2023-11-13T10:15:47-06:00 2022-12-31 910189318 Moss Adams 2882 Prospeck Park Dr Ste 300 Rancho Cordova CA 95670 990 2022-07-01 460517825 Renown South Meadows Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2023-11-10 1 Ann Beck 999009999 0 Tracy S Paglia P00366884 9165038100 2023-11-10 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z Brian Erling 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 97096115 0 X www.renown.org X 2002 NV A 115 bed acute-care hospital and a 62 bed rehabilitation hospital. 11 10 0 5 1468 0 3414096 380443 179510894 96698874 -245970 4202 2936 1468 182681956 97084987 2595 2384 0 0 68549031 38459467 0 0 0 99234201 54179573 167785827 92641424 14896129 4443563 128630599 124560977 173632050 175596042 -45001451 -51035065 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 75686562 2384 96698874 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 560 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 South Meadows Medical Center is engaged in a large facility expansion that will include interventional radiology, diagnostic and interventional catheterization, a retail pharmacy, and a 121,000 square foot medical office building with a hospital outpatient department and 6 new operating rooms. Renown South Meadows Medical Center was the only hospital in Nevada to be awarded a CMS 5-star facility in 2022.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 and northern Nevada's only outpatient Neurorehabilitation clinic.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 2022, there was only one other inpatient acute rehabilitation facility in Northern Nevada. 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 six-month period ended December 31, 2022, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided approximately $99 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/en/about/community-commitment/. 75686562 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Ann Beck 7759826488 1155 Mill St Z-4 Reno NV 89502 Josiah Johnson - President (Jul-Nov)/Chief of Staff 8.00 52.00 X 0 923348 150427 Thomas Graf - CEO Jul-Nov Chief Clinical & Quality Officer 8.00 52.00 X X 0 713325 119311 Ann Beck Chief Financial Officer 9.00 51.00 X 0 669952 109755 Susan Lee - South Meadows Chief Operating Officer 60.00 0.00 X 491340 0 20074 Anthony Slonim Former Officer 0.00 0.00 X 0 232791 13044 Kevin Desmond Pharmacy Manager 60.00 0.00 X 190187 0 25254 Victoria Adkins Nursing Coordinator 60.00 0.00 X 163102 0 28614 Lisa Rainford Registered Nurse 60.00 0.00 X 184026 0 13123 Lyle Case Pharmacist 60.00 0.00 X 161349 0 12479 Brian Erling President/CEO (Nov-Dec) 8.00 52.00 X X 0 183417 0 Adam Kramer Chair 3.00 9.00 X X 0 52760 0 Jeff Resnik Director 3.00 9.00 X 0 28736 0 Tammy Dermody Secretary & Vice Chair 3.00 9.00 X X 0 24000 0 Bijel Doshi Treasurer 3.00 9.00 X X 0 24000 0 Marc Mora Director 3.00 9.00 X 0 24000 0 James DeVolld Past Chair 3.00 9.00 X 0 15196 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Steven Johnson Director 3.00 9.00 X 0 15000 0 Christi Matteoni Director (Jul-Sep) 3.00 9.00 X 0 11250 0 Mark Knobel Director 3.00 9.00 X 0 0 0 Brian Sandoval Director 3.00 9.00 X 0 0 0 1190004 2932775 492081 120 1 1 0 Medefis Inc 2121 North 117th Avenue Suite 200 Omaha NE 68164 Healthcare Labor Services 13199753 Clark & Sullivan Constructors 905 Industrial Way Sparks NV 89431 Construction Services 10130797 Aramark Uniform PO Box 340910 Sacramento CA 958340910 Laundry Services 1704856 Cumming Management Group Inc 25220 Hancock Ave Suite 440 Murrieta CA 92562 Construction Services 627332 Pekins & Will Inc 410 North Michigan Ave Suite 1600 Chicago IL 60611 Construction Services 621309 20 380443 380443 Patient Svc Revenue 622110 96261965 96261965 Other Program Support 622110 344339 344339 Cafeteria 722514 92570 92570 96698874 15330 11128 4202 4202 4202 UBI - Landscaping 561730 1468 1468 1468 97084987 96606304 1468 96772 X 2384 2384 33312712 32987567 325145 97123 95890 1233 3281734 3240064 41670 1767898 1745450 22448 5342 5342 19955401 5663693 14291708 2662390 2619558 42832 312633 312633 937119 372064 565055 476 476 2650 2650 1551158 1551158 6219451 4796913 1422538 57873 3900 53973 Medical Supplies 15597158 15597158 Bad Debts 5225833 5225833 Recruitment 1360000 1360000 Freight 95219 1312 93907 196870 102517 94353 92641424 75686562 16954862 0 1419126 399792 30401446 27623927 4174766 3777581 357129 448491 155221782 76929644 74149273 78292138 5995909 5662803 12132950 8356245 128630599 124560977 7037910 7586995 