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            <BusinessNameLine1>Cascades of the Sierra</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
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          <AddressUS>
            <AddressLine1>275 Neighbor Way</AddressLine1>
            <City>Spanish Springs</City>
            <State>NV</State>
            <ZIPCode>89441</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Professional Services</DescriptionOfServices>
        <Compensation>226496</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Maxim Healthcare Service</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>12588 Collections Center Dr</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Staffing Services</DescriptionOfServices>
        <Compensation>193319</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Waste Management</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 541065</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>900541065</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Professional Services</DescriptionOfServices>
        <Compensation>156787</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Arup Laboratories Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 27964</AddressLine1>
            <City>Salt Lake City</City>
            <State>UT</State>
            <ZIPCode>841274729</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Professional Services</DescriptionOfServices>
        <Compensation>134364</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>On Call Consulting Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 4729</AddressLine1>
            <City>Winter Park</City>
            <State>FL</State>
            <ZIPCode>32793</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Staffing Services</DescriptionOfServices>
        <Compensation>112267</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
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        <Description>Patient Svc. Revenue</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>111777547</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>111777547</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Assisted Living</Description>
        <BusinessCode>623311</BusinessCode>
        <TotalRevenueColumn>1652838</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1652838</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Cafeteria</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>360732</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>360732</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Income from Joint Vent</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>53290</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>53290</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>113844407</TotalProgramServiceRevenue>
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        <Other>55</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>55</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>55</TotalRevenueColumn>
        <ExclusionAmount>55</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>UBI - LTACH</Description>
        <BusinessCode>623990</BusinessCode>
        <TotalRevenueColumn>899247</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>899247</UnrelatedBusinessRevenue>
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      <OtherRevenueMisc>
        <Description>UBI - Landscaping</Description>
        <BusinessCode>811000</BusinessCode>
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        <UnrelatedBusinessRevenue>2936</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <TotalOtherRevenue>902183</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>114746645</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>113844407</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>902183</UnrelatedBusinessRevenue>
        <ExclusionAmount>55</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1000</Total>
        <ProgramServices>1000</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>579</Total>
        <ProgramServices>579</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>343379</Total>
        <ProgramServices>343379</ProgramServices>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
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        <ProgramServices>31839930</ProgramServices>
        <ManagementAndGeneral>682173</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>6732974</Total>
        <ProgramServices>6582896</ProgramServices>
        <ManagementAndGeneral>150078</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>4968811</Total>
        <ManagementAndGeneral>4968811</ManagementAndGeneral>
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      <FeesForServicesOther>
        <Total>8174844</Total>
        <ProgramServices>6361200</ProgramServices>
        <ManagementAndGeneral>1813644</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>3273411</ProgramServices>
        <ManagementAndGeneral>407546</ManagementAndGeneral>
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        <ProgramServices>656747</ProgramServices>
        <ManagementAndGeneral>819959</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>38112</ProgramServices>
        <ManagementAndGeneral>6991</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>38235</Total>
        <ProgramServices>33935</ProgramServices>
        <ManagementAndGeneral>4300</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>2678519</ProgramServices>
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        <Total>4946617</Total>
        <ProgramServices>2050180</ProgramServices>
        <ManagementAndGeneral>2896437</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>16144</ProgramServices>
        <ManagementAndGeneral>516668</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bad Debts</Description>
        <Total>14485563</Total>
        <ProgramServices>14485563</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>14474014</Total>
        <ProgramServices>14474014</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Overhead</Description>
        <Total>1108745</Total>
        <ManagementAndGeneral>1108745</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Dues &amp; Subscriptions</Description>
        <Total>157243</Total>
        <ProgramServices>30144</ProgramServices>
        <ManagementAndGeneral>127099</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>236871</Total>
        <ProgramServices>145031</ProgramServices>
        <ManagementAndGeneral>91840</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>96605075</Total>
        <ProgramServices>83010784</ProgramServices>
