2025-11-14T18:10:12-06:00 2024-12-31 390859910 Baker Tilly Advisory Group LP 805 SW Broadway Ste 1400 Portland OR 97205 990 2024-01-01 880213754 Renown Regional Medical Center RENO 7759826488 1155 Mill St CO Tax Treasury Z-4 Reno NV 89502 Anna Loomis Chief Financial Officer 7759826488 2025-11-12 1 1 Wendy Campos P00448102 5032421447 2025-11-12 2024 2025-03-06 01:10:19Z Brian Erling 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 1417484328 0 X www.renown.org X 1985 NV An 826 bed acute-care hospital and the region's only Level II trauma center. 11 10 0 346 663047 230439 8955432 15109972 1154578261 1398364795 3218295 1771412 515809 530190 1167267797 1415776369 4858748 6856591 0 0 455308995 486729724 0 0 0 642511829 787557761 1102679572 1281144076 64588225 134632293 800735087 830083441 931395609 737670234 -130660522 92413207 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 1074260934 6856591 1398507698 See Schedule ORenown Regional Medical Center is an accredited, 826-licensed bed, general and acute-care hospital serving communities in Nevada and northeastern California. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the University of Nevada, Reno School of Medicine, the Orvis School of Nursing at the University of Nevada, Reno and the region's healthcare professionals.Renown Regional provides necessary healthcare services regardless of race, creed, sex, gender, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including: cancer, heart, neurosciences, orthopedics, surgery, intensive and emergency care, behavioral health, addiction, and women's and children's health. Renown is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown has a medical staff of over 1,500 and extends privileges on its medical staff to all eligible and qualified physicians and allied health professionals. As a non-profit organization, we reinvest every dollar we earn back into the communities we serve, through staffing, technology, treatment, and training to enhance patient care, medical education and research.As part of an integrated health network, Renown Regional provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center for adults and children, a Pediatric Intensive Care Unit, a Level 3 Neonatal Intensive Care Unit, ECMO, Renown Transplant Institute (kidney), TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Comprehensive Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region.Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. Renown Regional offers more than 40 physician specialties, including breast surgery, cardiac surgery, thoracic surgery, cardiology, endocrinology, gastroenterology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric pulmonology, adolescent medicine, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the period ended December 31, 2024, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided approximately $196 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to https://www.renown.org/about/community-commitment/community-health-needs-assessment/. 1074260934 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Anna Loomis 7759826488 1155 Mill St Z-4 Reno NV 89502 Brian Erling President/CEO 23.00 37.00 X X 0 1872333 225513 Chris Nicholas CEO Renown Regional 60.00 0.00 X 600391 0 111586 Amy McCombs COO Renown Regional 60.00 0.00 X 442805 0 39391 Brett Moore CFO Acute Care 60.00 0.00 X 437176 0 31020 Anna Loomis - Chief Financial Officer (as of 07/24) 32.00 28.00 X 0 392905 60260 Kate Ward VP and Admin Oncology 60.00 0.00 X 358173 0 38227 Steven Rhone CNO Regional 60.00 0.00 X 354859 0 20310 Ann Beck Chief Financial Officer (thru 01/24) 32.00 28.00 X 0 210679 2042 Jeff Resnik Director 3.00 9.00 X 0 40347 0 Adam Kramer Chair 3.00 9.00 X X 0 36000 0 Bijel Doshi Treasurer 3.00 9.00 X X 0 24000 0 Marc Mora Director 3.00 9.00 X 0 24000 0 Mark Knobel Director 3.00 9.00 X 0 24000 0 Tammy Dermody Secretary & Vice Chair (thru 12/24) 3.00 9.00 X X 0 15000 0 Thomas Deveny Director 3.00 9.00 X 0 15000 0 Stephanie Lepori Director 3.00 9.00 X 0 15000 0 Christopher Ott Director 3.00 9.00 X 0 15000 0 Brian Sandoval Director 3.00 9.00 X 0 0 0 2193404 2684264 528349 1087 0 1 0 Clark & Sullivan Constructors 905 Industrial Way Sparks NV 89431 Construction Services 26331908 Sodexo America LLC 9801 Washington Boulevard Gaithersburg MD 20878 Facility Management Services 22635605 Healthtrust Workforce Solutions LLC PO Box 550 Nashville TN 372020550 Healthcare Labor Services 19301651 University of Nevada Reno Office of the Controller MS 124 Reno NV 89557 Medical Services 9034861 Shields Health Solutions Holdings LLC 100 Technology Center Drive Suite Stoughton MA 02072 Consulting Services 6497141 139 13104709 2005263 15109972 Patient Services 621500 983018935 983018935 Laboratory Services 621500 261799678 261574686 224992 Patient Prescriptions 621500 153546182 153349117 197065 1398364795 2848624 2848624 749301 362014 387287 387287 240990 146297 146150 1223362 -1077212 -1077212 -1077212 265486 122583 142903 142903 1415776369 1398085641 663047 1917709 X 2077371 2077371 4779220 4779220 406121878 397603917 8517961 12189925 12034536 155389 41024604 40501651 522953 27393317 27044126 349191 25093 