137076046 136342653 29518094 31666394 173632050 175596042 X -45001451 -51035065 -45001451 -51035065 128630599 124560977 X 4443563 -10477177 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5342 0 0 0 5342 0 Schedule C, Part II-B, Line 1f Payments are made to Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 5462783 5462783 80298341 36929923 43368418 4117758 1274853 2842905 54298451 38724868 15573583 11044449 11044449 78292138 Miscellaneous Receivables 1476973 Due From Affiliates 845148 Deposits 3738 Right of Usage 6030386 8356245 Bond Interest Payable 424485 Payable to Affiliates 23596348 Operating Lease Liabilities 7352259 Other Liabilities 293302 31666394 X Part X, Line 2: Renown South Meadows Medical Center is organized as a Nevada nonprofit entity and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). This entity must annually file Returns of Organizations Exempt from Income Tax (Form 990) with the IRS. In addition, Renown South Meadows Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown South Meadows Medical Center files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown South Meadows Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the combined financial statements. Renown South Meadows Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 0 1 X 600.000000000000 1 1 1 0 1 1 127030 127030 0.00150 8497244 3307705 5189539 0.05940 8624274 3307705 5316569 0.06090 107906 107906 0.00120 52051 52051 0.00060 159957 159957 0.00180 8784231 3307705 5476526 0.06270 0 5225833 23346852 24488491 -1141639 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 20 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 20 1 See Part V, Page 8 0 1 X 600.000000000000 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 20 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 20 1 See Part V, Page 8 0 1 X 600.000000000000 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 used validated and reliable data sources, results from an online survey of 1,400 residents, input from local subject matter experts and feedback from over 80 leaders and stakeholders who participated in a community workshop. Renown Rehabilitation Hospital Part V, Section B, Line 5: Renown used validated and reliable data sources, results from an online survey of 1,400 residents, input from local subject matter experts and feedback from over 80 leaders and stakeholders who participated in a community workshop. Renown South Meadows Medical Center Part V, Section B, Line 6a: Renown Regional Medical Center and Renown Rehabilitation Hospital Renown Rehabilitation Hospital Part V, Section B, Line 6a: Renown Regional Medical Center and Renown South Meadows Medical Center Renown South Meadows Medical Center Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown Rehabilitation Hospital Part V, Section B, Line 6b: Truckee Meadows Tomorrow Renown South Meadows Medical Center Part V, Section B, Line 11: The prioritized health needs identified in its 2020 CHNA include: Priority 1: Healthy Behaviors (Health Literacy and System Navigation);Priority 2: Immunizations and Infectious Diseases; andPriority 3: Behavioral, Youth, and Adolescent Health (Mental Health, Substance Abuse, and Youth/Adolescent Health).PRIORITY 1: HEALTHY BEHAVIORS (HEALTH LITERACY AND SYSTEM NAVIGATION) Overarching Goal Statement: Early and Equitable Access to Genetic Screening and Application.Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project (HNP) and the Renown Health Communication Team.Three inherited autosomal dominant conditions-BRCA related hereditary breast and ovarian cancer (HBOC), Lynch syndrome (LS) and familial hypercholesterolemia (FH)-have been termed the Centers for Disease Control and Prevention Tier 1 (CDCT1) genetic conditions, for which early identification and intervention have a meaningful potential for clinical actionability and a positive impact on public health. In typical medical practice, genetic testing for these conditions is based on personal or family history, ethnic background or other demographic characteristics. In a study of a cohort of 26,906 participants in the HNP, it was evaluated whether population screening could efficiently identify carriers of these genetic conditions and, second, the impact of genetic risk on health outcomes for these participants. It was found a 1.33% combined carrier rate for pathogenic and likely pathogenic (P/LP) genetic variants for HBOC, LS and FH. Of these carriers, 21.9% of participants had clinically relevant