        <ManagementAndGeneral>13594291</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <SavingsAndTempCashInvestments>
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        <EOY>9085</EOY>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>61379836</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <EOY>443206</EOY>
      </InvestmentsProgramRelated>
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        <BOY>73012387</BOY>
        <EOY>168723617</EOY>
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      <TotalAssets>
        <BOY>153049072</BOY>
        <EOY>247051586</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2527698</BOY>
        <EOY>5036660</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>54747728</BOY>
        <EOY>54132636</EOY>
      </TaxExemptBondLiabilities>
      <UnsecuredNotesLoansPayable>
        <BOY>84143</BOY>
        <EOY>23476</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>1127763</BOY>
        <EOY>75102798</EOY>
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      <TotalLiabilities>
        <BOY>58487332</BOY>
        <EOY>134295570</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>94561740</BOY>
        <EOY>112756016</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>94561740</BOY>
        <EOY>112756016</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>153049072</BOY>
        <EOY>247051586</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>18141570</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>52706</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
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      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>1</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>931</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>931</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part IV, Supplemental Information:</Identifier>
        <Explanation>Schedule C, Part II-B, Line 1f Payments are made to Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValue>5462783</BookValue>
      </Land>
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        <BookValue>47967514</BookValue>
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        <BookValue>448302</BookValue>
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        <Description>Funds Held in Trust</Description>
        <BookValue>17503</BookValue>
      </OtherAssets>
      <OtherAssets>
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      </OtherAssets>
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      </OtherAssets>
      <OtherAssets>
        <Description>Unamortized Financing Costs</Description>
        <BookValue>2212816</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due From Affiliates</Description>
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      <OtherLiabilities>
        <Description>Bond Interest Payable</Description>
        <Amount>54413</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LTACH Deferred Revenue</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Third Party Settlements</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Payable to Affiliates</Description>
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      <TotalOfAmounts>75102798</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>Renown South Meadows 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). In addition, Renown South Meadows Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown South Meadows Medical Center files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown South Meadows 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 South Meadows 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. Renown South Meadows Medical Center's Federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2010.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
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      <WrittenPolicy>1</WrittenPolicy>
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      <TotalCharityCare>
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      </CommunityHealthServices>
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      </CashAndInKindContributions>
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      <TotalCommunityBenefits>
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        <Name>
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        </Name>
        <Address>
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          <City>Reno</City>
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          <City>Reno</City>
          <State>NV</State>
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        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
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        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
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        <AllNeedsAddressed>1</AllNeedsAddressed>
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        <AssetLevel>X</AssetLevel>
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        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
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        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Renown Rehabilitation Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>1000.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>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 5b: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 and 7c were calculated using the cost-to-charge ratio derived from Worksheet 2. Community health improvement, Health professions education and Cash and In-kind contributions on lines 7e, 7f and 7i are reported from the organization's records.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, L7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $14,485,563.