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      <SupportedOrgInformationGrp>
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          <BusinessNameLine1Txt>Hometown Health Plan Inc</BusinessNameLine1Txt>
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        <OtherSupportAmt>2322380</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Renown Transitional Care Services</BusinessNameLine1Txt>
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        <GoverningDocumentListedInd>0</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>473606</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Renown South Meadows Medical Center</BusinessNameLine1Txt>
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        <GoverningDocumentListedInd>0</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>14915429</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Renown Skilled Nursing</BusinessNameLine1Txt>
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        <GoverningDocumentListedInd>0</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>342077</OtherSupportAmt>
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      <SupportedOrganizationsTotalCnt>6</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>109598522</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>0</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>0</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>0</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>0</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
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        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
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        <Contribution35ControlledInd>0</Contribution35ControlledInd>
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      <Form990SchAType3FuncIntGrp>
        <ParentSupportedOrgInd>X</ParentSupportedOrgInd>
        <AppointElectMajorityOfficerInd>1</AppointElectMajorityOfficerInd>
        <ExerciseDirectionPoliciesInd>1</ExerciseDirectionPoliciesInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I, Line 11g, Column vi:</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health provides centralized management, control, oversight, and other support services for the supported organizations. Amounts reported here are for the allocation of the following services: Administration and payroll for all employees, information resource systems &amp; support, purchasing and procurement of supplies, marketing and communication services, accounting, billing and collection services, insurance and legal services.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>None of the six supported organizations are listed by name in the governing documents. All six of the supported organizations have a historic and continuing relationship with Renown Health. Renown Health is the parent organization within the health system and provides centralized management, control, oversight, and other support services for the system. As the health system has grown, additional entities have been formed to carry out the overall tax-exempt purpose of making a genuine difference in the health and well-being of the people and communities the system serves. Renown Health controls all supported organizations through its power as the sole member to appoint and remove members of the governing body of each supported organization.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hometown Health Plan is tax-exempt under IRC Section 501(c)(4) and operates a health maintenance organization and health insurance services to commercial enrollees and to those eligible for Medicare through its Medicare Advantage plan Senior Care Plus. Hometown Health Plan has more than 16,000 members in its commercial HMO and more than 18,000 in its Medicare Advantage HMO. Hometown Health Plan satisfies the public support test under section 509(a)(2) by receiving payments for services from its tens-of-thousands of members and by keeping its overall investment income within the required limit. As such, Hometown Health Plan is reported as a 509(a)(2) tax-exempt organization in Schedule A, Part I, Line 11g, column (iii).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health provides centralized management, control, oversight, and other support services to Hometown Health Plan. Renown Health is the sole member of Hometown Health Plan and through its power as the sole member it appoints and removes members of the governing body of Hometown Health Plan. Through this control and relationship, Renown Health ensures all support provided is used exclusively for charitable purposes.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health also provides centralized management, control, oversight, and other support services to various related for-profit subsidiaries within the health system. Provision of these services furthers the overall tax-exempt purpose of making a genuine difference in the health and well-being of the people and communities the system serves.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section D, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health is responsive to the needs and demands of its supported organizations. Each supported organization has officers and directors who also serve as officers and directors of Renown Health. Due to this close and continuous working relationship, the officers and directors of the supported organizations have the ability to influence Renown Health's decisions regarding the use of its income and assets.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 3a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health controls all supported organizations through its power as the sole member to appoint and remove members of the governing body of each supported organization.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 3b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Through its power as the sole member and through the continuous working relationship between the organizations, Renown Health exercises substantial direction over the policies, programs, and activities of each of its supported organizations. In addition, Renown Health reserves the authority to approve certain governance decisions of the supported organizations.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>69250</TotalLobbyingExpendituresAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C Part II-B, line 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>Payments are made to a consultant for two purposes: 1) Inform management and staff of pertinent activities of the legislative and regulatory bodies. 2) Represent the interest of the hospitals before the legislative and executive branches of Nevada, other Nevada political subdivisions, and other political jurisdictions in which Renown Health does business.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <BookValueAmt>44595264</BookValueAmt>
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      <BuildingsGrp>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>149851</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>32580275</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>136141110</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Inv in Hometown Health Management</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Inv in Carson Valley Medical</Desc>
        <BookValueAmt>25015604</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Inv in California Health</Desc>
        <BookValueAmt>429930</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Inv in Renown Businesses</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>2604844</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Deposits - Freight</Desc>
