RENOWN REGIONAL MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: RENOWN REGIONAL MEDICAL CENTER (EIN 88-0213754)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201101369349302305
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T10:57:38-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5601 Green Valley Drive Ste 700	AddressLine1
City	Minneapolis	City
State	MN	State
ZIP Code	554371145	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	880213754	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Renown Regional Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RENO	NameControl
Phone	7759824404	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1155 MILL STREET C/O TAX TREASURY	AddressLine1
Address Line2	Z-5	AddressLine2
City	RENO	City
State	NV	State
ZIP Code	89502	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Dawn D Ahner	Name
Title	CFO	Title
Phone	7759824404	Phone
Date Signed	2011-05-16	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kim Hunwardsen CPA	Name
Phone	9529446166	Phone
Date Prepared	2011-05-16	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Dawn D Ahner	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1155 Mill St Z-6	AddressLine1
City	Reno	City
State	NV	State
ZIP Code	89502	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	541425730	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.RENOWN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	NV	StateLegalDomicile
Activity Or Mission Description	An 808 bed acute-care hospital and the region's only Level II trauma center.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	550	TotalNbrVolunteers
Total Gross UBI	11349	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	910430	ContributionsGrantsPriorYear
Contributions Grants Current Year	444856	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	532823601	ProgramServiceRevenuePriorYear
Program Service Revenue CY	539592183	ProgramServiceRevenueCY
Investment Income Prior Year	951547	InvestmentIncomePriorYear
Investment Income Current Year	21794	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2371173	OtherRevenuePriorYear
Other Revenue Current Year	608679	OtherRevenueCurrentYear
Total Revenue Prior Year	537056751	TotalRevenuePriorYear
Total Revenue Current Year	540667512	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6685238	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	6732606	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	173120190	SalariesEtcPriorYear
Salaries Etc Current Year	170421872	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	356400421	OtherExpensePriorYear
Other Expenses Current Year	376246829	OtherExpensesCurrentYear
Total Expenses Prior Year	536205849	TotalExpensesPriorYear
Total Expenses Current Year	553401307	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	850902	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-12733795	RevenuesLessExpensesCY
Total Assets BOY	702889978	TotalAssetsBOY
Total Assets EOY	664240098	TotalAssetsEOY
Total Liabilities BOY	561702269	TotalLiabilitiesBOY
Total Liabilities EOY	544201401	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	141187709	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	120038697	NetAssetsOrFundBalancesEOY
Mission Description	Our purpose is to make a genuine difference for the many lives we touch by optimizing our patients' healthcare experience.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	504159893	Expense
Grants	5931246	Grants
Revenue	539877004	Revenue
Description	See Schedule O.Renown Regional Medical Center is an accredited, 808-licensed bed, general and acute-care hospital serving communities in northern Nevada, northeastern California and adjacent areas of Oregon and Idaho. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II trauma center between Sacramento and Salt Lake City. It is the teaching facility for the professional development of the region's healthcare professionals. Renown Regional provides healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including cancer, heart, neurosciences, orthopedics, surgery, intensive care and women's and children's health.As part of an integrated health network, Renown Regional Medical Center provides many services to the community that otherwise would require that people travel to other cities to receive care. These programs, services and technology include a Level II trauma center; a pediatric intensive care unit; TomoTherapy High Art System; biplane angiography; a dedicated PET/CT scanner; a Joint Commission-certified Primary Stroke Center; comprehensive amputee services; an ABRET-accredited Epilepsy Monitoring Lab; an Intersocietal Commission-accredited Echocardiography Lab; multi-specialty da Vinci Robotic Surgery Program and a Chest Pain Center using the D-SPECT heart camera. Renown Regional also offers access to the largest number of clinical research trials in the region. The Tahoe Tower opened in 2007, adding 190 private patient rooms at Renown Regional Medical Center. This investment demonstrates Renown Health's commitment to having a nurse and a bed available when people need care.Renown Regional comprises the Medical Center and three Centers for Advanced Medicine; these house medical specialty and subspecialty practices. In partnership with the more than 950 physicians on its medical staff, Renown Regional offers more than 40 physician specialties, including cardiac surgery, cardiology, endocrinology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.In the fiscal year ending June 30, 2010, Renown Regional Medical Center total hospital admissions and patient days excluding newborns were 26,731 and 141,489, respectively. Renown Regional also provided care for 67,692 emergency-room visits and 120,226 outpatient visits. During fiscal year 2010 Renown Regional Medical Center provided the following community benefits:Subsidized Health Services $ 104,128,819Community Health Improvement Services 8,405,635Health Professions Education 1,950,787Research 448,084Cash and In-Kind Contributions 1,117,037Other Benefits 163,249Total Community Benefits $ 116,213,611Technology and advanced medicineIn fiscal year 2010 Renown Regional Medical Center continued its tradition of fostering advanced medicine for our region. This commitment to skill, expertise and technology benefits our community by making the latest medical treatments and techniques available close to home.In Oct. 2009 Renown Health's Institute for Heart & Vascular Health and the region's first Chest Pain Center began offering a new technology called Laser ablation, a coronary laser treatment used to treat the arteries in the heart. Devang Desai, MD, interventional cardiologist with Sierra Nevada Cardiology Associates, was the first physician to perform this procedure in northern Nevada. Dr. Desai is also the only physician outside of Las Vegas in the state of Nevada certified to use the laser for coronary cases. Laser ablation is a minimally invasive procedure that helps restore blood flow to heart muscle by producing pulsed bursts of ultraviolet (UV) light energy that vaporize blockages in the arteries. This energy is transmitted along flexible glass fibers encased in tiny catheters, which can be passed through the arteries right to the location of the blockage. The FDA-cleared device, known as the Spectranetics excimer laser ablation system, is one of the most effective solutions and is only available in northern Nevada at Renown's comprehensive catheterization laboratory.Renown Regional Medical Center is the first and most experienced provider of the da Vinci Robotic Surgical System. Owner of two da Vinci Robotic Surgical Systems, da Vinci provides patients with one of the most effective, least invasive treatment alternatives for complex cardiothoracic and gynecologic procedures. The da Vinci Robotic Surgical System offers 3D high-definition imaging and up to ten times magnification that presents a clearer picture of the surrounding tissue and structures in and near the site of the surgery. The minute size of the da Vinci instruments and the way the system enhances the surgeon's hand and wrist movements gives