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RENOWN REGIONAL MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RENOWN REGIONAL MEDICAL CENTER (EIN 88-0213754)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202201329349307800
Schema version
2020v4.2
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)
Return2022-05-12T16:41:43-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

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 Begin2020-07-01TaxPeriodBeginDt

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
Signature2022-05-11SignatureDt
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
Preparation2022-05-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas GrafPrincipalOfficerNm

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$965,845,664GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers121TotalVolunteersCnt
Total Gross UBI$49,054TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$39,134NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,570,182PYContributionsGrantsAmt
CY Contributions Grants$27,419,538CYContributionsGrantsAmt
PY Program Service Revenue$898,998,098PYProgramServiceRevenueAmt
CY Program Service Revenue$937,094,305CYProgramServiceRevenueAmt
PY Investment Income-$79,134PYInvestmentIncomeAmt
CY Investment Income-$1,710,738CYInvestmentIncomeAmt
PY Other Revenue$747,814PYOtherRevenueAmt
CY Other Revenue$633,721CYOtherRevenueAmt
PY Total Revenue$918,236,960PYTotalRevenueAmt
CY Total Revenue$963,436,826CYTotalRevenueAmt
PY Grants And Similar Paid$3,860,460PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,657,151CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$328,135,500PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$362,429,068CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$546,219,062PYOtherExpensesAmt
CY Other Expenses$579,912,577CYOtherExpensesAmt
PY Total Expenses$878,215,022PYTotalExpensesAmt
CY Total Expenses$944,998,796CYTotalExpensesAmt
PY Revenues Less Expenses$40,021,938PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,438,030CYRevenuesLessExpensesAmt
Total Assets BOY$920,238,119TotalAssetsBOYAmt
Total Assets EOY$1,403,197,593TotalAssetsEOYAmt
Total Liabilities BOY$712,581,205TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,104,184,074TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$207,656,914NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$299,013,519NetAssetsOrFundBalancesEOYAmt
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$777,008,385ExpenseAmt
Grant$2,657,151GrantAmt
Revenue$934,608,333RevenueAmt
DescSee Schedule ORenown 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, healthy aging, healthcare innovation 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 793 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 oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2021, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $198 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/.Desc
Total Program Service Expenses$777,008,385TotalProgramServiceExpensesAmt
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 Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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 (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
Anthony Slonim
President/CEO23.0037.00Yes (X)Yes (X)$0$1,573,616$194,408
James DeVolld
Chair3.009.00Yes (X)Yes (X)$0$42,213$0
Kimberly Cooney
Secretary3.009.00Yes (X)Yes (X)$0$24,000$0
Adam Kramer
Vice Chair3.009.00Yes (X)Yes (X)$0$15,000$0
Todd McKenzie
Treasurer3.009.00Yes (X)Yes (X)$0$24,000$0
G Blake Smith
Director3.009.00Yes (X)$0$25,681$0
Michael Peterson
Director3.009.00Yes (X)$0$15,000$0
Jeff Resnik
Director3.009.00Yes (X)$0$24,000$0
Joanne Olson
Director3.009.00Yes (X)$0$6,000$0
Alvaro Devia
Director3.009.00Yes (X)$0$28,493$0
Christi Matteoni
Director3.009.00Yes (X)$0$15,000$0
Steven Johnson
Director3.009.00Yes (X)$0$24,000$0
Thomas Deveny
Director3.009.00Yes (X)$0$15,000$0
Harvey Fennell
Director3.0012.00Yes (X)$0$24,000$0
Tammy Dermody
Director3.009.00Yes (X)$0$15,000$0
Mark Knobel
Director3.009.00Yes (X)$0$15,000$0
Marc Mora
Director3.009.00Yes (X)$0$15,000$0
Eathan O'Bryant
Director (Jan-Jun)3.009.00Yes (X)$0$10,668$0
Ann Beck
Chief Financial Officer32.0028.00Yes (X)$0$601,098$94,641
Paul Sierzenski
CMO Acute Services60.000.00$625,858$0$33,931Yes (X)
Erik Olson
CEO Renown Regional60.000.00$493,590$0$35,609Yes (X)
Jennifer Richards
Chief Nursing Officer Acute Services60.000.00$350,715$0$26,155Yes (X)
John Zullo
Director of Physics60.000.00$261,836$0$33,940Yes (X)
Alan Herak
Director of Decision Support60.000.00$247,607$0$18,117Yes (X)
Dawn Ahner
Chief Operating Officer30.0030.00$936,811$0$135,647Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,916,417TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,512,769TotReportableCompRltdOrgAmt
Total Other Compensation$572,448TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K358IndivRcvdGreaterThan100KCnt
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$48,726,005
University of Nevada School of Medicine
Medical Bldg 0346RenoNV895570346Medical Services$10,698,635
ARUP Laboratories Inc
PO Box 27964Salt Lake CityUT84127Laboratory Services$4,233,851
Aramark Uniform & Career
1419 National DrSacramentoCA95834Uniform Services$3,945,283
Waste Management
1001 Fannin StreetHoustonTX77002Waste Services$2,779,112
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K86CntrctRcvdGreaterThan100KCnt
