2014-05-15T11:37:14-05:00 2013-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2012-07-01 942972845 Renown Health RENO 7759824404 1155 Mill Street C/O Tax Treasury Z-5 Reno NV 89502 Dawn D Ahner 7759824404 2014-05-15 1 Kim Hunwardsen CPA P00484560 6122536500 2014-05-09 2012 2015-11-30 17:44:51Z Dawn D Ahner 1155 Mill St Z-6 Reno NV 89502 81040376 0 X WWW.RENOWN.ORG X 1985 NV To establish, equip and maintain one or more general acute care hospitals and medical centers. 11 10 6151 0 7164253 -2382165 0 0 76851218 72407462 402210 425855 8347554 7068395 85600982 79901712 275669 229422 0 0 40110335 44668284 0 0 0 37426027 44341109 77812031 89238815 7788951 -9337103 251042390 371476397 111244868 239302485 139797522 132173912 X Our purpose is to make a genuine difference for the many lives we touch by optimizing our patients' healthcare experience. 0 0 78177130 229422 72311604 See Schedule ORenown Health is the parent company of northern Nevada's largest, private, not-for-profit healthcare network. As a local not-for-profit health network, Renown Health's income stays right here in the community to provide many programs and services that would otherwise be unavailable. Renown is dedicated to this region and governed by local community leaders and physicians. We are proud to provide the health, education and social welfare that our friends, neighbors and family members expect and deserve.Renown Health provides various services to all affiliates including Renown Regional Medical Center, a 808-bed full service regional hospital, Renown South Meadows Medical Center, a 76-bed acute care community hospital, and Renown Rehabilitation Hospital, a 63-bed rehabilitation hospital. This furthers the tax-exempt status of the supported Renown entities that provide quality healthcare for Renown's primary service area, Washoe County and the secondary service areas of Carson City and northern California. Renown Health has more than 5,200 employees and serves a 17-county region with a total population in excess of 1.9 million. It comprises two medical centers, a rehabilitation hospital, a skilled-nursing facility, a children's hospital, numerous medical-group, urgent-care and outpatient imaging practices, and a health-insurance provider. Renown Health offers advanced care for patients and embraces its role in improving the health and well-being of the people in the communities we serve.Besides our commitment to meeting the healthcare needs of the region, Renown Health gives back to communities by contributing funds, services, facilities and the time and expertise of employees. These benefits to the community flow from Renown Health as a whole and from the individual hospitals, facilities and departments that make up our health network.For the fiscal year ending June 30, 2013, Renown Health and its subsidiaries, provided more than $105 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. 78177130 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 1 1006 0 1 6151 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 1 0 X Dawn D Ahner 7759824404 1155 Mill St Z-6 Reno NV 89502 James I Miller 4.00 56.00 X X 1313224 0 350091 Bernie Carter 3.00 0.00 X X 9700 0 0 David Line 3.00 18.00 X X 19822 0 0 Michael Alonso 3.00 0.00 X 5800 0 0 Kosta Arger 3.00 57.00 X 0 428200 16540 Tracy Mimno-Wirshing 3.00 0.00 X X 5200 0 0 Rob Winkel 3.00 0.00 X 3900 0 0 Kathleen Drakulich 3.00 0.00 X 22956 0 0 Leslie Smith 3.00 0.00 X 4500 0 0 Maureen Mullarkey 3.00 0.00 X 10479 0 0 James DeVolld 3.00 0.00 X 8998 0 0 G Blake Smith 3.00 0.00 X 7600 0 0 Dawn Ahner 10.00 50.00 X 656728 0 90001 Donald Sibery 4.00 56.00 X 0 0 0 Reno Testolin 60.00 0.00 X 354631 0 17047 Andrew Pearl 60.00 0.00 X 443478 0 57646 Allan Hanssen 25.00 35.00 X 432233 0 60096 Charles Scully 60.00 0.00 X 380270 0 64364 Phyllis Freyer 60.00 0.00 X 358491 0 59388 4038010 428200 715173 42 0 1 0 Optima Healthcare Insurance 9229 Sierra College Blvd Roseville CA 95661 Insurance Services 2214646 EPIC Systems Corp PO Box 88314 Milwaukee WI 53288 Software Maintenance 2155338 Vitalize Consulting Solution PO Box 223866 Pittsburg PA 15251 Consulting Services 1110472 Bryan Cave LLP PO Box 503089 St Louis MO 63150 Legal Services 939508 Holland & Hart LLP PO Box 17283 Denver CO 