Renown Skilled Nursing: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- Renown Skilled Nursing (EIN 20-1347269)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-14
- IRS object ID
- 201821349349304947
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T13:01:05-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201347269 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Renown Skilled Nursing | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RENO | BusinessNameControlTxt |
| Phone | 7759824404 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 Mill St C/O Tax Treasury Z-4 | AddressLine1Txt |
| City | Reno | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dawn D Ahner | PersonNm |
| Person Title | EVP & Chief Administrative Officer | PersonTitleTxt |
| Phone | 7759824404 | PhoneNum |
| Signature | 2018-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2018-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dawn D Ahner | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 Mill St C/O Tax Treasury Z-4 | AddressLine1Txt |
| City | Reno | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,801,679 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.renown.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Activity Or Mission | A 160 bed long-term acute care nursing facility specializing in rehabilitative care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,809,233 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,866,391 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,159,343 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,935,288 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$5,093 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,404 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $9,963,483 | PYTotalRevenueAmt |
| CY Total Revenue | $10,798,275 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,593,475 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,467,931 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,082,570 | PYOtherExpensesAmt |
| CY Other Expenses | $4,843,069 | CYOtherExpensesAmt |
| PY Total Expenses | $11,676,045 | PYTotalExpensesAmt |
| CY Total Expenses | $12,311,000 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,712,562 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,512,725 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,419,069 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,295,191 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,320,609 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,384,332 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$40,901,540 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$29,089,141 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,879,214 | ExpenseAmt |
| Revenue | $7,935,288 | RevenueAmt |
| Desc | 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 28,584 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 633 days of long-term care services that were not funded and were designated for patients awaiting Medicaid qualification. It also includes 745 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, 2017, Renown Skilled Nursing, along with its parent, Renown Health and its subsidiaries, provided more than $118 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. | Desc |
| Total Program Service Expenses | $9,879,214 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dawn D Ahner | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7759824404 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 Mill St Z-4 | AddressLine1Txt |
| City | Reno | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89502 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Anthony Slonim | ||||||||
| President (Jan-Jun)/CEO | 3.00 | 57.00 | Yes (X) | Yes (X) | $0 | $1,339,203 | $152,702 | |
| Derrick Glum | ||||||||
| Pres (Jul-Dec)/VP Transitional Care | 15.00 | 45.00 | Yes (X) | Yes (X) | $0 | $257,164 | $19,322 | |
| Dawn Ahner | ||||||||
| Director (Jul-Dec)/EVP & CAO | 2.00 | 58.00 | Yes (X) | Yes (X) | $0 | $847,299 | $123,837 | |
| James De Volld | ||||||||
| Dir (Jul- Dec)/Treasurer(Jan-Jun) | 3.00 | 12.00 | Yes (X) | Yes (X) | $0 | $29,685 | $0 | |
| Kimberly Cooney | ||||||||
| Secretary (Jan- Jun) | 3.00 | 12.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Todd McKenzie | ||||||||
| Sec/Treas (Jul-Dec) | 3.00 | 6.00 | Yes (X) | Yes (X) | $0 | $15,675 | $0 | |
| Bernie Carter | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $33,532 | $0 | ||
| Rob Winkel | ||||||||
| Director (Jan-Jun) | 3.00 | 15.00 | Yes (X) | $0 | $47,925 | $0 | ||
| G Blake Smith | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $30,733 | $0 | ||
| Michael Peterson | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $18,000 | $0 | ||
| Jeff Resnik | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $0 | $0 | ||
| Joanne Olson | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $18,000 | $0 | ||
| Alvaro Devia | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $24,440 | $0 | ||
| William Newberg | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $18,000 | $0 | ||
| Christi Matteoni | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $15,000 | $0 | ||
| David Owen Roberts | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $13,333 | $0 | ||
| Brian Loy | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $16,572 | $0 | ||
| Steven Johnson | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $14,837 | $0 | ||
