2025-11-14T18:35:33-06:00 2024-12-31 390859910 Baker Tilly Advisory Group LP 805 SW Broadway Ste 1400 Portland OR 97205 990 2024-01-01 460517825 Renown South Meadows Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Anna Loomis Chief Financial Officer 7759826488 2025-11-12 1 1 Wendy Campos P00448102 5032421447 2025-11-12 2024 2025-03-06 01:10:19Z Brian Erling 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 216663868 0 X www.renown.org X 2002 NV A 115-bed acute-care hospital and a 62 bed rehabilitation hospital. 11 10 0 2 4649 0 1650642 1564361 182295239 214140367 -7511 -5210 2936 259816 183941306 215959334 89520 131185 0 0 71201801 74376068 0 0 0 94922610 115788469 166213931 190295722 17727375 25663612 176822211 312202651 175812586 238459746 1009625 73742905 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 155807082 131185 214140367 See Schedule ORenown South Meadows Medical Center is a 115-bed hospital that offers the latest in medical and surgical care, intensive care, telemetry, a 24-hour emergency room, inpatient and outpatient surgical and lab services. Renown South Meadows Medical Center 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 Medical Center has approximately 580 physicians on its medical staff and extends admitting privileges to all eligible and qualified physicians.Since it opened as an acute care hospital in 2002, Renown South Meadows Medical Center has tripled its bed capacity by expanding the intensive care, surgical and telemetry units. Renown South Meadows Medical Center 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 Medical Center is ranked in the top 1 percent nationwide for quality care based on measures for heart attack, heart failure, pneumonia and surgical care. They have the region's only certified pulmonary rehab and interventional pulmonary program, in addition to specializing in joint replacement and upper extremity procedures.Renown Rehabilitation Hospital is a 62-bed, inpatient rehabilitation environment, and the only CARF (Commission on Accreditation of Rehabilitation Facilities) accredited facility in the region, focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness. Renown Rehabilitation offers physical, occupational, speech, recreational and cognitive therapies, highly specialized Physical Medicine & Rehabilitation physicians board certified in Spinal Cord Injury Medicine and Traumatic Brain Injury as well as housing an interventional pain management program.Renown Rehabilitation Hospital has the highest concentration of Certified Rehabilitation Registered Nurses in Northern Nevada and is the only Commission on Accreditation of Rehabilitation Facilities (CARF) in Northern Nevada, which is the highest accreditation an acute rehabilitation hospital can receive. Rehabilitation nurses provide comfort, therapy and education, promote health-conducive adjustments, support adaptive capabilities and promote achievable independence.Renown South Meadows Medical Center and Renown Rehabilitation Hospital further their not-for-profit status by providing quality healthcare for Renown's primary service area, Washoe County and the secondary service areas of northern Nevada and northern California. There is a long tradition and commitment to improve the care and the health of our community. In addition to our commitment to meet the healthcare needs of the region, we give back to communities by contributing funds, services, facilities and the time and expertise of employees. These benefits to the community flow from Renown Health as a whole and from the individual hospitals, facilities and departments that make up our health network.For the period ended December 31, 2024, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided approximately $196 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to https://www.renown.org/about/community-commitment/. 155807082 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 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 11 10 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Anna Loomis 7759826488 1155 Mill St Z-4 Reno NV 89502 Brian Erling President/CEO 8.00 52.00 X X 0 1872333 225513 Sam Weller CEO South Meadows & Rehab 60.00 0.00 X 442415 0 95667 Anna Loomis - Chief Financial Officer (as of 07/24) 9.00 51.00 X 0 392905 60260 Jennifer Fleiner Chief Nurse and Operations Officer 60.00 0.00 X 277563 0 38500 Kevin Desmond Pharmacy Manager (thru 08/24) 60.00 0.00 X 203585 0 22288 Ann Beck Chief Financial Officer (thru 01/24) 9.00 51.00 X 0 210679 2042 Chris Sullivan Pharmacy Manager (as of 08/24) 60.00 0.00 X 176793 0 23224 Carlo Deomano Nursing Coordinator 60.00 0.00 