2019-05-13T14:33:53-05:00 2018-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-07-01 460517825 Renown South Meadows Medical Center RENO 7759826488 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 Hakeem Olanrewaju Chief Financial Officer 7759826488 2019-05-13 1 Kim Hunwardsen CPA P00484560 6122536500 2019-05-13 8.39.233.107 2019-05-13 11:26:01 CD P 159D60DA7C19331A7948BEBC6B1067FF5545FF60 EFC25E59FA7409AE560978A003AFB9E955B778C6 2017 2019-02-21 02:37:17Z Hakeem Olanrewaju 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 144627050 0 X www.renown.org X 2002 NV A 76 bed acute-care hospital and a 62 bed rehabilitation hospital. 17 16 0 116 1005931 -334050 202384 423115 132414785 143198004 -78518 -233307 921455 1005931 133460106 144393743 10346 48610 0 0 42489290 46295306 0 0 0 66068226 70370970 108567862 116714886 24892244 27678857 88586357 89552870 60517385 61278731 28068972 28274139 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 93340764 48610 143198004 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. For the eighth time since 2010, Renown South Meadows earned 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 2018, 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, 2018, Renown South Meadows, along with its parent, Renown Health and its subsidiaries, provided more than $126 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. 93340764 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 1 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 X 17 16 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Hakeem Olanrewaju 7759826488 1155 Mill St Z-4 Reno NV 89502 Anthony Slonim President/CEO 9.00 51.00 X X 0 1306102 165486 James De Volld Treasurer/Vice Chairman 3.00 12.00 X X 0 29240 0 Kimberly Cooney Secretary 3.00 12.00 X X 0 0 0 G Blake Smith Chairman 3.00 12.00 X X 0 45915 0 Bernie Carter Director 3.00 12.00 X 0 25075 0 Michael Peterson Director 3.00 12.00 X 0 15000 0 Jeff Resnik Director 3.00 12.00 X 0 34810 0 Joanne Olson Director 3.00 12.00 X 0 24000 0 Alvaro Devia Director 3.00 12.00 X 0 28507 0 William Newberg Director 3.00 12.00 X 0 28215 0 Christi Matteoni Director 3.00 12.00 X 0 15000 0 Brian Loy Director 3.00 12.00 X 0 27773 0 Steven Johnson Director 3.00 12.00 X 0 34810 0 Richard Bostdorff Director 3.00 15.00 X 0 24000 0 Thomas Deveny Director 3.00 12.00 X 0 15000 0 Todd McKenzie Director (Aug-Jun) 3.00 12.00 X 0 5000 0 Adam Kramer Director (Sep-Jun) 3.00 12.00 X 0 5000 0 Rob Winkel Director (Jul-Dec) 3.00 15.00 X 0 27387 0 Dawn Ahner EVP & Chief Administrative Officer 9.00 51.00 X 0 815014 125638 Hakeem Olanrewaju Apr-Jun SVP & Chief Financial Officer 9.00 51.00 X 0 0 0 Siri Nelson South Meadows CEO 60.00 0.00 X 235426 0 17913 Kevin Desmond Pharmacy Manager 60.00 0.00 X 168755 0 31285 Christopher Sullivan Pharmacist Lead 60.00 0.00 X 150962 0 20821 Lyle Case Clinical Pharmacist 60.00 0.00 X 141213 0 21379 Chris Nicholas Admin of Rehabilitation Hospital 60.00 0.00 X 162809 0 12657 859165 2505848 395179 19 0 1 0 Aramark Uniform PO Box 340910 Sacramento CA 958340910 Laundry Services 359281 Waste Management PO Box 73356 Chicago IL 60673 Waste Services 338055 Reno Orthopaedic Clinic 555 North Arlington Ave Reno NV 89503 Orthopaedic Services 272800 ARUP Laboratories Inc PO Box 7964 Salt Lake City UT 841270964 Lab Services 224726 Healthcare Connection 2770 N University Drive 2770 Coral Springs FL 33065 Medical Services 205974 13 423115 423115 Patient Svc Revenue 622110 140155803 140155803 Assisted Living 623312 1929828 1929828 Other Program Support 622110 766830 766830 Cafeteria 722514 345543 345543 143198004 233307 -233307 -233307 -233307 UBI - LTACH 623990 1002995 1002995 UBI - Landscaping 561730 2936 2936 1005931 144393743 143198004 1005931 -233307 X 48610 48610 38237280 37851095 386185 8058026 7973065 84961 995 995 13701 13701 26524371 7769694 18754677 3760692 3392104 368588 24195 23632 563 2050591 848661 1201930 41333 27406 13927 58322 54433 3889 2236571 2236571 4545358 2392921 2152437 92928 6793 86135 Medical Supplies 20099206 20099206 Bad Debts 10410125 10410125 Freight 210325 664 209661 Dues & Subscriptions 141773 54737 87036 160484 137346 23138 116714886 93340764 23374122 0 65548 4133 18546216 20036015 4850564 5005884 241072 292507 119728353 62761432 57654923 56966921 6662121 6662121 565913 585289 88586357 89552870 4707222 5111949 47770744 46941833 8039419 9224949 60517385 61278731 X 28068972 28274139 28068972 28274139 88586357 89552870 X 27678857 -27473690 X X 0 1 X 1 0 X 0 0 0 0 0 1 13701 0 0 0 13701 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 69210553 27722995 41487558 426168 193199 232969 43808126 34845238 8962888 820723 820723 56966921 Bond Interest Payable 56980 Third Party Settlements 311929 Payable to Affiliates 8855899 Deferred Revenue 141 9224949 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 473141 473141 0.00450 9987657 4385499 5602158 0.05270 10460798 4385499 6075299 0.05720 324806 324806 0.00310 48284 48284 0.00050 197364 197364 0.00190 570454 570454 0.00550 11031252 4385499 6645753 0.06270 0 10410125 0 31195086 28427471 2767615 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: The Community Benefits Implementation Strategy was approved in June 2018. No specific actions have been taken in this fiscal year, but the following is what Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities