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RENOWN SOUTH MEADOWS MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RENOWN SOUTH MEADOWS MEDICAL CENTER (EIN 46-0517825)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-06-04
IRS object ID
201301559349300800
Schema version
2011v1.5
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-06-04T11:47:08-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554027033ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460517825EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Renown South Meadows Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRENONameControl
Phone7759824404Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 MILL STREET C/O TAX TREASURYAddressLine1
Address Line2Z-5AddressLine2
CityRENOCity
StateNVState
ZIP Code89502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDawn D AhnerName
TitleCFOTitle
Phone7759824404Phone
Date Signed2013-05-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKim Hunwardsen CPAName
PTINP00484560PTIN
Phone6122536500Phone
Date Prepared2013-05-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonDawn D AhnerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11155 Mill St Z-6AddressLine1
CityRenoCity
StateNVState
ZIP Code89501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts101494962GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RENOWN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileNVStateLegalDomicile
Activity Or Mission DescriptionA 76 bed acute-care hospital and a 62 bed rehabilitation hospital.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI1022919TotalGrossUBI
Net Unrelated Business Txbl Income-393555NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year29921ContributionsGrantsCurrentYear
Program Service Revenue Prior Year99855171ProgramServiceRevenuePriorYear
Program Service Revenue CY100442122ProgramServiceRevenueCY
Investment Income Prior Year-314InvestmentIncomePriorYear
Investment Income Current Year-136InvestmentIncomeCurrentYear
Other Revenue Prior Year909667OtherRevenuePriorYear
Other Revenue Current Year1022919OtherRevenueCurrentYear
Total Revenue Prior Year100764524TotalRevenuePriorYear
Total Revenue Current Year101494826TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year117194GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY92744GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year35854998SalariesEtcPriorYear
Salaries Etc Current Year38060786SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year54726671OtherExpensePriorYear
Other Expenses Current Year53990229OtherExpensesCurrentYear
Total Expenses Prior Year90698863TotalExpensesPriorYear
Total Expenses Current Year92143759TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10065661RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9351067RevenuesLessExpensesCY
Total Assets BOY144020439TotalAssetsBOY
Total Assets EOY153049072TotalAssetsEOY
Total Liabilities BOY58809766TotalLiabilitiesBOY
Total Liabilities EOY58487332TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY85210673NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY94561740NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOur purpose is to make a genuine difference for the many lives we touch by optimizing our patients' healthcare experience.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense77890938Expense
Grants92744Grants
Revenue100442122Revenue
DescriptionSee Schedule ORenown South Meadows Medical Center is a 76-bed facility 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. Renown South Meadows provides necessary healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay. Renown South Meadows has about 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 and cancer in thousands of patients.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, maternal child education 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 63-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 2012, 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, 2012, Renown South Meadows, along with its parent, Renown Health and its subsidiaries, provided over $134 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/communitybenefit.Description
Total Program Service Expense77890938TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Dawn D AhnerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7759824404TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11155 MILL ST Z-6AddressLine1
CityRenoCity
StateNVState
ZIP Code89502ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Michael Alonso
Treasurer3.00XX065000
Fred Boyd
Secretary3.00XX0165810
Kimberly Cooney
Director3.00X000
Kathleen Drakulich
Director3.00X0215550
Harvey Fennell
Secretary3.00XX080470
James Devolld
Director3.00X047000
Roy Robbins
Treasurer3.00XX077790
Leslie Smith
Director3.00X055000
James Miller
President/CEO6.00XX01237327350164
Donald Claypool
Director/Administrator60.00X318555014236
Peter Stremmel
Director3.00X015000
Tom Herbert
Director60.00X042322528488
Victor Chen
Director3.00X000
Doug Clary
Director3.00X010000
Todd McKenzie
Director3.00X015000
Dawn Ahner
Chief Financial Officer7.00X064881994963
Allan Hanssen
VP Strategic Initiatives17.00044906864119X
Gail Green
Chief Nursing Officer60.00200746020054X
Kevin Desmond
Pharmacy Manager60.00158314026021X
Cora Case
CFO60.00209794010498X
Andrew Wright
Pharmacist60.00131105015205X
Delia Saclayan
Registered Nurse60.00146747019091X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1165261TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2833101TotalReportableCompFrmRltdOrgs
Total Other Compensation642839TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GE Healthcare
PO Box 640944PittsburghPA15264Professional Services441174
On Call Consulting Inc
PO Box 4729Winter ParkFL32793Staffing Services341172
Cascades of the Sierra
275 Neighbor WaySpanish SpringsNV89441Professional Services224698
Routt Dialysis LLC
1991 Industrial DrDelandFL32724Professional Services182388
Maxim Healthcare Service
12588 Collections Center DrChicagoIL60693Staffing Services153350
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations29921RelatedOrganizations