        <BookValueAmt>35000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Cash Surrender Value</Desc>
        <BookValueAmt>1355910</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due From Affiliates</Desc>
        <BookValueAmt>131869926</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Supplemental Retirement Plan</Desc>
        <BookValueAmt>4783975</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deposits - Plan CD</Desc>
        <BookValueAmt>250000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deposits - Switch</Desc>
        <BookValueAmt>29980</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>140929635</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due To Affiliates</Desc>
        <Amt>109030951</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Retirement Liability Accrual</Desc>
        <Amt>563369</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities</Desc>
        <Amt>102586</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Malpractice Reserve</Desc>
        <Amt>7598386</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Supplemental Retirement Plan</Desc>
        <Amt>4783974</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Serp Contribution Payable</Desc>
        <Amt>333182</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Retirement Plan Accrual</Desc>
        <Amt>708552</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Renown Business Loan</Desc>
        <Amt>4977273</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACA TRP Fees</Desc>
        <Amt>175675</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>IBNP</Desc>
        <Amt>2174654</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Reinsurance Premiums Payable</Desc>
        <Amt>147912</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Citrix Licensing</Desc>
        <Amt>756237</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>131352751</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health 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). In addition, Renown Health is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown Health files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown Health 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 Health 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOARD OF REGENTS UNR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2601 Enterprise Road</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89512</ZIPCd>
        </USAddress>
        <RecipientEIN>886000024</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>794240</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN NEVADA HOPES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>467 Ralston St</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89503</ZIPCd>
        </USAddress>
        <RecipientEIN>860865357</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IMMUNIZE NEVADA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>427 Ridge St Suite C</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89501</ZIPCd>
        </USAddress>
        <RecipientEIN>462266350</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>147895</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>URBAN ROOTS GARDEN CLASSROOMS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3001 W 4th Street</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89523</ZIPCd>
        </USAddress>
        <RecipientEIN>010944615</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>119128</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>680 S Rock Blvd</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>880293149</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>101250</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GIRLS ON THE RUN - SIERRAS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>948 Incline Way</AddressLine1Txt>
          <CityNm>Incline Village</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89451</ZIPCd>
        </USAddress>
        <RecipientEIN>010901343</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S CABINET</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1090 S Rock Blvd</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>770097156</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>52500</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AWAKEN INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 40635</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89504</ZIPCd>
        </USAddress>
        <RecipientEIN>383843380</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>51000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RENOWN HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1155 Mill Street</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>942972749</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>47180</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHOE COUNTY HEALTH DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 East Ninth Street</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
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        </USAddress>
        <RecipientEIN>886000138</RecipientEIN>
        <IRCSectionDesc>Government Entity</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HIGH FIVES NON-PROFIT FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10775 Pioneer Trail 108</AddressLine1Txt>
          <CityNm>Truckee</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>96161</ZIPCd>
        </USAddress>
        <RecipientEIN>264275773</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHOE K-12 EDUCATION FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>645 Sierra Rose Dr Suite 101</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89511</ZIPCd>
        </USAddress>
        <RecipientEIN>452488886</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITIES IN SCHOOL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3720 Howard Hughes Parkway</AddressLine1Txt>
          <CityNm>Las Vegas</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89169</ZIPCd>
        </USAddress>
        <RecipientEIN>880292094</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>21275</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY SERVICES AGENCY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1090 E 8TH ST</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89512</ZIPCd>
        </USAddress>
        <RecipientEIN>880095799</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TOUR DE NEZ OUTREACH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 3462</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89505</ZIPCd>
        </USAddress>
        <RecipientEIN>205203197</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY FOUNDATION OF WESTERN NEVADA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>50 Washington Street Suite 300</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89503</ZIPCd>
        </USAddress>
        <RecipientEIN>880370179</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEVADA LAND TRUST</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2601 Plumas St</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89515</ZIPCd>
        </USAddress>
        <RecipientEIN>880287591</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN NEVADA DENTAL HEALTH PROGRAMS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5605 Riggins Ct Suite 101A</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>880411192</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEVADA WOMENS FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>770 Smithridge Park</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>942860375</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>19000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SIERRA ARTS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>17 S Virginia Street 120</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89501</ZIPCd>