Related Organizations$4,085,612RelatedOrganizationsAmt
Government Grants$23,333,926GovernmentGrantsAmt
Total Contributions$27,419,538TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services621500$926,646,486$926,646,486
Patient Prescriptions621500$6,072,710$6,072,710
Cafeteria722210$2,589,276$2,589,276
Laboratory Services621511$1,785,833$1,750,906$34,927
FieldValueIRS element (for citing)
Total Program Service Revenue$937,094,305TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,149TotalRevenueColumnAmt
Exclusion$11,149ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$885,722RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$355,305RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$530,417RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$530,417TotalRevenueColumnAmt
Unrelated Business Revenue$14,127UnrelatedBusinessRevenueAmt
Exclusion$516,290ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$205,850OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,927,737OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,721,887OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,721,887TotalRevenueColumnAmt
Exclusion-$1,721,887ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$229,100GrossSalesOfInventoryAmt
Cost Of Goods Sold$125,796CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,304TotalRevenueColumnAmt
Related Or Exempt Func Income$103,304RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$963,436,826TotalRevenueColumnAmt
Related Or Exempt Func Income$934,573,406RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$49,054UnrelatedBusinessRevenueAmt
Exclusion$1,394,828ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,562,778TotalAmt
Program Services$1,562,778ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,094,373TotalAmt
Program Services$1,094,373ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$304,801,001TotalAmt
Program Services$299,784,461ProgramServicesAmt
Management And General$5,016,540ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$57,628,067TotalAmt
Program Services$56,587,098ProgramServicesAmt
Management And General$1,040,969ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,919TotalAmt
Program Services$20,919ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$109TotalAmt
Program Services$109ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$24,986TotalAmt
Program Services$24,986ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$235,099,089TotalAmt
Program Services$91,159,973ProgramServicesAmt
Management And General$143,939,116ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25TotalAmt
Program Services$25ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,845,340TotalAmt
Program Services$14,928,200ProgramServicesAmt
Management And General$1,917,140ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,596,851TotalAmt
Program Services$2,441,794ProgramServicesAmt
Management And General$1,155,057ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,547,756TotalAmt
Program Services$7,547,348ProgramServicesAmt
Management And General$408ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$256,030TotalAmt
Program Services$254,651ProgramServicesAmt
Management And General$1,379ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$316,809TotalAmt
Program Services$316,809ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,054,218TotalAmt
Program Services$7,783,033ProgramServicesAmt
Management And General$271,185ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,891,913TotalAmt
Program Services$20,897,753ProgramServicesAmt
Management And General$10,994,160ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$829,276TotalAmt
Program Services$19,160ProgramServicesAmt
Management And General$810,116ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$182,474,569$182,474,569
UBIT Tax$9,193$9,193
Bad Debt$53,340,955$53,340,955
Settlement of Interest$28,725,203$28,725,203

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,879,336TotalAmt
Program Services$8,034,995ProgramServicesAmt
Management And General$2,844,341ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$944,998,796TotalAmt
Program Services$777,008,385ProgramServicesAmt
Management And General$167,990,411ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$102,414,577BOYAmt
EOY$224,613,344EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$123,862,272BOYAmt
EOY$151,039,853EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$27,682,145BOYAmt
EOY$26,597,142EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,479,954BOYAmt
EOY$3,657,313EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$896,117,039LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$529,068,598LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$355,569,172BOYAmt
EOY$367,048,441EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$307,229,399BOYAmt
EOY$630,240,900EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$920,238,119BOYAmt
EOY$1,403,197,593EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,786,080BOYAmt
EOY$45,984,892EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$397,491,497BOYAmt
EOY$694,350,411EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$276,303,628BOYAmt
EOY$363,848,771EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$712,581,205BOYAmt
EOY$1,104,184,074EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$207,656,914BOYAmt
EOY$299,013,519EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$207,656,914BOYAmt
