2012-05-15T15:18:34-05:00 2011-06-30 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2010-07-01 942972845 Renown Health RENO 7759824404 1155 Mill Street C/O Tax Treasury Z-5 Reno NV 89502 Dawn D Ahner 7759824404 2012-05-15 1 Kim Hunwardsen CPA 6122536500 2012-05-15 2010 2016-02-24 21:20:13Z Dawn D Ahner 1155 Mill St Z-6 Reno NV 89502 72542421 0 X WWW.RENOWN.ORG X 1985 NV To establish, equip and maintain one or more general acute care hospitals and medical centers. 10 9 5405 0 6977716 -2937157 0 0 68539550 64321630 401851 394855 448430 7089610 69389831 71806095 491265 192654 0 0 36870961 33819232 0 0 0 34513430 36650197 71875656 70662083 -2485825 1144012 217790563 224728865 90617842 99892435 127172721 124836430 X Our purpose is to make a genuine difference for the many lives we touch by optimizing our patients' healthcare experience. 0 0 61999795 64433524 Renown 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 62-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 4,900 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, 2011, Renown Health and its subsidiaries provided over $139 million in benefit to the community (using community benefit numbers gathered by the Nevada Hospital Association using state-approved criteria to ensure consistency). For a full report on the benefit Renown Health provided to our community as well as our needs assessment and community benefit plan go to www.renown.org/communitybenefit. 61999795 1 0 0 1 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 0 1 1 1 1 0 1 944 0 1 5405 1 1 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 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 X James I Miller 3.00 X X 900463 0 340016 Bernie Carter 3.00 X X 9460 0 0 David Line 3.00 X 19015 0 0 Michael Alonso 3.00 X 9378 0 0 Kosta Arger 3.00 X 4700 0 0 Tracy Mimno-Wirshing 3.00 X X 5700 0 0 Rob Winkel 3.00 X 9400 0 0 Kathleen Drakulich 3.00 X 24443 0 0 Leslie Smith 3.00 X 7000 0 0 Maureen Mullarkey 3.00 X 10296 0 0 Dawn Ahner 15.00 X 475911 0 85124 Reno Testolin 60.00 X 333944 0 26195 Max Jackson 60.00 X 302460 0 23971 Andrew Pearl 60.00 X 317384 0 65747 Allan Hanssen 24.00 X 336877 0 58826 Charles Scully 60.00 X 284878 0 58342 Ronald Laxton 0.00 X 403299 0 6783 3454608 0 665004 47 1 1 0 Optima Healthcare Insurance 9229 Sierra College Blvd Roseville CA 95661 Insurance Services 2824961 EPIC Systems Corporation PO Box 88314 Milwaukee WI 53288 Records Consulting 1829593 Firstsource Solutions USA LLC 6420 Reliable Parkway Chicago IL 60686 Collection Service 1074254 Kronos Inc 297 Billerica Rd Chelmsford MA 01824 Payroll Solution 767796 Medassist LLC 6420 Reliable Parkway Chicago IL 60686 Collection Service 551996 25 Program Service Revenu 622110 64321630 64321630 64321630 415366 415366 1356761 715815 640946 640946 111894 529052 20511 -20511 -20511 -20511 Management Fees 541610 6414738 6414738 Pop's Self Storage 531130 33926 33926 6448664 71806095 64433524 6977716 394855 192654 192654 1794828 1794828 30174298 27156868 3017430 1850106 1665095 185011 1475731 1328158 147573 161547 145392 16155 102600 92340 10260 12291146 11062031 1229115 4591221 4132099 459122 2018060 1816254 201806 1268147 1141332 126815 475800 428220 47580 244010 219609 24401 134054 120649 13405 628132 565319 62813 7597692 6837923 759769 3966288 3569659 396629 Recruitment 1068622 961760 106862 Other Expenses 314892 283403 31489 Dues & Subscription 192841 173557 19284 Licenses & Taxes 119414 107473 11941 70662083 61999795 8662288 0 2300 6885498 2641439 2641438 39803 33025 1361352 1720983 110087782 49115838 60122286 60971944 136668023 135029153 16955360 17446824 217790563 224728865 20431903 21020320 14111742 12586386 56074197 66285729 90617842 99892435 X 127172721 124836430 127172721 124836430 217790563 224728865 X 1144012 -3480303 X X 0 1 1 X 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 102600 0 0 102600 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. 30030717 30030717 21256440 7949265 13307175 36796 4497 32299 53488741 41162076 12326665 5275088 5275088 60971944 Inv in Hometown Health Management 108753811 F Inv in Carson Valley Medical 17175745 F Inv in California Health 429930 F Inv in Renown Enterprises 8669667 F 135029153 OTHER RECEIVABLES 610394 DEPOSITS - FREIGHT 35000 CASH SURRENDER VALUE 1200621 CAPITAL ACCUMULATION ACCOUNT 4822908 DUE FROM RESTRICTED FUNDS 9461053 LONG TERM PREPAYMENTS 1374 SUPPLEMENTAL RETIREMENT PLAN 1315474 17446824 Due To Affiliates 39366865 Retirement Liability Accrual 1420889 Interest Payable 80269 Malpractice Reserve 6537598 Guarantee - Liability 3355000 Capital Accumulation Account 4665556 Supplemental Retirement Plan 1315473 Rent Deposits 2750 Serp Contribution Payable 266413 Retirement Plan Accrual 4332143 Inv in Renown Businesses 4916746 Child Care 26027 66285729 Description of Uncertain Tax Positions Under FIN 48: Part X: Renown Health undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. Renown Health believes that it is compliant with all IRS tax regulations and as of June 30, 2011 has not recorded a tax liability for a tax uncertainty. 