25093 25 25 34565 34565 295762949 120048700 175714249 82131 50428 31703 16303293 13412595 2890698 5795502 4890690 904812 12555776 12471502 84274 711234 668588 42646 356999 355849 1150 20931346 20931346 40386311 29568449 10817862 2185594 410805 1774789 Medical Supplies 267219218 267219218 Bad Debt 71499771 71499771 Licenses and Taxes 47438799 47380498 58301 UBIT Tax 5346 5346 6263809 1246645 5017164 1281144076 1074260934 206883142 0 400 1468 85408828 133644557 179636414 163121242 25342681 28421314 7984145 7040358 1054330048 581605423 457282757 472724625 45079862 25129877 800735087 830083441 43704795 51177190 0 1343267 660536550 644394161 227154264 40755616 931395609 737670234 X -130660522 92413207 -130660522 92413207 800735087 830083441 X 134632293 88441436 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 34565 0 0 0 34565 0 Part II-B, Line 1: Payments are made to American Hospital Association and Nevada Hospital Association to provide unified, regulatory advocacy for member hospitals. 13051070 13051070 630644818 345194348 285450470 26836547 17811540 9025007 295421273 218599535 76821738 88376340 88376340 472724625 Due to Affliates 8233116 Other Liabilities 30087794 Third Party Settlements 2434706 40755616 X Part X, Line 2: Renown Regional Medical Center is organized as a Nevada nonprofit entity and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). This entity must annually file Returns of Organizations Exempt from Income Tax (Form 990) with the IRS. In addition, Renown Regional Medical Center is subject to income tax on net income derived from business activities that are unrelated to its tax-exempt purpose. Renown Regional Medical Center files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report any unrelated business taxable income. Renown Regional Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the combined financial statements. Renown Regional Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 1 0 1 1 12708510 12708510 0.01050 249138657 222880805 26257852 0.02170 3483459 3483459 0.00290 265330626 222880805 42449821 0.03510 7132613 7132613 0.00590 16615075 5570551 11044524 0.00910 844093 844093 0.00070 2332204 2332204 0.00190 26923985 5570551 21353434 0.01760 292254611 228451356 63803255 0.05270 0 71499771 236830588 236957749 -127161 X 1 1 1 1 Renown Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 www.renown.org 0669-HOS X X X X X X X Renown Regional Medical Center 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X 1 24 1 See Part V, Page 8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X X 1 X 0 1 Renown Regional Medical Center Part V, Section B, Line 5: Renown utilized validated and reliable data sources to ensure a comprehensive and accurate Community Health Needs Assessment (CHNA). This included data from an online survey of more than 1,400 Washoe County residents, who represented a diverse cross-section of the community by age, race, ethnicity, sex assigned at birth, current gender identity, and sexual orientation. In addition, Renown gathered qualitative insights through Key Informant Interviews with local subject matter experts and hosted a Community Workshop that engaged over 80 leaders and stakeholders. These participants represented a broad spectrum of specialties and organizational missions, ensuring a wide range of perspectives across healthcare, social services, education, public health, and community-based organizations. This multi-faceted approach allowed Renown to capture both quantitative and qualitative input, grounded in community voice and expert knowledge. Renown Regional Medical Center Part V, Section B, Line 6a: Renown South Meadows Medical Center and Renown Rehabilitation Hospital Renown Regional Medical Center Part V, Section B, Line 6b: Truckee Meadows Tomorrow, Nevada Tomorrow, Conduent Healthy Communities Institute, Northern Nevada Public Health Renown Regional Medical Center Part V, Section B, Line 11: In 2024, Renown Health completed the final year of its 2021-2023 Community Health Needs Assessment (CHNA) Implementation Strategy with continued commitment to addressing health disparities through targeted, evidence-based efforts. The plan focused on three priority areas: Healthy Behaviors, Immunizations & Infectious Diseases, and Behavioral, Youth, and Adolescent Health. Each area included strong community partnerships that enhanced implementation and deepened local impact.Priority 1: Healthy BehaviorsRenown partnered with the Healthy Nevada Project, Tier 1 Genomics, and the Renown Health Communications Team to promote equitable access to genetic screening and health education. Communication materials increased by 17% from the previous year, while the genomic testing program enrolled over 57,000 participants by the end of 2024. These efforts emphasized outreach to high-risk, historically underserved populations and laid the groundwork for long-term improvements in health literacy and prevention.Priority 2: Immunizations & Infectious DiseasesRenown collaborated with Immunize Nevada (until the sudden dissolve of their non-profit in early 2024), and later expanded efforts through partnerships with Catholic Charities of Northern Nevada