RENOWN REGIONAL MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: RENOWN REGIONAL MEDICAL CENTER (EIN 88-0213754)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-15
IRS object ID: 202041369349301044
Schema version: 2018v3.1
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	2020-05-15T09:23:16-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 Nicollet Mall Ste 1300	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554027033	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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 C/O 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	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Hunwardsen CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2020-05-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.147.181.49	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-15	IPDt
IP Tm	09:18:54	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	159D60DA7C19331A7948BEBC6B1067FF5545FF60	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5755687E6BF8D8D10BDE3B83E6631EF3D64C584D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Ann Beck	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	$901,878,776	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	497	TotalVolunteersCnt
Total Gross UBI	$36,725	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$32,235	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,019,719	PYContributionsGrantsAmt
CY Contributions Grants	$4,174,395	CYContributionsGrantsAmt
PY Program Service Revenue	$846,647,297	PYProgramServiceRevenueAmt
CY Program Service Revenue	$896,088,584	CYProgramServiceRevenueAmt
PY Investment Income	-$63,707	PYInvestmentIncomeAmt
CY Investment Income	$185,148	CYInvestmentIncomeAmt
PY Other Revenue	$876,619	PYOtherRevenueAmt
CY Other Revenue	$832,588	CYOtherRevenueAmt
PY Total Revenue	$850,479,928	PYTotalRevenueAmt
CY Total Revenue	$901,280,715	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,819,748	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,043,368	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$292,420,621	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$315,323,027	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$462,731,034	PYOtherExpensesAmt
CY Other Expenses	$504,513,241	CYOtherExpensesAmt
PY Total Expenses	$760,971,403	PYTotalExpensesAmt
CY Total Expenses	$824,879,636	CYTotalExpensesAmt
PY Revenues Less Expenses	$89,508,525	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$76,401,079	CYRevenuesLessExpensesAmt
Total Assets BOY	$758,017,408	TotalAssetsBOYAmt
Total Assets EOY	$769,643,633	TotalAssetsEOYAmt
Total Liabilities BOY	$520,371,172	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$540,001,802	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$237,646,236	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$229,641,831	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	$667,272,479	ExpenseAmt
Grant	$5,043,369	GrantAmt
Revenue	$896,088,584	RevenueAmt
Desc	See Schedule ORenown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in Nevada, northeastern California and the adjacent areas of Oregon and Idaho. 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 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. 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 Medical Center 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 Primary 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 818 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, 2019, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $158 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	$667,272,479	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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 (27 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Anthony Slonim
President/CEO	21.00	39.00	Yes (X)	Yes (X)	$0	$1,560,947	$184,005
James De Volld - Treas Vice
Chair (Jul-Dec)/Chair (Jan-Jun)	3.00	12.00	Yes (X)	Yes (X)	$0	$29,408	$0
G Blake Smith
Chair (Jul-Dec)/Director (Jan-Jun)	3.00	12.00	Yes (X)	Yes (X)	$0	$46,678	$0
Adam Kramer - Director
(Jul-Dec)/Vice Chair (Jan-Jun)	3.00	12.00	Yes (X)	Yes (X)	$0	$15,000	$0
Todd McKenzie
Director (Aug-Jun)/Treas (Jan-Jun)	3.00	15.00	Yes (X)	Yes (X)	$0	$12,917	$0
Kimberly Cooney
Secretary	3.00	12.00	Yes (X)	Yes (X)	$0	$24,000	$0
Michael Peterson
Director	3.00	12.00	Yes (X)		$0	$15,000	$0
Jeff Resnik
Director	3.00	12.00	Yes (X)		$0	$35,195	$0
Joanne Olson
Director	3.00	12.00	Yes (X)		$0	$24,000	$0
Alvaro Devia
Director	3.00	12.00	Yes (X)		$0	$28,974	$0
Christi Matteoni
Director	3.00	12.00	Yes (X)		$0	$15,000	$0
Steven Johnson
Director	3.00	12.00	Yes (X)		$0	$35,195	$0
Thomas Deveny
Director	3.00	12.00	Yes (X)		$0	$15,000	$0
Harvey Fennell
Director (Jan-Jun)	3.00	15.00	Yes (X)		$0	$10,918	$0
Tammy Dermody
Director (Jan-Jun)	3.00	12.00	Yes (X)		$0	$0	$0
Brian Loy
Director (Jul-Dec)	3.00	12.00	Yes (X)		$0	$27,065	$0
William Newberg
Director (Jul-Dec)	3.00	12.00	Yes (X)		$0	$24,121	$0
Bernie Carter
Director (Jul-Dec)	3.00	12.00	Yes (X)		$0	$25,391	$0
Richard Bostdorff
Director (Jul-Dec)	3.00	15.00	Yes (X)		$0	$24,000	$0
Hakeem Olanrewaju
Chief Financial Officer	30.00	30.00		Yes (X)	$0	$366,968	$14,776
Dawn Ahner
COO Acute Services	30.00	30.00			$0	$896,573	$128,435	Yes (X)
