RENOWN REGIONAL MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: RENOWN REGIONAL MEDICAL CENTER (EIN 88-0213754)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202121349349302772
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-14T10:15:50-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Moss Adams LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2882 Prospect Park Dr Ste 300	AddressLine1Txt
City	Rancho Cordova	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95670	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	880213754	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Renown Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RENO	BusinessNameControlTxt
Phone	7759826488	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1155 Mill St CO Tax Treasury Z-4	AddressLine1Txt
City	Reno	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89502	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Ann Beck	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	7759826488	PhoneNum
Signature	2021-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Tracy S Paglia	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	9165038100	PhoneNum
Preparation	2021-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Anthony Slonim	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1155 Mill St C/O Tax Treasury Z-4	AddressLine1Txt
City	Reno	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89502	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$919,297,459	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.renown.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	NV	LegalDomicileStateCd
Activity Or Mission	An 808 bed acute-care hospital and the region's only Level II trauma center.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	270	TotalVolunteersCnt
Total Gross UBI	$48,199	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$43,222	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,174,395	PYContributionsGrantsAmt
CY Contributions Grants	$18,570,182	CYContributionsGrantsAmt
PY Program Service Revenue	$896,088,584	PYProgramServiceRevenueAmt
CY Program Service Revenue	$898,998,098	CYProgramServiceRevenueAmt
PY Investment Income	$185,148	PYInvestmentIncomeAmt
CY Investment Income	-$79,134	CYInvestmentIncomeAmt
PY Other Revenue	$832,588	PYOtherRevenueAmt
CY Other Revenue	$747,814	CYOtherRevenueAmt
PY Total Revenue	$901,280,715	PYTotalRevenueAmt
CY Total Revenue	$918,236,960	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,043,368	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,860,460	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$315,323,027	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$328,135,500	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$504,513,241	PYOtherExpensesAmt
CY Other Expenses	$546,219,062	CYOtherExpensesAmt
PY Total Expenses	$824,879,636	PYTotalExpensesAmt
CY Total Expenses	$878,215,022	CYTotalExpensesAmt
PY Revenues Less Expenses	$76,401,079	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,021,938	CYRevenuesLessExpensesAmt
Total Assets BOY	$769,643,633	TotalAssetsBOYAmt
Total Assets EOY	$920,238,119	TotalAssetsEOYAmt
Total Liabilities BOY	$540,001,802	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$712,581,205	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$229,641,831	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$207,656,914	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Renown Health makes a genuine difference in the health and well-being of the people and communities we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$720,626,902	ExpenseAmt
Grant	$3,860,460	GrantAmt
Revenue	$899,160,912	RevenueAmt
Desc	See 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, 2020, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $195 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 www.renown.org/about-us/community.	Desc
Total Program Service Expenses	$720,626,902	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ann Beck	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7759826488	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1155 MILL ST Z-4	AddressLine1Txt
City	Reno	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89502	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Anthony Slonim
President/CEO	21.00	39.00	Yes (X)	Yes (X)	$0	$1,677,161	$185,058
Dawn Ahner
Chief Operating Officer	30.00	30.00			$0	$852,040	$129,506	Yes (X)
Paul Sierzenski
RH VP & CMO Acute Services	60.00	0.00			$570,214	$0	$33,213		Yes (X)
Hakeem Olanrewaju Jul-Oct
Chief Financial Officer	30.00	30.00		Yes (X)	$0	$512,829	$28,638
Erik Olson
RH VP & CEO Renown Regional	60.00	0.00			$453,465	$0	$32,126		Yes (X)
Lawrence Duncan
RH VP & Admin Children's Hospital	60.00	0.00			$361,134	$0	$33,134		Yes (X)
Jennifer Richards
Chief Nursing Officer Acute Services	60.00	0.00			$357,924	$0	$27,542		Yes (X)
Ann Beck Dec-Jun
Chief Financial Officer	30.00	30.00		Yes (X)	$0	$275,617	$20,667
John Zullo
Director of Physics	60.00	0.00			$251,472	$0	$33,400		Yes (X)
James DeVolld
Chair	3.00	9.00	Yes (X)	Yes (X)	$0	$42,177	$0
Alvaro Devia
Director	3.00	9.00	Yes (X)		$0	$28,397	$0
G Blake Smith
Director	3.00	9.00	Yes (X)		$0	$26,339	$0
Kimberly Cooney
Secretary	3.00	9.00	Yes (X)	Yes (X)	$0	$24,000	$0
Todd McKenzie
Treasurer	3.00	9.00	Yes (X)	Yes (X)	$0	$24,000	$0
Harvey Fennell
Director	3.00	12.00	Yes (X)		$0	$24,000	$0
Steven Johnson
Director	3.00	9.00	Yes (X)		$0	$24,000	$0
Joanne Olson
Director	3.00	9.00	Yes (X)		$0	$24,000	$0
Jeff Resnik
Director	3.00	9.00	Yes (X)		$0	$24,000	$0
Adam Kramer
Vice Chair	3.00	9.00	Yes (X)	Yes (X)	$0	$15,000	$0
Tammy Dermody
Director	3.00	9.00	Yes (X)		$0	$15,000	$0
Thomas Deveny
Director	3.00	9.00	Yes (X)		$0	$15,000	$0