the surgeon more dexterity, versatility and precision.In June 2010 Renown Health announced the creation of the Renown Institute for Robotic Surgery, a new institute created to continue enhancing surgical capabilities with the da Vinci surgical system. As a part of the institute, medical team members provide clinical research, consumer education and patient care for a variety of minimally invasive surgical procedures.Patient benefits with the da Vinci include faster recovery with less pain, discomfort, and blood loss and a quicker return to normal activities. Among all these benefits, patients can receive care close to home. To emphasize Renown Institute for Cancer's commitment to quality cancer care and the importance of having world-class cancer treatment and technology close to home, Renown Regional Medical Center opened the newly renovated Institute for Cancer in February of 2010.Cancer radiation therapy is a daily treatment for cancer patients that uses accurate pulses of radiation to eliminate cancer tumors. Designed to meet the growing demand of cancer treatment in the area, the remodeled space applied design decisions based on color therapy research plus feedback that radiation therapy patients and their family members provided during various focus groups. "This renovation complements our commitment to quality cancer care, and for most of these patients, radiation therapy has become a second home," said Susan Cox, RT(T)(R)(M), manager of radiation therapy at Renown Institute for Cancer at Renown Regional Medial Center. "Research shows that art and color has an impact on a patients' well-being. Everything you see here was done for a specific purpose. The decor was chosen according to research into color therapy and the healing arts."On Feb. 24, 2010, the Society of Chest Pain Centers granted the designation of Accredited Chest Pain Center with PCI (percutaneous coronary intervention) to Renown Regional Medical Center. The full Cycle III accreditation from the accreditation review committee marked another quality milestone for the region's leader in heart care.Bringing advanced medicine to children in our community Renown Children's Hospital provides the focus for Renown Health's commitment to caring for the youngest and most vulnerable in our community. In July 2009, Renown Children's Hospital opened the region's only Children's Emergency Room. The new Children's ER, designed for children under the age of 18, includes 11 children's exam rooms featuring child-sized medical equipment. A special waiting area, separate from the adult ER waiting area, has also been designed specifically for children and their families and is complete with toys and a television."To help meet the needs of children throughout northern Nevada, it is our vision to create a place in the hospital children can call their own," said Denise Nelsen, RN, administrator from Women and Children's Services at Renown Health. "The Children's ER is Renown Children's Hospital's next step in offering state-of-the-art care especially designed for young patients. Additionally, the healthcare team in the new Children's ER has extensive experience providing expert care to children."See Continuation on Page 55 in Schedule O.	Description
Total Program Service Expense	504159893	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Dawn D Ahner	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7759824404	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1155 MILL ST Z-6	AddressLine1
City	Reno	City
State	NV	State
ZIP Code	89502	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Fred Boyd
Director	3.00	X	0	0	17560
Alvaro Devia
Director	3.00	X	0	0	0
Lawson Fox
Director	3.00	X	0	0	3000
Larry Klaich
Director	3.00	X	0	0	3400
Bertha Mullins
Director	3.00	X	0	0	8622
Bill Newburg
Director	3.00	X	0	0	8190
Phil Reddick
Treasurer	3.00	X	0	0	2500
Roberta Roth
Secretary	3.00	X	0	0	3000
G Blake Smith
Director	3.00	X	0	0	2500
Rob Winkel
Director	3.00	X	0	0	11600
Ronald Laxton
Chief Executive Officer	60.00	X	0	434070	7101
James Miller
President/CEO	44.00	X	0	787242	311466	X
Greg Boyer
Chief Executive Officer	60.00	X	0	0	0
Dawn Ahner
Chief Financial Officer	30.00		0	396440	84338	X
Kristina Gaw
Chief Operating Officer	60.00		0	276953	61386		X
Linda Ferris
VP, Clinical Programs Devl	60.00		0	188813	20046		X
Larry Weber
VP, Ancillary and Support	60.00		0	167556	19740		X
William Keough
Chief Medical Physicist	60.00		0	164390	16090		X
Jeffrey Stout
Chief Nursing Officer	60.00		0	157900	13771		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2573364	TotalReportableCompFrmRltdOrgs
Total Other Compensation	594310	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
University of Nevada School of Medicine
Medical Bldg 0346	Reno	NV	895570346	Medical Services	2545184
On Assignment Staffing Services
PO Box 633307	Cincinnati	OH	452633307	Staffing Services	1723877
GE Healthcare
PO Box 843553	Dallas	TX	752843553	Equipment Servicing	1719216
Associated Laundry Management
250 Burge Rd	Reno	NV	895069071	Laundry Services	1272586
JLG Medical Transcription
141 Stevens Ave Ste 15	Oldsmar	FL	34677	Transcription Services	1170172

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	68	NumberOfContractorsGT100K
Related Organizations	444856	RelatedOrganizations
Total Contributions	444856	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu	621500	537296804	537296804
Cafeteria	722210	2226489	2226489
Patient Prescriptions	621500	68890	68890

Field	Value	IRS element (for citing)
Total Program Service Revenue	539592183	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-433655	TotalRevenueColumn
Exclusion	-$433,655	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	175148	TotalRevenueColumn
Exclusion	$175,148	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Personal	662382	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Personal	349873	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Personal	312509	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	312509	TotalRevenueColumn
Exclusion	$312,509	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	507164	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	226863	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	280301	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	280301	TotalRevenueColumn
Exclusion	$280,301	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	466303	GrossSalesOfInventory
Cost Of Goods Sold	181482	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	284821	TotalRevenueColumn
Related Or Exempt Function Income	284821	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Unrelated Business Inc	Description
Business Code	621500	BusinessCode
Total Revenue Column	11349	TotalRevenueColumn
Unrelated Business Revenue	11349	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	11349	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	540667512	TotalRevenueColumn
Related Or Exempt Function Income	539877004	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11349	UnrelatedBusinessRevenue
Exclusion	$334,303	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	6226242	Total
Program Services	6226242	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	506364	Total
Program Services	506364	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	142201030	Total
Program Services	140344389	ProgramServices
Management And General	1856641	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	28220842	Total
Program Services	27830947	ProgramServices
Management And General	389895	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	35873762	Total
Management And General	35873762	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	239838	Total
Management And General	239838	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	4293	Total
Program Services	4293	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	56752461	Total
Program Services	53108246	ProgramServices
Management And General	3644215	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3124	Total
Program Services	3124	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	103814445	Total
Program Services	103783839	ProgramServices