Paul Sierzenski
RH VP and CMO Acute Services	60.00	0.00			$607,912	$0	$23,738		Yes (X)
Erik Olson
RH VP & CEO Renown Regional	60.00	0.00			$467,601	$0	$31,055		Yes (X)
Lawrence Duncan
RH VP & Admin Children's Hospital	60.00	0.00			$364,421	$0	$31,559		Yes (X)
Jennifer Richards
Chief Nursing Officer Acute Services	60.00	0.00			$354,255	$0	$26,031		Yes (X)
Jo Duszkiewicz
VP & Admin of Institute for Cancer	60.00	0.00			$272,894	$0	$27,462		Yes (X)
Jeffery Stout
Former Highest Compensated	0.00	0.00			$350,826	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,417,909	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,232,350	TotReportableCompRltdOrgAmt
Total Other Compensation	$467,061	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	221	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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 Avenue Suite 200	Omaha	NE	68164	Healthcare Labor Services	$13,394,223
University of Nevada School of Medicine
Medical Bldg 0346	Reno	NV	895570346	Medical Services	$9,188,273
ARUP Laboratories Inc
PO Box 27964	Salt Lake City	UT	84127	Laboratory Services	$3,544,830
AYA Healthcare Inc
PO Box 123519	Dallas	TX	75312	Medical Services	$3,172,014
Waste Management
1001 Fannin Street	Houston	TX	77002	Waste Services	$3,119,937

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	100	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,174,395	RelatedOrganizationsAmt
Total Contributions	$4,174,395	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services	621500	$887,231,975	$887,231,975
Cafeteria	722210	$3,684,015	$3,684,015
Patient Prescriptions	621500	$3,147,803	$3,147,803
Laboratory Services	621511	$2,024,791	$1,990,591	$34,200

Field	Value	IRS element (for citing)
Total Program Service Revenue	$896,088,584	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,021	TotalRevenueColumnAmt
Exclusion	$72,021	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$861,237	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$308,065	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$553,172	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$553,172	TotalRevenueColumnAmt
Exclusion	$553,172	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$162,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$48,873	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$113,127	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,127	TotalRevenueColumnAmt
Exclusion	$113,127	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$518,014	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$241,123	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$276,891	TotalRevenueColumnAmt
Related Or Exempt Func Income	$276,891	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Clinical Engineering	Desc
Business	621999	BusinessCd
Total Revenue Column	$2,525	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,525	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,525	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$901,280,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$896,331,275	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$36,725	UnrelatedBusinessRevenueAmt
Exclusion	$738,320	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	$2,924,525	TotalAmt
Program Services	$2,924,525	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,118,843	TotalAmt
Program Services	$2,118,843	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$268,273,221	TotalAmt
Program Services	$265,044,893	ProgramServicesAmt
Management And General	$3,228,328	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$47,049,806	TotalAmt
Program Services	$46,426,155	ProgramServicesAmt
Management And General	$623,651	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$19,343	TotalAmt
Program Services	$19,343	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$92	TotalAmt
Program Services	$92	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$22,103	TotalAmt
Program Services	$22,103	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$196,962,775	TotalAmt
Program Services	$58,359,340	ProgramServicesAmt
Management And General	$138,603,435	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$19,590	TotalAmt
Program Services	$19,590	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,988,045	TotalAmt
Program Services	$11,258,893	ProgramServicesAmt
Management And General	$1,729,152	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,620,732	TotalAmt
Program Services	$2,112,885	ProgramServicesAmt
Management And General	$507,847	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,752,120	TotalAmt
Program Services	$7,567,949	ProgramServicesAmt
Management And General	$184,171	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$561,894	TotalAmt
Program Services	$550,384	ProgramServicesAmt
Management And General	$11,510	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$400,447	TotalAmt
Program Services	$308,817	ProgramServicesAmt
Management And General	$91,630	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,291,001	TotalAmt
Program Services	$17,179,056	ProgramServicesAmt
Management And General	$111,945	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,456,861	TotalAmt
Program Services	$16,981,171	ProgramServicesAmt