| Richard Bostdorff | ||||||||
| Director (Jan-Jun) | 3.00 | 15.00 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Deveny | ||||||||
| Director (Jan-Jun) | 3.00 | 12.00 | Yes (X) | $0 | $0 | $0 | ||
| Eric Boyden | ||||||||
| Director (Jul-Dec) | 3.00 | 3.00 | Yes (X) | $0 | $4,500 | $0 | ||
| Doug Clary | ||||||||
| Director (Jul-Dec) | 3.00 | 3.00 | Yes (X) | $0 | $14,734 | $0 | ||
| Jennifer Satre | ||||||||
| Director (Jul-Dec) | 3.00 | 3.00 | Yes (X) | $0 | $4,500 | $0 | ||
| Jennifer Smith | ||||||||
| Director (Jul-Dec) | 3.00 | 6.00 | Yes (X) | $0 | $8,769 | $0 | ||
| Melissa Molyneaux Pick | ||||||||
| Director (Jul-Dec) | 3.00 | 9.00 | Yes (X) | $0 | $13,987 | $0 | ||
| Ronnie Solaro | ||||||||
| Director (Jul-Dec) | 3.00 | 3.00 | Yes (X) | $0 | $4,500 | $0 | ||
| Virginia Alelis | ||||||||
| Registered Nurse | 60.00 | 0.00 | $100,173 | $0 | $19,369 | Yes (X) | ||
| Samantha Moore | ||||||||
| HC Case Manager RN | 60.00 | 0.00 | $101,151 | $0 | $1,948 | Yes (X) | ||
| Ellen Kelly | ||||||||
| Skilled Nursing Admin (Jul-Sep) | 60.00 | 0.00 | $142,239 | $0 | $11,249 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $343,563 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,790,388 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $328,427 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Triage Staffing Inc | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7200 World Communications Dr | AddressLine1Txt |
| City | Omaha | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Medical Services | ServicesDesc |
| Compensation | $105,060 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,866,391 | RelatedOrganizationsAmt |
| Total Contributions | $2,866,391 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 623000 | $7,912,435 | $7,912,435 |
| Other Revenue | 900099 | $22,853 | $22,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,935,288 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,404 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,404 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,404 | TotalRevenueColumnAmt |
| Exclusion | -$3,404 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,798,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,935,288 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,404 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,160,038 | TotalAmt |
| Program Services | $5,264,199 | ProgramServicesAmt |
| Management And General | $895,839 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307,893 | TotalAmt |
| Program Services | $1,110,808 | ProgramServicesAmt |
| Management And General | $197,085 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,181,143 | TotalAmt |
| Program Services | $377,909 | ProgramServicesAmt |
| Management And General | $803,234 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $610,464 | TotalAmt |
| Program Services | $562,620 | ProgramServicesAmt |
| Management And General | $47,844 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,188 | TotalAmt |
| Program Services | $101,284 | ProgramServicesAmt |
| Management And General | $430,904 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,827 | TotalAmt |
| Management And General | $2,827 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,018 | TotalAmt |
| Program Services | $1,317 | ProgramServicesAmt |
| Management And General | $1,701 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,272 | TotalAmt |
| Program Services | $307,272 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,363 | TotalAmt |
| Management And General | $13,363 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $919,279 | $919,279 | |
| Provider Tax | $744,093 | $744,093 | |
| Bad Debt | $479,115 | $479,115 | |
| Misc License, Tax & Sub | $46,544 | $11,318 | $35,226 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,763 | TotalAmt |
| Management And General | $3,763 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,311,000 | TotalAmt |
| Program Services | $9,879,214 | ProgramServicesAmt |
| Management And General | $2,431,786 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,247 | BOYAmt |
| EOY | $18,562 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $712,362 | BOYAmt |
| EOY | $815,241 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,317 | BOYAmt |
| EOY | $11,747 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,824 | BOYAmt |
| EOY | $7,266 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,771,973 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,337,966 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,656,866 | BOYAmt |
| EOY | $1,434,007 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,453 | BOYAmt |
| EOY | $8,368 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,419,069 | BOYAmt |
| EOY | $2,295,191 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $765,886 | BOYAmt |
| EOY | $748,194 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,347 | BOYAmt |
| EOY | $17,662 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,537,376 | BOYAmt |
| EOY | $30,618,476 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,320,609 | BOYAmt |
| EOY | $31,384,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$40,901,540 | BOYAmt |
| EOY | -$29,089,141 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$40,901,540 | BOYAmt |
| EOY | -$29,089,141 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,419,069 | BOYAmt |
