STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RENOWN REGIONAL MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
RENOWN REGIONAL MEDICAL CENTER (EIN 88-0213754)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202301359349308255
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T12:15:58-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss AdamsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12882 Prospect Park Dr Ste 300AddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880213754EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Renown Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRENOBusinessNameControlTxt
Phone7759826488PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St CO Tax Treasury Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnn BeckPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone7759826488PhoneNum
Signature2023-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAnnPersonFirstNm
Person LastBeckPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTracy S PagliaPreparerPersonNm
PTINP00366884PTIN
Phone9165038100PhoneNum
Preparation2023-05-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBrian ErlingPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St C/O Tax Treasury Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$977,430,658GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.renown.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionAn 808 bed acute-care hospital and the region's only Level II trauma center.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers214TotalVolunteersCnt
Total Gross UBI$402,623TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$24,069NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,419,538PYContributionsGrantsAmt
CY Contributions Grants$21,517,480CYContributionsGrantsAmt
PY Program Service Revenue$937,094,305PYProgramServiceRevenueAmt
CY Program Service Revenue$954,310,230CYProgramServiceRevenueAmt
PY Investment Income-$1,710,738PYInvestmentIncomeAmt
CY Investment Income$92,718CYInvestmentIncomeAmt
PY Other Revenue$633,721PYOtherRevenueAmt
CY Other Revenue$628,014CYOtherRevenueAmt
PY Total Revenue$963,436,826PYTotalRevenueAmt
CY Total Revenue$976,548,442CYTotalRevenueAmt
PY Grants And Similar Paid$2,657,151PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,521,531CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$362,429,068PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$382,944,844CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$579,912,577PYOtherExpensesAmt
CY Other Expenses$613,104,737CYOtherExpensesAmt
PY Total Expenses$944,998,796PYTotalExpensesAmt
CY Total Expenses$999,571,112CYTotalExpensesAmt
PY Revenues Less Expenses$18,438,030PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$23,022,670CYRevenuesLessExpensesAmt
Total Assets BOY$1,403,197,593TotalAssetsBOYAmt
Total Assets EOY$871,904,900TotalAssetsEOYAmt
Total Liabilities BOY$1,104,184,074TotalLiabilitiesBOYAmt
Total Liabilities EOY$808,693,750TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$299,013,519NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$63,211,150NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRenown Health makes a genuine difference in the health and well-being of the people and communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$814,414,297ExpenseAmt
Grant$3,521,531GrantAmt
Revenue$954,448,565RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$814,414,297TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ann BeckBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7759826488PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 MILL ST Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Anthony Slonim
President/CEO (Jul-Mar)23.0037.00Yes (X)Yes (X)$0$2,567,137$195,585
Josiah Johnson - Chief of
Staff/President (Mar-Jun)23.0037.00Yes (X)$0$982,301$144,520
Dawn Ahner
Chief Operating Officer (Jul-Apr)30.0030.00$1,038,714$0$38,742Yes (X)
Ann Beck
Chief Financial Officer32.0028.00Yes (X)$0$716,034$101,535
Susan Lee
CMO Renown Regional60.000.00$553,616$0$19,523Yes (X)
Paul Sierzenski
CMO Acute Services60.000.00$477,046$0$28,719Yes (X)
Erik Olson
CEO Renown Regional60.000.00$453,231$0$37,564Yes (X)
John Zullo
Director of Physics60.000.00$259,845$0$33,882Yes (X)
Debra Adornetto-Garcia
CNO Acute Services60.000.00$243,333$0$18,384Yes (X)
Thomas Graf - Chief Clinical
Quality Officer/CEO (Mar-Jun)23.0037.00Yes (X)Yes (X)$0$197,909$21,404
James DeVolld
Chair (Jul-Dec)/Director (Jan-Jun)3.009.00Yes (X)Yes (X)$0$43,323$0
Alvaro Devia
Director (Jul-Dec)3.009.00Yes (X)$0$41,085$0
G Blake Smith
Director (Jul-Dec)3.009.00Yes (X)$0$27,647$0
Adam Kramer
Vice Chair (Jul-Dec)/Chair (Jan-Jun)3.009.00Yes (X)Yes (X)$0$25,562$0
Kimberly Cooney
Secretary (Jul-Dec)3.009.00Yes (X)Yes (X)$0$24,000$0
Harvey Fennell
Director (Jul-Dec)3.0012.00Yes (X)$0$24,000$0
Todd McKenzie
Treasurer (Jul-Dec)3.009.00Yes (X)Yes (X)$0$24,000$0
Jeff Resnik
Director3.009.00Yes (X)$0$24,000$0
Eathan O'Bryant
Director (Jul-Mar)3.009.00Yes (X)$0$22,327$0
Tammy Dermody - Dir Jul-Dec
Secretary & Vice Chair (Jan-Jun)3.009.00Yes (X)Yes (X)$0$15,000$0
Thomas Deveny
Director3.009.00Yes (X)$0$15,000$0
Steven Johnson
Director3.009.00Yes (X)$0$15,000$0
Mark Knobel
Director3.009.00Yes (X)$0$15,000$0
Christi Matteoni
Director3.009.00Yes (X)$0$15,000$0
Marc Mora
Director3.009.00Yes (X)$0$15,000$0
Michael Peterson
Director (Jul-Feb)3.009.00Yes (X)$0$15,000$0
Joanne Olson
Director (Jul-Dec)3.009.00Yes (X)$0$6,000$0
Bijel Doshi
Treasurer (Jan-Jun)3.0012.00Yes (X)Yes (X)$0$0$0
Brian Sandoval
Director (Aug-Jun)3.009.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,025,785TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,830,325TotReportableCompRltdOrgAmt