Total Contributions29921TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Svc. Revenue6230009868691598686915
Assisted Living62331112235961223596
Cafeteria722210294416294416
Income from Joint Vent623000237195237195
FieldValueIRS element (for citing)
Total Program Service Revenue100442122TotalProgramServiceRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other136Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-136Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-136TotalRevenueColumn
Exclusion-$136ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
UBI - LTACH62399010199831019983
UBI - Landscaping81100029362936
FieldValueIRS element (for citing)
Total Other Revenue1022919TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column101494826TotalRevenueColumn
Related Or Exempt Function Income100442122RelatedOrExemptFunctionIncome
Unrelated Business Revenue1022919UnrelatedBusinessRevenue
Exclusion-$136ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total87072Total
Program Services87072ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5672Total
Program Services5672ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total354144Total
Program Services354144ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30741649Total
Program Services30244828ProgramServices
Management And General496821ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6964993Total
Program Services6850724ProgramServices
Management And General114269ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6187456Total
Management And General6187456ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5313Total
Management And General5313ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5848Total
Program Services5848ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8027183Total
Program Services6254945ProgramServices
Management And General1772238ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2700Total
Program Services2700ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3313228Total
Program Services2934549ProgramServices
Management And General378679ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1375158Total
Program Services638359ProgramServices
Management And General736799ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total40809Total
Program Services30443ProgramServices
Management And General10366ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25402Total
Program Services24817ProgramServices
Management And General585ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2718665Total
Program Services2718665ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4966756Total
Program Services2161645ProgramServices
Management And General2805111ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total517947Total
Program Services3329ProgramServices
Management And General514618ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies1474250014742500
Bad Debts1064503310645033
Overhead978871978871
Licenses & Taxes1594427008789355

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total277918Total
Program Services115578ProgramServices
Management And General162340ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total92143759Total
Program Services77890938ProgramServices
Management And General14252821ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7349BOY
EOY126336EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13150661BOY
EOY14791701EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2238836BOY
EOY2185223EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY246634BOY
EOY284629EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis102297612LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec40038732LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY63980656BOY
EOY62258880EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY152721BOY
EOY389916EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY64243582BOY
EOY73012387EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY144020439BOY
EOY153049072EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3243771BOY
EOY2527698EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY55325348BOY
EOY54747728EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY136328BOY
EOY84143EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY104319BOY
EOY1127763EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY58809766BOY
EOY58487332EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY85210673BOY
EOY94561740EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY85210673BOY
EOY94561740EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY144020439BOY
EOY153049072EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9351067ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$5,848GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB5848TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationSchedule C, Part II-B, Line 1f Payments are made to Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5462783OtherCostOrOtherBasis
Book Value5462783BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis64335029OtherCostOrOtherBasis
Depreciation14508604Depreciation
Book Value49826425BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis95090OtherCostOrOtherBasis
Depreciation13317Depreciation
Book Value81773BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31998979OtherCostOrOtherBasis
Depreciation25516811Depreciation
Book Value6482168BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis405731OtherCostOrOtherBasis
Book Value405731BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62258880TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD IN TRUST52344
MISCELLANEOUS RECEIVABLES429892
INTANGIBLE ASSETS6662121
UNAMORTIZED FINANCING COSTS2299039
DUE FROM AFFILIATES63568991
FieldValueIRS element (for citing)
Total Book Value Other Assets73012387TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Bond Interest Payable$56,986
LTACH Deferred Revenue$47,473
Third Party Settlements$1,023,304
FieldValueIRS element (for citing)