80217 Legal Services 898483 40 Program Service Revenu 622110 72407462 72407462 72407462 430129 430129 1722799 1134390 588409 588409 -95858 684267 4274 -4274 -4274 -4274 Management Fees 541610 6418544 6418544 Child Care Center 624410 47274 47274 Pop's Self Storage 531130 14168 14168 6479986 79901712 72311604 7164253 425855 X 229422 229422 2401661 2401661 34423532 30981179 3442353 7843091 7058782 784309 6547082 5892374 654708 187827 169044 18783 112860 101574 11286 9338616 8404754 933862 4859911 4373920 485991 2145660 1931094 214566 6400632 5760569 640063 486789 438110 48679 528730 475857 52873 224244 201820 22424 501002 450902 50100 8084054 7275649 808405 2989436 2690492 298944 Recruitment 1466200 1319580 146620 Miscellaneous 184407 166716 17691 Dues & Subscription 146568 131911 14657 Licenses & Taxes 136942 123247 13695 149 134 15 89238815 78177130 11061685 0 3227 852 3073880 2751969 40913 43241 2622655 1596646 131686484 58142423 66051311 73544061 141173692 140171571 38076712 153368057 251042390 371476397 27013445 23380713 6326221 5521432 77905202 210400340 111244868 239302485 X 139797522 132173912 139797522 132173912 251042390 371476397 X -9337103 1713493 X X 0 1 X 1 1 1 X X X 0 0 0 Renown Health Foundation 942972749 7 1 1 1 0 Renown Regional Medical Center 880213754 3 1 1 1 0 Hometown Health Plan Inc 880231433 501 (c) 4 0 1 1 0 Renown Network Services 880231828 3 0 1 1 0 Renown South Meadows Medical Center 460517825 3 0 1 1 0 Renown Skilled Nursing 201347269 3 0 1 1 0 6 0 Schedule A, Part IV, Supplemental Information: Part I, Line h, Column vii Renown Health provides several services to its supported organizations. These services include: Administration and payroll for all employees, information resource systems & support, purchasing and procurement of supplies, marketing and communication services, accounting, billing and collection services, insurance and legal services. 0 0 0 0 0 0 1 112860 0 0 112860 0 Part IV, Supplemental Information: Schedule C Part II-B, line 1g Payments are made to a consultant for two purposes: 1) Inform management and staff of pertinent activities of the legislative and regulatory bodies. 2) Represent the interest of the hospitals before the legislative and executive branches of Nevada, other Nevada political subdivisions, and other political jurisdictions in which Renown Health does businesses. 38557772 38557772 28225625 10097031 18128594 36796 9404 27392 63490734 48035988 15454746 1375557 1375557 73544061 Inv in Hometown Health Management 108753811 F Inv in Carson Valley Medical 17233986 F Inv in California Health 429930 F Inv in Renown Businesses 13753844 F 140171571 Other Receivables 1016820 Deposits - Freight 35000 Cash Surrender Value 1248408 Capital Accumulation Account 6352207 Due From Affiliates 141859140 Supplemental Retirement Plan 2776482 Deposits - Decisive Consulting 80000 153368057 Due To Affiliates 182547393 Retirement Liability Accrual 1064328 Other Liabilities 96600 Malpractice Reserve 7779559 Capital Accumulation Account 6184270 Supplemental Retirement Plan 2776482 Serp Contribution Payable 285290 Retirement Plan Accrual 3098236 Renown Business Loan 6568182 210400340 X Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: Renown Health 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 Health is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. Renown Health files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report any unrelated business taxable income. Renown Health 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 Health 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. Renown Health's Federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2010. 1 Reno Sparks Chamber of Commerce 449 S Virginia St Reno NV 89501 880041905 501(c)(6) 16237 Community Event Sponsorship Remsa 400 Edison Way Reno NV 89502 880175774 501(c)(3) 50072 Community Event Sponsorship American Heart Association 1281 Terminal Way Ste 111 Reno NV 89502 135613797 501(c)(3) 28450 Community Event Sponsorship Nevada Womens Fund 770 Smithridge Park Reno NV 89502 942860375 501(c)(3) 16250 Community Event Sponsorship Care Chest Inc 7910 N Virginia St Reno NV 89506 943118373 501(c)(3) 15000 Community Event Sponsorship University of Nevada Reno 1664 N Virginia St Reno NV 89512 886000024 501(c)(3) 12950 Community Event Sponsorship Western Industrial Nevada PO Box 1841 Reno NV 89505 880218440 501(c)(6) 6500 Community Event Sponsorship 5 7 The organization's grants are given directly to the recipient to cover a need that was identified during the granting process. There is no ongoing monitoring necessary for these grants. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 James I Miller 891572 0 392757 0 28895 0 335873 0 14218 0 1663315 0 0 0 Kosta Arger 0 426793 0 0 0 1407 0 0 0 16675 0 444875 0 0 Dawn Ahner 484725 0 169050 0 2953 0 72450 0 17551 0 746729 0 0 0 Reno Testolin 348913 0 0 0 5718 0 0 0 17317 0 371948 0 0 0 Andrew Pearl 336470 0 91815 0 15193 0 49972 0 7674 0 501124 0 0 0 Allan Hanssen 349177 0 80753 0 2303 0 52422 0 8304 0 492959 0 0 0 Charles Scully 295593 0 79750 0 4927 0 44813 0 19551 0 444634 0 0 0 Phyllis Freyer 277885 0 77899 0 2707 0 41836 0 17551 0 417878 0 0 0 Part I, Line 1a Social business club dues in the amount of $1,046 were paid for James Miller. This amount was not treated as taxable income as it was for business use only. Part I, Line 4b Dawn Ahner, Allan Hanssen, Andy Pearl, Phyllis Freyer and Charles Scully are parties to a supplemental nonqualified retirement plan. Contributions of $72,450 to Dawn Ahner, $52,422 to Allan Hanssen, $41,836 to Phyllis Freyer, $44,812 to Charles Scully and $49,972 to Andy Pearl were included in Schedule J, Part II, Column (C). CHIC Insurance Services Inc dba Optima Healthcare Insurance James Miller is a board member for both organizations 2214646 Insurance Provider 0 Hometown Health Management Shared board members 7986117 Management Fees and Rent 0 Hometown Health Management Shared board members -4293813 Self funded Employee Benefits and Worker's Compensation, Employee Health Services, Billing Services, Executive Physicals 0 Form 990, Part VI, Section A, line 2 Bernard Carter and Kosta Arger had a business relationship with James Miller and David Line. 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 11 The Form 990 is prepared by the organization's tax department with support from a certified tax preparer. The form is reviewed by the organization's Chief Accounting Officer and/or the Chief Financial Officer prior to the final Form 990 being sent to the board. The IRS Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the forms, the Renown Health board is provided with a narrative that explains the various parts of the Form and their content. Form 990, Part VI, Section B, line 12c On an annual basis at or prior to the first regular meeting following the election of new board members, the members of the Renown Health Board are given an Annual Disclosure Statement. They are expected to perform a reasonable investigation into their business, financial, family or significant personal relationships to disclose any actual or potential conflicts of interest. If, in connection with a proposed transaction or arrangement involving a Renown Health entity, a board member discovers that an actual or possible conflict of interest has arisen that was not disclosed on the Annual Statement, then the board member must disclose the existence and nature of his or her financial interests to the remaining directors that are considering the proposed transaction or arrangement in a timely manner. If a board member discloses an actual or possible conflict of interest, the board member shall leave the board or committee meeting while the remaining board members discuss the financial interest. The remaining board members shall vote upon and decide whether a conflict of interest actually exists. If the remaining board members determine that a conflict does exist, then appropriate measures are taken to ensure the issue is addressed. Form 990, Part VI, Section B, line 15 Renown Health's executive compensation is set by the Renown Health Compensation Committee. Members of this committee review and approve various employee pay practices and parameters, as well as compensation for the CEO and certain executives. The Compensation Committee is comprised of independent members of the Renown Health Board of Directors unrelated to and not subject to the control or undue influence of executives, with no material