Christi Matteoni
Director	3.00	9.00	Yes (X)		$0	$15,000	$0
Michael Peterson
Director	3.00	9.00	Yes (X)		$0	$15,000	$0
Mark Knobel Jan-Jun
Director	3.00	9.00	Yes (X)		$0	$5,000	$0
Marc Mora Jan-Jun
Director	3.00	9.00	Yes (X)		$0	$5,000	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,994,209	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,643,560	TotReportableCompRltdOrgAmt
Total Other Compensation	$523,284	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	280	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medefis Inc
2121 North 117th Ave Suite 200	Omaha	NE	68164	Healthcare Labor Services	$42,827,826
University of Nevada School of Medicine
Medical Bldg 0346	Reno	NV	895570346	Medical Services	$9,273,077
ARUP Laboratories Inc
PO Box 27964	Salt Lake City	UT	84127	Laboratory Services	$3,827,395
Waste Management
1001 Fannin St	Houston	TX	77002	Waste Services	$3,606,164
Aramark Uniform & Career
1419 National Dr	Sacramento	CA	95834	Uniform Services	$3,255,339

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,591,626	RelatedOrganizationsAmt
Government Grants	$16,932,946	GovernmentGrantsAmt
All Other Contributions	$45,610	AllOtherContributionsAmt
Total Contributions	$18,570,182	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services	621500	$888,293,281	$888,293,281
Patient Prescriptions	621500	$5,426,694	$5,426,694
Cafeteria	722210	$3,360,031		$3,360,031
Laboratory Services	621511	$1,918,092	$1,882,969		$35,123

Field	Value	IRS element (for citing)
Total Program Service Revenue	$898,998,098	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,175	TotalRevenueColumnAmt
Exclusion	$49,175	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$879,441	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$294,441	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$585,000	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$585,000	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,076	UnrelatedBusinessRevenueAmt
Exclusion	$571,924	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$482,836	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$611,145	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$128,309	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$128,309	TotalRevenueColumnAmt
Exclusion	-$128,309	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$317,727	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$154,913	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$162,814	TotalRevenueColumnAmt
Related Or Exempt Func Income	$162,814	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$918,236,960	TotalRevenueColumnAmt
Related Or Exempt Func Income	$895,765,758	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$48,199	UnrelatedBusinessRevenueAmt
Exclusion	$3,852,821	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,513,727	TotalAmt
Program Services	$2,513,727	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,346,733	TotalAmt
Program Services	$1,346,733	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$276,407,118	TotalAmt
Program Services	$272,400,286	ProgramServicesAmt
Management And General	$4,006,832	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$51,728,382	TotalAmt
Program Services	$50,904,046	ProgramServicesAmt
Management And General	$824,336	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$22,156	TotalAmt
Program Services	$22,156	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$109	TotalAmt
Program Services	$109	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$37,965	TotalAmt
Program Services	$37,965	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$225,837,374	TotalAmt
Program Services	$92,078,471	ProgramServicesAmt
Management And General	$133,758,903	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,285	TotalAmt
Program Services	$1,285	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,868,079	TotalAmt
Program Services	$13,459,666	ProgramServicesAmt
Management And General	$1,408,413	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,023,215	TotalAmt
Program Services	$1,535,460	ProgramServicesAmt
Management And General	$487,755	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,350,291	TotalAmt
Program Services	$7,267,288	ProgramServicesAmt
Management And General	$83,003	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$481,423	TotalAmt
Program Services	$435,648	ProgramServicesAmt
Management And General	$45,775	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$243,651	TotalAmt
Program Services	$225,951	ProgramServicesAmt
Management And General	$17,700	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,075,458	TotalAmt
Program Services	$16,307,521	ProgramServicesAmt
Management And General	$767,937	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,238,376	TotalAmt
Program Services	$18,259,586	ProgramServicesAmt
Management And General	$10,978,790	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$692,865	TotalAmt
Program Services	$13,111	ProgramServicesAmt
Management And General	$679,754	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$165,524,199	$165,524,199
Bad Debt	$76,708,689	$76,708,689
Licenses and Taxes	$764,232	$679,838	$84,394
UBIT Tax	$6,769	$6,769

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,342,926	TotalAmt
Program Services	$898,398	ProgramServicesAmt
Management And General	$4,444,528	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$878,215,022	TotalAmt
Program Services	$720,626,902	ProgramServicesAmt
Management And General	$157,588,120	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$800	BOYAmt
EOY	$600	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$59,453,965	BOYAmt
EOY	$102,414,577	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$131,962,336	BOYAmt
