian Colony have partnered to increase physical activity, improve nutrition, and reduce obesity among all populations.With funding from Renown Health, 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 inception, the program has grown to 16 households, serving from 1-7 adults and children in each household, to equal 41 food insecure individuals served weekly, 8 of the 16 primary household heads are in diabetes management. 7 of the 16 Pathways household participants have received regular transport to the gym to equal approximately 51 transports for exercise. Based on community demand, Renown Health 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. Healthy Concessions was offered at five sporting events and increased awareness of the benefits of healthy eating to over 8792 people. Primary Health Priority #4: Chronic Disease, Screenings - In FY19, Renown Medical Group 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. Renown Medical Groups see patients of all ages and coordinate medical care including checkups, immunizations, referrals to specialists, lab work, x-ray & imaging and hospital admissions. Renown Medical group has implemented the CDC-recognized National Diabetes Prevention Program (DPP). The DPP program currently holds CDC Pending Status and on track to obtain CDC-preliminary recognition. The program offered participants 18 sessions in the first six months and three monthly sessions have been completed this year. To date participants have lost over a hundred pounds or 3% of their total weight. The starting average number of activity minutes per week was 100 minutes and participants have been able to increase this amount to an average of 500 minutes per week. 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 Health funds assisted in the training of two trained lifestyle coaches. HOPES launched seven classes: four Spanish and three English, 234 referrals from providers, 100 patients enrolled, 67 participated, 41 patients actively participating. 25% of clients lost 5-7% of their body weight. 72% of clients exercised 150 minutes per week. 61% of clients retained and completed the entire program. It is in pending status and on track to obtain CDC-preliminary recognition.Nevada Tobacco Prevention Coalition and Renown Health 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 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 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, subsidized health services and cash and in-kind contributions on lines 7e, 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 $11,326,649. 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 12 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the ratio of cost to charges from FY18 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/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 465,735 as of June 2018 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.4% male and 49.6% female. A quarter (21.9%) of the population is under the age of 18. 15.9% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown as of 2015: 62.6% Caucasian/White, 2.7% African American/Black, 6.5% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 24.8% Hispanic/Latino.The Washoe County median household income was estimated to be $61,155 according to the US Census Bureau and 10.4% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.4% as of June 2019, reflecting continual improvements. Since the passing of the Affordable Care Act (ACA) the number of uninsured have decreased dramatically. There exists, however, a shortage of health care providers. 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 76-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 around 500 physicians on its medical staff and extends privileges on its medical staff to all eligible and qualified physicians. Since it opened as an acute care hospital in 2002, Renown South Meadows has doubled 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 has earned eight times since 2010, the honor of the HealthInsight Quality Award for high performance on quality-of-care outcome measures and patient satisfaction.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. 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 focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness.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 2019, 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, 2019, Renown South Meadows, along with its parent, Renown Health and its subsidiaries, provided more than $158 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 X X X X 0 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO 0 1006488 0 550373 0 4086 0 162674 0 21332 0 1744953 0 0 Hakeem Olanrewaju Chief Financial Officer 0 315480 0 50000 0 1488 0 2077 0 12699 0 381744 0 0 Dawn Ahner COO Acute Services 0 645073 0 240658 0 10842 0 108380 0 22122 0 1027075 0 0 Siri Nelson South Meadows CEO 272648 0 50150 0 2298 0 9329 0 23258 0 357683 0 0 0 Kevin Desmond Pharmacy Manager 166205 0 15812 0 3306 0 7740 0 23884 0 216947 0 0 0 Christopher Sullivan Pharmacist Lead 151408 0 0 0 3886 0 6398 0 16363 0 178055 0 0 0 Katie Kucera Director of Finance 128669 0 17967 0 5277 0 6401 0 24471 0 182785 0 0 0 Lyle Case Clinical Pharmacist 143943 0 844 0 2563 0 6013 0 16202 0 169565 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 and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $151,674 to Anthony Slonim and $97,380 to Dawn Ahner were included in Schedule J, Part II, Column (C). 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, Dawn Ahner and Hakeem Olanrewaju have a business relationship with each other and all of the members on the board. Steven Johnson and G Blake Smith have a business relationship. Steve Johnson and Brian Loy 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 aquisition 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 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 2019 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 3,340. Management and general expenses 66,489. Fundraising expenses 0. Total expenses 69,829. GARBAGE: Program service expenses 85,283. Management and general expenses 0. Fundraising expenses 0. Total expenses 85,283. LAUNDRY SERVICES: Program service expenses 653,159. Management and general expenses 0. Fundraising expenses 0. Total expenses 653,159. MEDICAL SERVICES (NON-PHYSICIAN): Program service expenses 448,607. Management and general expenses 0. Fundraising expenses 0. Total expenses 448,607. OTHER MISC SERVICES: Program service expenses 3,359,745. Management and general expenses 352,729. Fundraising expenses 0. Total expenses 3,712,474. Transportation Services: Program service expenses 38,428. Management and general expenses 133. Fundraising expenses 0. Total expenses 38,561. Snow Removal Services: Program service expenses 139,868. Management and general expenses 0. Fundraising expenses 0. Total expenses 139,868. Medical Equipment Service Agreements: Program service expenses 711,283. Management and general expenses 0. Fundraising expenses 0. Total expenses 711,283. Medical Waste: Program service expenses 401,232. Management and general expenses 0. Fundraising expenses 0. Total expenses 401,232. Professional Fees: Program service expenses 1,400,034. Management and general expenses 2,892,089. Fundraising expenses 0. Total expenses 4,292,123. Document Destruction: Program service expenses 0. Management and general expenses 3,416. Fundraising expenses 0. Total expenses 3,416. Overhead Allocation: Program service expenses 0. Management and general expenses 19,202,883. Fundraising expenses 0. Total expenses 19,202,883. Other Service Contracts: Program service expenses 12,452. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,452. Cleaning Services: Program service expenses 84,745. Management and general expenses 0. Fundraising expenses 0. Total expenses 84,745. Form 990, Part XI, line 9: Intercompany Settlements -25,623,374. 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. 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