EOY$299,013,519EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$920,238,119BOYAmt
EOY$1,403,197,593EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,438,030ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$72,918,575OtherChangesInNetAssetsAmt
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$24,986GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$24,986TotalLobbyingExpendituresAmt
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$556,690,229OtherCostOrOtherBasisAmt
Depreciation$299,133,486DepreciationAmt
Book Value$257,556,743BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,437,255OtherCostOrOtherBasisAmt
Depreciation$2,203,485DepreciationAmt
Book Value$1,233,770BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$293,473,974OtherCostOrOtherBasisAmt
Depreciation$227,731,627DepreciationAmt
Book Value$65,742,347BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,464,512OtherCostOrOtherBasisAmt
Book Value$29,464,512BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$367,048,441TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other Receivables$4,625,507
Due From Affiliates$437,960,680
Funds Held in Trust$183,685,205
Other$3,969,508
FieldValueIRS element (for citing)
Total Book Value Other Assets$630,240,900TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Affliates$303,247,024
Other Liabilities$8,518,322
Third Party Settlements$52,083,425
FieldValueIRS element (for citing)
Total Liability$363,848,771TotalLiabilityAmt
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
Percent400Yes (X)Percent400Ind
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$9,213,769TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,213,769NetCommunityBenefitExpnsAmt
Total Expense0.01030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$174,076,614TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,543,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$85,533,366NetCommunityBenefitExpnsAmt
Total Expense0.09590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$183,290,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,543,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,747,135NetCommunityBenefitExpnsAmt
Total Expense0.10620TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,755,901TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,755,901NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,798,646TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,798,646NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,562,778TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,562,778NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,496,592TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,496,592NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,613,917TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,613,917NetCommunityBenefitExpnsAmt
Total Expense0.01420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$195,904,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,543,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,361,052NetCommunityBenefitExpnsAmt
Total Expense0.12040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$53,340,955BadDebtExpenseAmt
Reimbursed By Medicare$178,814,052ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$197,678,216CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,864,164MedicareSurplusOrShortfallAmt

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 Care400.000000000000FPGFamilyIncmLmtDscntCarePct
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 2018-2021 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.System Strategy 1: Support public health genomics by incorporating and building on the previous success of state public health genomics program. System Strategy 2: Communication foundation and expansion by developing and distributing standardized communication materials for Tier 1 Genomics applications including educational materials for patients, providers, and public health practitioners.System Strategy 3: Partnership development and sustainability by building strong partnerships toward mutual goals which include healthcare payers, healthcare providers, advocacy groups, and other key stakeholders.System Strategy 4: Develop and use standardized surveillance indicators to measure success.Anticipated Outcomes will be an increased number of community participants for genomic resources, increased education, increased reach and impact with diverse populations. Target Populations include high risk and historically underserved patients. Collaboration Partners include Tier 1 Genomics, Healthy Nevada Project and the Renown Health Communication Team.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.System Strategy 1: Partner with Immunize Nevada, a non-profit agency, to ensure equitable distribution of COVID-19 vaccines.System Strategy 2: Equitable health communications by developing a comprehensive communication plan to meet the cultural and linguistic needs of communities highly impacted by COVID-19.System Strategy 3: Navigation and sustainable expansion by maximizing and leveraging community partnerships, resources, and opportunities.System Strategy 4: Develop and use standardized surveillance indicators to measure success.Anticipated Outcomes will be increased awareness of availability of services and decreased misinformation associated with vaccinations and immunization. 