2024-11-13T18:21:36-06:00 2023-12-31 910189318 Moss Adams LLP 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2023-01-01 880231828 Renown Transitional Care Services RENO 7759826488 1155 Mill St co Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2024-11-12 1 1 Tracy S Paglia P00366884 9165038100 2024-11-12 2023 2024-10-15 13:58:12Z Renown Medical Group-Women's Health Brian Erling 1155 Mill St c/o Tax Treasury Z-4 Reno NV 89502 110333499 0 X WWW.RENOWN.ORG X 1987 NV Investment repository for supported organization and Women's Health 10 9 0 0 599356 527074 279339 58228 2031370 6317059 5236182 9332513 0 0 7546891 15707800 0 372665 0 0 1567598 3429440 0 0 0 1949847 4554028 3517445 8356133 4029446 7351667 688296216 745525420 10771430 3204622 677524786 742320798 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 6414977 372665 6317059 See Schedule ORenown Transitional Care Services operates Renown Medical Group - Women's Health. Renown Regional Medical Center is the birthplace of two-thirds of all babies born in the area. Through Women's Health no patient is denied service based on inability to make payment. Women's Health has demonstrated that accessible, prenatal care where high-risk pregnancies are monitored and treated improves outcomes and reduces costs for the community. At the end of 2022, a local maternal child service location closed its doors, and many of these women now receive care through Women's Health. Women's Health gives expectant moms a program that includes prenatal visits with a physician or nurse practitioner, laboratory testing and other required services, the baby's birth at Renown Regional Medical Center and a newborn visit at the hospital from the baby's pediatrician.For the calendar year ended December 31, 2023, Renown Transitional Care Services, along with its parent, Renown Health and its subsidiaries, provided approximately $274 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 community needs assessment and community benefit plan, go to: https://www.renown.org/about/community-commitment. 6414977 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 9 1 0 1 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Anna Loomis 7759826488 1155 Mill St Z-4 Reno NV 89502 Brian Erling President/CEO 1.00 59.00 X X 0 1288090 215714 Adam Kramer Chair 3.00 9.00 X X 0 36000 0 Jeff Resnik Director 3.00 9.00 X 0 29130 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 Mark Knobel Director 3.00 9.00 X 0 24000 0 Marc Mora Director 3.00 9.00 X 0 24000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Stephanie Lepori Director 3.00 9.00 X 0 15000 0 Brian Sandoval Director 3.00 9.00 X 0 0 0 Ann Beck Chief Financial Officer 1.00 59.00 X 0 822915 110675 Bobie Ines Ultrasound Technologist 60.00 0.00 X 100330 0 21251 Josiah Johnson Former Officer 0.00 60.00 X 0 768059 18368 Thomas Graf Former Officer 0.00 60.00 X 0 593777 11028 100330 3663971 377036 1 1 1 0 BlackRock Financial Management Inc 55 East 52nd Street New York NY 10055 Investment Management Fees 813981 University of Nevada Reno Office of the Controller MS 124 Reno NV 89557 Medical Services 465266 US Bank 1555 N Rivercenter Drive Suite 30 Milwaukee WI 53212 Investment Management Fees 182269 3 58228 58228 Patient Svc. Revenue 621990 6317059 6317059 6317059 16699884 599356 16100528 87258328 94625699 -7367371 -7367371 -7367371 15707800 6317059 599356 8733157 X 372029 372029 636 636 2942338 2942338 67707 67707 257190 257190 162205 162205 1200692 1200692 1523341 782877 740464 379410 379410 308821 308821 877 877 64277 64277 26153 26153 Support Agreement 481685 481685 Bad Debt 340995 340995 Licenses/Taxes 121209 121209 UBIT Tax 90742 90742 15826 15826 8356133 6414977 1941156 0 72213022 42387360 305890 288623 1816 29761 7221747 918927 6331357 6302820 449588762 513899792 157029627 177373487 2825742 5243577 688296216 745525420 8677695 1028352 2093735 2176270 10771430 3204622 X 677524786 742320798 677524786 742320798 688296216 745525420 X 7351667 81825798 -24381453 X X 0 1 X 1 0 X X 1 Renown Regional Medical Center 880213754 3 0 372029 0 1 372029 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 Part I, Line 12g, Column iv: Renown Transitional Care Services operates an obstetrics clinic to improve access to care and acts as the investment repository for the supported organization. Part IV, Section A, Line 5a: Renown Transitional Care Services (RTCS) changed its public charity status from a 509(a)(1) to a 509(a)(3) Type