Management And General	30606	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	499628	Total
Program Services	499628	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1335534	Total
Program Services	1233610	ProgramServices
Management And General	101924	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	150581	Total
Program Services	140452	ProgramServices
Management And General	10129	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	121163	Total
Program Services	29754	ProgramServices
Management And General	91409	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	24039234	Total
Program Services	24039234	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34186697	Total
Program Services	32971335	ProgramServices
Management And General	1215362	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4892046	Total
Management And General	4892046	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debts	108205305	108205305
Other Admin Costs	4562345	4562345
Dues and Subscriptions	259817	99823	159994
Extinguishment of Debt	245973	245973

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1060583	Total
Program Services	324990	ProgramServices
Management And General	735593	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	553401307	Total
Program Services	504159893	ProgramServices
Management And General	49241414	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	19870	BOY
EOY	19670	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	52578290	BOY
EOY	62465031	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	92866324	BOY
EOY	86137957	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13173734	BOY
EOY	13379030	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2069868	BOY
EOY	2056408	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	690205374	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	269115811	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	441182811	BOY
EOY	421089563	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	100999081	BOY
EOY	79092439	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	702889978	BOY
EOY	664240098	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	34535481	BOY
EOY	33602638	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	473916801	BOY
EOY	468832607	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	15000000	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	38249987	BOY
EOY	41766156	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	561702269	BOY
EOY	544201401	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	141187709	BOY
EOY	120038697	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	141187709	BOY
EOY	120038697	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	702889978	BOY
EOY	664240098	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$4,293	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	4293	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
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

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13051070	OtherCostOrOtherBasis
Book Value	13051070	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	492733752	OtherCostOrOtherBasis
Depreciation	144822456	Depreciation
Book Value	347911296	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	437391	OtherCostOrOtherBasis
Depreciation	414988	Depreciation
Book Value	22403	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	182122019	OtherCostOrOtherBasis
Depreciation	123878367	Depreciation
Book Value	58243652	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1861142	OtherCostOrOtherBasis
Book Value	1861142	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	421089563	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
OTHER RECEIVABLES	245156
DEPOSITS	10171
UNAMORTIZED FINANCING COSTS	15761296
DUE FROM AFFILIATES	32876811
DEBT SERVICE RESERVE	11069717
FUNDS HELD IN TRUST	19129288

Field	Value	IRS element (for citing)
Total Book Value Other Assets	79092439	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Other Current Liabilities	$3,429,086
Interest Rate SWAP Liability	$38,314,108
Due to Affliates	$22,962

Field	Value	IRS element (for citing)
Total Of Amounts	41766156	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part X:	Identifier
Return Reference	Description of Uncertain Tax Positions Under FIN 48:	ReturnReference
Explanation	The consolidated financial statements did not contain a footnote to report the organization's liability for uncertain tax positions under FIN 48 as there were no uncertain tax positions to be reported.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	1000.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15328209	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	15328209	NetCommunityBenefitExpense
Percent Of Total Expense	0.03440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	56245121	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39643926	DirectOffsettingRevenue
Net Community Benefit Expense	16601195	NetCommunityBenefitExpense
Percent Of Total Expense	0.03730	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10950980	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4709980	DirectOffsettingRevenue
Net Community Benefit Expense	6241000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01400	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82524310	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44353906	DirectOffsettingRevenue
Net Community Benefit Expense	38170404	NetCommunityBenefitExpense
Percent Of Total Expense	0.08570	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8405635	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	8405635	NetCommunityBenefitExpense
Percent Of Total Expense	0.01890	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3351093	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1400306	DirectOffsettingRevenue
Net Community Benefit Expense	1950787	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	448084	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	448084	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1117037	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1117037	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13321849	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1400306	DirectOffsettingRevenue
Net Community Benefit Expense	11921543	NetCommunityBenefitExpense
Percent Of Total Expense	0.02680	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	95846159	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45754212	DirectOffsettingRevenue
Net Community Benefit Expense	50091947	NetCommunityBenefitExpense
Percent Of Total Expense	0.11250	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	120	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	120	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	162350	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	162350	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	778	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	778	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	163248	TotalCommunityBuildingExpense
Net Community Building Expense	163248	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$27,418,983	BadDebtExpenseAmount
Amount Attributable To	10078373	AmountAttributableTo
Amount Reimbursed By Medicare	134113864	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	139199519	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5085655	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Renown Regional Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1155 Mill St	AddressLine1
City	Reno	City
State	NV	State
ZIP Code	89502	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c:	IncomeBasedCriteria