and Community Health Alliance. These partnerships enabled targeted vaccine outreach and delivery to socially vulnerable groups, including undocumented individuals, older adults, those with limited English proficiency, and uninsured families. Priority 3: Behavioral, Youth, and Adolescent HealthRenown worked closely with The Children's Cabinet, Washoe County School District, and the Washoe County Children's Mental Health Consortium through the Connect Washoe County initiative. A broad coalition of over 38 local agencies participated in the annual Youth Mental Health Summit, including NAMI Western Nevada, Quest Counseling, Crisis Support Services of Nevada, Thrive Wellness, and Hope Means Nevada. Renown also supported dozens of direct-service partners, including Amplify Life, Forever14, Safe Talk for Teens, STEP2, ReDirect Youth Outreach, and Ronald McDonald House Charities, investing over $485,000 into suicide prevention, family-based services, mental health programs, and community health education in 2024.Through these collective efforts, Renown Health met or exceeded nearly all targeted goals in the implementation plan and demonstrated meaningful progress in advancing health equity across Northern Nevada. Although the majority of the overarching goals, objectives, and efforts will focus on the top three priority areas, Renown Health remains committed to supporting positive advancements in addressing Maternal and Child Health, and other identified focus areas through partnerships, collaborations, and stakeholder alignment. There are several identified health focus areas remaining: Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; Exercise, Nutrition, and Weight. Although these remaining health needs are significant, other groups in Washoe County have made this their focus, so they are not directly targeted in the 2021 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans.In 2024, Renown Health undertook an extensive community health planning process in preparation for the 2025-2027 Community Health Needs Assessment (CHNA) Implementation Strategy. Building on insights from the 2023 CHNA, the organization focused on identifying strategic priorities, engaging diverse stakeholders, and aligning future goals with documented community needs and existing service gaps.Renown hosted a community-wide listening session in July 2024 to review the 2023 CHNA findings and gather input on potential focus areas. This session included representation from public health agencies, nonprofit organizations, school officials, health professionals, and community members. The purpose was to validate priority issues, elevate lived experience, and foster collective ownership of the implementation planning process.Throughout 2024, the Community Health Program Manager conducted a comprehensive environmental scan of existing community programs, services, and partnerships aligned with identified priority areas. This scan helped determine where Renown could most effectively lead, support, or collaborate to maximize impact and avoid duplication. Ongoing meetings with key partners ensured the strategy development process remained responsive and data-informed.In December 2024, Renown convened a multi-sector strategy session with stakeholders to review the CHNA data and collaboratively select targeted strategies through a voting and consensus process. As a result, 45 specific strategies were identified under each new priority area, setting the foundation for the 2025-2027 Implementation Strategy. These efforts reflect Renown Health's continued commitment to inclusive planning, measurable health improvement, and transparent community benefit reporting.From January 1, 2025-December 31, 2027 the following will be of focus:Priority Area #1: Mental Health Strategy 1.1: Foster Positive Childhood Experiences (PCEs)Strategy 1.2: Provide High-Quality, Trauma-Informed CareStrategy 1.3: Improve Mental Health Outcomes with a Focus on Suicide PreventionStrategy 1.4: Enhance Substance Abuse InterventionsStrategy 1.5: Increase Access to High-Quality Mental Health Services for Underserved CommunitiesPriority Area #2: Access to Healthcare and Community Services Strategy 2.1: Peer SupportStrategy 2.2: Community safety-net programmingStrategy 2.3: Data StreamliningStrategy 2.4: Rural Access Strategy 2.5: Strengthen Nonprofit Collaboration & Outreach with Focus on Kids Priority Area #3: Maternal and Child Health Strategy 3.1: Reduce Substance Use in Pregnant Women Strategy 3.2: Increase Prenatal Care Access and AdherenceStrategy 3.3: Strengthen Child Safety and Reduce TraumaStrategy 3.4: Reduce Syphilis IncidentsRenown Health remains committed to supporting positive advancements in addressing other identified health focus areas through partnerships, collaborations, and stakeholder alignment. These areas include Economy; Women's Health; Built Environment & Infrastructure; Domestic Violence; Older Adults & Aging; Access to Health Services; Maternal, Fetal, & Infant Health; and Exercise, Nutrition, and Weight. While these remaining health needs are significant, other groups in Washoe County have made them their focus, so they are not directly targeted