Management And General	$11,475,690	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$633,543	TotalAmt
Program Services	$18,683	ProgramServicesAmt
Management And General	$614,860	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$161,541,427	$161,541,427
UBIT Tax	$8,339	$8,339
Bad Debt	$73,670,995	$73,670,995
Miscellaneous	$1,143,411	$789,225	$354,186

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$420,523	TotalAmt
Program Services	$349,771	ProgramServicesAmt
Management And General	$70,752	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$824,879,636	TotalAmt
Program Services	$667,272,479	ProgramServicesAmt
Management And General	$157,607,157	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$74,040,278	BOYAmt
EOY	$59,453,965	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$125,567,727	BOYAmt
EOY	$131,962,336	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$26,253,693	BOYAmt
EOY	$26,760,930	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,905,344	BOYAmt
EOY	$3,134,394	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$835,498,955	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$496,024,505	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$348,214,989	BOYAmt
EOY	$339,474,450	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$181,034,577	BOYAmt
EOY	$208,856,758	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$758,017,408	BOYAmt
EOY	$769,643,633	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,074,872	BOYAmt
EOY	$41,866,706	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$417,657,743	BOYAmt
EOY	$407,845,714	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,638,557	BOYAmt
EOY	$90,289,382	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$520,371,172	BOYAmt
EOY	$540,001,802	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$237,646,236	BOYAmt
EOY	$229,641,831	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$237,646,236	BOYAmt
EOY	$229,641,831	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$758,017,408	BOYAmt
EOY	$769,643,633	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$76,401,079	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$84,405,484	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	$22,103	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$22,103	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	$538,025,485	OtherCostOrOtherBasisAmt
Depreciation	$273,173,057	DepreciationAmt
Book Value	$264,852,428	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,446,761	OtherCostOrOtherBasisAmt
Depreciation	$1,715,440	DepreciationAmt
Book Value	$1,731,321	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$273,497,505	OtherCostOrOtherBasisAmt
Depreciation	$221,136,008	DepreciationAmt
Book Value	$52,361,497	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,478,135	OtherCostOrOtherBasisAmt
Book Value	$7,478,135	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$339,474,450	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Other Receivables	$1,476,109
Due From Affiliates	$194,145,357
Debt Service Reserve	$13,163,250
Funds Held in Trust	$58,129
Other	$13,913

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$208,856,758	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Other Current Liabilities	$1,104,338
Interest Rate SWAP Liability	$45,769,531
Due to Affliates	$41,375,511
Third-Party Settlements	$2,040,002

Field	Value	IRS element (for citing)
Total Liability	$90,289,382	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	$7,966,248	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,966,248	NetCommunityBenefitExpnsAmt
Total Expense	0.01060	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,368,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,186,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,181,311	NetCommunityBenefitExpnsAmt
Total Expense	0.08680	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$155,334,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,186,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,147,559	NetCommunityBenefitExpnsAmt
Total Expense	0.09740	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,045,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,045,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,685,539	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,685,539	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,604,161	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,604,161	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,438,929	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,438,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,773,837	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,773,837	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,108,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,186,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,921,396	NetCommunityBenefitExpnsAmt
Total Expense	0.11980	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$73,670,995	BadDebtExpenseAmt