Annual Community Benefit Expln	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.	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g:	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: The amount of bad debt expense removed from total expenses to determine the percentage was $108,205,305.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: Renown Health manages the risk in the receivables by regularly reviewing its accounts and contracts any by providing appropriate allowances for uncollectible amounts.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 that 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 balances of this population and the FICO scores of the population that completed an application for charity under the organization's policy. The organization estimated that 47.66% of the ininsured population has a FICO score under 500. To calculate the amount included on Line 3, the total uninsured patient charges less amounts paid or written off to charity was multiplied by 47.66% and then multiplied by the Ratio of Cost to Charges from Worksheet 2.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The amount included on Line 7 should be included in community benefit because it represents the amount of costs to provide care under a government-sponsored program that is not covered by the reimbursement received under the program. The reimbursement is at non-negotiable rates set by the government agency.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Needs Assessment	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 in the spring. 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 in the spring 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.	NeedsAssessment
Patient Education Assistance	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 organizations charity care process.	PatientEducationAssistance
Community Information	Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 423,833 as of July 2008. The city of Reno is the county seat and the third largest city in Nevada with a population of 223,012. Adjacent to Reno to the north and east is Sparks, with a population of 91,684. Together Reno and Sparks, and surrounding unincorporated areas have a population of approximately 409,000. The area is often referred to as the Truckee Meadows, due to its lush valley location on the eastern slope of the Sierra Nevada mountain range just northeast of beautiful Lake Tahoe. Reno-Spark's population 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 $67,483, which is above both state and national medians and also represents the area's higher cost of living. 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 11.3% as of November 2009, reflecting recent 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.	CommunityInformation
Community Building Activities	Part VI, Line 5: For over 15 years, Renown Smart Health Connection (formerly Senior Options) has offered one of the region's most comprehensive healthy aging programs. Designed to enhance the health and wellness of thousands of adults age 50 +, Smart Health Connection provides residents of northern Nevada with important health information, health screenings and educational events. Members enjoy access to classes and lectures on health-related topics, monthly health screenings, special events, and subscription to Seasons, a monthly newsletter that includes the latest health tips and news, ideas for staying active, and a calendar of upcoming events. As part of Renown Regional's community flu pandemic planning, an inventory of H1N1 supplies is maintained at all times.	CommunityBuildingActivities
Other Information	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.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: The organization is a part of an affiliated healthcare system, Renown Health. Renown Health's purpose statement is to "Make a genuine difference in the many lives we touch by optimizing our patient's healthcare experience". Every member of the health network has the same purpose statement. Statement O for the 990's for Renown Health includes additional information regarding the community benefit provided by each member of the health network.	AffiliatedHealthCareSystem
Reports Filed With States	NV	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Renown Skilled Nursing
1155 Mill St	Reno	NV	89502	201347269	501 (c)(3)	2738234	Skilled Nursing Services
Renown Network Services
1155 Mill St	Reno	NV	89502	880231828	501 (c)(3)	2686648	Pregnancy Services
Hometown Health Management Company
1155 Mill St	Reno	NV	89502	880236758		801360	Health Hotline

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Patient Assistance	TypeOfGrant
Number Of Recipients	521	NumberOfRecipients
Amount Of Cash Grant	506364	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Other Information:	Identifier
Return Reference	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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ronald Laxton
0	430587	0	0	0	3483	0	0	0	8151	0	442221	0	0
James Miller
0	774390	0	0	0	12852	0	296565	0	16558	0	1100365	0	0
Dawn Ahner
0	396440	0	0	0	0	0	65679	0	18658	0	480777	0	0
Kristina Gaw
0	276953	0	0	0	0	0	47537	0	13848	0	338338	0	0
Linda Ferris
0	186409	0	0	0	2404	0	2719	0	18083	0	209615	0	0
Larry Weber
0	165659	0	0	0	1897	0	6788	0	13315	0	187659	0	0
William Keough
0	137254	0	0	0	27136	0	6611	0	9771	0	180772	0	0
Jeffrey Stout
0	153129	0	0	0	4771	0	0	0	14021	0	171921	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 4a	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).
Part III	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.	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
City of Reno Nevada
886000201	759836DX4	2006-09-20	2014272	Construction and equipment purchase	0	0
City of Reno Nevada
886000201	759836ER6	2007-04-19	124114034	Construction and equipment purchase	0	0
City of Reno Nevada
886000201	759836JC4	2008-06-26	260935965	Refunded 2006A&B and Conversion of 2005A&B, 2004A and partial 2004C	0	0
City of Reno Nevada
886000201	759836JE0	2009-01-15	63600000	Refunded 2004B	0	0
City of Reno Nevada
886000201	759836JU4	2010-03-31	48028335	Partial conversion of 2004C to fixed rate	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent	Amount DefeasedAmountDefeased
2022824	867362	29500	1136249	2007	0	1	1
127766600		988672	112532498	2010	0	0	1	14245430
270798443	7503309	2537159	1952211	2007	1	1	1		256517329
66968699		918613	369398	2007	1	1	1		62311988
50676717	2648382	566802		2007	1	1	1		47461533

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	1	0.00000	0.00000	1
0	1	1	0.00000	0.00000	1
1	1	1	0.00070	0.00070	1
1	1	1	0.00340	0.00340	1
0	1	1	0.00580	0.00580	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
MBIA Inc
0	0	0	1	5.700000000000	1	0	1
(no name)
0	0	0	0			0	0
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Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Alvaro Devia	NamePerson

Field	Value	IRS element (for citing)
Relationship	Director	Relationship
Amount Of Transaction	349669	AmountOfTransaction
Description Of Transaction	Professional Services	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 6	Renown Health is the sole corporate member of Renown Regional Medical Center.
Form 990, Part VI, Section A, line 7a	Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional Medical Center.
Form 990, Part VI, Section A, line 7b	Renown Health must approve 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.
Form 990, Part VI, Section B, line 11	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.
Form 990, Part VI, Section B, line 12c	On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Regional Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed.
Form 990, Part VI, Section B, line 15	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 2010 executive compensation.
Form 990, Part VI, Section C, line 19	Renown Regional Medical Center does not make its governing documents, conflict of interest policy, or financial statements available to the general public.
Form 990, Part XI, Line 2b	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.	Audit Committee
	Form 990, Schedule K, Part I, Column C 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
	Form 990, Schedule K, Part I, Line A, Column (e) Issue Price 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.
	Form 990, Schedule K, Part IV, Line 4c The GICs were terminated on March 16, 2009.
Form 990, Part V, Question 2a	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.	Employees reported on W-3
Form 990, Part VII, Column B	Jim Miller, President & 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.