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The footnote to the audited financial statements that addresses bad debt is on page 11 of the attached audit financial statements.The amount included on Line 2 reflects the amount reported in the financial statements.The amount included on Line 3 is calculated as the amount of uninsured patient charges written off as bad debt that is estimated to qualify as charity under the organization's charity care policy. The organization estimated the amount based upon an analysis of the FICO scores of its uninsured population. A FICO score below 500 is presumed to qualify under the organization's charity policy based upon an analysis of the bankcard balances and mortgage balalnces of this population and the FICO scores of the population that did qualify for charity under the organization's policy. The organization estimated that 47.66% of the uninsured population has a FICO score under 500. To calculate the amount included on Line 3, the total bad debt expense at cost was multiplied by 47.66%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: The costing methodology for Line 6 uses the ratio of cost to charges from the FY13 as filed Medicare cost report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown South Meadows Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 3: In an effort to compliment the empirical evidence provided by the Thompson Reuter Community Needs Index, the organization consulted several leading community organizations to determine the health status and needs of the surrounding community. The community organizations included the Washoe County Health District, Health People Nevada Moving 2010 to 2020 Report, the Washoe County School District's 2011 School Climate Report, the 2009 Youth Behavior Risk Survey and the Susan G Komen Breast Cancer Foundation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown Rehabilitation Hospital</Identifier>
        <Explanation>Part V, Section B, Line 3: In an effort to compliment the empirical evidence provided by the Thompson Reuter Community Needs Index, the organization consulted several leading community organizations to determine the health status and needs of the surrounding community. The community organizations included the Washoe County Health District, Health People Nevada Moving 2010 to 2020 Report, the Washoe County School District's 2011 School Climate Report, the 2009 Youth Behavior Risk Survey and the Susan G Komen Breast Cancer Foundation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown South Meadows Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 5c: The organization's community health needs assessment and implementaion plan are made publicly available at www.renown.org/community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown Rehabilitation Hospital</Identifier>
        <Explanation>Part V, Section B, Line 5c: The organization's community health needs assessment and implementaion plan are made publicly available at www.renown.org/community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown South Meadows Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 6i: The organization's implementaion plan is made publicly available at www.renown.org/community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown Rehabilitation Hospital</Identifier>
        <Explanation>Part V, Section B, Line 6i: The organization's implementaion plan is made publicly available at www.renown.org/community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown South Meadows Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 14g: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown Rehabilitation Hospital</Identifier>
        <Explanation>Part V, Section B, Line 14g: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown South Meadows Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 18e: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown Rehabilitation Hospital</Identifier>
        <Explanation>Part V, Section B, Line 18e: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown South Meadows Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 20d: The hospital facility determines charges for financially eligible patients based upon a payment matrix and other factors in the Financial Assistance Policy. The maximum the patient is charged is below the lowest negotiated commercial insurance rates.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Renown Rehabilitation Hospital</Identifier>
        <Explanation>Part V, Section B, Line 20d: The hospital facility determines charges based upon a payment matrix in the Financial Assistance Policy. The payment matrix maximums are below the lowest negotiated commercial insurance rates.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: 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 below 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 Thomson Reuters, an information services company, 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 are presented to the organization's board as well as the Renown Health Board for review and approval. The needs assessment and the community benefit plan are posted to the organization's website at www.renown.org/communitybenefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 427,704 according to the 2012 Nevada State Demographer. According to the 2012 Cencus Bureau, the population in Washoe County is 50.4% male and 49.6% female. A quarter (23.0%) of the population is under the age of 18. 13.3% of the population is 65+. Washoe County's population was estimated to have the following breakdown as of 2012: 65.1% Caucasian/white, 2.6% African American / black, 6.2% Asian / Hawaiian or Pacific Islander, 23% Hispanic, and 2.1% American Indian and Alaskan Native. The Washoe County median household income was estimated to be $53,994 according to the US Federal Census. Over 14.7 of Washoe County Resients are under the federal poverty guidelines. Reno-Sparks unemployment currently is estimated to be at 8.2% as of November 2013, reflecting improvement from a high of 13%. Twenty two percent of Nevada residents were without health insurance in 2012, which is the most recently available study specific to Nevada.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: Renown South Meadows Medical Center is part of Renown Health, northern Nevada's largest, private, not-for-profit healthcare network. As a local not-for-profit health network, Renown Health's income stays right here in the community to provide many programs and services that would otherwise be unavailable. Renown is dedicated to this region and governed by local community leaders and physicians. We are proud to provide the health, education and social welfare that our friends, neighbors and family members expect and deserve.Renown Health has more than 5,200 employees and serves a 17-county region with a total population in excess of 1.9 million. Renown Health includes Renown Regional Medical Center, a 808-bed full service regional hospital, Renown South Meadows Medical Center, a 76-bed acute care community hospital, Renown Rehabilitation Hospital, a 62-bed rehabilitation hospital, Renown Skilled Nursing, a 160-bed skilled nursing facility, a children's hospital, numerous medical-group, urgent-care and outpatient imaging practices, and a health-insurance provider. Renown Health offers advanced care for patients and embraces its role in improving the health and well-being of the people in the communities we serve.Besides our commitment to meeting the healthcare needs of the region, Renown Health gives back to communities by contributing funds, services, facilities and the time and expertise of employees. These benefits to the community flow from Renown Health as a whole and from the individual hospitals, facilities and departments that make up our health network.For the fiscal year ending June 30, 2013, Renown Health and its subsidiaries provided over $105 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/communitybenefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>NV</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