intend to focus on in the next 3 years:Mental Health - Renown will partner with Communities in Schools and Note-Able Music Therapy to help reduce depression among all populations, with a focus on youth and reduce suicide among all populations.Substance Abuse - Renown will partner with Join Together Northern Nevada and Quest Counseling & Consulting to prevent substance use among youth and young adults. Both organizations selected to address substance use issues are heavily incorporating evidence-based programs geared towards improving mental health conditions including depression, stress reduction, resiliency, coping mechanisms, and suicide.Physical Activity, Nutrition & Weight - Renown will partner with Reno-Sparks Indian Colony Tribal Health to implement the Pathways to Health program. The Pathways to Health program is based on Geisinger Health System (PA), "food as medicine" Fresh Food Farmacy model which provides fresh, nutritious food to overweight and obese individuals, people at risk for pre-diabetes, and patients with diabetes.Chronic Diseases & Screenings - Renown will partner with Northern Nevada HOPES and the Renown Medical Group to implement the Diabetes Prevention Program. The CDC's National Diabetes Prevention Program (DPP) is widely recognized as an evidence-based approach to identifying high-risk individuals for diabetes and enrolling them into a lifestyle theory change program to modify health behaviors to reduce and reverse risk for developing diabetes.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.Although we approved a new Community Benefit Implementation Strategy in June 2018, in FY18 Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities, made substantial progress on our previous Community Benefit priorities. Below is a brief list of accomplishments of each of the priority areas identified in the plan: Behavioral Health - In FY18, The Behavioral Health Institute completed over 241 free behavioral health screenings in the community.Childhood Immunizations - During FY18, Immunize Nevada, with a Renown grant, participated in 62 events where over 7,237 lives where touched. From these events, there was 3,005 vaccines given to uninsured children and parents. Finally for FY18, 998 professionals were trained to be strong vaccinators. Senior Flu Shot Outreach - In FY18, the program provided 354 vaccines to underserved seniors. Dental Care - During FY18, CHA provided 193 dental exams, 312 extractions, 269 regular cleanings, 438 restorations (fillings and crowns), 74 prosthetic services (dentures/partial/relines/adjustments), and 78 nutritional counseling and oral hygiene instruction.Prenatal Care - In FY18, women completing the Centering training had excellent health outcomes. The number of premature pregnancies (2.4% less than Nevada) and/or low birth-weight babies (2.5% less than Nevada) and more women breastfeeding upon discharge (12.5% higher than Nevada). These patients represent about 5 percent of the patients overall who obtain services at the Pregnancy Center annually.Mammography Screening - During FY18, funding helped provide women with 285 screening mammograms, 111 diagnostic mammograms, 109 ultrasounds, and 3 biopsies combined with tissue marker. A total of 381 women were served using Renown funds and a total of 508 services were provided.Community Hub - During FY18, in collaboration with Truckee Meadows Healthy Communities the community hub provided quarterly Family Health Festival events and organized and hosted a Remote Area Medical (RAM) event to provide medical, dental, and vision care to underserved members of the community. These events served over 1,500 community members. Over 150 community-based organizations participated. Organizations that participated provided services such as flu vaccinations, dental fluoride treatments, the Food Bank's mobile pantry, health screenings for kids and adults, DACA & Immigration support, job application and resume help, SNAP assistance, Head Start/affordable day care registration and a variety of other free services.Safe Kids & Child Passenger Safety Fitting Station - In FY18, Renown provided 74% of the car seats to income eligible families. Car seat station also host 3 free community inspection sessions. During these sessions, 25 car seats were found to be not properly installed and corrections were made to ensure the safety of the child when riding in the vehicle. Car seat technician also participated in 9 Point of Impact Community checkpoints at various locations in the community as well as attended 6 family health fairs to provide information on child passenger safety.Partnership with Local Non-Profit - For FY18, Renown partnered with Girls on the Run to provide girls between the grades of 3rd-8th with evidence-based curriculum that will raise emotional, mental and physical development. A total of 549 girls at 20 schools in Washoe County were served with eight of those schools being Title I schools. Healthy foods - During FY18, 1,581 students were served and on average 77% of students (1,217) had improvements in both increasing their interest in learning and healthy eating.The needs identified in the prior assessment that we were not able to address in the current year were substance abuse and adult obesity. We did not address these needs due to these needs being met by other community