EOY	$123,862,272	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$26,760,930	BOYAmt
EOY	$27,682,145	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,134,394	BOYAmt
EOY	$3,479,954	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$863,368,986	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$507,799,814	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$339,474,450	BOYAmt
EOY	$355,569,172	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$208,856,758	BOYAmt
EOY	$307,229,399	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$769,643,633	BOYAmt
EOY	$920,238,119	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,866,706	BOYAmt
EOY	$38,786,080	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$407,845,714	BOYAmt
EOY	$397,491,497	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$90,289,382	BOYAmt
EOY	$276,303,628	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$540,001,802	BOYAmt
EOY	$712,581,205	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,641,831	BOYAmt
EOY	$207,656,914	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$229,641,831	BOYAmt
EOY	$207,656,914	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$769,643,633	BOYAmt
EOY	$920,238,119	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$40,021,938	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$62,006,855	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$37,965	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$37,965	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1f	FormAndLineReferenceDesc
Explanation	Payments are made to American Hospital Association and Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$539,555,384	OtherCostOrOtherBasisAmt
Depreciation	$286,271,721	DepreciationAmt
Book Value	$253,283,663	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,350,915	OtherCostOrOtherBasisAmt
Depreciation	$1,922,090	DepreciationAmt
Book Value	$1,428,825	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$277,788,759	OtherCostOrOtherBasisAmt
Depreciation	$219,606,003	DepreciationAmt
Book Value	$58,182,756	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,622,859	OtherCostOrOtherBasisAmt
Book Value	$29,622,859	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$355,569,172	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Other Receivables	$3,844,457
Due From Affiliates	$276,798,122
Debt Service Reserve	$21,433,250
Funds Held in Trust	$18,114
Other	$5,135,456

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$307,229,399	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Interest Rate SWAP Liability	$63,402,002
Due to Affliates	$147,096,628
Other Liabilities	$7,979,271
Third Party Settlements	$57,825,727

Field	Value	IRS element (for citing)
Total Liability	$276,303,628	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	Renown 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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	0	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,423,842	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,423,842	NetCommunityBenefitExpnsAmt
Total Expense	0.01180	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158,540,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,238,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,301,557	NetCommunityBenefitExpnsAmt
Total Expense	0.09770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,964,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,238,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,725,399	NetCommunityBenefitExpnsAmt
Total Expense	0.10950	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,861,059	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,861,059	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,504,558	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,504,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,513,727	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,513,727	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,405,736	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,405,736	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,285,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,285,080	NetCommunityBenefitExpnsAmt
Total Expense	0.02030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,249,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,238,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,010,479	NetCommunityBenefitExpnsAmt
Total Expense	0.12980	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$76,708,689	BadDebtExpenseAmt
Reimbursed By Medicare	$165,556,745	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$188,493,845	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,937,100	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Renown Regional Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1155 Mill St Z-4	AddressLine1Txt
City	Reno	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89502	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.renown.org	WebsiteAddressTxt
State License	0669-HOS	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Renown Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.renown.org/about-us/community	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	https://www.https://www.washoecounty.us/health/index.php	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.renown.org/about-us/community	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Renown Regional Medical Center	Part V, Section B, Line 5: Renown used validated and reliable data sources, results from an online survey of 1,400 residents, input from local subject matter experts and feedback from over 80 leaders and stakeholders who participated in a community workshop.