Reimbursed By Medicare	$180,706,738	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$186,777,919	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,071,181	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.washoecounty.us/health/data-publications-and-reports.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 FY19, Renown Health 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 Health funding expanded programming and services to Anderson Elementary School and Glenn Duncan STEM Academy. 83% of case-managed students made progress in behavior (goal was 75%). 78% of case-managed students made progress in academic scores and 100% of CIS site coordinators are now trained in Applied Suicide Intervention Skills Training (ASIST).Note-Able Music Therapy Services provides evidence-based music therapy in group and individual settings to people with chronic and acute health conditions, disabilities, and neurological disorders. Renown Health funded this project to expand services to individuals dealing with depression, chronic stress, and other mental health issues. Note-Able's partnered with four community organizations to provide ongoing music therapy groups to participants. Note-Able's held 205 sessions with 348 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 FY19, Renown Health 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 Health funding, LifeSkills curriculum was taught to 6 traditional high schools and 2 alternative high schools. 539 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 +0.08 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 +1.36.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 Health funding, Quest Increased the number of referrals received from Renown for substance use and mental health counseling and made treatment more accessible to clients. Quest opened a "Girls House" a residential option in Reno vs going out-of-state which allows their families to participate in treatment. 77% of Renown Grant clients demonstrated an improvement in at least two areas of their treatment plan. 54% clients successfully completed alcohol treatment. 73% clients each quarter, reduced alcohol consumption. 84% 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 - In FY19, Renown Health and Reno-Sparks Indian Colony have partnered to increase physical activity, improve nutrition, and reduce obesity among all populations.With funding from Renown Health, 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 inception, the program has grown to 16 households, serving from 1-7 adults and children in each household, to equal 41 food insecure individuals served weekly, 8 of the 16 primary household heads are in diabetes management. 7 of the 16 Pathways household participants have received regular transport to the gym to equal approximately 51 transports for exercise. Based on community demand, Renown Health 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. Healthy Concessions was offered at five sporting events and increased awareness of the benefits of healthy eating to over 8792 people. Primary Health Priority #4: Chronic Disease, Screenings - In FY19, Renown Medical Group 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. Renown Medical Groups see patients of all ages and coordinate medical care including checkups, immunizations, referrals to specialists, lab work, x-ray & imaging and hospital admissions. Renown Medical group has implemented the CDC-recognized National Diabetes Prevention Program (DPP). The DPP program currently holds CDC Pending Status and on track to obtain CDC-preliminary recognition. The program offered participants 18 sessions in the first six months and three monthly sessions have been completed this year. To date participants have lost over a hundred pounds or 3% of their total weight. The starting average number of activity minutes per week was 100 minutes and participants have been able to increase this amount to an average of 500 minutes per week. 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 Health funds assisted in the training of two trained lifestyle coaches. HOPES launched seven classes: four Spanish and three English, 234 referrals from providers, 100 patients enrolled, 67 participated, 41 patients actively participating. 25% of clients lost 5-7% of their body weight. 72% of clients exercised 150 minutes per week. 61% of clients retained and completed the entire program. It is in pending status and on track to obtain CDC-preliminary recognition.Nevada Tobacco Prevention Coalition and Renown Health 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 $73,670,995.
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 12 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 FY19 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 465,735 as of June 2018 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.4% male and 49.6% female. A quarter (21.9%) of the population is under the age of 18. 15.9% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown as of 2015: 62.6% Caucasian/White, 2.7% African American/Black, 6.5% Asian/Hawaiian or Pacific Islander, 2.2% American Indian and Alaska Native and 24.8% Hispanic/Latino.The Washoe County median household income was estimated to be $61,155 according to the US Census Bureau and 10.4% of Washoe County residents are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 3.4% as of June 2019, reflecting continual improvements. Since the passing of the Affordable Care Act (ACA) the number of uninsured have decreased dramatically. There exists, however, a shortage of health care providers.