X 171221 0 27260 Jeff Resnik Director 3.00 9.00 X 0 40347 0 Adam Kramer Chair 3.00 9.00 X X 0 36000 0 Bijel Doshi Treasurer 3.00 9.00 X X 0 24000 0 Marc Mora Director 3.00 9.00 X 0 24000 0 Mark Knobel Director 3.00 9.00 X 0 24000 0 Tammy Dermody Secretary & Vice Chair (thru 12/24) 3.00 9.00 X X 0 15000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Stephanie Lepori Director 3.00 9.00 X 0 15000 0 Christopher Ott Director 3.00 9.00 X 0 15000 0 Brian Sandoval Director 3.00 9.00 X 0 0 0 1271577 2684264 494754 196 0 1 0 Sodexo America 9801 Washington Boulevard Gaithersburg MD 20878 Facility Management Services 5662147 Stryker Sales 5900 Optical Court San Jose CA 95138 Medical Equipment Services 4888440 Hologic Sales and Service LLC 250 Campus Drive Marlborough MA 01752 Medical Equipment Services 2557687 Healthtrust Workforce Solutions LLC PO Box 550 Nashville TN 372020550 Healthcare Labor Services 2128193 Clark & Sullivan Constructors 905 Industrial Way Sparks NV 89431 Construction Services 1295833 41 1564361 1564361 Patient Svc Revenue 621110 214131843 214131843 Other Program Support 621110 8524 8524 214140367 943876 688709 255167 255167 255167 10615 15825 -5210 -5210 -5210 UBI - Landscaping 900099 4649 4649 4649 215959334 214140367 4649 249957 X 131185 131185 61615353 60965236 650117 1929740 1908225 21515 6494445 6422039 72406 4336530 4288182 48348 69798 69798 19386 19386 45259071 15790208 29468863 8000 8000 4592300 4302890 289410 416198 406584 9614 1816520 865972 950548 5360 4373 987 7603 7603 1610933 1610933 9730004 7457391 2272613 246945 18993 227952 Medical Supplies 33197793 33197793 Bad Debts 9306702 9306702 Licenses & Taxes 9038774 9009267 29507 Freight 204731 1857 202874 258351 92263 166088 190295722 155807082 34488640 0 0 54 253098 278225 23822800 23447747 3952881 3081092 913853 489648 278114878 91876156 121866641 186238722 4996591 4330379 21016347 94336784 176822211 312202651 8912118 8114619 54167 0 132810696 129251879 34035605 101093248 175812586 238459746 X 1009625 73742905 1009625 73742905 176822211 312202651 X 25663612 47069668 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 19386 0 0 0 19386 0 Part II-B, Line 1: Payments are made to American Hospital Association and Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 5462783 5462783 98209343 42793204 55416139 7551546 3935472 3616074 63550825 45147480 18403345 103340381 103340381 186238722 Miscellaneous Receivables 636238 Due From Affiliates 9756451 Right of Usage 4125154 Finance Lease Asset 79818941 94336784 Bond Interest Payable 406381 Payable to Affiliates 221374 Operating Lease Liabilities 5165173 Other Liabilities 2733309 Third Party Settlement 2094141 Finance Lease Liability 90472870 101093248 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 990-T) 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 1 X 1 X 1 1 1 0 1 1 629951 629951 0.00350 25514403 17219924 8294479 0.04580 386350 386350 0.00210 26530704 17219924 9310780 0.05140 351663 351663 0.00190 262307 262307 0.00140 613970 613970 0.00330 27144674 17219924 9924750 0.05470 0 9306702 38624564 39846968 -1222404 X 1 1 2 1 Renown South Meadows Medical Center 10101 Double R Boulevard Reno NV 89521 www.renown.org 2373-HOS X X X 2 Renown Rehabilitation Hospital 1495 Mill St Reno NV 89502 www.renown.org 0657-HOS X Renown South Meadows Medical Center 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 24 1 See Part V, Page 8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X X 1 X 0 1 Renown Rehabilitation Hospital 2 0 0 1 X X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 24 1 See Part V, Page 8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X X 0 X X 0 1 Renown South Meadows Medical Center Part V, Section B, Line 5: Renown utilized validated and reliable data sources to ensure a comprehensive and accurate Community Health Needs Assessment (CHNA). This included data from an online survey of more than 1,400 Washoe County residents, who represented a diverse cross-section of the community by age, race, ethnicity, sex assigned at birth, current gender identity, and sexual orientation. In addition, Renown gathered qualitative insights through Key Informant Interviews with local subject matter experts and hosted a Community Workshop that engaged over 80 leaders and stakeholders. These participants represented a broad spectrum of specialties and organizational missions, ensuring a wide range of perspectives across healthcare, social services, education, public health, and community-based organizations. This multi-faceted approach allowed Renown to capture both quantitative and qualitative input, grounded in community voice and