in the 2025-2027 Implementation Strategy & Plan. However, they will continue to be interwoven through both existing and proposed Renown Health strategic plans.As Renown looks ahead to its 2025-2027 Implementation Strategy, the organization remains committed to inclusive planning, sustainable impact, and cross-sector collaboration. The achievements of 2024 reflect not only progress toward measurable health outcomes but also the strength of Renown's partnerships and its deep investment in the well-being of Northern Nevadans. Renown Regional Medical Center Part V, Section B, Line 13h: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. Renown Regional Medical Center Part V, Section B, Line 16j: On every informational-only bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Regional Medical Center Part V, Section B, Line 20e: On every informational-only bill and statement sent to the patient is a number they can call to get help with financial assistance. A financial counselor is made available to all self-pay patients upon admission. In addition, Patient Financial Assistance counselors proactively work with self-pay patients to aid in applying for financial assistance. The organization's website lists the phone number a patient can call to speak to a financial counselor. Renown Regional Medical Center Part V, Section B, Line 24: Per our Financial Assistance Policy, no assistance is provided for non-medically necessary procedures regardless of eligibility. Part V, Lines 7a and 10a: https://www.renown.org/about/community-commitment/community-health-needs-assessment Part V, Line 7b: https://www.renown.org/about/community-commitment/community-health-needs-assessment Part V, Lines 16a, 16b, and 16c: https://www.renown.org/patients-and-visitors/billing/financial-assistance/ 2 1 - Renown Health Home Care 10315 Professional Cir Reno NV 89521 Home Care 2 - Renown Hospice Care 10315 Professional Cir Reno NV 89521 Hospice Care Part I, Line 3c: In addition to the federal poverty guidelines, we also consider eligibility for state assistance programs and homelessness or no documentation to establish indigence as factors in determining eligibility. Guarantors who are above 400% FPG but have large medical bills due to catastrophic illness, may be considered for financial assistance. Part I, Line 6a: The organization's community benefit report is contained in a report prepared by its parent corporation, Renown Health.Part I, Line 5c: The organization budgets the amount of charity care expected in the next year but does not use that estimate as a constraint on the amount of charity care provided. Part I, Line 7: Charity care expense was converted to cost on line 7a using the cost-to-charge ratio derived from Worksheet 2. Unreimbursed Medicaid and other unreimbursed costs on line 7b was calculated using the cost-to-charge ratio derived from Worksheet 2. Community health improvement, health professions education, subsidized health services, research and cash and in-kind contributions on lines 7e, 7f, 7g, and 7i are reported from the organization's records. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $71,499,771. Part III, Line 2: The amount included on Line 2 reflects the amount at charges reported in the financial statements. Part III, Line 4: The footnote to the audited financial statements that addresses bad debt is on page 18 of the attached audit financial statements. Part III, Line 8: The costing methodology for Line 7 uses the cost accounting system in the year ended December 31, 2024, as filed in the Medicare cost report. Part III, Line 9b: Patients in the process of qualifying for state or local indigent programs or the organization's charity program are indicated with a particular payor class/status in the patient accounting system. The patient is not subject to collection efforts while in those classes/statuses. Part VI, Line 2: Explanation: The organization reviews the current demographic information of the population it serves and the impact those demographics have on the health needs of the community. See explanation 4 for a description of the community. While the demographics start to tell the story of community health needs, Renown Health also consults with community partners and draws from state and local government, non-profits, and school district data sources to assess healthcare needs in the community. Renown Health also used data from the Washoe County Health District to identify health care needs and barriers in its service area. Renown Health's Community Benefit Committee spearheads the development of an annual community needs assessment and corresponding community benefit plan, and oversees the tracking and reporting of community benefit activities. The committee oversees the development or updating of a community needs assessment, and from that assessment develops a community benefit plan that prioritizes and identifies community needs that the organization can support with its finite resources. The needs assessment and community benefit plan then go before the Renown Health Board for review and approval on behalf of all Renown organizations. The needs assessment and the community