Total Other Compensation$639,858TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K504IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medefis Inc
2121 North 117th Avenue Suite 200OmahaNE68164Healthcare Labor Services$50,305,250
University of Nevada School of Medicine
Medical Bldg 0346RenoNV895570346Medical Services$10,223,283
ARUP Laboratories Inc
PO Box 27964Salt Lake CityUT84127Laboratory Services$4,361,413
Aramark Uniform & Career
1419 National DrSacramentoCA95834Uniform Services$4,129,578
Western Surgical Group
75 Pringle Way Suite 1002RenoNV89502Medical Services$2,623,420
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K76CntrctRcvdGreaterThan100KCnt
Related Organizations$6,292,613RelatedOrganizationsAmt
Government Grants$15,224,867GovernmentGrantsAmt
Total Contributions$21,517,480TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Services621500$944,406,614$944,406,614
Patient Prescriptions621500$4,402,771$4,031,152$371,619
Laboratory Services621511$2,947,592$2,926,579$21,013
Cafeteria722210$2,553,253$2,553,253
FieldValueIRS element (for citing)
Total Program Service Revenue$954,310,230TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,865TotalRevenueColumnAmt
Exclusion$116,865ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$882,433RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$392,754RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$489,679RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$489,679TotalRevenueColumnAmt
Unrelated Business Revenue$9,991UnrelatedBusinessRevenueAmt
Exclusion$479,688ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$316,216OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$340,363OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$24,147OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$24,147TotalRevenueColumnAmt
Exclusion-$24,147ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$287,434GrossSalesOfInventoryAmt
Cost Of Goods Sold$149,099CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,335TotalRevenueColumnAmt
Related Or Exempt Func Income$138,335RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$976,548,442TotalRevenueColumnAmt
Related Or Exempt Func Income$951,502,680RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$402,623UnrelatedBusinessRevenueAmt
Exclusion$3,125,659ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,829,886TotalAmt
Program Services$1,829,886ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,691,645TotalAmt
Program Services$1,691,645ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$324,723,673TotalAmt
Program Services$321,039,643ProgramServicesAmt
Management And General$3,684,030ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$58,221,171TotalAmt
Program Services$57,441,306ProgramServicesAmt
Management And General$779,865ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$38,121TotalAmt
Program Services$38,121ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$98TotalAmt
Program Services$98ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$24,514TotalAmt
Program Services$24,514ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$258,069,514TotalAmt
Program Services$96,629,954ProgramServicesAmt
Management And General$161,439,560ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Program Services$1,500ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,581,941TotalAmt
Program Services$16,088,836ProgramServicesAmt
Management And General$2,493,105ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,795,436TotalAmt
Program Services$2,352,688ProgramServicesAmt
Management And General$1,442,748ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,204,599TotalAmt
Program Services$9,202,127ProgramServicesAmt
Management And General$2,472ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$350,866TotalAmt
Program Services$346,315ProgramServicesAmt
Management And General$4,551ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$258,718TotalAmt
Program Services$258,718ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,573,284TotalAmt
Program Services$19,456,419ProgramServicesAmt
Management And General$116,865ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$35,403,897TotalAmt
Program Services$24,266,259ProgramServicesAmt
Management And General$11,137,638ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$882,777TotalAmt
Program Services$18,045ProgramServicesAmt
Management And General$864,732ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$185,913,431$185,913,431
Bad Debt$73,569,823$73,569,823
Membership Dues$560,064$268,361$291,703
UBIT Tax$8,250$8,250

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,867,904TotalAmt
Program Services$3,968,358ProgramServicesAmt
Management And General$2,899,546ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$999,571,112TotalAmt
Program Services$814,414,297ProgramServicesAmt
Management And General$185,156,815ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$600BOYAmt
EOY$400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$224,613,344BOYAmt
EOY$132,042,677EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$151,039,853BOYAmt
EOY$167,665,446EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$26,597,142BOYAmt
EOY$23,086,257EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,657,313BOYAmt
EOY$4,640,662EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$936,413,408LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$534,820,255LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$367,048,441BOYAmt
EOY$401,593,153EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$630,240,900BOYAmt
EOY$142,876,305EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,403,197,593BOYAmt
EOY$871,904,900EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,984,892BOYAmt
EOY$44,836,270EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$694,350,411BOYAmt