Renown Regional Medical Center	Part V, Section B, Line 6a: Renown South Meadows Medical Center and Renown Rehabiliation Hospital
Renown Regional Medical Center	Part V, Section B, Line 6b: Washoe County Health District
Renown Regional Medical Center	Part V, Section B, Line 11: Primary Health Priority #1: Mental Health - In FY20, Renown partnered with Communities in Schools and Note-Able Music Therapy Services to reduce depression and suicide among all populations, with a focus on youth.Communities in Schools (CIS) is a national program that operates in local school districts to send staff into schools to link students with services needed for academic achievement. Renown funding expanded programming and services to Desert Skies Middle School, Juniper Elementary School and Traner Middle School. One goal was to have at least 75% improvement in behavior goals, whereas 78% of our case-managed students showed improvement. Another goal was to have at least 75% improvement in academic goals, whereas 91% of case-managed students showed improvement.Note-Able Music Therapy Services (NMTS) provides evidence-based music therapy in group and individual settings to people with chronic and acute health conditions, disabilities, and neurological disorders. Renown funded this project to expand services to individuals dealing with depression, chronic stress, and other mental health issues. NMTS partnered with four community organizations to provide ongoing music therapy groups to participants. NMTS held 198 sessions with 255 unique individuals served. In these sessions participants reported an increase in subjective well-being; a decreased in self-reported level of depression from baseline; a decrease in anxiety scores from baseline; and an improvement in social connectedness (measured as loneliness) scores from baseline.Primary Health Priority #2: Substance Use - In FY20, Renown with Join Together Northern Nevada and Quest Counseling & Consulting provided substance prevention services and education to youth and young adults.Join Together Northern Nevada (JTNN) serves residents in Washoe County to promote substance use awareness, education, and prevention. JTNN is collaborating with the Washoe County School District to implement the evidence-based programming, LifeSkills Training in middle schools. With Renown funding, LifeSkills curriculum was taught to 6 traditional high schools and 2 alternative high schools. 541 students matched by pre/posttest. Students self-reported an average point change of +0.30 increase in knowledge of the impact of media influence; an average point change of +0.80 increase in knowledge of the impact of substance use on physical, mental, and emotional health; and an improvement of self-reported awareness of coping mechanisms, conflict resolution, stress, and anger management skills of +3.495.Quest Counseling & Consulting offers residential and outpatient services to individuals dealing with substance use and mental health issues. Services include comprehensive assessments and screenings, drug testing, crisis intervention and trauma-informed services. Licensed substance abuse and mental health counselors help clients recover from substance use or addiction and neglect of unmet mental health needs. With Renown funding, Quest Increased the number of referrals received from Renown for substance use and mental health counseling and made treatment more accessible to clients. 80% of Renown grant clients demonstrated an improvement in at least two areas of their treatment plan. 61% clients successfully completed alcohol treatment. 73% clients each quarter, reduced alcohol consumption. 85% clients had a reduction in depressive symptoms. 74% clients reported suicidality, 40% had a reduction in symptoms within six months.Primary Health Priority #3: Physical Activity, Nutrition, Weight Physical Activity, Nutrition & Weight - In FY20, Renown and Reno-Sparks Indian Colony have partnered to increase physical activity, improve nutrition, and reduce obesity among all populations.With funding from Renown, Reno-Sparks Indian Colony created the Pathways to Health program. This program aims to reduce barriers to nutrition and physical activity by bringing fresh produce to families of enrolled members and providing free transportation to exercise programs at the Reno-Sparks Tribal Health Center. Since program kickoff in 2018, the Pathways program served 23 households and a total of 56 individuals; household size ranged from one to seven individuals. At the end of the first six-month period, the program was serving 17 households. At end-of-the-program reporting period, the Pathways program serves 20 households of 52 individuals ranging from ages 5-77 years old. Based on community demand, Renown and Washoe County Health District are working to bring fresh, healthy food to sports settings. This is providing athletes, employees and fans the option to choose a healthy snack while they watch sporting events. Renown offers grants to nonprofit youth sports organizations to purchase and offers nutritionist-approved items such as fresh fruit and healthy snack and meal options under 500 calories. Healthy Concessions goals are to increase the number of events where Healthy Concessions items are offered by 10% each year and increase awareness of the benefits of healthy eating among sporting event attendees. Primary Health Priority #4: Chronic Disease, Screenings - In FY20, Renown and Northern Nevada HOPES addressed diabetes screening and prevention by implementing the National Diabetes Prevention Program. In addition, Nevada Tobacco Prevention Coalition was identified as a community partner to address risk factors associated with asthma. It specifically addressed exposure to second-hand smoke. Northern Nevada HOPES is a community health center for medically underserved populations including uninsured patients Medicare, Medicaid, some private insurers and sliding fee scale. HOPES offers integrated medical care and wellness services including adult and pediatric primary care, HIV and Hep C care, adult psychiatry, chronic disease management, wellness and nutrition, behavioral health counseling, substance use counseling, case management, a pharmacy, and more. Renown funds assisted in the training of four trained lifestyle coaches. HOPES launched 13 classes: eight Spanish and five English, 414 referrals from providers, 146 patients enrolled, 92 participated, 47 completed the program. 