benefit plan are posted to the organization's website at www.renown.org/about/community-commitment/. Part VI, Line 3: The organization educates patients on assistance eligibility by posting information on its website regarding its financial assistance program and whenever situations indicate that the patient may be unable to pay for services. The organization has a dedicated Patient Financial Assistance department that works with uninsured patients to establish eligibility for a state or local program. For those that do not qualify for a state or local program, they will refer the patient to the organization's charity care process. Part VI, Line 4: Washoe County is located in the northwest corner of Nevada and has a population of 507,280 as of July 2024 according to the US Census Bureau. According to the US Census Bureau, the population in the Washoe County area is 50.8% male and 49.2% female. A fifth (20.4%) of the population is under the age of 18 and 18.3% of the population is 65 and over. Washoe County's population was estimated to have the following breakdown: 59.8% Caucasian/White, 3.1% African American/Black, 7.2% Asian/Hawaiian or Pacific Islander, 2.3% American Indian and Alaska Native and 26.5% Hispanic/Latino.The Washoe County median household income was estimated to be $85,600 according to the US Census Bureau and 9.9% of Washoe County residents are under the federal poverty guidelines. Reno, NV unemployment currently is estimated to be at 4.5% as of December 2024, below the state of Nevada at 5.8%. Part VI, Line 5: See Schedule O, Part III, Line 4a for a description of how the organization furthers its exempt purpose by promoting the health of the community. Part VI, Line 6: Renown Regional Medical Center is an accredited, 826-licensed bed, general and acute-care hospital serving communities in Nevada and northeastern California. A not-for-profit hospital offering a full range of medical, diagnostic and ancillary services, Renown Regional provides the only designated Level II Trauma Center between Sacramento and Salt Lake City. It is a teaching hospital for the professional development of the University of Nevada, Reno School of Medicine, the Orvis School of Nursing at the University of Nevada, Reno and the region's healthcare professionals.Renown Regional provides necessary healthcare services regardless of race, creed, sex, gender, national origin, handicap, age or ability to pay. People in our community have access to Renown Regional services in specialties including: cancer, heart, neurosciences, orthopedics, surgery, intensive and emergency care, behavioral health, addiction, and women's and children's health. Renown is governed by a board of community members, the majority of who live in our primary service area and who are neither employees, independent contractors or family members. Renown has a medical staff of over 1,500 and extends privileges on its medical staff to all eligible and qualified physicians and allied health professionals. As a non-profit organization, we reinvest every dollar we earn back into the communities we serve, through staffing, technology, treatment, and training to enhance patient care, medical education and research.As part of an integrated health network, Renown Regional provides many services to the community that otherwise would require people travel to other cities to receive care. These programs, services and technology include: a Level II Trauma Center for adults and children, a Pediatric Intensive Care Unit, a Level 3 Neonatal Intensive Care Unit, ECMO, Renown Transplant Institute (kidney), TomoTherapy High Art System, Varian TrueBeam, biplane angiography, a dedicated PET/CT scanner, a Joint Commission-certified Comprehensive Stroke Center, comprehensive amputee services, a NAEC accredited level III Epilepsy Center, an ABRET-accredited Epilepsy Monitoring Lab, an Intersocietal Commission-accredited Echocardiography Lab, multi-specialty da Vinci Robotic Surgery Program, a Chest Pain Center using the D-SPECT heart camera, and first in the West to implement the Pritikin Intensive Cardiac Rehabilitation program. Renown Regional also offers access to the largest number of clinical research trials in the region.Renown Regional is comprised of the Medical Center and multiple Centers for Advanced Medicine. Renown Regional offers more than 40 physician specialties, including breast surgery, cardiac surgery, thoracic surgery, cardiology, endocrinology, gastroenterology, geriatrics, gynecologic oncology, infectious disease, neurosurgery, orthopedics, otolaryngology, pediatric anesthesia, pediatric endocrinology, pediatric gastroenterology, pediatric neurology, pediatric orthopedics, pediatric ophthalmology, pediatric pulmonology, adolescent medicine, pediatric oncology and hematology, perinatology, plastic surgery, psychiatry, pulmonary medicine, radiation therapy, radiology, rheumatology and urology.For the period ended December 31, 2024, Renown Regional, along with its parent, Renown Health and its subsidiaries, provided approximately $196 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to: https://www.renown.org/about/community-commitment/community-health-needs-assessment/. Part