organizations and we addressed them individually as patients were seen at our high-quality healthcare service locations. Renown Rehabilitation Hospital Part V, Section B, Line 11: The Community Benefits Implementation Strategy was approved in June 2018. No specific actions have been taken in this fiscal year, but the following is what Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities intend to focus on in the next 3 years:Mental Health - Renown will partner with Communities in Schools and Note-Able Music Therapy to help reduce depression among all populations, with a focus on youth and reduce suicide among all populations.Substance Abuse - Renown will partner with Join Together Northern Nevada and Quest Counseling & Consulting to prevent substance use among youth and young adults. Both organizations selected to address substance use issues are heavily incorporating evidence-based programs geared towards improving mental health conditions including depression, stress reduction, resiliency, coping mechanisms, and suicide.Physical Activity, Nutrition & Weight - Renown will partner with Reno-Sparks Indian Colony Tribal Health to implement the Pathways to Health program. The Pathways to Health program is based on Geisinger Health System (PA), "food as medicine" Fresh Food Farmacy model which provides fresh, nutritious food to overweight and obese individuals, people at risk for pre-diabetes, and patients with diabetes.Chronic Diseases & Screenings - Renown will partner with Northern Nevada HOPES and the Renown Medical Group to implement the Diabetes Prevention Program. The CDC's National Diabetes Prevention Program (DPP) is widely recognized as an evidence-based approach to identifying high-risk individuals for diabetes and enrolling them into a lifestyle theory change program to modify health behaviors to reduce and reverse risk for developing diabetes.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.Although we approved a new Community Benefit Implementation Strategy in June 2018, in FY18 Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Rehabilitation Hospital along with other related entities, made substantial progress on our previous Community Benefit priorities. Below is a brief list of accomplishments of each of the priority areas identified in the plan: Behavioral Health - In FY18, The Behavioral Health Institute completed over 241 free behavioral health screenings in the community.Childhood Immunizations - During FY18, Immunize Nevada, with a Renown grant, participated in 62 events where over 7,237 lives where touched. From these events, there was 3,005 vaccines given to uninsured children and parents. Finally for FY18, 998 professionals were trained to be strong vaccinators. Senior Flu Shot Outreach - In FY18, the program provided 354 vaccines to underserved seniors. Dental Care - During FY18, CHA provided 193 dental exams, 312 extractions, 269 regular cleanings, 438 restorations (fillings and crowns), 74 prosthetic services (dentures/partial/relines/adjustments), and 78 nutritional counseling and oral hygiene instruction.Prenatal Care - In FY18, women completing the Centering training had excellent health outcomes. The number of premature pregnancies (2.4% less than Nevada) and/or low birth-weight babies (2.5% less than Nevada) and more women breastfeeding upon discharge (12.5% higher than Nevada). These patients represent about 5 percent of the patients overall who obtain services at the Pregnancy Center annually.Mammography Screening - During FY18, funding helped provide women with 285 screening mammograms, 111 diagnostic mammograms, 109 ultrasounds, and 3 biopsies combined with tissue marker. A total of 381 women were served using Renown funds and a total of 508 services were provided.Community Hub - During FY18, in collaboration with Truckee Meadows Healthy Communities the community hub provided quarterly Family Health Festival events and organized and hosted a Remote Area Medical (RAM) event to provide medical, dental, and vision care to underserved members of the community. These events served over 1,500 community members. Over 150 community-based organizations participated. Organizations that participated provided services such as flu vaccinations, dental fluoride treatments, the Food Bank's mobile pantry, health screenings for kids and adults, DACA & Immigration support, job application and resume help, SNAP assistance, Head Start/affordable day care registration and a variety of other free services.Safe Kids & Child Passenger Safety Fitting Station - In FY18, Renown provided 74% of the car seats to income eligible families. Car seat station also host 3 free community inspection sessions. During these sessions, 25 car seats were found to be not properly installed and corrections were made to ensure the safety of the child when riding in the vehicle. Car seat technician also participated in 9 Point of Impact Community checkpoints at various locations in the community as well as attended 6 family health fairs to provide information on child passenger safety.Partnership with Local Non-Profit - For FY18, Renown partnered with Girls on the Run to provide girls between the grades of 3rd-8th with evidence-based curriculum that will raise emotional, mental and physical development. A total of 549 girls at 20 schools in Washoe County were served with eight of those schools being Title I schools. Healthy foods - During FY18, 1,581 students were served and on average 77% of students (1,217) had improvements in both increasing their interest in learning and healthy eating.The needs identified in the prior assessment that we were not able to address in the current year were substance abuse and adult obesity. We did not address these needs due to these needs being met by other community organizations and we addressed them individually as patients were seen at our high-quality healthcare service locations. 