disease, among whom 70% had been diagnosed with relevant disease before age 65. Moreover, 90% of the risk carriers had not been previously identified, and less than 19.8% of these had documentation in their medical records of inherited genetic disease risk, including family history. In a direct follow-up survey with all carriers, only 25.2% of individuals reported a family history of relevant disease. Our experience with the HNP suggests that genetic screening in patients could identify at-risk carriers, who would not be otherwise identified in routine care.PRIORITY 2: IMMUNIZATIONS & INFECTIOUS DISEASES Overarching Goal Statement: Create equity and improve vaccine and immunization access within our communities through structural and systems level changes that are sustainable and culturally reflective.Target Populations include socially vulnerable populations, those without vehicles/transportation opportunities, people with disabilities, older adults, and those with limited English proficiency. Collaboration partners include Immunize Nevada, Nevada Vaccine Equity Collaborative and Community Health Alliance (CHA).From the most recent report dated February 2022, the pharmacy department at CHA has given 10,633 vaccines during vaccine events, pop-up events, and walk-ins at one of three pharmacy locations. Of this total, 48% have been to the pediatric population between the ages of 5 and 18. The pharmacy department has conducted 55 off site vaccine clinics and pop-up events. 81.8% of these events have targeted the pediatric population. CHA has collaborated with the Washoe County School District, the Washoe County Health Department, the Boys and Girls Club, Our Place, the Reno Sparks Gospel Mission, Catholic Charities, Immunize Nevada and many other community partners to help host and support these events. Vaccinations have included flu, COVID primary series and boosters, and routine immunizations. Specifically, the newest CHA Pharmacy, funded with support from Renown Health has provided 92 pediatric vaccines and 191 adult vaccine clinics. PRIORITY 3: BEHAVIORAL, YOUTH, AND ADOLESCENT HEALTH Overarching Goal Statement: Systemic approach to supporting the behavioral health needs of Washoe County by building a foundation for a healthier community.Target Populations include providers with first line of sight, teachers, childhood educators, childcare and care providers, young adults, foster care population, students and families (parents and guardians). Collaboration Partners include The Children's Cabinet, Washoe County School District (WCSD), Renown Health, and the Nevada Office of Suicide Prevention which came together to create Connect Washoe County (CWC).CWC continues to provide feedback to WCSD regarding their Suicide Response Policy and held a planning discussion for a student peer support model, including a meeting with the Student Advisory Council. CWC is host to a multi-agency Consultation Supervision team consortium, which includes mental health supervisors from Children's Cabinet, Quest Counseling, WCSD, and CHA. This group published a Washoe County Children's Mental Health Consortium (WCCMHC) annual report community snapshot. The Signs of Suicide education and screening occurred at 21 schools including all WCSD 7th graders. 3,289 students were screened with 34.5% scoring at risk or at high risk for mental health or suicide concern.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. Renown Rehabilitation Hospital Part V, Section B, Line 11: The prioritized health needs identified in its 2020 CHNA include: Priority 1: Healthy Behaviors (Health Literacy and System Navigation);Priority 2: Immunizations and Infectious Diseases; andPriority 3: Behavioral, Youth, and Adolescent Health (Mental Health, Substance Abuse, and Youth/Adolescent Health).PRIORITY 1: HEALTHY BEHAVIORS (HEALTH LITERACY AND SYSTEM NAVIGATION) Overarching Goal Statement: Early and Equitable Access to Genetic Screening and Application.Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project (HNP) and the Renown Health Communication Team.Three inherited autosomal dominant conditions-BRCA related hereditary breast and ovarian cancer (HBOC), Lynch syndrome (LS) and familial hypercholesterolemia (FH)-have been termed the Centers for Disease Control and Prevention Tier 1 (CDCT1) genetic conditions, for which early identification and intervention have a meaningful potential for clinical actionability and a positive impact on public health. In typical medical practice, genetic testing for these conditions is based on personal or family history, ethnic background or other demographic characteristics. In a study of a cohort of 26,906 participants in the HNP, it was evaluated whether population screening could efficiently identify carriers of these genetic conditions and, second, the impact of genetic risk on health outcomes for these participants. It was found a 1.33% combined carrier rate for pathogenic and likely pathogenic (P/LP) genetic variants for HBOC, LS and FH. Of these carriers, 21.9% of participants had clinically relevant disease, among whom 70% had been diagnosed with relevant disease before age 65. Moreover, 90% of the risk carriers had not been previously identified, and less than 19.8% of these had documentation in their medical records of inherited genetic disease risk, including family history. In a direct follow-up survey with all carriers, only 25.2% of individuals reported a family history of relevant disease. Our experience with the HNP suggests that genetic screening in patients could identify at-risk carriers, who would not be otherwise identified in routine care.PRIORITY 2: IMMUNIZATIONS & INFECTIOUS DISEASES Overarching Goal Statement: Create equity and improve vaccine and immunization access within our communities through structural and systems level changes that are sustainable and culturally reflective.Target Populations include socially vulnerable populations, those without vehicles/transportation opportunities, people with disabilities, older adults, and those with limited English proficiency. Collaboration partners include Immunize Nevada, Nevada Vaccine Equity Collaborative and Community Health Alliance (CHA).From the most recent report dated February 2022, the pharmacy department at CHA has given 10,633 vaccines during vaccine events, pop-up events, and walk-ins at one of three pharmacy locations. Of this total, 48% have been to the pediatric population between the ages of 5 and 18. The pharmacy department has conducted 55 off site vaccine clinics and pop-up events. 81.8% of these events have targeted the pediatric population. CHA has collaborated with the Washoe County School District, the Washoe County Health Department, the Boys and Girls Club, Our Place, the Reno Sparks Gospel Mission, Catholic Charities, Immunize Nevada and many other community partners to help host and support these events. Vaccinations have included flu, COVID primary series and boosters, and routine immunizations. Specifically, the newest CHA Pharmacy, funded with support from Renown Health has provided 92 pediatric vaccines and 191 adult vaccine clinics. PRIORITY 3: BEHAVIORAL, YOUTH, AND ADOLESCENT HEALTH Overarching Goal Statement: Systemic approach to supporting the behavioral health needs of Washoe County by building a foundation for a healthier community.Target Populations include providers with first line of sight, teachers, childhood educators, childcare and care providers, young adults, foster care population, students and families (parents and guardians). Collaboration Partners include The Children's Cabinet, Washoe County School District (WCSD), Renown Health, and the Nevada Office of Suicide Prevention which came together to create Connect Washoe County (CWC).CWC continues to provide feedback to WCSD regarding their Suicide Response Policy and held a planning discussion for a student peer support model, including a meeting with the Student Advisory Council. CWC is host to a multi-agency Consultation Supervision team consortium, which includes mental health supervisors from Children's Cabinet, Quest Counseling, WCSD, and CHA. This group published a Washoe County Children's Mental Health Consortium (WCCMHC) annual report community snapshot. The Signs of Suicide education and screening occurred at 21 schools including all WCSD 7th graders. 3,289 students were screened with 34.5% scoring at risk or at high risk for mental health or suicide concern.