expert knowledge. Renown Rehabilitation Hospital Part V, Section B, Line 5: Renown utilized validated and reliable data sources to ensure a comprehensive and accurate Community Health Needs Assessment (CHNA). This included data from an online survey of more than 1,400 Washoe County residents, who represented a diverse cross-section of the community by age, race, ethnicity, sex assigned at birth, current gender identity, and sexual orientation. In addition, Renown gathered qualitative insights through Key Informant Interviews with local subject matter experts and hosted a Community Workshop that engaged over 80 leaders and stakeholders. These participants represented a broad spectrum of specialties and organizational missions, ensuring a wide range of perspectives across healthcare, social services, education, public health, and community-based organizations. This multi-faceted approach allowed Renown to capture both quantitative and qualitative input, grounded in community voice and expert knowledge. Renown South Meadows Medical Center Part V, Section B, Line 6a: Renown Regional Medical Center and Renown Rehabilitation Hospital Renown Rehabilitation Hospital Part V, Section B, Line 6a: Renown Regional Medical Center and Renown South Meadows Medical Center Renown South Meadows Medical Center Part V, Section B, Line 6b: Truckee Meadows Tomorrow, Nevada Tomorrow, Conduent Healthy Communities Institute, and Northern Nevada Public Health Renown Rehabilitation Hospital Part V, Section B, Line 6b: Truckee Meadows Tomorrow, Nevada Tomorrow, Conduent Healthy Communities Institute, and Northern Nevada Public Health Renown South Meadows Medical Center Part V, Section B, Line 11: In 2024, Renown Health completed the final year of its 2021-2023 Community Health Needs Assessment (CHNA) Implementation Strategy with continued commitment to addressing health disparities through targeted, evidence-based efforts. The plan focused on three priority areas: Healthy Behaviors, Immunizations & Infectious Diseases, and Behavioral, Youth, and Adolescent Health. Each area included strong community partnerships that enhanced implementation and deepened local impact.Priority 1: Healthy BehaviorsRenown partnered with the Healthy Nevada Project, Tier 1 Genomics, and the Renown Health Communications Team to promote equitable access to genetic screening and health education. Communication materials increased by 17% from the previous year, while the genomic testing program enrolled over 57,000 participants by the end of 2024. These efforts emphasized outreach to high-risk, historically underserved populations and laid the groundwork for long-term improvements in health literacy and prevention.Priority 2: Immunizations & Infectious DiseasesRenown collaborated with Immunize Nevada (until the sudden dissolve of their non-profit in early 2024), and later expanded efforts through partnerships with Catholic Charities of Northern Nevada and Community Health Alliance. These partnerships enabled targeted vaccine outreach and delivery to socially vulnerable groups, including undocumented individuals, older adults, those with limited English proficiency, and uninsured families. Priority 3: Behavioral, Youth, and Adolescent HealthRenown worked closely with The Children's Cabinet, Washoe County School District, and the Washoe County Children's Mental Health Consortium through the Connect Washoe County initiative. A broad coalition of over 38 local agencies participated in the annual Youth Mental Health Summit, including NAMI Western Nevada, Quest Counseling, Crisis Support Services of Nevada, Thrive Wellness, and Hope Means Nevada. Renown also supported dozens of direct-service partners, including Amplify Life, Forever14, Safe Talk for Teens, STEP2, ReDirect Youth Outreach, and Ronald McDonald House Charities, investing over $485,000 into suicide prevention, family-based services, mental health programs, and community health education in 2024.Through these collective efforts, Renown Health met or exceeded nearly all targeted goals in the implementation plan and demonstrated meaningful progress in advancing health equity across Northern Nevada. Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2021 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans.In 2024, Renown Health undertook an extensive community health planning process in preparation for the 2025-2027 Community Health Needs Assessment (CHNA) Implementation Strategy. Building on insights from the 2023 CHNA, the organization focused on identifying strategic priorities, engaging diverse stakeholders, and aligning future goals with documented community needs and existing service gaps.Renown hosted a community-wide listening session in July 2024 to review the 2023 CHNA findings and gather input on potential focus areas. This session included representation from public health agencies, nonprofit organizations, school officials, health professionals, and community members. The purpose was to validate priority issues, elevate lived experience, and foster collective ownership of the implementation planning process.Throughout 2024, the Community Health Program Manager conducted a comprehensive environmental scan of existing community programs, services, and partnerships aligned with identified priority areas. This scan helped determine where Renown could most effectively lead, support, or collaborate to maximize impact and avoid duplication. Ongoing meetings with key partners ensured the strategy development process remained responsive and data-informed.In December 2024, Renown convened a multi-sector strategy session with stakeholders to review the CHNA data and collaboratively select targeted strategies through a voting and consensus process. As a result, 45 specific strategies were identified under each new priority area, setting the foundation for the 2025-2027 Implementation Strategy. These efforts reflect Renown Health's continued commitment to inclusive planning, measurable health improvement, and transparent community benefit reporting.From January 1, 2025-December 31, 2027 the following will be of focus:Priority Area #1: Mental Health Strategy 1.1: Foster Positive Childhood Experiences (PCEs)Strategy 1.2: Provide High-Quality, Trauma-Informed CareStrategy 1.3: Improve Mental Health Outcomes with a Focus on Suicide PreventionStrategy 1.4: Enhance Substance Abuse InterventionsStrategy 1.5: Increase Access to High-Quality Mental Health Services for Underserved CommunitiesPriority Area #2: Access to Healthcare and Community Services Strategy 2.1: Peer SupportStrategy 2.2: Community safety-net programmingStrategy 2.3: Data StreamliningStrategy 2.4: Rural Access Strategy 2.5: Strengthen Nonprofit Collaboration & Outreach with Focus on Kids Priority Area #3: Maternal and Child Health Strategy 3.1: Reduce Substance Use in Pregnant Women Strategy 3.2: Increase Prenatal Care Access and AdherenceStrategy 3.3: Strengthen Child Safety and Reduce TraumaStrategy 3.4: Reduce Syphilis IncidentsRenown Health remains committed to supporting positive advancements in addressing other identified health focus areas through partnerships, collaborations, and stakeholder alignment. These areas include Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; and Exercise, Nutrition, and Weight. While these remaining health needs are significant, other groups in Washoe County have made them their focus, so they are not directly targeted in the 2025-2027 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans.As Renown looks ahead to its 2025-2027 Implementation Strategy, the organization remains committed to inclusive planning, sustainable impact, and cross-sector collaboration. The achievements of 2024 reflect not only progress toward measurable health outcomes but also the strength of Renown's partnerships and its deep investment in the well-being of Northern Nevadans. Renown Rehabilitation Hospital Part V, Section B, Line 11: In 2024, Renown Health completed the final year of its 2021-2023 Community Health Needs Assessment (CHNA) Implementation Strategy with continued commitment to addressing health disparities through targeted, evidence-based efforts. The plan focused on three priority areas: Healthy Behaviors, Immunizations & Infectious Diseases, and Behavioral, Youth, and Adolescent Health. Each area included strong community partnerships that enhanced implementation and deepened local impact.Priority 1: Healthy BehaviorsRenown partnered with the Healthy Nevada Project, Tier 1 Genomics, and the Renown Health Communications Team to promote equitable access to genetic screening and health education. Communication materials increased by 17% from the previous year, while the genomic testing program enrolled over 57,000 participants by the end of 2024. These efforts emphasized outreach to high-risk, historically underserved populations and laid the groundwork for long-term improvements in health literacy and prevention.Priority 2: Immunizations & Infectious DiseasesRenown collaborated with Immunize Nevada (until the sudden dissolve of their non-profit in early 2024), and later expanded efforts through partnerships with Catholic Charities of Northern Nevada and Community Health Alliance. These partnerships enabled targeted vaccine outreach