II supporting organization during the year ended December 31, 2023 to better align the purpose and the activities of the organization to its tax exempt classification. As part of this change, RTCS added Renown Regional Medical Center with EIN: 88-0213754 as a supported organization. This was accomplished through board resolution and by amending the Articles of Incorporation of RTCS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6143304 6143304 401520 328067 73453 676923 590860 86063 6302820 Alternative Investments 69191143 F BlackRock MARS, Ltd. 108182344 F 177373487 Due to Affiliates 1215322 Third Party Settlements 391506 Other 569442 2176270 X Part X, Line 2: Renown Transitional Care Services 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 Transitional Care Services is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown Transitional Care Services files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report any unrelated business taxable income. Renown Transitional Care Services 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 Transitional Care Services 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. Europe (Including Iceland & Greenland) 0 0 Investments 38631458 Central America and the Caribbean 0 0 Investments.LIST 75 _ 334059 - 11/22/22 02:16PM Worksheet Schedule F _ 17002273 _ XXX-XX-XXXX 108182344 0 0 0 0 0 0 146813802 0 146813802 1 0 1 0 1 0 1 Renown Regional Medical Center 1155 Mill Street Reno NV 89502 880213754 501(C)3 372029 0 General Support 1 0 Part I, Line 2: The organization only provided support to its supported organization, both of which share a common board. Monitoring is completed at the Board level where necessary. 1 1 0 0 0 0 0 0 0 Brian Erling President/CEO 0 1220589 0 0 0 67501 0 197268 0 18446 0 1503804 0 0 Ann Beck Chief Financial Officer 0 613763 0 197753 0 11399 0 101462 0 9213 0 933590 0 0 Josiah Johnson Former Officer 0 18377 0 0 0 749682 0 1030 0 17338 0 786427 0 0 Thomas Graf Former Officer 0 20157 0 0 0 573620 0 985 0 10043 0 604805 0 0 Part I, Line 3 Renown Transitional Care Services 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, Lines 4a-b Thomas Graf and Josiah Johnson received severance payments of $573,471 and $749,539, respectively. These amounts are included in Schedule J, Part II, Column (B)(iii). Brian Erling and Ann Beck are parties to a supplemental nonqualified retirement plan. Contributions of $184,068 to Brian Erling and $88,989 to Ann Beck were included in Schedule J, Part II, Column (C). Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Renown Transitional Care Services 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 Transitional Care Services has its own employees, however, Renown Health, the parent organization, pays all compensation and employee benefit amounts under a common paymaster arrangement. The actual compensation of each employee is directly charged to their assigned entity. Salaries and benefits are reported on lines 7 through 10 of Part IX. Form 990, Part VI, Section A, line 2 All the directors of the filing organization are also directors of the related tax-exempt organization, Renown Health. The directors have a business relationship with individuals reported on part VII that are employed by Renown Health. Form 990, Part VI, Section A, line 4 The Articles of Incorporation were amended in 2023 for the following: Article III - the Objects and Purposes were revised such that the organization is a public charity organized under Internal Revenue Code (IRC) Sections 509(a)(3)(A) and 509(a)(3)(B)(ii), a Type II Supporting Organization. The nature of the activities was also revised to: (i) to engage in and carry on activities to support and/or benefit one or more supported organizations (SO), providing services or facilities to or for the benefit of the SO; (ii) to perform functions of, or carry out the purposes of one or more SOs; (iii) to make distributions, gifts, and/or grants from the assets for the benefit of one or more SOs; (iv) to receive, hold, invest, improve, develop, manage, and administer real and personal property, grants, gifts bequests, endowments, and other funds to benefit one or more SOs; and (v) to do any and all acts necessary, proper, useful, essential or advantageous to the foregoing purposes. Article IV - the Powers and Limitations were revised to include the designation as a Type II Supporting Organization and that the organization will not engage in any