VI, Line 7, Reports Filed With States NV 1 Renown Transitional Care Services 1155 Mill Street Reno NV 89502 880231828 501(c)(3) 844093 0 Patient Assistance Wolf Pack Sports Properties LLC 2400 Dallas Parkway Suite 500 Plano TX 75093 933102789 140000 0 Community Event Sponsorship National Fitness Campaign LP PO Box 2367 San Francisco CA 94126 454174497 128000 0 Community Event Sponsorship The Childrens Cabinet Inc 1090 South Rock Boulevard Reno NV 89502 770097156 501(c)(3) 105200 0 Community Event Sponsorship Quest Counseling & Consulting Inc 3500 Lakeside Court Suite 101 Reno NV 89509 710930980 501(c)(3) 59200 0 Community Event Sponsorship University Of Nevada Reno Foundation Mailstop 0162 Reno NV 89557 942781749 501(c)(3) 58333 0 Scholarships Truckee Meadows Tomorrow PO Box 33504 Reno NV 89533 880290211 501(c)(3) 58000 0 Community Event Sponsorship Communities In Schools Inc 2080 E Flamingo Road Suite 225 Las Vegas NV 89119 880292094 501(c)(3) 55000 0 Community Event Sponsorship Redirect Youth Outreach 1270 E Plumb Lane Suite C Reno NV 89502 833929960 501(c)(3) 44740 0 Community Event Sponsorship Child Assault Prevention Project Of Washoe County 122 Ridge Street Suite B Reno NV 89501 880208611 501(c)(3) 40000 0 Community Event Sponsorship High Fives Non-Profit Foundation 10775 Pioneer Trail 108 Truckee CA 96161 264275773 501(c)(3) 24000 0 Community Event Sponsorship Food Bank of Northern Nevada 550 Italy Drive Sparks NV 89437 942924979 501(c)(3) 23000 0 Community Event Sponsorship Community Health Alliance 680 South Rock Boulevard Reno NV 89502 880293149 501(c)(3) 17500 0 Community Event Sponsorship Northern Nevada Childrens 3550 Barron Way Suite 9A Reno NV 89511 208623503 501(c)(3) 15500 0 Community Event Sponsorship Boys & Girls Clubs of Western Nevada 1870 Russell Way Carson City NV 89706 880269139 501(c)(3) 15000 0 Community Event Sponsorship Reno Cancer Foundation 1155 Mill Street Reno NV 89502 886002500 501(c)(3) 15000 0 Community Event Sponsorship Bristlecone Family Resources 704 Mill Street Reno NV 89502 880114925 501(c)(3) 15000 0 Community Event Sponsorship Education Alliance PO Box 30425 Reno NV 89520 943177739 501(c)(3) 15000 0 Community Event Sponsorship Nevada Womens Fund 770 Smithridge Park Reno NV 89502 942860375 501(c)(3) 15000 0 Community Event Sponsorship Urban Roots Garden Classrooms 1700 East Second Street Reno NV 89502 010944615 501(c)(3) 14824 0 Community Event Sponsorship Nevada Physician Wellness Coalition 1540 Taos Lane Reno NV 89511 824602824 501(c)(3) 14000 0 Community Event Sponsorship Catholic Charities of Northern Nevada 500 E 4th Street Reno NV 89512 880339754 501(c)(3) 12810 0 Community Event Sponsorship Artown 528 W 1st Street Reno NV 89503 880412311 501(c)(3) 11500 0 Community Event Sponsorship Nevada Diabetes Association 18 Stewart Steet Reno NV 89501 880386000 501(c)(3) 11000 0 Community Event Sponsorship Tyler Robinson Foundation 823 S Las Vegas Boulevard Suite 220 Mailbox 7 Las Vegas NV 89101 462570835 501(c)(3) 10000 0 Community Event Sponsorship Safe Talk For Teens 6490 S McCarran Boulevard Reno NV 89509 462427571 501(c)(3) 10000 0 Community Event Sponsorship City Of Reno PO Box 1900 Reno NV 89505 222608682 Government Entity 10000 0 Community Event Sponsorship Forever 14 2682 Pride Drive Sparks NV 89436 852760042 501(c)(3) 10000 0 Community Event Sponsorship Build Our Center Inc PO Box 54 Reno NV 89504 270313693 501(c)(3) 10000 0 Community Event Sponsorship Ronald McDonald House 323 Maine Street Reno NV 89502 942863819 501(c)(3) 10000 0 Community Event Sponsorship Amplify Life 480 Galletti Way Building 2 Sparks NV 89431 942665378 501(c)(3) 10000 0 Community Event Sponsorship Make-A-Wish of Northeastern and Central California and Northern Nevada 2800 Club Center Drive Sacramento CA 95835 680027351 501(c)(3) 10000 0 Community Event Sponsorship Moms On the Run 5995 S Virginia Street Reno NV 89502 880485486 501(c)(3) 10000 0 Community Event Sponsorship Nevada Medical Center Inc PO Box 2104 Las Vegas NV 89125 463480316 501(c)(3) 10000 0 Community Event Sponsorship PBS Reno Channel 5 1670 North Virginia Street Reno NV 89503 880172215 501(c)(3) 10000 0 Community Event Sponsorship Community Foundation of Northern Nevada 50 Washington Street Suite 300 Reno NV 89503 880370179 501(c)(3) 8000 0 Community Event Sponsorship Nevada Donor Network Foundation 2055 E Sahara Avenue Las Vegas NV 89104 812380381 501(c)(3) 7500 0 Community Event Sponsorship 35 2 Patient Assistance 7698 4779220 Part I, Line 2: For Part II- 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. For Part III- The patient assistance is requested by a Renown social worker on behalf of a patient once it is determined that all eligibility criteria is met. The manager and director review the request and if approved, payment is made directly to the vendor, so there is no ongoing monitoring necessary for this assistance. X X 1 1 0 1 0 0 0 0 0 0 0 Brian Erling President/CEO 0 1255113 0 612025 0 5195 0 203710 0 21803 0 2097846 0 0 Chris Nicholas CEO Renown Regional 467044 0 125653 0 7694 0 90179 0 21407 0 711977 0 0 0 Amy McCombs COO Renown Regional 377222 0 65046 0 537 