and delivery to socially vulnerable groups, including undocumented individuals, older adults, those with limited English proficiency, and uninsured families. Priority 3: Behavioral, Youth, and Adolescent HealthRenown worked closely with The Children's Cabinet, Washoe County School District, and the Washoe County Children's Mental Health Consortium through the Connect Washoe County initiative. A broad coalition of over 38 local agencies participated in the annual Youth Mental Health Summit, including NAMI Western Nevada, Quest Counseling, Crisis Support Services of Nevada, Thrive Wellness, and Hope Means Nevada. Renown also supported dozens of direct-service partners, including Amplify Life, Forever14, Safe Talk for Teens, STEP2, ReDirect Youth Outreach, and Ronald McDonald House Charities, investing over $485,000 into suicide prevention, family-based services, mental health programs, and community health education in 2024.Through these collective efforts, Renown Health met or exceeded nearly all targeted goals in the implementation plan and demonstrated meaningful progress in advancing health equity across Northern Nevada. Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2021 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans.In 2024, Renown Health undertook an extensive community health planning process in preparation for the 2025-2027 Community Health Needs Assessment (CHNA) Implementation Strategy. Building on insights from the 2023 CHNA, the organization focused on identifying strategic priorities, engaging diverse stakeholders, and aligning future goals with documented community needs and existing service gaps.Renown hosted a community-wide listening session in July 2024 to review the 2023 CHNA findings and gather input on potential focus areas. This session included representation from public health agencies, nonprofit organizations, school officials, health professionals, and community members. The purpose was to validate priority issues, elevate lived experience, and foster collective ownership of the implementation planning process.Throughout 2024, the Community Health Program Manager conducted a comprehensive environmental scan of existing community programs, services, and partnerships aligned with identified priority areas. This scan helped determine where Renown could most effectively lead, support, or collaborate to maximize impact and avoid duplication. Ongoing meetings with key partners ensured the strategy development process remained responsive and data-informed.In December 2024, Renown convened a multi-sector strategy session with stakeholders to review the CHNA data and collaboratively select targeted strategies through a voting and consensus process. As a result, 45 specific strategies were identified under each new priority area, setting the foundation for the 2025-2027 Implementation Strategy. These efforts reflect Renown Health's continued commitment to inclusive planning, measurable health improvement, and transparent community benefit reporting.From January 1, 2025-December 31, 2027 the following will be of focus:Priority Area #1: Mental Health Strategy 1.1: Foster Positive Childhood Experiences (PCEs)Strategy 1.2: Provide High-Quality, Trauma-Informed CareStrategy 1.3: Improve Mental Health Outcomes with a Focus on Suicide PreventionStrategy 1.4: Enhance Substance Abuse InterventionsStrategy 1.5: Increase Access to High-Quality Mental Health Services for Underserved CommunitiesPriority Area #2: Access to Healthcare and Community Services Strategy 2.1: Peer SupportStrategy 2.2: Community safety-net programmingStrategy 2.3: Data StreamliningStrategy 2.4: Rural Access Strategy 2.5: Strengthen Nonprofit Collaboration & Outreach with Focus on Kids Priority Area #3: Maternal and Child Health Strategy 3.1: Reduce Substance Use in Pregnant Women Strategy 3.2: Increase Prenatal Care Access and AdherenceStrategy 3.3: Strengthen Child Safety and Reduce TraumaStrategy 3.4: Reduce Syphilis IncidentsRenown Health remains committed to supporting positive advancements in addressing other identified health focus areas through partnerships, collaborations, and stakeholder alignment. These areas include Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; and Exercise, Nutrition, and Weight. While these remaining health needs are significant, other groups in Washoe County have made them their focus, so they are not directly targeted in the 2025-2027 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans.As Renown looks ahead to its 2025-2027 Implementation Strategy, the organization remains committed to inclusive planning, sustainable impact, and cross-sector collaboration. The achievements of 2024 reflect not only progress toward measurable health outcomes but also the strength of Renown's partnerships and its deep investment in the well-being of Northern Nevadans. 