Total Of Amounts1127763TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationRenown South Meadows Medical Center undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. Renown South Meadows Medical Center believes that it is compliant with all IRS tax regulations and as of June 30, 2012 has not recorded a tax liability for a tax uncertainty. 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. Under normal circumstances, Renown South Meadows Medical Center is no longer subject to federal tax examinations by tax authorities for years before 2009.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage1000.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense957848TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense957848NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4589943TotalCommunityBenefitExpense
Direct Offsetting Revenue1503892DirectOffsettingRevenue
Net Community Benefit Expense3086051NetCommunityBenefitExpense
Percent Of Total Expense0.03790PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense308747TotalCommunityBenefitExpense
Direct Offsetting Revenue241441DirectOffsettingRevenue
Net Community Benefit Expense67306NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5856538TotalCommunityBenefitExpense
Direct Offsetting Revenue1745333DirectOffsettingRevenue
Net Community Benefit Expense4111205NetCommunityBenefitExpense
Percent Of Total Expense0.05050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense326746TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense326746NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2096TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2096NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense43213TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense43213NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense372055TotalCommunityBenefitExpense
Net Community Benefit Expense372055NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6228593TotalCommunityBenefitExpense
Direct Offsetting Revenue1745333DirectOffsettingRevenue
Net Community Benefit Expense4483260NetCommunityBenefitExpense
Percent Of Total Expense0.05500PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1513TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1513NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense425TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense425NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1938TotalCommunityBuildingExpense
Net Community Building Expense1938NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$10,645,033BadDebtExpenseAmount
Amount Attributable To5073423AmountAttributableTo
Amount Reimbursed By Medicare20187562AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20152347CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall35215MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
Renown South Meadows Medical Center
110101 Double R BoulevardRenoNV89521XXX
Renown Rehabilitation Hospital
21495 Mill StRenoNV89502XRehabilitation Hospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Renown South Meadows Medical Center
111250.00000000000011000.0000000000001XXXXXXX11XXX101X00
Renown Rehabilitation Hospital
211250.00000000000011000.0000000000001XXXXXXX11XXX101X00

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifier
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 5b: 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 and 7c were calculated using the cost-to-charge ratio derived from Worksheet 2. Community health improvement, Health professions education and Cash and In-kind contributions on lines 7e, 7f and 7i are reported from the organization's records.
Part I, L7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $10,645,033.
Part II: Lines 1 to 8 are community building activities that include partnering with other organizations and individuals to support economic and work force development efforts in the community we serve. By working to improve the economic health of the community, we are addressing one of the root causes that impacts the health and well being of the community we serve.
Part III, Line 4: The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients and third-party payors. Management reviews patient receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision.The amount included on Line 2 reflects the amount reported in the financial statements.The amount included on Line 3 is calculated as the amount of uninsured patient charges written off as bad debt that is estimated to qualify as charity under the organization's charity care policy. The organization estimated the amount based upon an analysis of the FICO scores of its uninsured population. A FICO score below 500 is presumed to qualify under the organization's charity policy based upon an analysis of the bankcard balances and mortgage balalnces of this population and the FICO scores of the population that did qualify for charity under the organization's policy. The organization estimated that 47.66% of the uninsured population has a FICO score under 500. To calculate the amount included on Line 3, the total bad debt expense at cost was multiplied by 47.66%
Part III, Line 8: The costing methodology for Part III, Line 6 is using the ratio of cost to charges from the FY12 as filed 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 V, Section B, Line 13g: 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.Renown South Meadows Medical Center
Part V, Section B, Line 13g: 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.Renown Rehabilitation Hospital
Part V, Section B, Line 19d: The hospital facility determines charges for financially eligible patients based upon a payment matrix and other factors in the Financial Assistance Policy. The maximum the patient is charged is below the lowest negotiated commercial insurance rates.Renown South Meadows Medical Center
Part V, Section B, Line 19d: The hospital facility determines charges for financially eligible patients based upon a payment matrix and other factors in the Financial Assistance Policy. The maximum the patient is charged is below the lowest negotiated commercial insurance rates.Renown Rehabilitation Hospital
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 below 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 Thomson Reuters, an information services company, 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/communitybenefit.