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 $10,410,125. 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 11 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 460,587 as of June 2017 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.3% male and 49.7% 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: 62.8% Caucasian/White, 2.6% African American/Black, 6.6% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 24.6% Hispanic/Latino.The Washoe County median household income was estimated to be $58,595 according to the US Census Bureau and 11.1% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.3% as of June 2018, 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. For the eighth time since 2010, Renown South Meadows earned 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 2018, 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, 2018, Renown South Meadows, along with its parent, Renown Health and its subsidiaries, provided more than $126 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) 48284 Patient Assistance 1 0 Part I, Line 2: The organization's grants are given directly to the vendor on behalf of the recipient to cover a need that was identified during the granting process. There is no ongoing monitoring necessary for these grants. X X X X 0 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO 0 955815 0 347209 0 3078 0 152551 0 12935 0 1471588 0 0 Dawn Ahner EVP & Chief Administrative Officer 0 633264 0 170907 0 10843 0 106272 0 20391 0 941677 0 0 Siri Nelson South Meadows CEO 233983 0 0 0 1443 0 0 0 18078 0 253504 0 0 0 Kevin Desmond Pharmacy Manager 160747 0 5710 0 2298 0 7129 0 24376 0 200260 0 0 0 Christopher Sullivan Pharmacist Lead 148946 0 0 0 2016 0 6172 0 14660 0 171794 0 0 0 Lyle Case Clinical Pharmacist 139189 0 0 0 2024 0 5760 0 15630 0 162603 0 0 0 Chris Nicholas Admin of Rehabilitation Hospital 150014 0 10739 0 2056 0 5258 0 7620 0 175687 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 $141,751 to Anthony Slonim and $95,472 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, G Blake Smith, and Rob Winkel have a business relationship. Bernie Carter, 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 Controller and current Chief Financial Officer prior to the final Form 990 being sent to the board. The IRS Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the forms, the Renown Health board is provided with a narrative that explains the various parts of the Form and their content. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown South Meadows Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15a Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health Executive Committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the fiscal year 2018 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 5,572. Management and general expenses 27,029. Fundraising expenses 0. Total expenses 32,601. GARBAGE: Program service expenses 103,678. Management and general expenses 0. Fundraising expenses 0. Total expenses 103,678. LAUNDRY SERVICES: Program service expenses 403,146. Management and general expenses 0. Fundraising expenses 0. Total expenses 403,146. MEDICAL SERVICES (NON-PHYSICIAN): Program service expenses 209,937. Management and general expenses 93. Fundraising expenses 0. Total expenses 210,030. OTHER MISC SERVICES: Program service expenses 3,454,961. Management and general expenses 234,777. Fundraising expenses 0. Total expenses 3,689,738. TRANSPORTATION SERVICES: Program service expenses 63,465. Management and general expenses 75. Fundraising expenses 0. Total expenses 63,540. Snow Removal / Ice Melt: Program service expenses 28,901. Management and general expenses 0. Fundraising expenses 0. Total expenses 28,901. Medical Equipment Service Agreements: Program service expenses 675,918. Management and general expenses 0. Fundraising expenses 0. Total expenses 675,918. Medical Waste: Program service expenses 244,022. Management and general expenses 0. Fundraising expenses 0. Total expenses 244,022. Professional Fees: Program service expenses 2,535,225. Management and general expenses 1,778,254. Fundraising expenses 0. Total expenses 4,313,479. Document Destruction: Program service expenses 0. Management and general expenses 2,955. Fundraising expenses 0. Total expenses 2,955. Overhead Allocation: Program service expenses 0. Management and general expenses 16,711,494. Fundraising expenses 0. Total expenses 16,711,494. Cleaning Services: Program service expenses 44,869. Management and general expenses 0. Fundraising expenses 0. Total expenses 44,869. Form 990, Part XI, line 9: Other -56,644. Intercompany Settlements -27,417,046. 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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