Form 990, Part III, Line 4b	Renown Children's Hospital continues to be the only northern Nevada hospital affiliated with the National Association of Children's Hospitals and Related Institutions (NACHRI). Renown Children's Hospital was the first in Nevada to belong to the nonprofit association, a collective voice for health systems devoted to the well-being of America's 70 million children and their families. Renown Children's Hospital is a "hospital within a hospital" concept, including existing programs and services as well as new program and service development in the coming months and years. "We welcome Renown Children's Hospital to the family of care givers devoted to improving the health of children, and we look forward to its active involvement," said NACHRI President and CEO Lawrence A. McAndrews. "Because of their focus on children, institutions like Renown Children's Hospital are able to identify emerging trends and problems associated with the health of children." Highlights for the Renown Children's Hospital services available to the community include: The region's only Pediatric Intensive Care Unit for clinically ill and injured children. In fiscal year 2010, there were 525 admissions. The region's only Children's Specialty Care center, recruiting highly-trained physicians to the community and allowing children to receive specialized care for serious illnesses right here at home. Services offered currently include pediatric specialist in pulmonary conditions, cancer, and blood diseases. A Pediatric Inpatient hospital unit featuring 29 beds and a therapeutic playroom along with art and pet therapy programs for children. The region's only Child Life Program, which provides certified Child Life Specialists to help children and their families with their emotional and coping needs during hospitalization. The first hospital in the United States to launch a pertussis (Tdap) program. Pertussis is an upper-respiratory illness that is potentially fatal to infants. Known as the Cocooning Project, it is gaining popularity as health departments and hospitals from throughout the nation are inquiring about developing their own programs. In fiscal year 2010 the program protected more than 3,000 babies against pertussis. Children's Miracle Network is a nonprofit organization dedicated to saving and improving the lives of children by raising funds for children's hospitals across North America. Renown Regional is northern Nevada's only Children's Miracle Network hospital. Each year the 170 Children's Miracle Network hospitals provide the finest medical care, life-saving research and education to help millions of kids overcome diseases and injuries of every kind. The Children's Specialty Care center offers the region's only pediatric hematology and oncology care. Children with cancer and diseases of the blood can receive specialized care while staying near home. The clinic draws specialty physicians highly trained in treating children and adolescents with leukemia, brain tumors and other forms of blood diseases and cancer. The physicians travel regularly from the San Francisco Bay Area to provide this care. "It makes such a difference to our patients and their families to have access to the care they need close to home," said Robert Raphael, M.D., pediatric hematologist/oncologist, based at Children's Hospital & Research Center Oakland. Children's Miracle Network partners with many corporate businesses that hold events locally to benefit Renown Children's Hospital. The Marriott Timberlodge in South Lake Tahoe hosted their 3rd annual Chip in for Kids Poker Tournament last year raising $7,000. The Costco Wholesale in Sparks held their 15th annual golf tournament with as many as 28 committed teams, which raised $117,521 combine with the store's miracle balloon sales in May 2010. Walmart kicked off its campaign by tying in CMN's 25 years of partnership with Renown Health at a community-wide celebration at Aces Ballpark, calling it Miracle Night. This celebration raised $46,323 for CMN and helped gain awareness about the program with more than 9,000 people in the Reno community. To observe September 2009 as National Childhood Cancer Awareness Month, Renown Children's Hospital united with other northern Nevada medical professionals, families, patients and survivors to help increase awareness that will lead to a cure for children with cancer. Saturday, Sept. 12 was Childhood Cancer Awareness Day in Pickett Park, which is across from Renown Regional Medical Center. The free event focused on local resources and families in the fight against cancer and on speaking out against the decline in federal research funding. Renown Children's Hospital is the only hospital in northern Nevada with a Children's Infusion Center. This area serves approximately 424 children currently living with cancer or blood diseases in northern Nevada. Infusion therapy for these patients often takes place two or three times a week, and each session typically lasts one to eight hours or longer. The Children's Infusion Center offers child-sized treatment chairs in an environment geared directly to children and their families. "The Children's Infusion Center compliments the mission for the Northern Nevada Childhood Cancer Coalition to support children with cancer and their families," said Lizzie Dalton, executive director at the Northern Nevada Childhood Cancer Coalition. "We believe this center not only enhances the quality of care given at Renown Children's Hospital but it also provides families with a spacious and playful environment to nurture their children during such a difficult situation." Electronic Medical Record The Electronic Medical Record (EMR), a key initiative for the Renown Health Network that had been in progress since 2006, came to a major milestone in FY10. In our continued effort to offer skill, expertise and technology to our community and patients, Renown Regional Medical Center began using EMR on July 14, 2009. EMR is an important tool that saves time, improves patient care and helps our teams to make a genuine difference. Some of the benefits are: Comprehensive, timely information across care settings 100% legible documentation, shared by all disciplines Charts always available System aided medication administration safety, documentation and reconciliation Expanded automated medical device information capture *Up to date, online patient education & discharge instructions This tool was implemented at Renown South Meadows Medical Center and Renown Rehabilitation Hospital on February 5, 2008. Renown Regional Medical Center was implemented in five waves during FY10: July 7, 2009 Pharmacy July 14, 2009 Clinical Documentation for all nursing units with the exception of Maternal Child units Order Entry - all departments and nursing units ER - expanded functionality OpTime - Surgery peri-operative documentation functionality Device Integration replacing QS Oct 13, 2009 Electronic MAR for all departments and nursing units with the exception of Maternal Child Jan 12, 2010 Clinical Documentation for Maternal Child units Mar 2, 2010 Electronic MAR for Maternal Child units With EMR, instead of writing in a paper chart, healthcare providers enter information using a computer. Patients may have a computer in your room, or their healthcare provider may come into the room with a computer on wheels. All nurses, doctors and other healthcare providers were extensively training in this new technology. EMR provides easier access to essential information, allowing physicians and clinical staff to diagnose and assess patients based on the most current information in their medical file. If a patient's primary care physician is with Renown Medical Group, their medical record can be accessed from his or her office as well.	Continuation of Program Service Accomplishments