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, northeastern California and the adjacent areas of Oregon and Idaho. 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 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. 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 Medical Center 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 Primary 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 818 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, 2019, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided more than $158 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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Renown Skilled Nursing
1155 Mill St Z-4	Reno	NV	89502	201347269	501 (c)(3)	$354,627	Patient Assistance
Renown Transitional Care Services
1155 Mill St Z-4	Reno	NV	89502	880231828	501 (c)(3)	$2,240,603	Patient Assistance
Renown South Meadows Medical Center
1155 Mill St Z-4	Reno	NV	89502	460517825	501 (c)(3)	$329,295	Patient Assistance

Field	Value	IRS element (for citing)
Total501c3 Org	3	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	1689	RecipientCnt
Cash Grant	$2,118,843	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	0	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	$1,006,488	$0	$550,373	$0	$4,086	$0	$162,674	$0	$21,332	$0	$1,744,953	$0	$0
Hakeem Olanrewaju
Chief Financial Officer	$0	$315,480	$0	$50,000	$0	$1,488	$0	$2,077	$0	$12,699	$0	$381,744	$0	$0
Dawn Ahner
COO Acute Services	$0	$645,073	$0	$240,658	$0	$10,842	$0	$108,380	$0	$22,122	$0	$1,027,075	$0	$0
Paul Sierzenski
RH VP and CMO Acute Services	$493,708	$0	$110,630	$0	$3,574	$0	$2,923	$0	$21,246	$0	$632,081	$0	$0	$0
Erik Olson
RH VP & CEO Renown Regional	$371,530	$0	$93,058	$0	$3,013	$0	$11,000	$0	$21,736	$0	$500,337	$0	$0	$0
Lawrence Duncan
RH VP & Admin Children's Hospital	$309,213	$0	$52,038	$0	$3,170	$0	$11,000	$0	$20,859	$0	$396,280	$0	$0	$0
Jennifer Richards
Chief Nursing Officer Acute Services	$280,636	$0	$70,003	$0	$3,616	$0	$11,000	$0	$15,031	$0	$380,286	$0	$0	$0
Jo Duszkiewicz
VP & Admin of Institute for Cancer	$223,984	$0	$41,605	$0	$7,305	$0	$9,569	$0	$18,336	$0	$300,799	$0	$0	$0
Jeffery Stout
Former Highest Compensated	$0	$0	$0	$0	$350,826	$0	$0	$0	$0	$0	$350,826	$0	$350,826	$0

Supplemental Information Detail SupplementalInformationDetail (2 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). Jeffrey Stout is party to a supplemental nonqualified retirement plan. Payments of $350,826 to Jeffrey Stout have been included in Schedule J, Part II, Column(B)(iii) and (F). Deferrals under the plan would have been included in benefits reported in column c during prior years when the individuals were included on Schedule J.