0 23000 0 16391 0 482196 0 0 0 Brett Moore CFO Acute Care 364755 0 71400 0 1021 0 13144 0 17876 0 468196 0 0 0 Anna Loomis - Chief Financial Officer (as of 07/24) 0 361450 0 0 0 31455 0 56129 0 4131 0 453165 0 0 Kate Ward VP and Admin Oncology 312698 0 45207 0 268 0 21900 0 16327 0 396400 0 0 0 Steven Rhone CNO Regional 352675 0 0 0 2184 0 10360 0 9950 0 375169 0 0 0 Ann Beck Chief Financial Officer (thru 01/24) 0 23860 0 186408 0 411 0 1198 0 844 0 212721 0 0 Part I, Line 1a Travel for Companions: Chris Nicholas - not included in taxable compensation Tax Indemnification and Gross-up Payments: Chris Nicholas - included in taxable compensation Part I, Line 3 Renown Regional Medical Center relied on Renown Health, a related organization to establish compensation for its top management official. Renown Health used the following methods to establish compensation: compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee. See Renown Health's Form 990, Schedule O, narrative for Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Line 4b Brian Erling, Anna Loomis, and Chris Nicholas are parties to a supplemental nonqualified retirement plan. Contributions of $190,510 to Brian Erling, $46,875 to Anna Loomis, and $75,002 to Chris Nicholas are included in Schedule J, Part II, Column (c). A Public Finance Authority 273866124 74442CAX2 2015-06-03 149946826 See Part IV 0 0 0 B Public Finance Authority 273866124 74442CBS2 2016-07-27 162793319 See Part IV 0 0 0 C Public Finance Authority 273866124 74442CDB7 2020-10-01 354623837 See Part IV 0 0 0 A 31545000 151351816 1319162 150032654 1 1 1 1 B 23255000 165241495 1426291 163815204 0 1 1 1 C 13015000 359988856 673367 193602912 152692546 13020031 1 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 1 0 0 0 0 1 1 A 1 B 1 C 1 Schedule K, Part I, Bond Issue A, Column (f): Bonds were issued to current refund Series 2001A Bonds (issued 11/8/2001), advance refund Series 2007A Bonds (issued 4/19/2007) and to pay costs of issuance. Schedule K, Part I, Bond Issue B, Column (f): Bonds were issued to advance refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010), advance refund Series 2008AB/2008 Conversion Bonds (issued 6/23/2008) and to pay costs of issuance. Schedule K, Part I, Bond Issue C, Column (f): Bonds were issued to finance capital projects and to current refund Series 2004C/2010 Reissued Bonds (issued 3/31/2010), Series 2008AB (issued on 6/26/2008), Series 2008 Conversion Bonds (issued 6/23/2008) and Series 2009AB Bonds (issued 11/15/2009) (collectively, the "Prior Bonds"). Schedule K, Part II, Columns A & B, Line 13: Since the proceeds of the Bonds are used for refunding purposes, the year of substantial completion is not applicable. Schedule K, Part II, Columns A, B & C, Line 3: The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I, column (e) due to interest earnings on invested proceeds. Schedule K, Part III, Columns A, B, & C, Line 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code. Schedule K, Part IV, Column A, Line 2b: The portion of bonds used to current refund Series 2001A Bonds has met the 6-month expenditure exception to rebate. Schedule K, Part IV, Column A, Line 2c: The interim rebate report was performed on June 8, 2017. Schedule K, Part IV, Column B, Line 2c: The fifth year rebate report was prepared on September 1, 2021. Schedule K, Part IV, Column C, Line 2b: The portion of bonds used to current refund the Prior Bonds has met the 6-month expenditure exception to rebate. Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Renown Regional Medical Center pays independent contractors, however, Renown Health, the parent organization, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. The highest compensated independent contractors are reported on Part VII, Section B. Form 990, Part V, Line 2a, Number of employees on W-3: Renown Regional Medical Center has its own employees, however, Renown Health, the parent organization, pays all compensation and employee benefit amounts under a common paymaster arrangement. The actual compensation of each employee is directly charged to their assigned entity. Salaries and benefits are reported on lines 7 through 10 of Part IX. Form 990, Part VI, Section A, line 2 All the directors of the filing organization are also directors of the related tax-exempt organization, Renown Health. The directors have a business relationship with individuals reported on Part VII that are employed by Renown Health. