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      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
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        <Explanation>Renown Regional Medical Center undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. Renown Regional Medical Center believes that it is compliant with all IRS tax regulations and as of June 30, 2011 has not recorded a tax liability for a tax uncertainty. Renown Regional Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Under normal circumstances, Renown Regional Medical Center is no longer subject to federal tax examinations by tax authorities for years before 2008.</Explanation>
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        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Not Required</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </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, Research and Cash and In-kind contributions on lines 7e, 7f, 7h 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 $97,848,077.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Lines 1 to 8 are community building activities that include partnering with other organizations and individuals to support economic and work force development efforts in the community we serve. By working to improve the economic health of the community, we are addressing one of the root causes that impacts the health and well being of the community we serve.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients and third-party payors. Management reviews patient receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision.The amount included on Line 2 is calculated as the bad debt expense included in Part IX, Line 24a, multiplied by the ratio of costs to charges as calculated using worksheet 2.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 FY11 as filed Medicare cost report. Using the Ratio of Cost to Charges from the Form 990, worksheet 2, which includes the complete costs of the organization, the net community benefit in Line 7 is $13.8 million. The Medicare cost report excludes certain costs that are incurred by the organization for the delivery and support of patient care. The major excluded costs are : $27.8 million of costs incurred by the orgnization and paid to related parties for services that deliver and support patient care and $9.3 million of costs incurred by the organization related to amounts paid to physicians who deliver and support patient care and $6.0 million in costs paid by the organization to support The Pregnancy Center and Renown Skilled Nursing which are 501c3 organizations and are integral to the delivery of care at the organization.</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>
        <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 in the fall, and from that assessment develops a community benefit plan that prioritizes and identifies community needs that the organization can support with its finite resources. Both documents are presented to Renown Health's CEO and President's Council for refinement and approval annually. The needs assessment and community benefit plan then go before the Renown Health Board for review and approval on behalf of all Renown organizations. The committee presents the plan to membership, all other boards, medical staff, leadership and employees, and it works with community partners to finalize details of approved programs and community partnerships.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: The organization educates patients on assistance eligibility upon their request and whenever situations indicate that the patient may be unable to pay for services. The organization contracts with an external vendor to work with uninsured patients to establish eligibility for a state or local program. For those that do not qualify for a state or local program, the vendor will work with the patient to complete 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 421,407 according to the 2010 US Federal Census. The population in the Reno-Sparks area is 50.5% male and 49.5% female. A quarter (25.2%) of the population is under the age of 18. 40.8% is in the 18-44 age group and 23.7% is from age 45-64. 10.2% of the population is 65+. Washoe County's population was estimated to have the following breakdown as of January 2009: 67.7% Caucasian/white, 2.7% African American / black, 6.3% Asian / Hawaiian or Pacific Islander, and 21.3% Hispanic. Fifteen percent of adults in the greater Reno-Sparks area do not have a high school diploma. 24.9% have a high school diploma or equivalent resulting in approximately 40% of the population at or below a high school level education.The greater Reno-Sparks median household income was estimated to be $50,839 according to the US Federal Census. Over 9% of Nevadans are under the federal poverty guidelines, with many more being within 100-300% of federal poverty guidelines (commonly referred to as the "working poor"). Reno-Sparks unemployment currently is estimated to be at 12.1% as of October 2011, reflecting improvement from a high of 13%. 17.5% of Nevada residents were without health insurance in 2008, which is the most recently available study specific to Nevada. Washoe County's uninsured rate was slightly lower at 17.0%. 35.2% of the greater Reno-Sparks occupied housing units are rentals, which is higher than the national average. Only 28.9% of Nevadans were born in the state, vs. 58.9% for the U.S. as a whole. 20% of Washoe County residents moved in 2008 vs. 15% for the U.S., with 7.2% moving from outside the county. Nevada also has a higher percentage of divorced adults than other states.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: 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 7: Renown Regional 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 4,900 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, 2011, Renown Health and its subsidiaries provided over $139 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>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Renown Skilled Nursing</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1155 Mill St</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
        <EINOfRecipient>201347269</EINOfRecipient>
        <IRCSection>501 (c)(3)</IRCSection>
        <AmountOfCashGrant>2738244</AmountOfCashGrant>
        <PurposeOfGrant>Skilled Nursing Services</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Renown Network Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1155 Mill St</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
        <EINOfRecipient>880231828</EINOfRecipient>
        <IRCSection>501 (c)(3)</IRCSection>
        <AmountOfCashGrant>3000000</AmountOfCashGrant>
        <PurposeOfGrant>Pregnancy Services</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <PurposeOfGrant>Health Hotline</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Patient Assistance</TypeOfGrant>
        <NumberOfRecipients>480</NumberOfRecipients>
        <AmountOfCashGrant>331336</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Other Information:</Identifier>
        <ReturnReference>Part IV:</ReturnReference>
