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Renown Skilled Nursing: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Renown Skilled Nursing (EIN 20-1347269)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201701329349306545
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-05-12T16:28:19-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201347269EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Renown Skilled NursingBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRENOBusinessNameControlTxt
Phone7759824404PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St C/O Tax Treasury Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDawn D AhnerPersonNm
Person TitleEVP & Chief Administrative OfficerPersonTitleTxt
Phone7759824404PhoneNum
Signature2017-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2017-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDawn D AhnerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St C/O Tax Treasury Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,968,576GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.renown.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionA 160 bed long-term acute care nursing facility specializing in rehabilitative care.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,633,559PYContributionsGrantsAmt
CY Contributions Grants$2,809,233CYContributionsGrantsAmt
PY Program Service Revenue$6,992,793PYProgramServiceRevenueAmt
CY Program Service Revenue$7,159,343CYProgramServiceRevenueAmt
PY Investment Income-$1,895PYInvestmentIncomeAmt
CY Investment Income-$5,093CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,624,457PYTotalRevenueAmt
CY Total Revenue$9,963,483CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,651,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,593,475CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,041,637PYOtherExpensesAmt
CY Other Expenses$4,082,570CYOtherExpensesAmt
PY Total Expenses$11,693,546PYTotalExpensesAmt
CY Total Expenses$11,676,045CYTotalExpensesAmt
PY Revenues Less Expenses-$2,069,089PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,712,562CYRevenuesLessExpensesAmt
Total Assets BOY$2,389,625TotalAssetsBOYAmt
Total Assets EOY$2,419,069TotalAssetsEOYAmt
Total Liabilities BOY$33,075,885TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,320,609TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$30,686,260NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$40,901,540NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRenown Health makes a genuine difference in the health and well-being of the people and communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,422,734ExpenseAmt
Revenue$7,159,343RevenueAmt
DescSee 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 physical, occupational and speech rehabilitation and restorative therapy programs. 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 27,812 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 1,125 days of long-term care services that were not funded and were designated for patients awaiting Medicaid qualification. It also includes 912 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, 2016, Renown Skilled Nursing, along with its parent, Renown Health and its subsidiaries, provided more than $85 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$9,422,734TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dawn D AhnerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7759824404PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Anthony Slonim
President (Jul-Dec)/CEO1.0059.00Yes (X)Yes (X)$0$1,281,325$137,049
Derrick Glum
Pres (Jan-Jun)/VP Transitional Care15.0045.00Yes (X)Yes (X)$0$14,083$0
Dawn Ahner
Director (Jan-Jun)/EVP & CAO3.0057.00Yes (X)Yes (X)$0$833,543$118,398
Janette Townsend
Sec-Treas/VP & CAO (Jul-Dec)1.0059.00Yes (X)Yes (X)$0$416,557$26,173
Todd McKenzie
Sec/Treas (Jan-Jun)3.006.00Yes (X)Yes (X)$0$1,500$0
Ellen Kelly
Director (Jul-Dec)/Administrator60.000.00Yes (X)$115,186$0$11,407
Eric Boyden
Director (Jan-Jun)3.003.00Yes (X)$0$0$0
Doug Clary
Director (Jan-Jun)3.006.00Yes (X)$0$15,074$0
Jennifer Satre
Director (Jan-Jun)3.006.00Yes (X)$0$3,000$0
James De Volld
Director (Jan-Jun)3.009.00Yes (X)$0$22,000$0
Jennifer Smith
Director (Jan-Jun)3.006.00Yes (X)$0$0$0
Melissa Molyneaux Pick
Director (Jan-Jun)3.009.00Yes (X)$0$12,731$0
Ronnie Solaro
Director (Jan-Jun)3.006.00Yes (X)$0$3,750$0
Barbara Coruna
Registered Nurse60.000.00$116,438$0$19,189Yes (X)
Aletha Paciente-Baquiano
Registered Nurse60.000.00$106,761$0$13,489Yes (X)
Susan Nasir
Supervisor of Rehab Therapy Svs60.000.00$100,213$0$10,681Yes (X)
James Miller
Former President/CEO0.000.00$0$631,302$18,945Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$438,598TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,234,865TotReportableCompRltdOrgAmt
Total Other Compensation$355,331TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$2,809,233RelatedOrganizationsAmt
Total Contributions$2,809,233TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue623000$7,149,041$7,149,041
Other Revenue900099$10,302$10,302
FieldValueIRS element (for citing)
Total Program Service Revenue$7,159,343TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,093OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$5,093OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,093TotalRevenueColumnAmt
Exclusion-$5,093ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,963,483TotalRevenueColumnAmt
Related Or Exempt Func Income$7,159,343RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$5,093ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$124,362TotalAmt
Management And General$124,362ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,163,960TotalAmt
Program Services$5,218,099ProgramServicesAmt
Management And General$945,861ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,305,153TotalAmt
Program Services$1,080,406ProgramServicesAmt
Management And General$224,747ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$721,650TotalAmt
Program Services$376,764ProgramServicesAmt
Management And General$344,886ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$481,871TotalAmt
Program Services$447,380ProgramServicesAmt
Management And General$34,491ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$545,264TotalAmt
Program Services$120,570ProgramServicesAmt
Management And General$424,694ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,975TotalAmt
Program Services$1,919ProgramServicesAmt
Management And General$56ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,873TotalAmt
Program Services$2,873ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$331,783TotalAmt
Program Services$276,527ProgramServicesAmt
Management And General$55,256ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,431TotalAmt
Management And General$38,431ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$945,272$945,272
Provider Tax$716,472$716,472
Bad Debt$228,831$228,831
Misc License, Tax & Sub$35,390$7,621$27,769

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$32,758TotalAmt
Management And General$32,758ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,676,045TotalAmt