Form 990, Part III, Line 4b	Distinguished for quality care Renown Regional Medical Center became the first hospital in northern Nevada recognized for a commitment to and success in implementing a higher standard of stroke care. The Get With The Guidelines - Gold Plus Performance Achievement Award, awarded in January 2010, acknowledges that Renown Regional has developed a comprehensive system for rapid diagnosis and treatment of stroke patients admitted to the emergency room. Renown Institute for Neurosciences Comprehensive Stroke Center was the first Primary Stroke Center in Nevada certified by The Joint Commission. The Joint Commission, the nation's largest healthcare standards setting and accrediting body, grants this certification to recognize, in its words, "exceptional efforts to foster better outcomes for stroke care." Clinical trials Since the program's inception Renown Regional Medical Center has participated in more than 100 clinical trials for diseases such as cancer and neurological disorders. In clinical trials, physicians conduct scientific research to identify and evaluate techniques for prevention, diagnosis and treatment of medical conditions. A clinical trial tests a new drug, technology or treatment for a given condition. Clinical trials are an essential part of a care program because the trials typically offer the most recently developed and effective medications. Clinical trials also can extend a patient's life because physicians and others involved can follow the patient's progress closely and for longer periods than if the patient were not participating in a study. Patients also are required to have frequent clinical exams, which allow physicians to identify and treat problems early. Participating in clinical trials greatly benefits all patients because promising research can lead to new technologies and treatments. Research Renown Health is involved in more than 20 clinical research studies where people help doctors find ways to improve health and discover treatments for disorders. Renown Health is striving to deliver evidenced-based care to patients by conducting our own research studies and by incorporating recently published findings into our practice. Renown also joins our nation's effort to improve quality in homecare, skilled nursing homes and hospitals by publicly benchmarking on the Centers for Medicare and Medicaid Services' Compare Web site. To validate clinical improvement efforts, Renown also benchmarks fall rates, pressure sores, pain management in children, wound healing rates, and mortality with the best hospitals in the country. "In the past, cancer patients had to travel to one of a few select research institutions in the country including the National Cancer Institute itself to receive the newest treatment," Shannon White, RN, Cancer Research Nurse, Lead Research Nurse. "Now, our community physicians can participate in National Cancer Institute supported clinical trials making it possible for cancer patients to benefit from the latest research without leaving the local area to receive treatment. The most current national research with respect to chemotherapy and radiation therapies are offered by Renown Regional Medical Center through NCI endorsed cancer clinical trials, as well as pharmaceutical company sponsored trials." Health Professional Education As a teaching hospital working with the University of Nevada School of Medicine (UNSOM), Renown Regional Medical Center devotes considerable resources to educating health professionals. We help train the next generation of physicians by serving as a clinical training site for UNSOM students and residents. We support 77 residents in internal medicine, family practice, geriatrics, child psychiatry and psychiatry. In addition, we support nine fellows in child psychiatry, internal medicine and geriatrics. Being a part of the training of doctors is essential to our community. For members of our medical staff, we host weekly "Medicine Potpourri" presentations on medical trends and best practices. Regular meetings and special presentations allow health professionals to gain continuing medical education credits required for maintaining licensure and certifications. To address Nevada's critical nurse shortage, Renown Health has increased the number of educators and funding to inform nurses about current techniques and best practices. This includes creating a mentor program for student nurses, adding nurse educators and clinical nurse specialists to the staff, and paying for nurses to gain specialized expertise and certifications. We have shared this expertise with the community by providing faculty for UNSOM and Truckee Meadows Community College. We are key partners in the state's effort to double nursing school output in Nevada. To further benefit nurses throughout the community, Renown hosts Nursing Excellence Conferences. The Herb and Maxine Jacobs Foundation recently gave a grant to the Renown Health Foundation to assist nurses in pursing a bachelors or advanced degrees in a nursing-related field. The Jacobs Scholarship was created to ensure registered nurses would have the necessary resources to advance their skills and professionalism through higher education. Nurses at Renown Health have the opportunity to apply for the scholarship annually. The Jacobs scholarship matches Renown's own tuition reimbursement plan for a period of up to two years. "This scholarship is very helpful in offsetting the costs with returning to school," said Jeff Stout, MSN, RN, NEA-BC, chief nursing officer, Renown Regional Medical Center. "It is a great motivational tool which encourages and supports nurses to pursue a higher education. We are very grateful to the Jacobs family for their generous donation and commitment to nursing." Renown Institute for Cancer The Renown Institute for Cancer is committed to treating cancers with a distinctive blend of leading-edge clinical experience, compassion and state-of-the-art technologies. For cancer patients whose treatment plan includes a hospital stay, the Renown Institute for Cancer provides compassionate, expert care. Specializing in the treatment of cancer and hematologic and immunologic disorders, Renown provides all of the services needed by cancer patients and their families. These include chemotherapy, brachytherapy, radiation therapy, pain control, palliative care, psychosocial assistance and postsurgical care with some of the most advanced technology including TomoTherapy and da Vinci. In May 2009, Renown Institute for Cancer revealed new patient rooms adorned with hardwood-inspired vinyl floors, upgraded ceiling tiles with leaf accents, and original artwork in each room. These newly renovated rooms offer the ultimate in comfort for patients who require hospitalization. The newly renovated Sierra Tower first floor is more than 15,500 sq ft. It features 29 private rooms with two semi-private rooms, a greeter desk, two nursing stations, a family lounge with flat-panel TV, dining area and free internet station. Treatment teams include nurses with special training in cancer treatment, a clinical nurse specialist who collaborates with the nursing team and educates the patient and family, and licensed social workers who provide emotional and spiritual help for patients and their families during hospitalization. The Renown Institute for Cancer was first in the region to offer patients the chance to participate in clinical trials. We have administered more than 141 trials to more than 870 patients since 1987. Our goal is to work with our state's Clinical Community Oncology Program to improve outcomes for cancer patients in our community. Our participation in CCOP provides our community with access to a wide range of cancer research studies and protocols. "I have been pleasantly surprised by the breadth of services available at Renown for cancer patients," said Kimberly Tilton, breast cancer survivor. "When you are fighting cancer, you need all the help and support you can get. Renown provided an amazing selection of ways for me to get through this battle, all of which were completely free of charge, so that I didn't have to do it alone." A specialized team of doctors approach lung cancer diagnosis and treatment Lung cancer is one of the most common types of cancer diagnosed and treated at Renown Regional Medical Center.