EOY$678,496,953EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$363,848,771BOYAmt
EOY$85,360,527EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,104,184,074BOYAmt
EOY$808,693,750EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$299,013,519BOYAmt
EOY$63,211,150EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$299,013,519BOYAmt
EOY$63,211,150EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,403,197,593BOYAmt
EOY$871,904,900EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$23,022,670ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$212,779,699OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$24,514GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$24,514TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1fFormAndLineReferenceDesc
ExplanationPayments are made to American Hospital Association and Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,051,069OtherCostOrOtherBasisAmt
Book Value$13,051,069BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$574,681,725OtherCostOrOtherBasisAmt
Depreciation$313,396,671DepreciationAmt
Book Value$261,285,054BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,451,553OtherCostOrOtherBasisAmt
Depreciation$4,150,957DepreciationAmt
Book Value$2,300,596BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$291,314,637OtherCostOrOtherBasisAmt
Depreciation$217,272,627DepreciationAmt
Book Value$74,042,010BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,914,424OtherCostOrOtherBasisAmt
Book Value$50,914,424BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$401,593,153TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other Receivables$3,955,209
Due From Affiliates$856,005
Funds Held in Trust$135,354,475
Other$2,710,616
FieldValueIRS element (for citing)
Total Book Value Other Assets$142,876,305TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affliates$78,463,989
Other Liabilities$6,896,538
FieldValueIRS element (for citing)
Total Liability$85,360,527TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationRenown Regional 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 Regional Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown Regional Medical Center files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown Regional 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 Regional 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free Care0FPGReferenceFreeCareInd
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,404,324TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,404,324NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,178,109,170TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,628,099DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,089,481,071NetCommunityBenefitExpnsAmt
Total Expense0.09660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,185,513,494TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,628,099DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,096,885,395NetCommunityBenefitExpnsAmt
Total Expense0.10460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,429,318TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,429,318NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,455,681TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,455,681NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,821,435TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,821,435NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,040,935TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,040,935NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,747,369TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,747,369NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,198,260,863TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,628,099DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,109,632,764NetCommunityBenefitExpnsAmt
Total Expense0.11840TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$73,569,823BadDebtExpenseAmt
Reimbursed By Medicare$168,530,577ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$207,052,248CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$38,521,671MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Renown Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.renown.orgWebsiteAddressTxt
State License0669-HOSStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Renown Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Page 8OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Page 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Renown Regional Medical CenterPart 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 Regional Medical CenterPart V, Section B, Line 6a: Renown South Meadows Medical Center and Renown Rehabilitation Hospital
Renown Regional Medical CenterPart V, Section B, Line 6b: Truckee Meadows Tomorrow
Renown Regional Medical CenterPart 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 Regional Medical CenterPart 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 Regional Medical CenterPart 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 Regional Medical CenterPart 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 Regional Medical CenterPart 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/about/community-commitment/community-health-needs-assessment/
Schedule H, Part V, Line 7b:https://www.renown.org/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/
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Renown Health Home Care
10315 Professional CirRenoNV89521Home Care
2 - Renown Hospice Care
10315 Professional CirRenoNV89521Hospice Care

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, health professions education, subsidized health services, research and cash and in-kind contributions on lines 7e, 7f, 7g, 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 $73,569,823.
