| Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: |
Renown South Meadows Medical Center has independent contractors, however, Renown Health, the parent organization, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. The highest compensated independent contractors are reported on Part VII, Section B. |
| Form 990, Part V, Line 2a, Number of employees on W-3: |
Renown South Meadows Medical Center has its own employees, however, Renown Health, the parent organization, pays all compensation and employee benefit amounts under a common paymaster arrangement. The actual compensation of each employee is directly charged to their assigned entity. Salaries are reported on line 7 of Part IX. |
| Form 990, Part VI, Section A, line 2 |
Kimberly Cooney, Kathleen Drakulich, Leslie Smith, Michael Alonso, James Devolld, James Miller, Alan Hanssen, Donald Sibery, David Line and Dawn Ahner have a business relationship. |
| Form 990, Part VI, Section A, line 3 |
Renown Health paid Decisive Consulting Solutions, LLC for Donald Sibery's services as the Interim CEO for all the Renown entities. Renown Health paid $970,982 for fiscal year ending June 30, 2014 for the Interim CEO services and reimbursed travel and business expenses. |
| Form 990, Part VI, Section A, line 6 |
Renown Health is the sole corporate member of Renown South Meadows Medical Center. |
| Form 990, Part VI, Section A, line 7a |
Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown South Meadows Medical Center. |
| Form 990, Part VI, Section A, line 7b |
Renown Health must approve 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 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 11 |
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 VP & Corporate CFO 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. 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. The Executive Committee is comprised of 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. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the fiscal year 2014 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 VI, Line 16b |
There 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 IX, line 11g |
AMBULANCE CHARGES: Program service expenses 3,310. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,310. COLLECTION SERVICES: Program service expenses 81,228. Management and general expenses 0. Fundraising expenses 0. Total expenses 81,228. CONSULTING SERVICES: Program service expenses 0. Management and general expenses 35,688. Fundraising expenses 0. Total expenses 35,688. GARBAGE: Program service expenses 171,153. Management and general expenses 0. Fundraising expenses 0. Total expenses 171,153. LAUNDRY SERVICES: Program service expenses 234,939. Management and general expenses 0. Fundraising expenses 0. Total expenses 234,939. MEDICAL SERVICES (NON-PHYSICIAN): Program service expenses 1,557,536. Management and general expenses 4,276. Fundraising expenses 0. Total expenses 1,561,812. OTHER MISC SERVICES: Program service expenses 2,241,436. Management and general expenses 564,146. Fundraising expenses 0. Total expenses 2,805,582. TRANSPORTATION SERVICES: Program service expenses 51,016. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,016. SOFTWARE MAINTENANCE AND SUPPORT: Program service expenses 46,685. Management and general expenses 0. Fundraising expenses 0. Total expenses 46,685. Other Service Contracts: Program service expenses 608. Management and general expenses 0. Fundraising expenses 0. Total expenses 608. Snow Removal / Ice Melt: Program service expenses 21,708. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,708. Medical Equiptment Service Agreements: Program service expenses 81,599. Management and general expenses 0. Fundraising expenses 0. Total expenses 81,599. System Charges: Program service expenses 77,388. Management and general expenses 0. Fundraising expenses 0. Total expenses 77,388. Medical Waste: Program service expenses 3,213. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,213. Professional Fees: Program service expenses 2,361,392. Management and general expenses 1,062,724. Fundraising expenses 0. Total expenses 3,424,116. Overhead: Program service expenses 0. Management and general expenses 5,711,001. Fundraising expenses 0. Total expenses 5,711,001. |
| 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 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). 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. |
Attach to Form 990 or 990-EZ.