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 (NVEC), Community Health Alliance and the Renown Health's Communication Team.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.System Strategy 1: Partner with the Children's Cabinet, a non-profit agency, to advance linkages of community support services, Government officials, and Health Practitioners.System Strategy 2: Early intervention and programmatic support to strengthen, expand, and support interventions and programs within specific environments by building creative and non-traditional care avenues.System Strategy 3: Improve and support data collection, analysis, and dissemination efforts for behavioral health needs.System Strategy 4: Develop a multi-tiered communication strategy centering around non-traditional partnerships and joint messaging with an emphasis on eliminating the stigma surrounding mental health.System Strategy 5: Strengthen networks of care for teens and adolescents and their families.System Strategy 6: Prevention efforts to combat deaths by suicide through the expansion of prevention, treatment, and family centric support services.Anticipated outcomes include increased reach and impact among targeted population resulting in reduced deaths by suicide, and increased awareness, knowledge, and linkages within behavioral health network. 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, University of Nevada Reno and UNR Med, Local Pediatricians, Renown Health's Communication Team, NV Office of Suicide Prevention.Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2021-2023 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, 10ahttps://www.renown.org/en/about/community-commitment/community-health-needs-assessment/
Schedule H, Part V, Line 7bhttps://www.nevadatomorrow.org/content/sites/renown/Renown_Files/Reports/Implementation_Strategy_Renown_2021-2023.pdf
Schedule H, Part V, Line 16a, 16b, 16cwww.renown.org/interact/bill-pay-accepted-insurance/financial-assistance-program/
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 $53,340,955.
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 16 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 FY21 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 486,492 as of April 2020 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.5% male and 49.5% female. A fifth (21.3%) of the population is under the age of 18. 16.8% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 62.3% Caucasian/White, 2.8% African American/Black, 6.5% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 25.0% Hispanic/Latino.The Washoe County median household income was estimated to be $64,791 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 4.9% as of June 2021 below the state of Nevada at 7.2%.
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, healthy aging, healthcare innovation 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 793 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 oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the fiscal year ending June 30, 2021, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $198 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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Renown Transitional Care Services
1155 Mill St Z-4RenoNV89502880231828501(c)(3)$1,435,865Patient Assistance
Renown South Meadows Medical Center
1155 Mill St Z-4RenoNV89502460517825501(c)(3)$126,913Patient Assistance
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePatient AssistanceGrantTypeTxt
Recipient2927RecipientCnt
Cash Grant$1,094,373CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationAssistance in Part II is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. The patient assistance reported in Part III 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.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 Payment0SeverancePaymentInd
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 (8 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$0$1,104,553$0$463,028$0$6,035$0$172,174$0$22,235$0$1,768,025$0$0
Ann Beck
Chief Financial Officer$0$503,371$0$92,700$0$5,027$0$78,901$0$15,739$0$695,738$0$0
Paul Sierzenski
CMO Acute Services$512,505$0$108,757$0$4,596$0$10,072$0$25,346$0$661,276$0$0$0
Erik Olson
CEO Renown Regional$404,714$0$86,226$0$2,650$0$11,400$0$25,481$0$530,471$0$0$0
Jennifer Richards
Chief Nursing Officer Acute Services$216,319$0$66,745$0$67,651$0$11,400$0$14,755$0$376,870$0$0$0
John Zullo
Director of Physics$259,457$0$0$0$2,379$0$10,843$0$23,416$0$296,095$0$0$0
Alan Herak
Director of Decision Support$213,161$0$29,985$0$4,461$0$9,849$0$8,586$0$266,042$0$0$0
Dawn Ahner
Chief Operating Officer$707,966$0$222,960$0$5,885$0$114,622$0$22,512$0$1,073,945$0$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, Line 4bAnthony Slonim, Ann Beck, and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $160,774 to Anthony Slonim, $67,501 to Ann Beck, and $103,222 to Dawn Ahner are 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$15,195,000$151,351,816$1,319,162$150,032,654Yes (1)Yes (1)Yes (1)Yes (1)
B$10,280,000$165,241,485$1,426,291$163,815,1940Yes (1)Yes (1)Yes (1)
C$354,633,824$152,692,546Yes (1)00Yes (1)$673,367$17,582,763$183,685,148

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)
B0Yes (1)000000Yes (1)
C0Yes (1)Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (9 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) and to advance refund Series 2007A Bonds (issued 4/19/2007).