| EOY | $2,295,191 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,512,725 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,325,124 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,738,244 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,713,441 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,633,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,809,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,866,391 | CurrentTaxYearAmt |
| Total | $13,760,868 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,298,522 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,370,968 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,992,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,159,343 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,935,288 | CurrentTaxYearAmt |
| Total | $37,756,914 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,036,766 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,084,409 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,626,352 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,968,576 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,801,679 | CurrentTaxYearAmt |
| Total | $51,517,782 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $51,517,782 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $587 | CurrentTaxYearMinus4YearsAmt |
| Total | $587 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,037,353 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,084,409 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,626,352 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,968,576 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,801,679 | CurrentTaxYearAmt |
| Total | $51,518,369 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,510,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $891,384 | DepreciationAmt |
| Book Value | $619,299 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,261,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,446,582 | DepreciationAmt |
| Book Value | $814,708 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,434,007 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affliates | Desc |
| Amt | $30,618,476 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,618,476 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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). 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony Slonim | ||||||||||||||
| President (Jan-Jun)/CEO | $0 | $908,429 | $0 | $428,040 | $0 | $2,734 | $0 | $145,600 | $0 | $7,102 | $0 | $1,491,905 | $0 | $0 |
| Derrick Glum | ||||||||||||||
| Pres (Jul-Dec)/VP Transitional Care | $0 | $234,616 | $0 | $17,877 | $0 | $4,671 | $0 | $773 | $0 | $19,078 | $0 | $277,015 | $0 | $0 |
| Dawn Ahner | ||||||||||||||
| Director (Jul-Dec)/EVP & CAO | $0 | $620,017 | $0 | $218,150 | $0 | $9,132 | $0 | $104,200 | $0 | $20,661 | $0 | $972,160 | $0 | $0 |
| Ellen Kelly | ||||||||||||||
| Skilled Nursing Admin (Jul-Sep) | $84,263 | $0 | $11,778 | $0 | $46,198 | $0 | $5,696 | $0 | $5,682 | $0 | $153,617 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $135,000 to Anthony Slonim and $93,600 to Dawn Ahner were included in Schedule J, Part II, Column (C). |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | Derrick Glum has a business relationship with Anthony Slonim and Dawn Ahner. Anthony Slonim and Dawn Ahner have a business relationship with each other, Alaro Devia, Bernie Carter, Brian Loy, Christi Matteoni, G Blake Smith, James De Volld, Jeff Resnik, Joanne Olsen, Kimberly Cooney, Michael Peterson, Owen Roberts, Richard Bostdorff, Rob Winkel, Steven Johnson, Thomas Deveny, Todd McKenzie, and William Newberg. Bernie Carter, Steven Johnson, Brian Loy, Jennifer Smith and Jennifer Satre 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 EVP and Chief Administrative 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. 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. The Executive Committee is comprised of 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. 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 2017 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 13,325,124. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | Renown Health | |
| Renown Regional Medical Center | |||||||||||
| 1155 Mill Street Z-4 | Reno | NV | 89502 | 880213754 | Hospital | NV | 501(c)(3) | 3 | 0 | Renown Health | |
| Renown South Meadows Medical Center | |||||||||||
| 1155 Mill Street Z-4 | Reno | NV | 89502 | 460517825 | Hospital | NV | 501(c)(3) | 3 | 0 | Renown Health | |
| Hometown Health Plan | |||||||||||
| 1155 Mill Street Z-4 | Reno | NV | 89502 | 880231433 | HMO | NV | 501(c)(4) | 0 | Renown Health | ||
| Renown Transitional Care Services | |||||||||||
| 1155 Mill Street Z-4 | Reno | NV | 89502 | 880231828 | Pregnancy Center | NV | 501(c)(3) | 3 | 0 | Renown Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Routt Dialysis LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 Mill St Z-4 | AddressLine1Txt |
| City | Reno | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263558729 | EIN |
| Primary Activities | Kidney Dialysis | PrimaryActivitiesTxt |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| The Provider Network Inc | |||||||||
| 1155 Mill St Z-4 | Reno | NV | 89502 | 880376369 | Health Care | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hometown Health Plan Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $1,098,347 | InvolvedAmt |
| Method Of Amount Determination | General Ledger | MethodOfAmountDeterminationTxt |