financial interest in transactions of the Company or any other perceived or actual conflicts of interest. The Compensation Committee members are appointed by the Chairman of the Renown Health Board of Directors. The Compensation Committee meets approximately five times per year. Meeting minutes are kept documenting the deliberations and decisions regarding the compensation arrangements. Total cash compensation for the organization's executives 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 Compensation Committee undertook the process outlined above for the fiscal year 2013 executive compensation. Form 990, Part VI, Section C, line 19 Renown Health does not make its governing documents, conflict of interest policy, or financial statements available to the general public. Other Fees Form 990, Part IX, line 11g Consulting/Management Fee: Program service expenses 4,575,634. Management and general expenses 508,404. Fundraising expenses 0. Total expenses 5,084,038. Other: Program service expenses 3,807,573. Management and general expenses 423,064. Fundraising expenses 0. Total expenses 4,230,637. Garbage: Program service expenses 18,947. Management and general expenses 2,105. Fundraising expenses 0. Total expenses 21,052. Transporation: Program service expenses 2,600. Management and general expenses 289. Fundraising expenses 0. Total expenses 2,889. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Changes in Post Retirement Obligation 1,171,218. Investment in Subsidiaries 885,471. Change in Market Value of NSDC Investment 51,286. Other -394,482. Audit Committee Form 990, Part XII, Line 2B Renown Health has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant. R Total Health LLC 1155 Mill St Z-5 Reno NV 89502 462005545 Accountable-Care Organization NV 0 0 Renown Health Hometown Health Plan 1155 Mill St Z-5 Reno NV 89502 880231433 HMO NV 501 (c) (4) Renown Health 1 Renown Health Foundation 1155 Mill St Z-5 Reno NV 89502 942972749 Foundation NV 501 (c) (3) 3 Renown Health 1 Renown Regional Medical Center 1155 Mill St Z-5 Reno NV 89502 880213754 Hospital NV 501 (c) (3) 3 Renown Health 1 Renown Skilled Nursing 1155 Mill St Z-5 Reno NV 89502 201347269 Hospital NV 501 (c) (3) 3 Renown Health 1 Renown South Meadows Medical Center 1155 Mill St Z-5 Reno NV 89502 460517825 Hospital NV 501 (c) (3) 3 Renown Health 1 Renown Network Services 1155 Mill St Z-5 Reno NV 89502 880231828 Outpatient Imaging and Pregnancy Center NV 501 (c) (3) 3 Renown Health 1 Routt Dialysis LLC 1155 Mill St Z-5 Reno NV 89502 263558729 Kidney Dialysis NV N/A Nevada Heart Institute Clinic LLC 1155 Mill St Z-5 Reno NV 89502 453571779 Cardiology NV N/A Renown Businesses 1155 Mill St Z-5 Reno NV 89502 880228030 Health Care NV Renown Health C 12524371 63341644 1.00000 1 Hometown Health Management Company 1155 Mill St Z-5 Reno NV 89502 880236758 Management Services NV Renown Health C 86696153 45501609 1.00000 1 Hometown Health Providers Insurance Company Inc 1155 Mill St Z-5 Reno NV 89502 880177026 Insurance NV Hometown Health Management C 59975044 40784913 1.00000 1 The Provider Network Inc 1155 Mill St Z-5 Reno NV 89502 880376369 Health Care NV Hometown Health Management C 1.00000 1 Remittance Assistance Corporation 1155 Mill St Z-5 Reno NV 89502 880277761 Collections NV Renown Business C 7275623 1.00000 1 Nevada Heart Institute 1155 Mill St Z-5 Reno NV 89502 880247743 Cardiology NV Renown Health C 26983453 16890364 1.00000 1 NHI-1 Inc 1155 Mill St Z-5 Reno NV 89502 880303924 Cardiology NV Renown Health C 1.00000 1 Elko Heart Institute 1155 Mill St Z-5 Reno NV 89502 452152594 Cardiology NV Renown Health C 1.00000 1 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 Hometown Health Management Company A 1032686 General Ledger Renown Network Services A 582258 General Ledger Renown Regional Medical Center A 5123 General Ledger Renown South Meadows Medical Center L 7799208 General Ledger Hometown Health Management Company L 4744086 General Ledger Renown Skilled Nursing L 276691 General Ledger Renown Businesses L 69172 General Ledger Nevada Heart Institute L 1499523 General Ledger Renown Network Services L 1060646 General Ledger Renown Regional Medical Center L 43694020 General Ledger Renown Network Services R 321823 General Ledger