        <Explanation>The organization's grants are given directly to the recipient to cover a need that was identified during the granting process. There is no ongoing monitoring necessary for these grants.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>James Miller</NamePerson>
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        <CompBasedOnRelatedOrgs>768773</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>119889</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>11801</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>324504</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1241573</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Greg Boyer</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>257166</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>10324</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>2509</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>269999</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dawn Ahner</NamePerson>
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        <OtherCompensationRelatedOrgs>44</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>65679</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>19445</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>561035</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kristina Gaw</NamePerson>
        <BaseCompensationFilingOrg>293445</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>58000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>85</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>47621</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14430</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>413581</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Linda Ferris</NamePerson>
        <BaseCompensationFilingOrg>201442</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>24820</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2944</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>26804</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18880</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>274890</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Larry Weber</NamePerson>
        <BaseCompensationFilingOrg>164186</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>17407</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2467</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7484</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16565</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>208109</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thiruloga Jagannathan</NamePerson>
        <BaseCompensationFilingOrg>219085</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>13871</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5360</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>238316</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jeffrey Stout</NamePerson>
        <BaseCompensationFilingOrg>171355</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>447</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7340</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21862</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>219504</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ronald Laxton</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>101226</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>302073</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7746</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>411045</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Dawn Ahner and Kristina Gaw are parties to a supplemental nonqualified retirement plan. Contributions of $55,879 to Dawn Ahner and $39,150 to Kristina Gaw 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 Regional Medical Center relies on Renown Health, a related organization to establish compensation for officers and other key employees. Renown Health uses the identified methods to establish compensation. See Schedule O, Form 990, Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part II, Line 9 Ronald Laxton served as Chief Executive Officer through February 2010, therefore the reported compensation contains 2 months of compensation and severance pay.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>City of Reno Nevada</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>886000201</IssuerEIN>
        <CUSIPNumber>759836DX4</CUSIPNumber>
        <DateIssued>2006-09-20</DateIssued>
        <IssuePrice>2014272</IssuePrice>
        <DescriptionOfPurpose>Construction and equipment purchase</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>City of Reno Nevada</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>886000201</IssuerEIN>
        <CUSIPNumber>759836ER6</CUSIPNumber>
        <DateIssued>2007-04-19</DateIssued>
        <IssuePrice>124114034</IssuePrice>
        <DescriptionOfPurpose>Construction and equipment purchase</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>City of Reno Nevada</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>886000201</IssuerEIN>
        <CUSIPNumber>759836JC4</CUSIPNumber>
        <DateIssued>2008-06-26</DateIssued>
        <IssuePrice>260935965</IssuePrice>
        <DescriptionOfPurpose>Refunded 2006A&amp;B and Conversion of 2005A&amp;B, 2004A and partial 2004C</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>City of Reno Nevada</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>886000201</IssuerEIN>
        <CUSIPNumber>759836JE0</CUSIPNumber>
        <DateIssued>2009-01-15</DateIssued>
        <IssuePrice>63600000</IssuePrice>
        <DescriptionOfPurpose>Refunded 2004B</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>1570000</AmountRetired>
        <TotalProceeds>2022824</TotalProceeds>
        <AmountInReserveFund>448275</AmountInReserveFund>
        <IssuanceCostsFromProceeds>29500</IssuanceCostsFromProceeds>
        <CapitalExpenditures>1136249</CapitalExpenditures>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>3210000</AmountRetired>
        <TotalProceeds>127766600</TotalProceeds>
        <IssuanceCostsFromProceeds>988672</IssuanceCostsFromProceeds>
        <CapitalExpenditures>112532498</CapitalExpenditures>
        <AmountUnspent>14245430</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
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        <FinalAllocationMade>0</FinalAllocationMade>
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    <IRS990ScheduleK documentId="RetDoc1053100002">
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        <IssuerName>
          <BusinessNameLine1>City of Reno Nevada</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>886000201</IssuerEIN>
        <CUSIPNumber>759836JU4</CUSIPNumber>
        <DateIssued>2010-03-31</DateIssued>
        <IssuePrice>48028335</IssuePrice>
        <DescriptionOfPurpose>Partial conversion of 2004C to fixed rate</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <AmountRetired>1160000</AmountRetired>
        <TotalProceeds>50676717</TotalProceeds>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Premiere Surgical Specialists</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Board member has an ownership interest</Relationship>
        <AmountOfTransaction>1077296</AmountOfTransaction>