Program Services$9,422,734ProgramServicesAmt
Management And General$2,253,311ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,359BOYAmt
EOY$18,247EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$575,317BOYAmt
EOY$712,362EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,841BOYAmt
EOY$11,317EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,883BOYAmt
EOY$9,824EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,690,578LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,033,712LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,772,514BOYAmt
EOY$1,656,866EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,711BOYAmt
EOY$10,453EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,389,625BOYAmt
EOY$2,419,069EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$812,337BOYAmt
EOY$765,886EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$9,407BOYAmt
EOY$17,347EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,254,141BOYAmt
EOY$42,537,376EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,075,885BOYAmt
EOY$43,320,609EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$30,686,260BOYAmt
EOY-$40,901,540EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$30,686,260BOYAmt
EOY-$40,901,540EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,389,625BOYAmt
EOY$2,419,069EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,712,562ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$8,502,718OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,825,316CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,738,244CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,713,441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,633,559CurrentTaxYearMinus1YearAmt
Current Tax Year$2,809,233CurrentTaxYearAmt
Total$13,719,793TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,689,721CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,298,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,370,968CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,992,793CurrentTaxYearMinus1YearAmt
Current Tax Year$7,159,343CurrentTaxYearAmt
Total$37,511,347TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,515,037CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,036,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,084,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,626,352CurrentTaxYearMinus1YearAmt
Current Tax Year$9,968,576CurrentTaxYearAmt
Total$51,231,140TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$51,231,140PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,763CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$587CurrentTaxYearMinus3YearsAmt
Total$2,350TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,516,800CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,037,353CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,084,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,626,352CurrentTaxYearMinus1YearAmt
Current Tax Year$9,968,576CurrentTaxYearAmt
Total$51,233,490TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,488,499OtherCostOrOtherBasisAmt
Depreciation$731,167DepreciationAmt
Book Value$757,332BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,161,251OtherCostOrOtherBasisAmt
Depreciation$1,302,545DepreciationAmt
Book Value$858,706BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,828OtherCostOrOtherBasisAmt
Book Value$40,828BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,656,866TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affliates$42,533,356
Third Party Settlements$4,020
FieldValueIRS element (for citing)
Total Liability$42,537,376TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anthony Slonim
President (Jul-Dec)/CEO$0$845,350$0$431,760$0$4,215$0$130,600$0$7,175$0$1,419,100$0$0
Dawn Ahner
Director (Jan-Jun)/EVP & CAO$0$599,598$0$225,000$0$8,945$0$100,600$0$18,822$0$952,965$0$0
Janette Townsend
Sec-Treas/VP & CAO (Jul-Dec)$0$236,366$0$42,100$0$138,091$0$9,390$0$17,127$0$443,074$0$0
James Miller
Former President/CEO$0$14,491$0$0$0$616,811$0$10,600$0$8,943$0$650,845$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Renown 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, Lines 4a-bJames Miller and Janette Townsend received severance payments. Payments of $563,958 to James Miller and $119,424 to Janette Townsend included in Schedule J, Part II, Column (B)(iii). Anthony Slonim and Dawn Ahner are parties to a supplemental nonqualified retirement plan. Contribution of $120,000 to Anthony Slonim and $90,000 to Dawn Ahner were included in Schedule J, Part II, Column (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2Derrick Glum has a business relationship with Anthony Slonim, Janette Townsend and Dawn Ahner. Janette Townsend, Doug Clary, Jennfier Satre, James De Volld, Melissa Molyneaux Pick, Ronnie Solaro, and Todd McKenzie have a business relationship with Anthony Slonim and Dawn Ahner.
Form 990, Part VI, Section A, line 6Renown Health is the sole corporate member of Renown Skilled Nursing.
Form 990, Part VI, Section A, line 7aRenown 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 7bRenown 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 8bThere 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 11The 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 12cOn 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 15aRenown 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 2016 executive compensation.
Form 990, Part VI, Section C, line 19Renown 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 -8,502,718.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Renown Health
1155 Mill Street Z-4RenoNV89502942972845Health CareNV501(c)(3)III-FiRenown Health0
Renown Health Foundation
1155 Mill Street Z-4RenoNV89502942972749FoundationNV501(c)(3)7Renown Health0
Renown Regional Medical Center
1155 Mill Street Z-4RenoNV89502880213754HospitalNV501(c)(3)3Renown Health0
Renown South Meadows Medical Center
1155 Mill Street Z-4RenoNV89502460517825HospitalNV501(c)(3)3Renown Health0
Hometown Health Plan
1155 Mill Street Z-4RenoNV89502880231433HMONV501(c)(4)Renown Health0
Renown Transitional Care Services
1155 Mill Street Z-4RenoNV89502880231828Pregnancy CenterNV501(c)(3)3Renown Health0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Routt Dialysis LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd
FieldValueIRS element (for citing)
EIN263558729EIN
Primary ActivitiesKidney DialysisPrimaryActivitiesTxt
Legal Domicile StateNVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Renown Businesses
1155 Mill St Z-4RenoNV89502880228030Health CareNVN/AC0
Hometown Health Managment Company
1155 Mill St Z-4RenoNV89502880236758Management ServicesNVN/AC0
The Provider Network Inc
1155 Mill St Z-4RenoNV89502880376369Health CareNVN/AC0
Remittance Assistance Corporation
1155 Mill St Z-4RenoNV89502880277761CollectionsNVN/AC0
Hometown Health Providers Insurance Co
1155 Mill St Z-4RenoNV89502880177026InsuranceNVN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Hometown Health Plan IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$889,538InvolvedAmt
Method Of Amount DeterminationGeneral LedgerMethodOfAmountDeterminationTxt