2020-05-15T09:23:16-05:00 2019-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-07-01 880213754 Renown Regional Medical Center RENO 7759826488 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2020-05-15 1 Kim Hunwardsen CPA P00484560 6122536500 2020-05-14 216.147.181.49 2020-05-15 09:18:54 CD P 159D60DA7C19331A7948BEBC6B1067FF5545FF60 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D 2018 2021-01-29 14:40:06Z Ann Beck 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 901878776 0 X www.renown.org X 1985 NV An 808 bed acute-care hospital and the region's only Level II trauma center. 15 14 0 497 36725 32235 3019719 4174395 846647297 896088584 -63707 185148 876619 832588 850479928 901280715 5819748 5043368 0 0 292420621 315323027 0 0 0 462731034 504513241 760971403 824879636 89508525 76401079 758017408 769643633 520371172 540001802 237646236 229641831 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 667272479 5043369 896088584 See Schedule ORenown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada, northeastern California and the adjacent areas of Oregon and Idaho. 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 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. 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 Medical Center 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 Primary 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 818 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, 2019, Renown Regional, 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. 667272479 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 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 21.00 39.00 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 30.00 30.00 X 0 366968 14776 Dawn Ahner COO Acute Services 30.00 30.00 X 0 896573 128435 Paul Sierzenski RH VP and CMO Acute Services 60.00 0.00 X 607912 0 23738 Erik Olson RH VP & CEO Renown Regional 60.00 0.00 X 467601 0 31055 Lawrence Duncan RH VP & Admin Children's Hospital 60.00 0.00 X 364421 0 31559 Jennifer Richards Chief Nursing Officer Acute Services 60.00 0.00 X 354255 0 26031 Jo Duszkiewicz VP & Admin of Institute for Cancer 60.00 0.00 X 272894 0 27462 Jeffery Stout Former Highest Compensated 0.00 0.00 X 350826 0 0 2417909 3232350 467061 221 1 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 13394223 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 9188273 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Laboratory Services 3544830 AYA Healthcare Inc PO Box 123519 Dallas TX 75312 Medical Services 3172014 Waste Management 1001 Fannin Street Houston TX 77002 Waste Services 3119937 100 4174395 4174395 Patient Services 621500 887231975 887231975 Cafeteria 722210 3684015 3684015 Patient Prescriptions 621500 3147803 3147803 Laboratory Services 621511 2024791 1990591 34200 896088584 72021 72021 861237 308065 553172 553172 553172 162000 48873 113127 113127 113127 518014 241123 276891 276891 Clinical Engineering 621999 2525 2525 2525 901280715 896331275 36725 738320 X 2924525 2924525 2118843 2118843 268273221 265044893 3228328 47049806 46426155 623651 19343 19343 92 92 22103 22103 196962775 58359340 138603435 19590 19590 12988045 11258893 1729152 2620732 2112885 507847 7752120 7567949 184171 561894 550384 11510 400447 308817 91630 17291001 17179056 111945 28456861 16981171 11475690 633543 18683 614860 Medical Supplies 161541427 161541427 UBIT Tax 8339 8339 Bad Debt 73670995 73670995 Miscellaneous 1143411 789225 354186 420523 349771 70752 824879636 667272479 157607157 0 800 800 74040278 59453965 125567727 131962336 26253693 26760930 2905344 3134394 835498955 496024505 348214989 339474450 181034577 208856758 758017408 769643633 36074872 41866706 417657743 407845714 66638557 90289382 520371172 540001802 X 237646236 229641831 237646236 229641831 758017408 769643633 X 76401079 -84405484 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 22103 0 0 0 22103 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 538025485 273173057 264852428 3446761 1715440 1731321 273497505 221136008 52361497 7478135 7478135 339474450 Other Receivables 1476109 Due From Affiliates 194145357 Debt Service Reserve 13163250 Funds Held in Trust 58129 Other 13913 208856758 Other Current Liabilities 1104338 Interest Rate SWAP Liability 45769531 Due to Affliates 41375511 Third-Party Settlements 2040002 90289382 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 7966248 7966248 0.01060 147368038 82186727 65181311 0.08680 155334286 82186727 73147559 0.09740 7045208 7045208 0.00940 5685539 5685539 0.00760 2604161 2604161 0.00350 1438929 1438929 0.00190 16773837 16773837 0.02240 172108123 82186727 89921396 0.11980 0 73670995 180706738 186777919 -6071181 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.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 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 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 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 $73,670,995. 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 the FY19 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 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 Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada, northeastern California and the adjacent areas of Oregon and Idaho. 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 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. 