Form 990, Part III, Line 4b	The Renown Institute for Cancer hosts community education forums that provide information on clinical trials and pediatric oncology. The Institute also supports the American Cancer Society's Relay for Life and offers the four-session I Can Cope series. Services for Seniors Smart Health Connection Smart Health Connection is one of the region's most comprehensive healthy aging programs, designed to enhance the health and wellness of more than 10,000 members age 50+. Membership is free and includes access to low-cost health screenings, monthly informative health education lectures, special events, and a subscription to Seasons, a monthly newsletter filled with the latest health tips and news, ideas for staying active and a calendar of upcoming events. In Sept. of 2010, 93 seniors received discounted screenings at Senior Fest, an annual event offering free and low-cost health screenings for seniors. Flu shots In the fall of 2009, Renown Health provided 22,624 flu shots and 1,942 pneumonia shots at multiple convenient, public locations. More than 8,000 of those shots were for seniors; nationally, influenza claims the lives of 21,000 seniors every year. Renown Health provides flu-shot events throughout the community, as a preventive measure to protect the health of seniors and reduce the impact on local hospitals during flu season. Services that benefit women and children Baby & Family Suites Renown Regional Medical Center's Baby & Family Suites opened in Feb. 2009 with newly remodeled rooms including 28 private rooms. Along with the new state-of-the-art William N. Pennington Nursery, Renown Regional's latest addition compliments the skill and expertise of the women and children's hospital staff. To continue education about the birthing process at Renown Regional Medical Center, 11 tours of the Baby & Family Suites were given to more than 10 expecting moms and their families each month. Northern Nevada Immunization Coalition Renown Health's support of the Northern Nevada Immunization Coalition directly benefited babies and the children and adults most threatened by vaccine-preventable diseases. The NNIC is a professional, community group dedicated to stopping vaccine-preventable diseases through improved immunization programs. Its efforts also benefit the public and private sectors of northern Nevada. Renown Health supports nurses who participate in community health projects that benefit women and children. During fiscal year 2010, NNIC touched nearly 40,000 lives, with more than 4,500 of those lives at Renown Regional Medical Center alone. NNIC holds a two-day conference every year and the annual Silver Syringe Awards, to recognize those who promote and help administer the CDC-recommended immunizations. During Oct. 2009, Renown nurses volunteered their time at Rotary Free Family Flu Shot Day, which touches approximately 3,000 community lives a year. Parenting-skills education for high-risk parents Helping children close to home is one of the driving forces at Renown Health. We have the most comprehensive maternal and children's services in the region. Renown Health also supports community outreach events and helps to improve the lives of mothers and babies in northern Nevada. Through this multidisciplinary group, Renown Health provides maternal child education, supports services needed in the community and augments community resources. The education benefits spouses, children and other family members of high-risk parents as well as the community. Integrated Case Management Program The United Way piloted this program to identify women throughout the community who were pregnant for the first time and at high risk. These women could then benefit from services arranged through this program, which was held twice a month. Maternal Child Health Coalition The Maternal Child Health Coalition is a multidisciplinary group from Renown Health that benefits the entire community and focuses on maternal child education and support service needs and ways we can assist or add to those resources. Child Abuse Education During the year, a Renown Health Social Worker provided education and training on child abuse. Those who benefited from this event included all TMCC RN's and all RTI members. March of Dimes Renown Health supported the March of Dimes in raising money for research into the causes and prevention of premature birth, birth defects and infant mortality. In April 2010 Renown Regional Medical Center sponsored the March for Babies walk at the Sparks Marina. Save Your Skull Accidents happen. So Renown Children's Hospital has teamed up with Kohl's Cares for Kids' to educate kids and families about how to prevent head injuries with Save Your Skull. Save Your Skull is a year-round program that promotes seatbelt, helmet and pedestrian safety. Our program safety experts encourage everyone, not just kids, to wear helmets and stay safe whenever they take to the slopes or the sidewalks. Each month the Save Your Skull program improves safety awareness at Washoe County schools by promoting the wearing of helmets and seat belts. For fiscal year 2010, the program impacted more than 250 lives per month. Child Death Review Board A panel of representatives from local law enforcement, the Coroner's Office, the Health Department, Washoe County School District, Child Protective Services Forensics and Renown Social Workers review all child deaths in Washoe County. The panel reviews approximately 20 cases every other month. By advocating for and protecting the rights of children and newborns, the review board benefits the entire community. Healthcare information and educational services Krames On Demand Renown Regional Medical Center's subscribes to Krames On Demand, a Joint Commission-approved health-information library hosted on the health network's intranet. All clinical staff have access to this information, which provides patients with easily understood information about health conditions, prescription medications, discharge planning and more. More than 22,800 pages of health information and 3,800 pages of drug information were printed in fiscal year 2010. UptoDate In April 2010 Renown Health began offering practicing physicians and clinical staff access to UpToDate, a clinical decision support tool. UptoDate is an evidence-based, peer-reviewed information resource. With UpToDate, physicians and clinical staff can answer questions quickly, increase clinical knowledge and improve patient care. The content is user-friendly and guides users step by step in navigating the content categories. UpToDate is used to receive specific, detailed answers to clinical questions, often within minutes. It is accessible by clicking on the icon when logged into Hyperspace in EPIC from any Renown network computer.
Form 990, Part III, Line 4b	Hospital Career Days Renown Health makes a strong effort to help with the area's students, creating an open and acceptable learning environment for experiencing healthcare professions. In February 2010, approximately 800 students from Washoe County School District high schools participated in Renown Regional Medical Center's ninth annual Hospital Career Days. In this joint effort with Education Collaborative, high school seniors studying science learned about healthcare occupations in the hospital setting. Through this four-day program, Renown Health helps attract talented young people to the medical profession. This will help ensure that our community continues to have advanced medicine available. The students saw firsthand the skills needed to pursue careers in nursing, imaging, rehabilitation therapies, dietary services, laboratory analysis and other fields. Students viewed a surgery broadcast, learned from professionals in many medical specialties and allied fields, toured hospital departments and attended a medical career fair "Our students love Hospital Career Days and eagerly anticipate attending this event," said Denise Hedrick, executive director of the Education Collaborative of Washoe County, Inc. "It really does give them a taste of the excitement and rewards of working in healthcare. Our partnership with Renown Regional provides an ideal situation in which students can learn firsthand what working in a hospital environment is all about." Services for patients and their families Renown Health Management Services A variety of support-group meetings were held at Health Management Services at Renown Regional Medical Center in fiscal year 2010. Support group topics included juvenile diabetes, chronic lung conditions, adult diabetes and asthma and allergies. Health Management Services also offered programs and presentations in the community. Clinical staff attends open house events, health fairs and provide lectures at local fitness centers, nonprofit