32% of clients lost 5-7% of their body weight, with an average weight loss of 2.81%. 73% of clients exercised 150 minutes per week and on average patients exercise 110 minutes. 63% of patients participated in at least 3 classes and 51% of those patients completed the program. We received full program recognition.Nevada Tobacco Prevention Coalition and Renown introduced this policy-based initiative to decrease exposure to second-hand tobacco smoke and reduce the prevalence of the negative health outcomes associated with tobacco smoke. This project has engaged and assisted local businesses in Washoe County to support and voluntarily adopt smoke-free workplace policies and will introduce a smoke-free workplace ordinance in a city or county municipality. To date, Nevada Tobacco Prevention Coalition conducted an economic impact study of comprehensive clean indoor air in Northern Nevada workplaces and assessed current attitudes regarding smoke-free workplaces.Identified Needs Not Being Addressed - We believe our plan will allow us to start addressing some of the most pressing health needs in our community, but we recognize that we will not be able to tackle every issue we would like. The five issues that will not be addressed are crime and violent-related behaviors, injury prevention, maternal and child health, environmental health, sexual health and infectious disease and immunizations. Most of these topics didn't rank among the top two-thirds of the 12 ranked health needs. Although these important health needs weren't funded by Renown Community Benefits in this current plan, we encourage other community partners who may be better suited to address these topics to fund and guide evidence-based programs in these areas.
Renown Regional Medical Center	Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. All patients are expected to make a financial contribution towards their bill and are subject to pay at least a minimal co-payment so technically no free care is provided.
Renown Regional Medical Center	Part V, Section B, Line 16j: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor.
Renown Regional Medical Center	Part V, Section B, Line 20e: On every itemized bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor.
Renown Regional Medical Center	Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility.
Schedule H, Part V, Line 16a, 16b, 16c	www.renown.org/interact/bill-pay-accepted-insurance/financial-assistance-program/

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Renown Health Home Care
3935 S McCarran Blvd	Reno	NV	89502	Home Care
2 - Renown Hospice Care
85 Kirman Ave Ste LL1	Reno	NV	89502	Hospice Care

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $76,708,689.
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 FY20 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/about-us/community.
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 471,519 as of June 2019 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 10.7% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 8.7% as of June 2020 due to the national pandemic.
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, 2020, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $195 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 www.renown.org/about-us/community.
Part VI, Line 7, Reports Filed With States	NV

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Renown Transitional Care Services
1155 Mill St Z-4	Reno	NV	89502	880231828	501(c)(3)	$2,445,802	Patient Assistance
Renown South Meadows Medical Center
1155 Mill St Z-4	Reno	NV	89502	460517825	501(c)(3)	$67,925	Patient Assistance

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Patient Assistance	GrantTypeTxt
Recipient	2649	RecipientCnt
Cash Grant	$1,346,733	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Assistance 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anthony Slonim
President/CEO	$0	$1,016,663	$0	$654,463	$0	$6,035	$0	$162,874	$0	$22,185	$0	$1,862,220	$0	$0
Dawn Ahner
Chief Operating Officer	$0	$651,538	$0	$194,760	$0	$5,742	$0	$108,580	$0	$22,992	$0	$983,612	$0	$0
Paul Sierzenski
RH VP & CMO Acute Services	$456,654	$0	$95,002	$0	$18,558	$0	$9,500	$0	$25,779	$0	$605,493	$0	$0	$0
Hakeem Olanrewaju Jul-Oct
Chief Financial Officer	$0	$375,235	$0	$135,002	$0	$2,592	$0	$11,200	$0	$17,438	$0	$541,467	$0	$0
Erik Olson
RH VP & CEO Renown Regional	$375,165	$0	$75,320	$0	$2,980	$0	$11,200	$0	$22,619	$0	$487,284	$0	$0	$0
Lawrence Duncan
RH VP & Admin Children's Hospital	$312,430	$0	$41,990	$0	$6,714	$0	$11,200	$0	$23,353	$0	$395,687	$0	$0	$0
Jennifer Richards
Chief Nursing Officer Acute Services	$294,558	$0	$60,000	$0	$3,366	$0	$11,200	$0	$16,342	$0	$385,466	$0	$0	$0
Ann Beck Dec-Jun
Chief Financial Officer	$0	$260,497	$0	$13,326	$0	$1,794	$0	$4,972	$0	$16,138	$0	$296,727	$0	$0
John Zullo
Director of Physics	$243,856	$0	$0	$0	$7,616	$0	$10,369	$0	$23,474	$0	$285,315	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	Renown 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 4b	Anthony Slonim and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contributions of $151,674 to Anthony Slonim and $97,380 to Dawn Ahner are included in Schedule J, Part II, Column (C).