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown Regional Medical Center. Form 990, Part VI, Section A, line 7a Renown Health, acting though its board of directors, appoints the members of the board of governors of Renown Regional Medical Center. Form 990, Part VI, Section A, line 7b Renown Health must approve: 1) any changes of a strategic plan 2) selection of independent auditors, employee benefit consultants, legal counsel, and investment advisors 3) insurance and risk management programs 4) annual operating or capital budgets 5) material changes to the budget 6) investment policies 7) contracts among Renown entities 8) changes to governing documents 9) encumbrances of assets in excess of $1 million or real property 10) any borrowing in excess of $1 million in any fiscal year 11) merger, purchase or acquisition of another organization 12) joint venture with any other organization, entity or persons 13) any other material action take outside of ordinary course of business Form 990, Part VI, Section A, line 8b There was no committee during the year that had the broad authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm with support from the organization's tax department. The Form 990 is reviewed by the organization's current Corporate Controller and current Chief Financial Officer prior to the final version being sent to the Board. The Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the Form 990 and Schedules, the Renown Health Board is provided with a narrative that explains the contents of the various parts of the return. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Regional Medical Center Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15a Renown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health executive committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the year ended December 31, 2024 executive compensation. Form 990, Part VI, Section C, line 19 Renown Regional Medical Center doesn't make its governing documents or conflict of interest policy available to the public. A copy of the audited financial statements is part of the Form 990 which is made available to the public. Form 990, Part IX, line 11g Ambulance Charges: Program service expenses 486,056. Management and general expenses 0. Fundraising expenses 0. Total expenses 486,056. Billing Services: Program service expenses 0. Management and general expenses 334,445. Fundraising expenses 0. Total expenses 334,445. Bond Administration Services: Program service expenses 0. Management and general expenses 116,173. Fundraising expenses 0. Total expenses 116,173. Cleaning Services: Program service expenses 16,860,069. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,860,069. Construction Projects: Program service expenses 13,293. Management and general expenses 87,386. Fundraising expenses 0. Total expenses 100,679. Consulting Services: Program service expenses 7,614,579. Management and general expenses 2,696,296. Fundraising expenses 0. Total expenses 10,310,875. Document Destruction: Program service expenses 0. Management and general expenses 109,353. Fundraising expenses 0. Total expenses 109,353. Food Operations and Environmental Services: Program service expenses 7,484,628. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,484,628. Laundry Service: Program service expenses 690,236. Management and general expenses 0. Fundraising expenses 0. Total expenses 690,236. Med Equip Svc Agreements: Program service expenses 8,991,350. Management and general expenses 15,619. Fundraising expenses 0. Total expenses 9,006,969. Medical Services: Program service expenses 63,280,563. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,280,563. Medical Waste: Program service expenses 492,320. Management and general expenses 0. Fundraising expenses 0. Total expenses 492,320. Other Miscellaneous Services: Program service expenses 5,675,511. Management and general expenses 4,359,159. Fundraising expenses 0. Total expenses 10,034,670. Other Purchased Services: Program service expenses 196,159. Management and general expenses 782,912. Fundraising expenses 0. Total expenses 979,071. Other Services Contracts: Program service expenses 125,000. Management and general expenses 9,250. Fundraising expenses 0. Total expenses 134,250. Overhead Allocation: Program service expenses 0. Management and general expenses 167,151,501. Fundraising expenses 0. Total expenses 167,151,501. Repairs and Maintenance: Program service expenses 7,017,427. Management and general expenses 52,155. Fundraising expenses 0. Total expenses 7,069,582. Transportation Services: Program service expenses 1,121,509. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,121,509. Form 990, Part XI, line 9: Intercompany Settlements 88,441,436. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501(c)(3) Line 12c, III-FI N/A 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) Line 7 Renown Health 0 Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 Hospital NV 501(c)(3) Line 3 Renown Health 0 Hometown Health Plan Inc 1155 Mill St Z-4 Reno NV 89502 880231433 HMO NV 501(c)(4) Renown Health 0 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Health Care NV 501(c)(3) Line 12b, II Renown Health 0 Renown Medical School Associates North 1155 Mill St Z-4 Reno NV 89502 860881749 Patient Care NV 501(c)(3) Line 10 Hometown Health Plan 0 Renown Businesses 1155 Mill St Z-4 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Management Company 1155 Mill St Z-4 Reno NV 89502 880236758 Management Services NV N/A C 0 Hometown Health Providers Insurance Company 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 1 1 1 1 1 0 0 0 0 1 1 1 1 0 1 1 1 1 1 Hometown Health Plan Inc L 94016538 General Ledger Renown Transitional Care Services A 280657 General Ledger Renown Businesses A 66917 General Ledger Hometown Health Management Company A 359540 General Ledger