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 Medical Center 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 Primary 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 818 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, 2019, Renown Regional, 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 1 Renown Skilled Nursing 1155 Mill St Z-4 Reno NV 89502 201347269 501 (c)(3) 354627 Patient Assistance Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 501 (c)(3) 2240603 Patient Assistance Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 501 (c)(3) 329295 Patient Assistance 3 0 Patient Assistance 1689 2118843 Part I, Line 2: Assistance in Part II is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. The patient assistance reported in Part III is requested by a Renown social worker on behalf of a patient once it is determined that all eligibility criteria is met. The manager and director review the request and if approved, payment is made directly to the vendor, so there is no ongoing monitoring necessary for this assistance. X X X X 0 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO 0 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 Paul Sierzenski RH VP and CMO Acute Services 493708 0 110630 0 3574 0 2923 0 21246 0 632081 0 0 0 Erik Olson RH VP & CEO Renown Regional 371530 0 93058 0 3013 0 11000 0 21736 0 500337 0 0 0 Lawrence Duncan RH VP & Admin Children's Hospital 309213 0 52038 0 3170 0 11000 0 20859 0 396280 0 0 0 Jennifer Richards Chief Nursing Officer Acute Services 280636 0 70003 0 3616 0 11000 0 15031 0 380286 0 0 0 Jo Duszkiewicz VP & Admin of Institute for Cancer 223984 0 41605 0 7305 0 9569 0 18336 0 300799 0 0 0 Jeffery Stout Former Highest Compensated 0 0 0 0 350826 0 0 0 0 0 350826 0 350826 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). Jeffrey Stout is party to a supplemental nonqualified retirement plan. Payments of $350,826 to Jeffrey Stout have been included in Schedule J, Part II, Column(B)(iii) and (F). Deferrals under the plan would have been included in benefits reported in column c during prior years when the individuals were included on Schedule J. A City of Reno Nevada 886000201 759836JC4 2008-06-26 260935965 Refunded 2006A&B and Conversion of 2005A&B, 2004A and partial 2004C 1 0 0 B City of Reno Nevada 886000201 759836JE0 2009-01-15 63600000 Refunded 2004B 0 0 0 C City of Reno Nevada 886000201 759836JU4 2010-03-31 48028335 Partial conversion of 2004C to fixed rate 1 0 0 D Public Finance Authority 273866124 74442CAX2 2015-06-03 149946826 Refund Issues Dated 4/19/2007 and 11/8/2001 0 0 0 A 46400000 129955000 260935965 2528207 1952211 256455547 1 0 1 1 B 3380000 63600000 918613 369398 62311989 1 0 1 1 C 14535000 22240000 48028335 566802 47461533 1 0 1 1 D 5580000 149946826 1352566 148594260 1 1 1 1 A 0 0 1 1 0 0.00070 0.00070 0 0 1 B 0 0 1 1 0 0.00110 0.00110 0 0 1 C 0 0 1 1 0 0.00110 0.00110 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/23/2019 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/01/2019 Issuer Name: Public Finance Authority Date the Rebate Computation was Performed: 06/03/2017 Form 990, Schedule K, Part I, Column C The CUSIP numbers associated with the bond issue issued on 6/23/2008 are: 759836JC4 759836JB6 The CUSIP numbers associated with the bond issue issued on 1/15/2009 are: 759836JE0 759836JD2 A Public Finance Authority 273866124 74442CBS2 2016-07-27 162793319 Refunded 2004C(10) and 2008 Conversion of 2005AB, 2004A, and partial 2004C 0 0 0 A 3225000 162793319 161367028 1426291 0 1 0 1 A 0 0 1 1 0 0.00090 0.00090 0 0 1 A 0 0 0 0 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 Brian Loy have a business relationship. Steven Johnson and G Blake Smith have a business relationship. Anthony Slonim, Dawn Ahner, and Hakeem Olanrewaju have a business relationship with each other and all of the members on the board. 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 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 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 2019 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 Professional Fees: Program service expenses 27,403,371. Management and general expenses 16,636,169. Fundraising expenses 0. Total expenses 44,039,540. Repairs and Maintenance: Program service expenses 4,249,521. Management and general expenses 920. Fundraising expenses 0. Total expenses 4,250,441. Other Purchased Services: Program service expenses 1,907,538. Management and general expenses 732,716. Fundraising expenses 0. Total expenses 2,640,254. Laundry Service: Program service expenses 2,865,149. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,865,149. Medical Services: Program service expenses 8,589,036. Management and general expenses -1,469. Fundraising expenses 0. Total expenses 8,587,567. Other Services: Program service expenses 5,787,261. Management and general expenses 1,439,010. Fundraising expenses 0. Total expenses 7,226,271. Med Equip Svc Agreements: Program service expenses 4,626,313. Management and general expenses 24,028. Fundraising expenses 0. Total expenses 4,650,341. Overhead Allocation: Program service expenses 0. Management and general expenses 119,429,331. Fundraising expenses 0. Total expenses 119,429,331. Medical Waste: Program service expenses 2,931,151. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,931,151. Bond Administration Services: Program service expenses 0. Management and general expenses 342,730. Fundraising expenses 0. Total expenses 342,730. Form 990, Part XI, line 9: SWAP Mark to Market Adjustment -11,778,416. Intercompany Settlements -72,627,068. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501 (c) (3) III-FI N/A 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501 (c) (3) 7 Renown Health 0 Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 Hospital NV 501 (c) (3) 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 Skilled Nursing 1155 Mill St Z-4 Reno NV 89502 201347269 Nursing Facility NV 501 (c) (3) 10 Renown Health 0 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Pregnancy Center NV 501 (c) (3) 3 Renown Health 0 Routt Dialysis LLC 1155 Mill St Z-4 Reno NV 89502 263558729 Kidney Dialysis NV N/A 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 1 1 1 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 1 Hometown Health Plan Inc L 59984433 General Ledger