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. Renown South Meadows Medical Center Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Renown Rehabilitation Hospital Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Renown South Meadows Medical Center Part V, Section B, Line 16j: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Rehabilitation Hospital Part V, Section B, Line 16j: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown South Meadows Medical Center Part V, Section B, Line 20e: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Rehabilitation Hospital Part V, Section B, Line 20e: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown South Meadows Medical Center Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Renown Rehabilitation Hospital Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Schedule H, Part V, Line 7a, 10a https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/ Schedule H, Part V, Line 7b https://www.renown.org/en/about/community-commitment/community-health-needs-assessment/ Schedule H, Part V, Line 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. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided. Part I, Line 6a: The organization's community benefit report is contained in a report prepared by its parent corporation, Renown Health.Part I, Line 5c: The organization budgets the amount of charity care expected in the next year but does not use that estimate as a constraint on the amount of charity care provided. Part I, Line 7: Charity care expense was converted to cost on line 7a using the cost-to-charge ratio derived from Worksheet 2. Unreimbursed Medicaid and other unreimbursed costs on line 7b was calculated using the cost-to-charge ratio derived from Worksheet 2. Community health improvement 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 $5,225,833. 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 ratio of cost to charges from the six-month period ended December 31, 2022 as filed by the Medicare cost report. Part III, Line 9b: Patients in the process of qualifying for state or local indigent programs or the organization's charity program are indicated with a particular payor class/status in the patient accounting system. The patient is not subject to collection efforts while in those classes/statuses. Part VI, Line 2: The organization reviews the current demographic information of the population it serves and the impact those demographics have on the health needs of the community. See explanation 4 for a description of the community. While the demographics start to tell the story of community health needs, Renown Health also consults with community partners and draws from state and local government, non-profits, and school district data sources to assess healthcare needs in the community. Renown Health also used data from the Washoe County Health District to identify health care needs and barriers in its service area.Renown Health's Community Benefit Committee spearheads the development of an annual community needs assessment and corresponding community benefit plan, and oversees the tracking and reporting of community benefit activities. The committee oversees the development or updating of a community needs assessment, and from that assessment develops a community benefit plan that prioritizes and identifies community needs that the organization can support with its finite resources. The needs assessment and community benefit plan are presented to the organization's board as well as the Renown Health Board for review and approval. The needs assessment and the community benefit plan are posted to the organization's website at www.renown.org/en/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 496,745 as of July 2022 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.9% male and 49.1% female. A fifth (20.5%) of the population is under the age of 18. 17.7% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 60.2% Caucasian/White, 3.0% African American/Black, 7.1% Asian/Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 26.2% Hispanic/Latino.The Washoe County median household income was estimated to be $74,292 according to the US Census Bureau and 11.0% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.4% as of December 2022 below the state of Nevada at 5.5%. 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 560 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 South Meadows Medical Center is engaged in a large facility expansion that will include interventional radiology, diagnostic and interventional catheterization, a retail pharmacy, and a 121,000 square foot medical office building with a hospital outpatient department and 6 new operating rooms. Renown South Meadows Medical Center was the only hospital in Nevada to be awarded a CMS 5-star facility in 2022.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 and northern Nevada's only outpatient Neurorehabilitation clinic.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 2022, there was only one other inpatient acute rehabilitation facility in Northern Nevada. 