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	Refunded 2006A&B and Conversion of 2005A&B, 2004A and partial 2004C	Yes (1)	0	0
City of Reno Nevada
B	886000201	759836JE0	2009-01-15	$63,600,000	Refunded 2004B	0	0	0
City of Reno Nevada
C	886000201	759836JU4	2010-03-31	$48,028,335	Partial conversion of 2004C to fixed rate	Yes (1)	0	0
Public Finance Authority
D	273866124	74442CAX2	2015-06-03	$149,946,826	Refund Issues Dated 4/19/2007 and 11/8/2001	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	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	$46,400,000	$129,955,000	$260,935,965	$2,528,207	$1,952,211	$256,455,547	Yes (1)	0	Yes (1)	Yes (1)
B	$3,380,000		$63,600,000	$918,613	$369,398	$62,311,989	Yes (1)	0	Yes (1)	Yes (1)
C	$14,535,000	$22,240,000	$48,028,335	$566,802		$47,461,533	Yes (1)	0	Yes (1)	Yes (1)
D	$5,580,000		$149,946,826	$1,352,566		$148,594,260	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0.00070	0.00070	Yes (1)
B	Yes (1)	Yes (1)	0.00110	0.00110	Yes (1)
C	Yes (1)	Yes (1)	0.00110	0.00110	Yes (1)
D	Yes (1)	Yes (1)	0.00000	0.00000	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	0	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)	Yes (1)
C	0	Yes (1)	0	Yes (1)
D	0	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/23/2019 Issuer Name: City of Reno, Nevada Date the Rebate Computation was Performed: 06/01/2019 Issuer Name: Public Finance Authority Date the Rebate Computation was Performed: 06/03/2017
Form 990, Schedule K, Part I, Column C	The CUSIP numbers associated with the bond issue issued on 6/23/2008 are: 759836JC4 759836JB6 The CUSIP numbers associated with the bond issue issued on 1/15/2009 are: 759836JE0 759836JD2

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	Refunded 2004C(10) and 2008 Conversion of 2005AB, 2004A, and partial 2004C	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	$3,225,000	RetiredAmt
Total Proceeds	$162,793,319	TotalProceedsAmt
Refunding Escrow	$161,367,028	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,426,291	IssuanceCostsFromProceedsAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	0	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	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00090	PrivateBusUseByOthersPct
Total Private Business Use	0.00090	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	0	ExceptionToRebateInd
No Rebate Due	0	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 Brian Loy have a business relationship. Steven Johnson and G Blake Smith have a business relationship. Anthony Slonim, Dawn Ahner, and Hakeem Olanrewaju have a business relationship with each other and all of the members on the board.
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 aquisition 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 2019 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	Professional Fees: Program service expenses 27,403,371. Management and general expenses 16,636,169. Fundraising expenses 0. Total expenses 44,039,540. Repairs and Maintenance: Program service expenses 4,249,521. Management and general expenses 920. Fundraising expenses 0. Total expenses 4,250,441. Other Purchased Services: Program service expenses 1,907,538. Management and general expenses 732,716. Fundraising expenses 0. Total expenses 2,640,254. Laundry Service: Program service expenses 2,865,149. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,865,149. Medical Services: Program service expenses 8,589,036. Management and general expenses -1,469. Fundraising expenses 0. Total expenses 8,587,567. Other Services: Program service expenses 5,787,261. Management and general expenses 1,439,010. Fundraising expenses 0. Total expenses 7,226,271. Med Equip Svc Agreements: Program service expenses 4,626,313. Management and general expenses 24,028. Fundraising expenses 0. Total expenses 4,650,341. Overhead Allocation: Program service expenses 0. Management and general expenses 119,429,331. Fundraising expenses 0. Total expenses 119,429,331. Medical Waste: Program service expenses 2,931,151. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,931,151. Bond Administration Services: Program service expenses 0. Management and general expenses 342,730. Fundraising expenses 0. Total expenses 342,730.
Form 990, Part XI, line 9:	SWAP Mark to Market Adjustment -11,778,416. Intercompany Settlements -72,627,068.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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)	III-FI	N/A	0
Renown Health Foundation
1155 Mill St Z-4	Reno	NV	89502	942972749	Foundation	NV	501 (c) (3)	7		0	Renown Health
Renown South Meadows Medical Center
1155 Mill St Z-4	Reno	NV	89502	460517825	Hospital	NV	501 (c) (3)	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 Skilled Nursing
1155 Mill St Z-4	Reno	NV	89502	201347269	Nursing Facility	NV	501 (c) (3)	10		0	Renown Health
Renown Transitional Care Services
1155 Mill St Z-4	Reno	NV	89502	880231828	Pregnancy Center	NV	501 (c) (3)	3		0	Renown Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Routt Dialysis LLC	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)
EIN	263558729	EIN
Primary Activities	Kidney Dialysis	PrimaryActivitiesTxt
Legal Domicile State	NV	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd

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	Yes (1)	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	$59,984,433	InvolvedAmt
Method Of Amount Determination	General Ledger	MethodOfAmountDeterminationTxt