Schedule K, Part I, Bond Issue B, Column (f):Bonds were issued to advance refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010) and Series 2008AB/2008 Conversion Bonds (issued 6/23/2008).
Schedule K, Part I, Bond Issue C, Column (f):Bonds were issued to current refund Series 2004C/2010 Reissued Bonds (issued on 3/31/2010), Series 2008AB (issued on 6/26/2008), Series 2008 Conversion Bonds (issued on 6/23/2008), and Series 2009AB Bonds (issued on 11/15/2009) (collectively, the "Prior Bonds").
Schedule K, Part II, Columns A, B & C, Line 3:The difference between Part I, (e) and Part II, Line 3 is due to interest earnings on invested bond proceeds.
Schedule K, Part II, Columns A & B, Line 13:Since the proceeds of the Bonds are used for refunding purposes, the year of substantial completion is not applicable.
Schedule K, Part III, Columns A, B, & C, Line 7:As 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 2b:The 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 2c:The interim rebate report was performed on June 8, 2017.
Schedule K, Part IV, Column C, Line 2b:The 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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096Renown 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 are reported on line 7 of Part IX.
Form 990, Part VI, Section A, line 2Steven Johnson and Mark Knobel have a business relationship. Anthony Slonim, Ann Beck, and Dawn Ahner have a business relationship. All of the Trustees of the filing organization are also Trustees of related tax-exempt organization, Renown Health. The Trustees have a business relationship with the Renown Health officers: Anthony Slonim and Ann Beck.
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 2021 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 7,118,719. Management and general expenses 138,162. Fundraising expenses 0. Total expenses 7,256,881. Other Purchased Services: Program service expenses 5,204,111. Management and general expenses 4,414,506. Fundraising expenses 0. Total expenses 9,618,617. Laundry Service: Program service expenses 4,119,507. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,119,507. Medical Services: Program service expenses 62,006,149. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,006,149. Other Services: Program service expenses 5,246,190. Management and general expenses 2,941,447. Fundraising expenses 0. Total expenses 8,187,637. Med Equip Svc Agreements: Program service expenses 5,504,768. Management and general expenses 8,605. Fundraising expenses 0. Total expenses 5,513,373. Overhead Allocation: Program service expenses 0. Management and general expenses 136,346,498. Fundraising expenses 0. Total expenses 136,346,498. Medical Waste: Program service expenses 1,960,529. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,960,529. Bond Administration Services: Program service expenses 0. Management and general expenses 89,898. Fundraising expenses 0. Total expenses 89,898.
Form 990, Part XI, line 9:SWAP Mark to Market Adjustment 27,471,106. Intercompany Settlements 45,406,741. Net Asset Reclass 40,728.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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

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$60,104,507InvolvedAmt
Method Of Amount DeterminationGeneral LedgerMethodOfAmountDeterminationTxt