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      <Form990ScheduleJPartII>
        <NamePerson>James Miller</NamePerson>
        <Title>President/CEO (Jun- Mar)</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Donald Claypool</NamePerson>
        <Title>Director (Jul-Feb)/Administrator</Title>
        <BaseCompensationFilingOrg>276095</BaseCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dawn Ahner</NamePerson>
        <Title>Chief Financial Officer</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Allan Hanssen</NamePerson>
        <Title>VP Strategic Initiatives</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>349177</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>80753</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2303</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>52422</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>8304</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>492959</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kevin Desmond</NamePerson>
        <Title>Pharmacy Manager</Title>
        <BaseCompensationFilingOrg>165355</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14495</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4943</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Christopher Sullivan</NamePerson>
        <Title>Lead Pharmacist</Title>
        <BaseCompensationFilingOrg>139994</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gail Green</NamePerson>
        <Title>Chief Nursing Officer</Title>
        <BaseCompensationFilingOrg>175928</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28666</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1670</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Dawn Ahner and Allan Hanssen are party to a supplemental nonqualified retirement plan. Contributions of $72,450 to Dawn Ahner were included in Schedule J, Part II, Column (C). Contributions of $52,422 to Allan Hanssen were included in Schedule J, Part II, Column (C).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 3: Renown South Meadows 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Employees reported on W-3</Identifier>
        <ReturnReference>Form 990, Part V, Line 2</ReturnReference>
        <Explanation>Renown South Meadows 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number reported in Box 3 of Form 1096</Identifier>
        <ReturnReference>Form 990, Part V, Line 1a</ReturnReference>
        <Explanation>Renown South Meadows Medical Center has 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>Kathleen Drakulich, Leslie Smith, Michael Alonso, James Devolld, James Miller, Alan Hanssen, Donald Sibery, David Line and Dawn Ahner have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Renown Health is the sole corporate member of Renown South Meadows Medical Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown South Meadows Medical Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>Renown Health must approve any merger, consolidation or dissolution of Renown South Meadows Medical Center, any borrowing in excess of $1 million in any fiscal year, and encumbrances of assets and certain other actions not in the ordinary course of business.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 8b</ReturnReference>
        <Explanation>There was no committee during the year that had the broad authority to act on behalf of the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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 Chief Accounting Officer and/or the 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown South Meadows 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Renown Health's executive compensation is set by the Renown Health Compensation Committee. Members of this committee review and approve various employee pay practices and parameters, as well as compensation for the CEO and certain executives. The Compensation Committee is comprised of independent 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. The Compensation Committee members are appointed by the Chairman of the Renown Health Board of Directors. The Compensation Committee meets approximately five times per year. Meeting minutes are kept documenting the deliberations and decisions regarding the compensation arrangements. Total cash compensation for the organization's executives are 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 Compensation Committee undertook the process outlined above for the fiscal year 2013 executive compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Renown South Meadows 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Line 16b</ReturnReference>
        <Explanation>There is no written policy or procedure that is specific to joint ventures. Instead, there is a written policy in regards to financial transactions with physicians and physician entities. Any future ventures with physicians would be evaluated in accordance with that policy. Other types of transactions would be evaluated in accordance with the exempt status of the organization and its applicable purposes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Other 52,706.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part X, Line 20</ReturnReference>
        <Explanation>The issue price includes the filing organization's share of the entire bond issue, which was issued to Renown Regional Medical Center on behalf of the Renown Obligated Group. The Renown Obligated Group consists of Renown Regional Medical Center, Renown South Meadows Medical Center, and Network Services. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Renown Regional Medical Center's tax return (EIN 88-0213754).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDIT COMMITTEE</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2B</ReturnReference>
        <Explanation>Renown Health, the sole member of this entity, has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant.</Explanation>
      </GeneralExplanation>
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