2019-05-13T14:33:53-05:00 2018-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-07-01 201347269 Renown Skilled Nursing RENO 7759826488 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 Hakeem Olanrewaju Chief Financial Officer 7759826488 2019-05-13 1 Kim Hunwardsen CPA P00484560 6122536500 2019-05-12 8.39.233.107 2019-05-13 11:05:41 CD P 159D60DA7C19331A7948BEBC6B1067FF5545FF60 F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2017 2019-02-21 02:37:17Z Hakeem Olanrewaju 1155 Mill St C/O Tax Treasury Z-4 Reno NV 89502 8768655 0 X www.renown.org X 2004 NV A 160 bed long-term acute care nursing facility specializing in rehabilitative care. 17 16 0 14 0 0 2866391 2854991 7935288 5913664 -3404 -2419 0 0 10798275 8766236 0 0 0 0 7467931 6929832 0 0 0 4843069 4573511 12311000 11503343 -1512725 -2737107 2295191 1740442 31384332 25520103 -29089141 -23779661 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 8838445 5913664 See Schedule ORenown Skilled Nursing is a 160-bed nursing facility designed to serve the healthcare needs of long and short-term, acute-care patients. Services include 24/7 licensed nursing care and physical, occupational, speech and restorative therapy in-house seven days a week. This valuable facility serves a need that otherwise would be unmet in northern Nevada. By accepting the long-term, acute-care patients for rehabilitative services, other hospital beds in the health network are available for higher-acuity, shorter-term care. Renown Skilled Nursing provided 25,019 patient care days for patients transferred from other hospital beds in the health network because they required a level of care delivered most appropriately in a skilled nursing facility. Included in the total patient care days was 3,134 days of long-term care services that were not funded and were designated for patients awaiting Medicaid and Washoe County qualification. It also includes 680 days of care provided for individuals with no source of payment.Our patients at Renown Skilled Nursing have access to transportation, laundry, a barber and beauty shop, on-site dental and podiatry services, financial advice, and spiritual support - in short, everything patients need to enjoy the best possible quality of life. In an effort to provide patients with the opportunity for social interaction, Renown Skilled Nursing also offered musical performances and pet therapy visits. The facility is proud to have been chosen to be a focus center for the Centers for Medicare & Medicaid Services' Nursing Home Quality Initiative.For the fiscal year ending June 30, 2018, Renown Skilled Nursing, along with its parent, Renown Health and its subsidiaries, provided more than $126 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 community needs assessment and community benefit plan, go to www.renown.org/communitybenefit. 8838445 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 0 0 0 0 0 0 0 0 0 X 17 16 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Hakeem Olanrewaju 7759826488 1155 Mill St Z-4 Reno NV 89502 Anthony Slonim President/CEO 3.00 57.00 X X 0 1306102 165486 James De Volld Treasurer/Vice Chairman 3.00 12.00 X X 0 29240 0 Kimberly Cooney Secretary 3.00 12.00 X X 0 0 0 G Blake Smith Chairman 3.00 12.00 X X 0 45915 0 Bernie Carter Director 3.00 12.00 X 0 25075 0 Michael Peterson Director 3.00 12.00 X 0 15000 0 Jeff Resnik Director 3.00 12.00 X 0 34810 0 Joanne Olson Director 3.00 12.00 X 0 24000 0 Alvaro Devia Director 3.00 12.00 X 0 28507 0 William Newberg Director 3.00 12.00 X 0 28215 0 Christi Matteoni Director 3.00 12.00 X 0 15000 0 Brian Loy Director 3.00 12.00 X 0 27773 0 Steven Johnson Director 3.00 12.00 X 0 34810 0 Richard Bostdorff Director 3.00 15.00 X 0 24000 0 Thomas Deveny Director 3.00 12.00 X 0 15000 0 Todd McKenzie Director (Aug-Jun) 3.00 12.00 X 0 5000 0 Adam Kramer Director (Sep-Jun) 3.00 12.00 X 0 5000 0 Rob Winkel Director (Jul-Dec) 3.00 15.00 X 0 27387 0 Dawn Ahner EVP & Chief Administrative Officer 2.00 58.00 X 0 815014 125638 Hakeem Olanrewaju Apr-Jun SVP & Chief Financial Officer 2.00 58.00 X 0 0 0 Anthony Alexander Skilled Nursing and Sr Living Admin 60.00 0.00 X 116340 0 6383 Miquel Simms Nursing Coordinator 60.00 0.00 X 113911 0 20615 Barbara Coruna Registered Nurse 60.00 0.00 X 113372 0 12320 343623 2505848 330442 3 0 1 0 Fusion Medical Staffing LLC 11808 Grant St 100 Omaha NE 68164 Medical Services 140374 1 2854991 2854991 Patient Service Revenue 623000 5837576 5837576 Other Revenue 900099 76088 76088 5913664 2419 -2419 -2419 -2419 8766236 5913664 0 -2419 5724782 4686686 1038096 1205050 976669 228381 1039995 201424 838571 600986 535232 65754 538052 100780 437272 1067 1065 2 934 107 827 325928 325928 9849 9849 Provider Tax 867161 867161 Medical Supplies 747473 747473 Bad Debt 392021 392021 Misc