activities not otherwise permitted to be carried on by a 501(c)(3) or a Type II Supporting Organization. Article VI - the Board of Directors must at all times be common control by Directors supervising or controlling both the organization and its SOs. To satisfy this requirement, the control or management of the organization must be vested in the same Directors that control or manage the SO(s). Article X - the Dissolution clause was altered to say that upon dissolution, the remaining assets shall be distributed to Renown Regional Medical Center (RRMC) or such other SO(s) selected by Renown Health, the sole member of the organization. Article XI - the Definition of SOs was added to specify RRMC as the primary SO and the requirements for RRMC to remain a SO of the entity. The organization may also, but is not required to support one or more other organizations but only if they meet certain requirements: (i) must be a subsidiary or affiliate of Renown Health, (ii) such organization must be exempt from federal income tax under IRC Section 501(c)(3), (iii) such organization must be classified by the IRC as a "public charity" under IRC Section 509(a)(1) or 509(a)(2), and (iv) the control or management of such organization must be vested in the same Directors that control the organization. The permissible SO shall include Renown South Meadows Regional Medical Center but exclude Renown Health Foundation, Renown Medical School Associates North, Inc., and Hometown Health Plan, Inc. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown Transitional Care Services. 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 Transitional Care Services. Form 990, Part VI, Section A, line 7b Renown Health must approve: 1) any changes of a strategic plan 2) selection of independent auditors, employee benefit consultants, legal counsel, and investment advisors 3) insurance and risk management programs 4) annual operating or capital budgets 5) material changes to the budget 6) investment policies 7) contracts among Renown entities 8) changes to governing documents 9) encumbrances of assets in excess of $1 million or real property 10) any borrowing in excess of $1 million in any fiscal year 11) merger, purchase or acquisition of another organization 12) joint venture with any other organization, entity or persons 13) any other material action take outside of ordinary course of business Form 990, Part VI, Section A, line 8b There was no committee during the year that had the broad authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm with support from the organization's tax department. The Form 990 is reviewed by the organization's current Corporate Controller and current Chief Financial Officer prior to the final version being sent to the Board. The Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the Form 990 and Schedules, the Renown Health Board is provided with a narrative that explains the contents of the various parts of the return. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Transitional Care Services Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15a Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health Executive Committee. As a member of the Executive Committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the year ended December 31, 2023 executive compensation. Form 990, Part VI, Section C, line 19 Renown Transitional Care Services does not make its governing documents, conflict of interest policy, or financial statements available to the general public. Form 990, Part IX, line 11g Medical Equipment Service Agreement: Program service expenses 44,777. Management and general expenses 0. Fundraising expenses 0. Total expenses 44,777. Laundry Services: Program service expenses 8,114. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,114. Professional Fees: Program service expenses 729,986. Management and general expenses 0. Fundraising expenses 0. Total expenses 729,986. Overhead Allocation: Program service expenses 0. Management and general expenses 740,464. Fundraising expenses 0. Total expenses 740,464. Form 990, Part XI, line 9: Intercompany Settlements -24,381,453. Form 990, Part XII, Line 2b, Audit Committee: 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 South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 Hospital 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 Co 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 1 1 1 1 0 0 0 0 1 1 1 1 0 1 1 1 0 0