Part VI, Line 3: The organization educates patients on assistance eligibility upon their request and whenever situations indicate that the patient may be unable to pay for services. The organization contracts with an external vendor to work with uninsured patients to establish eligibility for a state or local program. For those that do not qualify for a state or local program, the vendor will refer the patient to the organization's charity care process. Begining in 2012, the organization developed a Patient Financial Assistance department and began transitioning the work from the vendor to this internal department.
Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 421,407 according to the 2010 US Federal Census. The population in the Reno-Sparks area is 50.4% male and 49.6% female. A quarter (23.3%) of the population is under the age of 18. 40.8% is in the 18-44 age group and 23.7% is from age 45-64. 10.2% of the population is 65+. Washoe County's population was estimated to have the following breakdown as of 2011: 65.5% Caucasian/white, 2.6% African American / black, 6.2% Asian / Hawaiian or Pacific Islander, and 22.7% Hispanic. The Washoe County median household income was estimated to be $55,813 according to the US Federal Census. Over 12% of Nevadans are under the federal poverty guidelines, with many more being within 100-300% of federal poverty guidelines (commonly referred to as the "working poor"). Reno-Sparks unemployment currently is estimated to be at 10.5% as of January 2013, reflecting improvement from a high of 13%. Twenty two percent of Nevada residents were without health insurance in 2012, which is the most recently available study specific to Nevada.
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 part of Renown Health, northern Nevada's largest, private, not-for-profit healthcare network. As a local not-for-profit health network, Renown Health's income stays right here in the community to provide many programs and services that would otherwise be unavailable. Renown is dedicated to this region and governed by local community leaders and physicians. We are proud to provide the health, education and social welfare that our friends, neighbors and family members expect and deserve.Renown Health has more than 5,200 employees and serves a 17-county region with a total population in excess of 1.9 million. Renown Health includes Renown Regional Medical Center, a 808-bed full service regional hospital, Renown South Meadows Medical Center, a 76-bed acute care community hospital, Renown Rehabilitation Hospital, a 62-bed rehabilitation hospital, Renown Skilled Nursing, a 160-bed skilled nursing facility, a children's hospital, numerous medical-group, urgent-care and outpatient imaging practices, and a health-insurance provider. Renown Health offers advanced care for patients and embraces its role in improving the health and well-being of the people in the communities we serve.Besides our commitment to meeting the healthcare needs of the region, Renown Health gives 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 fiscal year ending June 30, 2012, Renown Health and its subsidiaries provided over $134 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/communitybenefit.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Renown Skilled NursingBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11155 MILL STREETAddressLine1
CityRenoCity
StateNVState
ZIP Code89502ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient201347269EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant87072AmountOfCashGrant
Purpose Of GrantSkilled nursing to low income individualsPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPatient AssistanceTypeOfGrant
Number Of Recipients18NumberOfRecipients
Amount Of Cash Grant5672AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationThe organization's grants are given directly to the recipient to cover a need that was identified during the granting process. There is no ongoing monitoring necessary for these grants.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Miller
0850127037405401314603348300153340158749100
Donald Claypool
25133806144705770000146410333196000
Tom Herbert
026084301612390114308422020269045191600
Dawn Ahner
0463146018400001673076431018532074378200
Allan Hanssen
033436601126620204005682408240051413200
Gail Green
16823802732405184035990168080221153000
Kevin Desmond
153742010304469034480229000184662000
Cora Case
1818230229690500203923069410220658000
Delia Saclayan
1398820401002855033800157240165851000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4bDawn Ahner and Allan Hanssen are party to a supplemental nonqualified retirement plan. Contributions of $69,000 to Dawn Ahner were included in Schedule J, Part II, Column (C). Contributions of $49,689 to Allan Hanssen were included in Schedule J, Part II, Column (C).
Part IIIPart 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.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Employees reported on W-3Form 990, Part V, Line 2Renown 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 2Kathleen Drakulich, Leslie Smith, Michael Alonso, James Devolld, James Miller and Dawn Ahner have a business relationship because the board members serve on the board of an organization where James Miller and Dawn Ahner are employees.
Form 990, Part VI, Section A, line 6Renown Health is the sole corporate member of Renown South Meadows Medical Center.