License, Tax & Sub 45199 3899 41300 4846 4846 11503343 8838445 2664898 0 18562 12715 815241 482657 11747 9346 7266 9357 3876605 2658606 1434007 1217999 8368 8368 2295191 1740442 748194 601892 17662 11315 30618476 24906896 31384332 25520103 X -29089141 -23779661 -29089141 -23779661 2295191 1740442 X -2737107 8046587 X X 0 1 X 1 0 X 2713441 2633559 2809233 2866391 2854991 13877615 7370968 6992793 7159343 7935288 5913664 35372056 10084409 9626352 9968576 10801679 8768655 49249671 0 1434 1434 1434 1434 49248237 10084409 9626352 9968576 10801679 8768655 49249671 1.00000 1.00000 0.00000 X 0 1 X 1555320 1070273 485047 2321285 1588333 732952 1217999 Due to Affliates 24906896 24906896 X Part IV, Line 2b: The organization acts as custodian for the funds of the residents of the skilled nursing facility. These funds are included in cash and custodial liability in the financial statements. Part X, Line 2: Renown Skilled Nursing 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 Skilled Nursing is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown Skilled Nursing 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 Skilled Nursing 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. X X X X 0 1 0 0 0 0 0 0 0 Anthony Slonim President/CEO 0 955815 0 347209 0 3078 0 152551 0 12935 0 1471588 0 0 Dawn Ahner EVP & Chief Administrative Officer 0 633264 0 170907 0 10843 0 106272 0 20391 0 941677 0 0 Part I, Line 3 Renown Skilled Nursing relies on Renown Health, a related organization, to establish compensation for officers and other key employees. Renown Health uses the identified methods to establish compensation. See Schedule O, Form 990, Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Line 4b Anthony Slonim and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contribution of $141,751 to Anthony Slonim and $95,472 to Dawn Ahner were included in Schedule J, Part II, Column (C). Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Renown Skilled Nursing has independent contractors, however, Renown Health, the parent organization, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. The highest compensated independent contractors are reported on Part VII, Section B. Form 990, Part V, Line 2a, Number of employees on W-3: Renown Skilled Nursing 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. Form 990, Part VI, Section A, line 2 Anthony Slonim, Dawn Ahner and Hakeem Olanrewaju have a business relationship with each other and all of the members on the board. Bernie Carter, Steven Johnson, and Brian Loy have a business relationship. Steven Johnson, G Blake Smith, and Rob Winkel have a business relationship. Form 990, Part VI, Section A, line 6 Renown Health is the sole corporate member of Renown Skilled Nursing. Form 990, Part VI, Section A, line 7a Renown Health, acting through its Board of Directors, appoints the members of the Board of Governors of Renown Skilled Nursing. Form 990, Part VI, Section A, line 7b Renown Health must approve any merger, consolidation or dissolution of Renown Skilled Nursing, 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 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 the organization's tax department with support from a certified tax preparer. The form is reviewed by the organization's current Controller and current 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 Skilled Nursing 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 fiscal year 2018 executive compensation. Form 990, Part VI, Section C, line 19 Renown Skilled Nursing does not make its governing documents, conflict of interest policy, or financial statements available to the general public. Form 990, Part XI, line 9: Intercompany Settlements 8,046,587. Renown Health 1155 Mill Street Z-4 Reno NV 89502 942972845 Health Care NV 501(c)(3) III-Fi N/A 0 Renown Health Foundation 1155 Mill Street Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) 7 Renown Health 0 Renown Regional Medical Center 1155 Mill Street Z-4 Reno NV 89502 880213754 Hospital NV 501(c)(3) 3 Renown Health 0 Renown South Meadows Medical Center 1155 Mill Street Z-4 Reno NV 89502 460517825 Hospital NV 501(c)(3) 3 Renown Health 0 Hometown Health Plan 1155 Mill Street Z-4 Reno NV 89502 880231433 HMO NV 501(c)(4) Renown Health 0 Renown Transitional Care Services 1155 Mill Street Z-4 Reno NV 89502 880231828 Pregnancy Center NV 501(c)(3) 3 Renown Health 0 Routt Dialysis LLC 1155 Mill St Z-4 Reno NV 89502 263558729 Kidney Dialysis NV N/A Renown Businesses 1155 Mill St Z-4 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Managment Company 1155 Mill St Z-4 Reno NV 89502 880236758 Management Services NV N/A C 0 Hometown Health Providers Insurance Co 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 1 1 Hometown Health Plan Inc L 585398 General Ledger