Part I, Line 7	In accordance with Renown Health's Senior Leadership Incentive Plan's provisions, a discretionary one-time bonus in 2019 was approved by the Executive Committee for the President/CEO, Anthony Slonim, for exceptional performance.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
City of Reno Nevada
A	886000201	759836JC4	2008-06-26	$260,935,965	See Part IV	Yes (1)	0	0
City of Reno Nevada
B	886000201	759836JE0	2009-01-15	$63,600,000	Refund Series 2004B Bonds	0	0	0
City of Reno Nevada
C	886000201	759836JU4	2010-03-31	$48,028,335	Convert remaining Series 2004C Bonds to Fixed Rate	Yes (1)	0	0
Public Finance Authority
D	273866124	74442CAX2	2015-06-03	$149,946,826	See Part IV	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$173,560,000	$261,010,587	$4,846,564	$3,429,228	$1,000,956	$256,580,404	Yes (1)	0	Yes (1)	Yes (1)
B	$3,480,000	$63,600,395		$672,051	$369,398	$62,558,946	Yes (1)	0	Yes (1)	Yes (1)
C	$36,775,000	$48,028,335	$1,913,775	$566,802		$47,461,533	Yes (1)	0	Yes (1)	Yes (1)
D	$10,265,000	$151,351,816		$1,319,162		$150,032,654	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	0	Yes (1)
D	Yes (1)	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (c), Entity 1	The CUSIP numbers associated with the Bond Issue A are: 759836JC4 759836JB6 The CUSIP numbers associated with the Bond Issue B are: 759836JE0 759836JD2
Schedule K, Part I, Bond Issue A, Column (f), Entity 1	Refund Series 2006 and Convert Series 2005, 2004A and partial 2004C Bond
Schedule K, Part I, Bond Issue D, Column (f), Entity 1	Refund Series 2001A Bonds and Advance Refund Series 2007A Bonds
Schedule K, Part I, Bond Issue A, Column (f), Entity 2	Advance Refund Series 2004C (2010) and Refund Series 2005, 2004A and 2004C (Converted in 2008)
Schedule K, Part II, Columns A, B & D, Line 3, Entity 1 & 2	The difference between Part II, Line 3 and Part I (e) is due to interest earned on invested proceeds.
Schedule K, Part II, Columns A & C, Line 4, Entity 1	The Debt Service Reserve Fund was funded by proceeds of the Reissued Bonds.
Schedule K, Part II, Column D, Line 13, Entity 1	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 & D, Line 7, Entity 1 & 2	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, Entity 1	The current refunding portion of the Bonds has met the 6-month exception to rebate.
Schedule K, Part IV, Column B & C, Line 2b, Entity 1	The Bonds met the 6-month exception to rebate.
Schedule K, Part IV, Column D, Line 2b, Entity 1	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 2b, Entity 2	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, Entity 1	The rebate computation was performed on June 23, 2020.
Schedule K, Part IV, Column B, Line 2c, Entity 1	The rebate computation was performed on March 1, 2010.
Schedule K, Part IV, Column C, Line 2c, Entity 1	The rebate computation was performed on June 1, 2020.
Schedule K, Part IV, Column D, Line 2c, Entity 1	The interim rebate computation was performed on June 8, 2017.