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 the 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:Explanation: 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 then go before the Renown Health Board for review and approval on behalf of all Renown organizations. 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 6:Renown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada and northeastern California. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the University of Nevada-Reno School of Medicine and the region's healthcare professionals. Renown Regional provides necessary healthcare services regardless of race, creed, sex, gender, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including: cancer, heart, neurosciences, orthopedics, surgery, intensive and emergency care, behavioral health, addiction, and women's and children's health. Renown Regional is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown Regional extends privileges on its medical staff to all eligible and qualified physicians and allied health professionals. As a non-profit organization, we reinvest every dollar we earn back into the communities we serve, through staffing, technology, treatment, and training to enhance patient care, medical education and research. As part of an integrated health network, Renown Regional provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center, a pediatric intensive care unit, TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Comprehensive Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region. Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. These house medical specialty and subspecialty practices. In partnership with the 816 physicians on its medical staff, Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric pulmonology, adolescent medicine, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2022, Renown Regional, 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/community-health-needs-assessment/.
Part VI, Line 7, Reports Filed With StatesNV

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Renown Transitional Care Services
1155 Mill St Z-4RenoNV89502880231828501(c)(3)$1,749,330$0Patient Assistance
Renown South Meadows Medical Center
1155 Mill St Z-4RenoNV89502460517825501(c)(3)$72,105$0Patient Assistance
Children's Miracle Network
205 West 700 SouthSalt Lake CityUT84101870387205501(c)(3)$8,451$0General Support
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Patient Assistance4314$1,673,370
Scholarships/Continuing Education116$18,275

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationFor Part II- Assistance is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. For Part III- The patient assistance is requested by a Renown social worker on behalf of a patient once it is determined that all eligibility criteria is met. The manager and director review the request and if approved, payment is made directly to the vendor, so there is no ongoing monitoring necessary for this assistance. Organization's procedure for determining number of Scholarships/Continuing Education grants: Payments are made to recipients upon the completion of each semester for those expenses not offset by Renown's tuition reimbursement program. Payment is made after verified completion of the course via certificate or transcript. Renown Regional Medical Center estimated the number of grant recipients for scholarships/continuing education classes by reviewing the actual expenses and determining to whom they were paid.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anthony Slonim
President/CEO (Jul-Mar)$0$1,080,946$0$1,482,321$0$3,870$0$172,374$0$23,211$0$2,762,722$0$0
Josiah Johnson - Chief of
Staff/President (Mar-Jun)$0$733,027$0$246,844$0$2,430$0$121,309$0$24,673$0$1,128,283$0$0
Dawn Ahner
Chief Operating Officer (Jul-Apr)$183,094$0$0$0$855,620$0$31,371$0$7,858$0$1,077,943$0$0$0
Ann Beck
Chief Financial Officer$0$516,116$0$193,750$0$6,168$0$85,000$0$16,535$0$817,569$0$0
Susan Lee
CMO Renown Regional$502,469$0$49,999$0$1,148$0$11,600$0$8,041$0$573,257$0$0$0
Paul Sierzenski
CMO Acute Services$360,988$0$113,297$0$2,761$0$10,072$0$19,743$0$506,861$0$0$0
Erik Olson
CEO Renown Regional$391,272$0$59,879$0$2,080$0$11,600$0$27,222$0$492,053$0$0$0
John Zullo
Director of Physics$258,359$0$0$0$1,486$0$10,670$0$23,524$0$294,039$0$0$0
Debra Adornetto-Garcia
CNO Acute Services$193,671$0$0$0$49,662$0$7,836$0$10,866$0$262,035$0$0$0
Thomas Graf - Chief Clinical
Quality Officer/CEO (Mar-Jun)$0$147,511$0$50,000$0$398$0$17,135$0$4,269$0$219,313$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Renown Regional Medical Center relies on Renown Health, a related organization to establish compensation for officers and other key employees. Renown Health uses the identified methods to establish compensation. See Schedule O, Form 990, Part VI, Section B, Line 15 for a description of the process utilized by Renown Health.