Form 990, Part VI, Section A, line 7aRenown 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 7bRenown Health must approve any merger, consolidation or dissolution of Renown South Meadows Medical Center, any borrowing in excess of $1 million in any fiscal year, and encumbrances of assets and certain other actions not in the ordinary course of business.
Form 990, Part VI, Section A, line 8bThere 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 11The 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 Chief Accounting Officer and/or the 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 12cOn 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 15Renown Health's executive compensation is set by the Renown Health Compensation Committee. Members of this committee review and approve various employee pay practices and parameters, as well as compensation for the CEO and certain executives. The Compensation Committee is comprised of independent members of the Renown Health Board of Directors unrelated to and not subject to the control or undue influence of executives, with no material financial interest in transactions of the Company or any other perceived or actual conflicts of interest. The Compensation Committee members are appointed by the Chairman of the Renown Health Board of Directors. The Compensation Committee meets approximately five times per year. Meeting minutes are kept documenting the deliberations and decisions regarding the compensation arrangements. Total cash compensation for the organization's executives are 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 Compensation Committee undertook the process outlined above for the fiscal year 2012 executive compensation.
Form 990, Part VI, Section C, line 19Renown 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 VI, Line 16bThere is no written policy or procedure that is specific to joint ventures. Instead, there is a written policy in regards to financial transactions with physicians and physician entities. Any future ventures with physicians would be evaluated in accordance with that policy. Other types of transactions would be evaluated in accordance with the exempt status of the organization and its applicable purposes.
Form 990, Part VII, Column BJim Miller, President & CEO, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity. Dawn Ahner, CFO, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity. Allan Hanssen, VP Strategic Initiatives, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity.
Form 990, Part X, Line 20The 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 Network Services. 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).
AUDIT COMMITTEEFORM 990, PART XII, LINE 2BRenown Health, the sole member of this entity, has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant.
Form 990, Box B, Amended Return ExplanationThe Form 990 for Renown South Meadows Medical Center is being amended to correct the value of the charity care reported on Schedule H, line 7a and in the narrative on Schedule H, Part VI, Line 6.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Renown Health
1155 Mill St Z-5RenoNV89502942972845Health CareNV501 (C) (3)III-FIN/A0
Renown Regional Medical Center
1155 Mill St Z-5RenoNV89502880213754HospitalNV501 (C) (3)30Renown Health
Renown Health Foundation
1155 Mill St Z-5RenoNV89502942972749FoundationNV501 (C) (3)70Renown Health
Renown Network Services
1155 Mill St Z-5RenoNV89502880231828Outpatient Imaging and Pregnancy CenterNV501 (C) (3)30Renown Health
Renown Skilled Nursing
1155 Mill St Z-5RenoNV89502201347269HospitalNV501 (C) (3)30Renown Health
Hometown Health Plan
1155 Mill St Z-5RenoNV89502880231433HMONV501 (C) (4)0Renown Health

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Routt Dialysis LLC
1155 Mill St Z-5RenoNV89502263558729Kidney DialysisNVN/A
Nevada Heart Institute Clinic LLC
1155 Mill St Z-5RenoNV89502453571779CardiologyNVN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Renown Businesses
1155 Mill St Z-5RenoNV89502880228030Health CareNVN/AC
Hometown Health Management Company
1155 Mill St Z-5RenoNV89502880236758Management ServicesNVN/AC
Hometown Health Providers Insurance Co
1155 Mill St Z-5RenoNV89502880177026InsuranceNVN/AC
The Provider Network Inc
1155 Mill St Z-5RenoNV89502880376369Health CareNVN/AC
Remittance Assistance Corporation
1155 Mill St Z-5RenoNV89502880277761CollectionsNVN/AC
Nevada Heart Institute
1155 Mill St Z-5RenoNV89502880247743CardiologyNVN/AC
NHI-1 Inc
1155 Mill St Z-5RenoNV89502880303924CardiologyNVN/AC
Elko Heart Institute
1155 Mill St Z-5RenoNV89502452152594CardiologyNVN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Hometown Health Plan Inc
L1222061General Ledger
Hometown Health Plan Inc
K10628626General Ledger