Schedule K, Part IV, Column A, Line 2c, Entity 2	The rebate computation was performed on June 1, 2020.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Public Finance Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	273866124	BondIssuerEIN
CUSIP	74442CBS2	CUSIPNum
Bond Issued	2016-07-27	BondIssuedDt
Issue Price	$162,793,319	IssuePriceAmt
Purpose	See Part IV	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,450,000	RetiredAmt
Total Proceeds	$165,241,485	TotalProceedsAmt
Issuance Costs From Proceeds	$1,426,291	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$163,815,194	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 are reported on line 7 of Part IX.
Form 990, Part VI, Section A, line 2	Steven Johnson and Marc Knobel have a business relationship. Anthony Slonim and Dawn Ahner has a business relationship with Ann Beck and Hakeem Olanrewaju. 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, Ann Beck, and Hakeem Olanrewaju.
Form 990, Part VI, Section A, line 6	Renown Health is the sole corporate member of Renown Regional Medical Center.
Form 990, Part VI, Section A, line 7a	Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional Medical Center.
Form 990, Part VI, Section A, line 7b	Renown Health must approve: 1) any changes of a strategic plan 2) selection of independent auditors, employee benefit consultants, legal counsel, and investment advisors 3) insurance and risk management programs 4) annual operating or capital budgets 5) material changes to the budget 6) investment policies 7) 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 8b	There was no committee during the year that had the broad authority to act on behalf of the board.
Form 990, Part VI, Section B, line 11b	The Form 990 is prepared by the organization's tax department with support from a certified tax preparer. The form is reviewed by the organization's current VP of Finance 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 12c	On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown 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 15a	Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health executive committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the fiscal year 2020 executive compensation.
Form 990, Part VI, Section C, line 19	Renown 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 11g	Repairs and Maintenance: Program service expenses 11,296,393. Management and general expenses 856. Fundraising expenses 0. Total expenses 11,297,249. Other Purchased Services: Program service expenses 3,322,034. Management and general expenses 933,992. Fundraising expenses 0. Total expenses 4,256,026. Laundry Service: Program service expenses 3,499,048. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,499,048. Medical Services: Program service expenses 62,197,651. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,197,651. Other Services: Program service expenses 4,014,512. Management and general expenses 3,133,063. Fundraising expenses 0. Total expenses 7,147,575. Med Equip Svc Agreements: Program service expenses 5,234,836. Management and general expenses 124,918. Fundraising expenses 0. Total expenses 5,359,754. Overhead Allocation: Program service expenses 0. Management and general expenses 129,382,884. Fundraising expenses 0. Total expenses 129,382,884. Medical Waste: Program service expenses 2,513,997. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,513,997. Bond Administration Services: Program service expenses 0. Management and general expenses 183,190. Fundraising expenses 0. Total expenses 183,190.
Form 990, Part XI, line 9:	SWAP Mark to Market Adjustment -17,632,471. Intercompany Settlements -44,374,384.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Renown Health
1155 Mill St Z-4	Reno	NV	89502	942972845	Health Care	NV	501(c)(3)	Line 12c, III-FI	N/A	0
Renown Health Foundation
1155 Mill St Z-4	Reno	NV	89502	942972749	Foundation	NV	501(c)(3)	Line 7		0	Renown Health
Renown South Meadows Medical Center
1155 Mill St Z-4	Reno	NV	89502	460517825	Hospital	NV	501(c)(3)	Line 3		0	Renown Health
Hometown Health Plan Inc
1155 Mill St Z-4	Reno	NV	89502	880231433	HMO	NV	501(c)(4)			0	Renown Health
Renown Transitional Care Services
1155 Mill St Z-4	Reno	NV	89502	880231828	Pregnancy Center	NV	501(c)(3)	Line 3		0	Renown Health

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Renown Businesses
1155 Mill St Z-4	Reno	NV	89502	880228030	Health Care	NV	N/A	C	0
Hometown Health Management Company
1155 Mill St Z-4	Reno	NV	89502	880236758	Management Services	NV	N/A	C	0
Hometown Health Providers Insurance Company
1155 Mill St Z-4	Reno	NV	89502	880177026	Insurance	NV	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Hometown Health Plan Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	L	TransactionTypeTxt
Involved	$55,455,721	InvolvedAmt
Method Of Amount Determination	General Ledger	MethodOfAmountDeterminationTxt