Part I, Lines 4a-bSeverance payments of $688,147 to Dawn Ahner and $46,925 to Debra Adornetto-Garcia were included in Schedule J, Part II, Column (B)(iii). Anthony Slonim, Thomas Graf, Josiah Johnson, Ann Beck, and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $160,774 to Anthony Slonim, $13,750 to Thomas Graf, $109,709 to Josiah Johnson, $75,000 to Ann Beck, and $25,806 to Dawn Ahner were included in Schedule J, Part II, Column (C).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Public Finance Authority
A27386612474442CAX22015-06-03$149,946,826See Part IV000
Public Finance Authority
B27386612474442CBS22016-07-27$162,793,319See Part IV000
Public Finance Authority
C27386612474442CDB72020-10-01$354,623,837See Part IV000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$20,380,000$151,351,816$1,319,162$150,032,654Yes (1)Yes (1)Yes (1)Yes (1)
B$14,405,000$165,241,495$1,426,291$163,815,2040Yes (1)Yes (1)Yes (1)
C$4,120,000$354,747,512$152,692,546Yes (1)00Yes (1)$673,367$66,030,268$135,351,331

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C0Yes (1)Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Bond Issue A, Column (f)Bonds were issued to current refund Series 2001A Bonds (issued 11/8/2001), advance refund Series 2007A Bonds (issued 4/19/2007) and to pay costs of issuance.
Schedule K, Part I, Bond Issue B, Column (f)Bonds were issued to advance refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010), advance refund Series 2008AB/2008 Conversion Bonds (issued 6/23/2008) and to pay costs of issuance.
Schedule K, Part I, Bond Issue C, Column (f)Bonds were issued to finance capital projects and to current refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010), Series 2008AB/2008 Conversion Bonds (issued 6/23/2008) and Series 2009AB Bonds (issued 11/15/2009) (collectively, the "Prior Bonds").
Schedule K, Part II, Columns A & B, Line 13Since the proceeds of the Bonds are used for refunding purposes, the year of substantial completion is not applicable.
Schedule K, Part II, Columns A, B & C, Line 3The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I (e) due to interest earnings on invested proceeds.
Schedule K, Part III, Columns A, B, & C, Line 7As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, line 6. The organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code.
Schedule K, Part IV, Column A, Line 2bThe portion of bonds used to current refund Series 2001A Bonds has met the 6-month expenditure exception to rebate.
Schedule K, Part IV, Column A, Line 2cThe interim rebate report was performed on June 8, 2017.
Schedule K, Part IV, Column B, Line 2cThe fifth year rebate report was prepared on September 1, 2021.