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. Under normal circumstances, Renown Health is no longer subject to federal tax examinations by tax authorities for years before 2008. 1 Reno Sparks Chamber of Commerce 449 S Virginia St Reno NV 89501 880041905 501(c)(6) 7390 Community Event Sponsorship American Lung Association PO Box 7056 Reno NV 89510 860111676 501(c)(3) 7000 Community Event Sponsorship American Cancer Society 691 Sierra Rose Dr A Reno NV 89519 841316555 501(c)(3) 14750 Community Event Sponsorship Northern Nevada Affiliates PO Box 20868 Reno NV 89515 752855035 501(c)(3) 10000 Community Event Sponsorship Reno Tahoe Open Foundation 6100 Plumas St Ste 201 Reno NV 89519 880412314 501(c)(3) 14500 Community Event Sponsorship Board of Regents University of NV Reno 1664 N Virginia St Reno NV 89512 886000024 501(c)(3) 6500 Community Events Sponsorship American Heart Association 1281 Terminal Way Ste 111 Reno NV 89502 135613797 501(c)(3) 24800 Community Events Sponsorship Obesity Prevention Foundation 3495 Lakeside Dr Ste 205 Reno NV 89509 261485560 501(c)(3) 5000 Community Event Sponsorship Juvenile Diabetes Foundation 5335 Kietzke Lane Ste 230 Reno NV 89502 231907729 501(c)(3) 5000 Community Events Sponsorship WIN PO Box 1841 Reno NV 89505 880218440 501(c)(6) 5000 Community Event Sponsorship National Colon Cancer Partnership PO Box 2415 Reno NV 89505 270801634 501(c)(3) 5750 Community Event Sponsorship March of Dimes 1000 Bible Way Ste 43 Reno NV 89502 131846366 501(c)(3) 5000 Community Event Sponsorship 10 12 Other Information: Part IV: 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 X X X 0 1 0 0 0 0 0 0 0 James I Miller 768773 0 119889 0 11801 0 324504 0 16606 0 1241573 0 0 0 Dawn Ahner 393083 0 82784 0 44 0 65679 0 19445 0 561035 0 0 0 Reno Testolin 331964 0 0 0 1980 0 9681 0 16964 0 360589 0 0 0 Max Jackson 285535 0 14945 0 1980 0 9800 0 14621 0 326881 0 0 0 Andrew Pearl 287164 0 30220 0 0 0 50235 0 15512 0 383131 0 0 0 Allan Hanssen 304008 0 31699 0 1170 0 51426 0 8450 0 396753 0 0 0 Charles Scully 244629 0 38466 0 1783 0 43141 0 16245 0 344264 0 0 0 Ronald Laxton 101226 0 0 0 302073 0 0 0 7746 0 411045 0 0 0 Part I, Line 4b Dawn Ahner, Allan Hanssen and Andy Pearl are parties to a supplemental nonqualified retirement plan. Contributions of $55,879 to Dawn Ahner, $42,794 to Allan Hanssen and $40,797 to Andy Pearl were included in Schedule J, Part II, Column (C). Supplemental Information Part III Part II, Line 8 Ronald Laxton served as Chief Executive Office through February 2010, therefore the reported compensation contains 2 months of compensation and severance pay. Optima Healthcare Insurance James Miller is a board member for both organizations 2824961 Insurance Provider 0 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 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 are 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 2011 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. Average hours per week Form 990, Part VII, Column B Jim Miller, President & CEO, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity. Dawn Ahner, CFO, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity. Allan Hanssen, Vice President, serves this entity and all related entities a total of 60 hours per week. See Part VII for hours devoted to this entity. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: OPEB & RIP 749,379. Subsidiary Income -1,876,412. Change in Accounting Principle -2,353,270. Total to Form 990, Part XI, Line 5: -3,480,303. 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. Balance Sheet Reclassification Form 990, Part X Reclassifications were made to beginning of year amounts in order to provide consistent reporting with end of year amounts. 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 14358672 68713784 1.00000 Hometown Health Management Company 1155 Mill St Z-5 Reno NV 89502 880236758 Management Services NV Renown Health C 63943487 40574590 1.00000 Hometown Health Providers Insurance Company Inc 1155 Mill St Z-5 Reno NV 89502 880177026 Insurance NV Hometown Health Management C 54531667 30927735 1.00000 The Provider Network Inc 1155 Mill St Z-5 Reno NV 89502 880376369 Health Care NV Hometown Health Management C 1.00000 Remittance Assistance Corporation 1155 Mill St Z-5 Reno NV 89502 880277761 Collections NV Renown Business C 853471 7218364 1.00000 Nevada Heart Institute 1155 Mill St Z-5 Reno NV 89502 880247743 Cardiology NV Renown Health C 1.00000 NHI-1 Inc 1155 Mill St Z-5 Reno NV 89502 880303924 Cardiology NV Renown Health C 1.00000 Elko Heart Institute 1155 Mill St Z-5 Reno NV 89502 452152594 Cardiology NV Renown Health C 1.00000 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 Hometown Health Management Company A 735441 General Ledger Renown Network Services A 516741 General Ledger Renown Regional Medical Center K 50900831 General Ledger Renown South Meadows Medical Center K 8323075 General Ledger Hometown Health Management Company K 5524221 General Ledger Renown Skilled Nursing K 487628 General Ledger Renown Businesses K 100198 General Ledger Nevada Heart Institute K 790319 General Ledger Renown Network Services K 1496283 General Ledger