        </USAddress>
        <RecipientEIN>880113398</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 Edison Way</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>841316555</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>14750</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHOE COUNTY SCHOOL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>425 East Ninth Street</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89512</ZIPCd>
        </USAddress>
        <RecipientEIN>886000919</RecipientEIN>
        <IRCSectionDesc>Government Entity</IRCSectionDesc>
        <CashGrantAmt>12149</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUCKEE MEADOWS COMMUNITY COLLEGE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7000 Dandini Blvd RDMT 200 J 83</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89512</ZIPCd>
        </USAddress>
        <RecipientEIN>880185319</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUSAN G KOMEN FOR THE CURE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1350 Freeport Blvd Suite 101 Sparks</AddressLine1Txt>
          <AddressLine2Txt>NV</AddressLine2Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89515</ZIPCd>
        </USAddress>
        <RecipientEIN>880372386</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EDAWN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5190 Neil Rd Ste 110</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <RecipientEIN>880183034</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF NORTHERN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 5099</AddressLine1Txt>
          <CityNm>Reno</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89513</ZIPCd>
        </USAddress>
        <RecipientEIN>880339754</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8341</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FOOD BANK OF NORTHERN NEVADA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>550 Italy Drive</AddressLine1Txt>
          <CityNm>Sparks</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89434</ZIPCd>
        </USAddress>
        <RecipientEIN>942924979</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7877</CashGrantAmt>
        <PurposeOfGrantTxt>Community Event Sponsorship</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREAT RENO BALLOON RACE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1425 E Greg Street</AddressLine1Txt>
          <CityNm>Sparks</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89431</ZIPCd>
        </USAddress>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2</FormAndLineReferenceDesc>
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    </IRS990ScheduleI>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Charles Scully</PersonNm>
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        <PersonNm>Allan Hanssen</PersonNm>
        <TitleTxt>Former VP Strategic Initiatives</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Social business club dues in the amount of $1,432 were paid for Anthony Slonim. These amounts were not treated as taxable income as it was for business use only.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Lines 4a-b</FormAndLineReferenceDesc>
        <ExplanationTxt>Lawrence Trilops III and Phyllis Freyer received severance payments. Payments of $272,817 to Lawrence Trilops III and $321,298 to Phyllis Freyer were included in Schedule J, Part II, Column (B)(iii). Anthony Slonim, Dawn Ahner, Josiah Johnson, Michelle Sanchez-Bickley, Lawrence Trilops III, and Phyllis Freyer are parties to a supplemental nonqualified retirement plan. Contributions of $135,000 to Anthony Slonim, $93,600 to Dawn Ahner, $75,000 to Josiah Johnson, $48,608 to Michelle Sanchez-Bickley, $9,094 to Lawrence Trilops III, and $4,016 to Phyllis Freyer, included in Schedule J, Part II, Column (C). Charles Scully and Allan Hanssen are parties to a supplemental nonqualified retirement plan. Payments of $406,830 to Charles Scully, $405,494 to Allan Hanssen were included in Schedule J, Part II, Column (B)(iii) and (F).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents allow for an Executive Committee. The Executive Committee consists of the President and CEO of the Corporation, Chairman, Vice Chair, Secretary, and Treasurer and up to 2 "at-large" members of the Board of Directors who are appointed by the Chairman. The Executive Committee shall act in the interval between meetings of the board in emergency or time-sensitive situations. All decisions are submitted for final ratification at the next scheduled board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bernie Carter, Steven Johnson, and Brian Loy have a business relationship. Steven Johnson, G Blake Smith, and Rob Winkel have a business relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization updated the bylaws to update: 1) the number of voting board members and ex-officios 2) the Chair of Renown Regional Medical Center or Renown South Meadows Medical Center Board of Directors, the chair of the Renown Transitional Care Services Board of Directors, the Chair of the Renown Health Foundation board of Directors, and up to 3 physicians shall serve as ex-officio members of the Board with the right to vote 3) qualifications of Directors were defined 4) officers of the Corporation shall be the Chair of the Board, Vice Chair of the Board, President and CEO, Chief Administrative Officer, Treasurer and Secretary</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Controller and current EVP and Chief Administrative 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Health 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health Executive Committee. 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. The Executive Committee is comprised of members of the Renown Health Board of Directors unrelated to and not subject to the control or undue influence of executives, with no material financial interest in transactions of the Company or any other perceived or actual conflicts of interest. 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 2017 executive compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health does not make its governing documents, conflict of interest policy, or financial statements available to the general public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Changes in Post Retirement Obligation 1,093,968. Investment in Subsidiaries 5,902,001. Intercompany Settlements 69,021,557.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2B, Audit Committee</FormAndLineReferenceDesc>
        <ExplanationTxt>Renown Health has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant.</ExplanationTxt>
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        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Renown Skilled Nursing</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>430904</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Renown Businesses</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>157785</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Renown Transitional Care Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>473606</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Renown Regional Medical Center</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>89939477</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Renown Skilled Nursing</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>342077</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Renown Health Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1605553</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>General Ledger</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>