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. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. 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. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. Renown South Meadows Medical Center Part V, Section B, Line 16j: On every informational-only 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 informational-only 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 informational-only 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 informational-only 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. Part V, Lines 7a, 10a: https://www.renown.org/about/community-commitment/community-health-needs-assessment/ Part V, Line 7b: https://www.renown.org/about/community-commitment/community-health-needs-assessment/ Part V, Lines 16a, 16b & 16c: https://www.renown.org/patients-and-visitors/billing/financial-assistance/ 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. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. 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 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 $9,306,702. 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 18 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the cost accounting system in year ended December 31, 2024, as filed in 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 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/community-commitment/. Part VI, Line 3: The organization educates patients on assistance eligibility by posting information on its website regarding its financial assistance program and whenever situations indicate that the patient may be unable to pay for services. The organization has a dedicated Patient Financial Assistance department that works with uninsured patients to establish eligibility for a state or local program. For those that do not qualify for a state or local program, they will refer the patient to the organization's charity care process. Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 507,280 as of July 2024 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.8% male and 49.2% female. A fifth (20.4%) of the population is under the age of 18 and 18.3% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 59.8% Caucasian/White, 3.1% African American/Black, 7.2% Asian/Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 26.5% Hispanic/Latino.The Washoe County median household income was estimated to be $85,600 according to the US Census Bureau and 9.9% of Washoe County residents are under the federal poverty guidelines. Reno, NV unemployment currently is estimated to be at 4.5% as of December 2024, below the state of Nevada at 5.8%. Part VI, Line 5: See Schedule O, Part III, Line 4a for a description of how the organization furthers its exempt purpose by promoting the health of the community. Part VI, Line 6: Renown South Meadows Medical Center is a 115-bed hospital that offers the latest in medical and surgical care, intensive care, telemetry, a 24-hour emergency room, inpatient and outpatient surgical and lab services. Renown South Meadows Medical Center 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 Medical Center has approximately 580 physicians on its medical staff and extends admitting privileges to all eligible and qualified physicians.Since it opened as an acute care hospital in 2002, Renown South Meadows Medical Center has tripled its bed capacity by expanding the intensive care, surgical and telemetry units. Renown South Meadows Medical Center 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 Medical Center is ranked in the top 1 percent nationwide for quality care based on measures for heart attack, heart failure, pneumonia and surgical care. They have the region's only certified pulmonary rehab and interventional pulmonary program, in addition to specializing in joint replacement and upper extremity procedures.Renown Rehabilitation Hospital is a 62-bed, inpatient rehabilitation environment, and the only CARF (Commission on Accreditation of Rehabilitation Facilities) accredited facility in the region, focusing on care that prepares patients to live as independently as possible after experiencing a disabling injury or illness. Renown Rehabilitation offers physical, occupational, speech, recreational and cognitive therapies, highly specialized Physical Medicine & Rehabilitation physicians board certified in Spinal