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 six-month period ended December 31, 2022, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided approximately $99 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/en/about/community-commitment/. Part VI, Line 7, Reports Filed With States NV 0 1 0 0 0 0 0 0 0 Josiah Johnson - President (Jul-Nov)/Chief of Staff 0 781371 0 139454 0 2523 0 126298 0 25590 0 1075236 0 0 Thomas Graf - CEO Jul-Nov Chief Clinical & Quality Officer 0 709455 0 0 0 3870 0 94702 0 24608 0 832635 0 0 Ann Beck Chief Financial Officer 0 559973 0 98876 0 11103 0 95400 0 15817 0 781169 0 0 Susan Lee - South Meadows Chief Operating Officer 489779 0 0 0 1561 0 11778 0 8296 0 511414 0 0 0 Anthony Slonim Former Officer 0 231898 0 0 0 893 0 7012 0 6032 0 245835 0 0 Kevin Desmond Pharmacy Manager 188108 0 0 0 2079 0 5046 0 20521 0 215754 0 0 0 Victoria Adkins Nursing Coordinator 161367 0 0 0 1735 0 4617 0 24255 0 191974 0 0 0 Lisa Rainford Registered Nurse 183651 0 0 0 375 0 4482 0 8658 0 197166 0 0 0 Lyle Case Pharmacist 161349 0 0 0 0 0 4183 0 8312 0 173844 0 0 0 Brian Erling President/CEO (Nov-Dec) 0 146310 0 30000 0 7107 0 0 0 0 0 183417 0 0 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 Thomas Graf, Ann Beck, and Josiah Johnson are parties to a supplemental nonqualified retirement plan. Contributions of $82,502 to Thomas Graf, $84,752 to Ann Beck, and $114,098 to Josiah Johnson 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 Thomas Graf and Christi Matteoni have a business relationship. 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 the organization's tax department with support from a certified tax preparer. The form is reviewed by the organization's current Controller and current Chief Financial Officer prior to the final Form 990 being sent to the board. The IRS Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the forms, the Renown Health board is provided with a narrative that explains the various parts of the Form and their content. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown South Meadows Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15a Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health executive committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the six-month period ended December 31, 2022 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 Overhead Allocation: Program service expenses 0. Management and general expenses 13,450,428. Fundraising expenses 0. Total expenses 13,450,428. Ambulance Charges: Program service expenses 2,596. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,596. Billing Services: Program service expenses 0. Management and general expenses 36,461. Fundraising expenses 0. Total expenses 36,461. Cleaning Services: Program service expenses 152,014. Management and general expenses 0. Fundraising expenses 0. Total expenses 152,014. Construction Services: Program service expenses 79,438. Management and general expenses 38,057. Fundraising expenses 0. Total expenses 117,495. Consulting Services: Program service expenses 0. Management and general expenses 10,182. Fundraising expenses 0. Total expenses 10,182. Document Destruction: Program service expenses 0. Management and general expenses 10,820. Fundraising expenses 0. Total expenses 10,820. Laundry Services: Program service expenses 1,014,355. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,014,355. Medical Services: Program service expenses 2,766,056. Management and general expenses 1,398. Fundraising expenses 0. Total expenses 2,767,454. Medical Waste: Program service expenses 81,584. Management and general expenses 0. Fundraising expenses 0. Total expenses 81,584. Other Misc Services: Program service expenses 1,022,596. Management and general expenses 738,266. Fundraising expenses 0. Total expenses 1,760,862. Medical Equipment Service Agreements: Program service expenses 543,816. Management and general expenses 4,995. Fundraising expenses 0. Total expenses 548,811. Transportation Services: Program service expenses 1,238. Management and general expenses 1,101. Fundraising expenses 0. Total expenses 2,339. Form 990, Part XI, line 9: Intercompany Settlements -10,477,177. 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 Pregnancy Center NV 501(c)(3) Line 3 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 1 1 1 0 0 0 0 0 0 1 1 1 0 1 0 0 1 1 Hometown Health Plan Inc L 12382373 General Ledger