social agencies, assisted living facilities, government agencies, professional associations, service organizations, schools and employers. Advance Directives Education In response to requests from the community, Renown Health provides free advance directives and notary service for the directives. The patient representative attends local meetings and educates groups or individuals on completing advance directives. GROW (Grief Recovery Outreach Workshop) Renown Health, along with the Higgins Group, hosts this grief support group for those who have lost loved ones. Transportation assistance for indigent patients Renown Regional provided cab and bus vouchers for indigent patients who needed transportation to and from the hospital. Without this transportation these patients would not have been able to receive care. Mental-health and substance-abuse assessments and referrals Renown Behavioral Health offered over 250 free clinical assessments for mental health and substance abuse to patients without health insurance during fiscal year 2010. Patient assistance fund The Renown patient assistance fund helps patients who are unable to pay for prescriptions, medical equipment, lodging, food, and transportation. The fund primarily benefits indigent patients and displaced travelers without access to funds, helping them return home with services until they can obtain financial support. Providing prescriptions for indigent patients The Healthcare Center, in partnership with Washoe County Department of Social Services, offers care to members of our community who, for financial reasons, are not able to receive medical attention. The Healthcare Center Pharmacy provided more than 82,500 prescriptions during fiscal year 2010. The sole purpose of our pharmacy is to provide pharmaceuticals to patients designated as indigent by Washoe County. Volunteer services During 2010, 550 volunteers donated more than 37,700 hours to assisting patients and employees throughout Renown Regional Medical Center. Volunteers served in the gift shop; played the piano; participated in the pet therapy program; provided way finding to patients and visitors; and worked on patient care units such as the emergency department, the Neonatal Intensive Care Unit, and Same Day Surgery. Clinical education Clinical rotations for nursing students For the 2009 fall and 2010 spring semesters, nursing students from the University of Nevada, Reno, Orvis School of Nursing; Truckee Meadows Community College and Western Nevada Community College visited Renown Regional Medical Center to benefit from our clinical expertise. Students were accompanied by an instructor but worked closely with Renown Regional registered nurses while in the units. Students gain work experience in the hospital setting while acquiring knowledge about dealing with patients and the healthcare field in general. Renown provides that opportunity with the guidance of clinical nurse educators, clinical nurse specialists and staff RNs. The staff RNs enriched the clinical experience by providing one-on-one mentoring with students. Renown has a diverse range of facilities, so the experience provided to students is unique to Renown. More than 90 students from UNR, 64 students from TMCC and 32 students from WNCC completed the clinical experience at Renown. Trends in Cardiovascular Nursing Conference The 28th annual Trends in Cardiovascular Nursing Conference benefited nurses and physicians from the community who specialize in cardiac care. Recognized regionally, the conference brought nationally known speakers to give presentations on the latest trends in cardiac care. Trauma: The Challenge conference Trauma: The Challenge was a two-day regional conference with speakers and breakout sessions catering to intensive care and trauma healthcare workers. As the region's only Level II Trauma Center, Renown Regional Medical Center cares for critically sick and injured patients, meeting a community need that otherwise would go unmet. Association of Women's Health Obstetric and Neonatal Nurses AWHONN is a national professional organization for nurses who work in pediatric, neonatal intensive care, newborn nursery, antepartum, labor and delivery and postpartum units. AWHONN benefits the nurses who attend and learn through this professional organization and those they care for. These nurses are also role models for professionalism and encourage nurses to do the same. Renown encourages nurses to participate their professional organizations and seek certification in their specialties. The AWHONN is growing, which will benefit Renown, the community, and the individual nurses who take the extra time to attend the meetings and CEU sessions. Healing through the arts Throughout the year, the Healing Arts program helped lift the spirits and ease the cares of patients and family members alike. The Reno Chamber Orchestra gave more than 12 concerts in the Tahoe Tower lobby. Among other events in the Tahoe Tower lobby, The Notebables, a non-profit singing group performed. To celebrate the Holidays in December 2009, the IGT Carolers spread some holiday cheer. A variety of performances were given throughout the year including Double Diamond Elementary School and the Reno Youth Jazz Orchestra. For centuries people have believed in the healing power of art and nature. Recently, studies have shown that artwork and natural surrounding, located in a hospital setting, not only helps create a peaceful healing environment but also aids in the healing process. According to a study released in 2008 by the Center for Health Design in Concord, Calif., art is a critical component of the healthcare environment, which can aid the healing process. To date, Renown Health's Healing Arts program includes more than 1,000 original works of art at Renown Regional Medical Center, approximately 400 of which are in patient rooms. The program also includes Musical performances at the patient bed-side Pet therapy Free public performances by members of the Reno Chamber Orchestra Daily piano performances A Literature in Medicine program for clinical staff An Artist in Residence program for medical school students
Form 990, Part III, Line 4b	Also as part of the Healing Arts program, Renown Regional Medical Center offers Fianna's Healing Garden. Named after longtime Reno resident, business leader and master gardener, Fianna Combs, the garden is a place where medical concerns and pain can be replaced by the serenity and beauty of the outdoors. The garden was designed to ease patient, visitor and employee stress or fears. Fianna's Healing Garden includes three sculptures, the Wilbur D. May Labyrinth, reflection pools, a medicinal plant and herb garden and private seating areas complete with speakers providing a genuine sensory experience. Research indicates that art and nature in many forms can positively impact a patient's healing process. Findings have also shown that patients exposed to art require fewer drugs, spend less time in the hospital and have improved mental health. "My belief is that nature is the most healing element in our environment, it brings us to a more natural and comfortable place within ourselves" - Fianna Combs

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA
Renown Health
1155 Mill St Z-5	Reno	NV	89502	942972845	Health Care	NV	501 (c) (3)	III-FI	N/A
Renown Health Foundation
1155 Mill St Z-5	Reno	NV	89502	942972749	Foundation	NV	501 (c) (3)	7	N/A
Renown South Meadows Medical Center
1155 Mill St Z-5	Reno	NV	89502	460517825	Hospital	NV	501 (c) (3)	3	N/A
Hometown Health Plan
1155 Mill St Z-5	Reno	NV	89502	880231433	HMO	NV	501 (c) (4)		N/A
Renown Skilled Nursing
1155 Mill St Z-5	Reno	NV	89502	201347269	Hospital	NV	501 (c) (3)	3	N/A
Renown Network Services
1155 Mill St Z-5	Reno	NV	89502	880231828	Outpatient Imaging and Pregnancy Center	NV	501 (c) (3)	3	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Routt Dialysis LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1155 Mill St Z-5	AddressLine1
City	Reno	City
State	NV	State
ZIP Code	89502	ZIPCode

Field	Value	IRS element (for citing)
EIN	263558729	EIN
Primary Activity	Dialysis	PrimaryActivity
Legal Domicile State	NV	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
Renown Businesses
1155 Mill St Z-5	Reno	NV	89502	880228030	Health Care	NV	N/A	C
Hometown Health Management Company
1155 Mill St Z-5	Reno	NV	89502	880236758	Management Services	NV	N/A	C
The Provider Network Inc
1155 Mill St Z-5	Reno	NV	89502	880376369	Health Care	NV	N/A	C
Remittance Assistance Corporation
1155 Mill St Z-5	Reno	NV	89502	880277761	Collections	NV	N/A	C
Hometown Health Providers Insurance Company
1155 Mill St Z-5	Reno	NV	89502	880177026	Insurance	NV	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Hometown Health Plan Inc
K	38991865
Hometown Health Plan Inc
L	2171871