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Renown South Meadows Medical Center

1155 Mill St CO Tax Treasury Z-4
Reno, NV 89502
EIN: 460517825
Individual Facility Details: Renown South Meadows Med Ctr
1155 Mill Street
Reno, NV 89502
1 hospital in organization:
(click a facility name to update Individual Facility Details panel)
Bed count118Medicare provider number290049Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Renown South Meadows Medical CenterDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
6.36%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 167,785,827
      Total amount spent on community benefits
      as % of operating expenses
      $ 10,667,092
      6.36 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 464,557
        0.28 %
        Medicaid
        as % of operating expenses
        $ 9,839,002
        5.86 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 194,892
        0.12 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 168,641
        0.10 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 10,355,984
        6.17 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 131237398 including grants of $ 2595) (Revenue $ 179510894)
      See Schedule O
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      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 2018-2020 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 July 1, 2021 to February 28, 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. 3289 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 2020-2022 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 2018-2020 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 July 1, 2021 to February 28, 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. 3289 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 2020-2022 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/
      Supplemental Information
      Schedule H (Form 990) Part VI
      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 $10,355,984.
      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 17 of the attached audit financial statements.
      Part III, Line 8:
      The costing methodology for Line 7 uses the ratio of cost to charges from FY22 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 493,392 as of July 2021 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.7% male and 49.3% female. A fifth (21.2%) of the population is under the age of 18. 17.2% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 60.9% Caucasian/White, 2.9% African American/Black, 6.9% Asian/Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 25.9% Hispanic/Latino.The Washoe County median household income was estimated to be $68,272 according to the US Census Bureau and 10.2% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.3% as of June 2022 below the state of Nevada at 4.7%.
      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 7, Reports Filed With States
      NV
      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 fiscal year 2022, there was only one other inpatient acute rehabilitation facility in Northern Nevada. Renown South Meadows Medical Center 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, 2022, Renown South Meadows Medical Center, along with its parent, Renown Health and its subsidiaries, provided more than $260 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/.