Cord Injury Medicine and Traumatic Brain Injury as well as housing an interventional pain management program.Renown Rehabilitation Hospital has the highest concentration of Certified Rehabilitation Registered Nurses in Northern Nevada and is the only Commission on Accreditation of Rehabilitation Facilities (CARF) in Northern Nevada, which is the highest accreditation an acute rehabilitation hospital can receive. Rehabilitation nurses provide comfort, therapy and education, promote health-conducive adjustments, support adaptive capabilities and promote achievable independence.Renown South Meadows Medical Center and Renown Rehabilitation Hospital further their not-for-profit status by providing quality healthcare for Renown's primary service area, Washoe County and the secondary service areas of northern Nevada and northern California. There is a long tradition and commitment to improve the care and the health of our community. In addition to our commitment to meet the healthcare needs of the region, we give back to communities by contributing funds, services, facilities and the time and expertise of employees. These benefits to the community flow from Renown Health as a whole and from the individual hospitals, facilities and departments that make up our health network.For the period ended December 31, 2024, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided approximately $196 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to https://www.renown.org/about/community-commitment/. Part VI, Line 7, Reports Filed With States NV 1 Patient Assistance 204 131185 Part I, Line 2: Renown South Meadows Medical Center (RSMMC) provides transportation for patients with a lower level of care that would not typically be covered by insurance. There are no specific eligibility requirements other than the need of the service. It is in the best interest of the patient and the hospital to provide these services. No formal monitoring is required because the service is provided directly to the individual. RSMMC provides medical equipment, medical supplies or reimbursement of expenses to patients in need. There are no specific eligibility requirements other than the need of the assistance. Members of the operational team follow a standard process to request patient assistance. The request and supporting documentation, if an expense reimbursement, are reviewed and assistance is awarded if approved. No formal monitoring is required as each request goes through a formal review and approval process. X 1 1 0 1 0 0 0 0 0 0 0 Brian Erling President/CEO 0 1255113 0 612025 0 5195 0 203710 0 21803 0 2097846 0 0 Sam Weller CEO South Meadows & Rehab 396107 0 45181 0 1127 0 74699 0 20968 0 538082 0 0 0 Anna Loomis - Chief Financial Officer (as of 07/24) 0 361450 0 0 0 31455 0 56129 0 4131 0 453165 0 0 Jennifer Fleiner Chief Nurse and Operations Officer 254127 0 22605 0 831 0 22436 0 16064 0 316063 0 0 0 Kevin Desmond Pharmacy Manager (thru 08/24) 183952 0 18352 0 1281 0 16247 0 6041 0 225873 0 0 0 Ann Beck Chief Financial Officer (thru 01/24) 0 23860 0 186408 0 411 0 1198 0 844 0 212721 0 0 Chris Sullivan Pharmacy Manager (as of 08/24) 176070 0 0 0 723 0 7326 0 15898 0 200017 0 0 0 Carlo Deomano Nursing Coordinator 169356 0 0 0 1865 0 7108 0 20152 0 198481 0 0 0 Part I, Line 1a Tax Indemnification and Gross-up Payments: Kevin Desmond and Jennifer Fleiner - included in taxable compensation Part I, Line 3 Renown South Meadows Medical Center relied on Renown Health, a related organization to establish compensation for its top management official. Renown Health used the following methods to establish compensation: compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee. See Renown Health's Form 990, Schedule O, narrative for Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Line 4b Brian Erling, Anna Loomis, and Sam Weller are parties to a supplemental nonqualified retirement plan. Contributions of $190,510 to Brian Erling, $46,875 to Anna Loomis, and $60,899 to Sam Weller 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 and benefits are reported on lines 7 through 10 of Part IX. Form 990, Part VI, Section A, line 2 All the directors of the filing organization are also directors of the related tax-exempt organization, Renown Health. The directors have a business relationship with individuals reported on Part VII that are employed by Renown Health. 