        <DescriptionOfTransaction>Professional services and board member payments</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Employees reported on W-3</Identifier>
        <ReturnReference>Form 990, Part V, Question 2a</ReturnReference>
        <Explanation>Renown Regional Medical Center has its own employees, however, Renown Health, the parent organization, pays all compensation and employee benefit amounts under a common paymaster arrangement. The actual compensation of each employee is directly charged to their assigned entity. Salaries are reported on line 7 of Part IX.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>James Miller, Dawn Ahner, Maureen Mullarkey and Rob Winkel have a business relationship due to the fact that they serve as directors on two related Renown Health exempt entity boards together.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Renown Health is the sole corporate member of Renown Regional Medical Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional Medical Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>Renown Health must approve any merger, consolidation or dissolution of Renown Regional 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>
        <Identifier>Form 990, Part VI, Section A, line 8b</Identifier>
        <Explanation>There was no committee during the year that had the broad authority to act on behalf of the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <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 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 Regional Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed.</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 2011 executive compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Renown Regional Medical Center doesn't make its governing documents or conflict of interest policy available to the public. A copy of the audited financial statements is part of the Form 990 which is made available to the public.</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. The one joint venture entered into during fiscal year 11 was evaluated in accordance with that policy. Any future ventures with physicians would also 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>
        <ReturnReference>Form 990, Part VII, Column B</ReturnReference>
        <Explanation>Jim Miller, President &amp; CEO, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity. Dawn Ahner, CFO, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -125,684. Special Purpose Fund Closure -12,547. SWAP Mark to Market Adjustment 7,272,231. Total to Form 990, Part XI, Line 5: 7,134,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Schedule K, Part I, Column C</ReturnReference>
        <Explanation>The CUSIP numbers associated with the bond issue issued on 10/4/2006 are: 759836DX4 759836EC9 The CUSIP numbers associated with the bond issue issued on 6/23/2008 are: 759836JC4 759836JB6 The CUSIP numbers associated with the bond issue issued on 1/15/2009 are: 759836JE0 759836JD2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Issue Price</Identifier>
        <ReturnReference>Form 990, Schedule K, Part I, Line A, Column (e)</ReturnReference>
        <Explanation>The 2006A and 2006B portion of the 2006 Series bonds were retired prior to the end of the reporting period. The only portion of the bonds left to report on Schedule K is 2006C.</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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Renown Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1155 Mill St Z-5</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
        <EIN>942972845</EIN>
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        <LegalDomicileState>NV</LegalDomicileState>
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          <AddressLine1>1155 Mill St Z-5</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
        <EIN>942972749</EIN>
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        </DirectControllingEntityName>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>NV</LegalDomicileState>
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          <AddressLine1>1155 Mill St Z-5</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
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        <EIN>880231433</EIN>
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        <LegalDomicileState>NV</LegalDomicileState>
        <ExemptCodeSection>501 (c) (4)</ExemptCodeSection>
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          <City>Reno</City>
          <State>NV</State>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
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        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
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        <EIN>263558729</EIN>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
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          <City>Reno</City>
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          <AddressLine1>1155 Mill St Z-5</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
        <EIN>880236758</EIN>
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        <LegalDomicileState>NV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      </Form990ScheduleRPartIV>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
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        <EIN>880277761</EIN>
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        <LegalDomicileState>NV</LegalDomicileState>
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          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
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        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>Nevada Heart Institute</BusinessNameLine1>
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        <AddressUS>
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        <PrimaryActivity>Cardiology</PrimaryActivity>
        <LegalDomicileState>NV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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        <AddressUS>
          <AddressLine1>1155 Mill St Z-5</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
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        <EIN>880303924</EIN>
        <PrimaryActivity>Cardiology</PrimaryActivity>
        <LegalDomicileState>NV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Elko Heart Institute</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1155 Mill St Z-5</AddressLine1>
          <City>Reno</City>
          <State>NV</State>
          <ZIPCode>89502</ZIPCode>
        </AddressUS>
        <EIN>452152594</EIN>
        <PrimaryActivity>Cardiology</PrimaryActivity>
        <LegalDomicileState>NV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
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      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Hometown Health Plan Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>38322052</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Hometown Health Plan Inc</BusinessNameLine1>
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        <AmountInvolved>2861646</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>