Schedule K, Part IV, Column C, Line 2bThe portion of bonds used to current refund the Prior Bonds has met the 6-month expenditure exception to rebate.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aRenown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada and northeastern California. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the University of Nevada-Reno School of Medicine and the region's healthcare professionals. Renown Regional provides necessary healthcare services regardless of race, creed, sex, gender, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including: cancer, heart, neurosciences, orthopedics, surgery, intensive and emergency care, behavioral health, addiction, and women's and children's health. Renown Regional is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown Regional extends privileges on its medical staff to all eligible and qualified physicians and allied health professionals. As a non-profit organization, we reinvest every dollar we earn back into the communities we serve, through staffing, technology, treatment, and training to enhance patient care, medical education and research. As part of an integrated health network, Renown Regional provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center, a pediatric intensive care unit, TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Comprehensive Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region. Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. These house medical specialty and subspecialty practices. In partnership with the 816 physicians on its medical staff, Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric pulmonology, adolescent medicine, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology. For the fiscal year ending June 30, 2022, Renown Regional, 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/community-health- needs-assessment/.
Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096:Renown Regional Medical Center pays 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 Regional 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 line 7 and 9 of Part IX, respectively.
Form 990, Part VI, Section A, line 2Anthony Slonim and Alvaro Devia have a business relationship. 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 6Renown Health is the sole corporate member of Renown Regional Medical Center.
Form 990, Part VI, Section A, line 7aRenown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional Medical Center.
Form 990, Part VI, Section A, line 7bRenown 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) contacts 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 8bThere was no committee during the year that had the broad authority to act on behalf of the board.
Form 990, Part VI, Section B, line 11bThe 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 12cOn an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Regional 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 15aRenown 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 fiscal year 2022 executive compensation.
Form 990, Part VI, Section C, line 19Renown Regional 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 11gRepairs and Maintenance: Program service expenses 6,045,768. Management and general expenses 151,547. Fundraising expenses 0. Total expenses 6,197,315. Other Purchased Services: Program service expenses 10,723,676. Management and general expenses 7,931,549. Fundraising expenses 0. Total expenses 18,655,225. Laundry Service: Program service expenses 4,369,338. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,369,338. Medical Services: Program service expenses 62,392,348. Management and general expenses 505. Fundraising expenses 0. Total expenses 62,392,853. Other Services: Program service expenses 5,920,078. Management and general expenses 2,585,439. Fundraising expenses 0. Total expenses 8,505,517. Med Equip Svc Agreements: Program service expenses 6,176,024. Management and general expenses 13,380. Fundraising expenses 0. Total expenses 6,189,404. Overhead Allocation: Program service expenses 0. Management and general expenses 150,629,635. Fundraising expenses 0. Total expenses 150,629,635. Medical Waste: Program service expenses 1,002,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,002,722. Bond Administration Services: Program service expenses 0. Management and general expenses 127,505. Fundraising expenses 0. Total expenses 127,505.
Form 990, Part XI, line 9:Intercompany Settlements -212,779,699.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Renown Health
1155 Mill St Z-4RenoNV89502942972845Health CareNV501(c)(3)Line 12c, III-FIN/A0
Renown Health Foundation
1155 Mill St Z-4RenoNV89502942972749FoundationNV501(c)(3)Line 70Renown Health
Renown South Meadows Medical Center
1155 Mill St Z-4RenoNV89502460517825HospitalNV501(c)(3)Line 30Renown Health
Hometown Health Plan Inc
1155 Mill St Z-4RenoNV89502880231433HMONV501(c)(4)0Renown Health
Renown Transitional Care Services
1155 Mill St Z-4RenoNV89502880231828Pregnancy CenterNV501(c)(3)Line 30Renown Health
Renown Medical School Associates North
1155 Mill St Z-4RenoNV89502860881749Patient CareNV501(c)(3)Line 100Hometown Health Plan

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Renown Businesses
1155 Mill St Z-4RenoNV89502880228030Health CareNVN/AC0
Hometown Health Management Company
1155 Mill St Z-4RenoNV89502880236758Management ServicesNVN/AC0
Hometown Health Providers Insurance Company
1155 Mill St Z-4RenoNV89502880177026InsuranceNVN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Hometown Health Plan IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$68,865,449InvolvedAmt
Method Of Amount DeterminationGeneral LedgerMethodOfAmountDeterminationTxt