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 through 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) contracts among Renown entities 8) changes to governing documents 9) encumbrances of assets in excess of $1 million or real property 10) any borrowing in excess of $1 million in any fiscal year 11) merger, purchase or acquisition of another organization 12) joint venture with any other organization, entity or persons 13) any other material action take outside of ordinary course of business Form 990, Part VI, Section A, line 8b There was no committee during the year that had the broad authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm with support from the organization's tax department. The Form 990 is reviewed by the organization's current Corporate Controller and current Chief Financial Officer prior to the final version being sent to the Board. The Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the Form 990 and Schedules, the Renown Health Board is provided with a narrative that explains the contents of the various parts of the return. Form 990, Part VI, Section B, line 12c On an annual basis, 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 year ended December 31, 2024 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 Ambulance Charges: Program service expenses 23,101. Management and general expenses 0. Fundraising expenses 0. Total expenses 23,101. Cleaning Services: Program service expenses 4,005,504. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,005,504. Consulting Services: Program service expenses 8,225. Management and general expenses 277,756. Fundraising expenses 0. Total expenses 285,981. Document Destruction: Program service expenses 0. Management and general expenses 8,698. Fundraising expenses 0. Total expenses 8,698. Food Operations & Environmental Services: Program service expenses 2,201,791. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,201,791. Laundry Services: Program service expenses 274,027. Management and general expenses 0. Fundraising expenses 0. Total expenses 274,027. Medical Equipment Service Agreements: Program service expenses 1,704,772. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,704,772. Medical Services: Program service expenses 4,820,689. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,820,689. Medical Services - Non Physician: Program service expenses 935,649. Management and general expenses 0. Fundraising expenses 0. Total expenses 935,649. Medical Waste: Program service expenses 73,622. Management and general expenses 0. Fundraising expenses 0. Total expenses 73,622. Other Misc Services: Program service expenses 414,590. Management and general expenses 974,566. Fundraising expenses 0. Total expenses 1,389,156. Overhead Allocation: Program service expenses 0. Management and general expenses 27,877,469. Fundraising expenses 0. Total expenses 27,877,469. Purchased Services: Program service expenses 1,324,379. Management and general expenses 270,421. Fundraising expenses 0. Total expenses 1,594,800. Transportation Services: Program service expenses 3,859. Management and general expenses 59,953. Fundraising expenses 0. Total expenses 63,812. Form 990, Part XI, line 9: Intercompany Settlements 47,069,668. Form 990, Part X, Line 20: The issue price includes the filing organization's share of the entire bond issue, which was issued to Renown Regional Medical Center on behalf of the Renown Obligated Group. The Renown Obligated Group consists of Renown Regional Medical Center, Renown South Meadows Medical Center, and Renown Transitional Care Services, but amounts are only listed on the financials of Renown Regional Medical Center and Renown South Meadows Medical Center as they specifically relate to those entities. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Renown Regional Medical Center's tax return (EIN 88-0213754). Renown Health, the sole member of this entity, has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501(c)(3) Line 12c, III-FI N/A 0 Renown Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 880213754 Hospital NV 501(c)(3) Line 3 Renown Health 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) Line 7 Renown Health 0 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Health Care NV 501(c)(3) Line 12b, II Renown Health 0 Hometown Health Plan 1155 Mill St Z-4 Reno NV 89502 880231433 HMO NV 501(c)(4) Renown Health 0 Renown Medical School Associates North 1155 Mill St Z-4 Reno NV 89502 860881749 Patient Care NV 501(c)(3) Line 10 Hometown Health Plan 0 Renown Businesses 1155 Mill St Z-4 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Management Company 1155 Mill St Z-4 Reno NV 89502 880236758 Management Services NV N/A C 0 Hometown Health Providers Insurance Company Inc 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 1 1 1 1 1 Hometown Health Plan Inc L 24063606 General Ledger