2024-11-13T18:23:27-06:00 2023-12-31 910189318 Moss Adams LLP 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2023-01-01 860881749 Renown Medical School Associates North Inc RENO 7759826488 1155 Mill St co Tax Treasury Z-4 Reno NV 89502 Ann Beck Chief Financial Officer 7759826488 2024-11-12 1 0 Tracy S Paglia P00366884 9165038100 2024-11-12 2023 2024-10-15 13:58:12Z Brian Erling 1155 Mill St c/o Tax Treasury Z-4 Reno NV 89502 11460530 0 X WWW.RENOWN.ORG X 1997 NV To provide patient care services, medical education, and scientific research. 4 0 0 0 0 0 78667 114278 5107992 11346252 0 0 0 0 5186659 11460530 175000 367460 0 0 1260737 3145362 0 0 0 6248249 12603628 7683986 16116450 -2497327 -4655920 22071068 29027259 4374711 3152990 17696357 25874269 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 13519538 367460 11346252 See Schedule ORenown Medical School Associates North ("RMSAN") provides patient care services, medical education, and scientific research. RMSAN provides care to a diverse patient population while providing clinical educational experiences for medical students, residents, and fellows. RMSAN is comprised of seven clinical departments including Family Medicine, Internal Medicine, Pediatrics, Obstetrics/Gynecology, Psychiatry, Speech Pathology and Audiology and Pathology.In 2021, RMSAN entered into an Affiliation Agreement (the "Affiliation") by and among RMSAN, Renown Health ("Renown"), the Board of Regents of the Nevada System of Higher Education on behalf of the University of Nevada, Reno and its School of Medicine: The University of Nevada, Reno School of Medicine ("UNR Med") to more efficiently advance their shared clinical, research and educational purposes. The Affiliation resulted in the integration of medical education, clinical research and clinical practice activities between UNR Med and Renown. The Affiliation is a long-term commitment that establishes Nevada's first integrated health system to advance health and health care through world-class medical education, clinical research and patient care and transforms the delivery of healthcare services and creation of healthy communities throughout Nevada.The goal of the Affiliation is an integrated clinical, educational and research relationship with a shared vision, aligned governance, and unified leadership, through combined efforts working towards the unified vision of "A Healthy Nevada." The Affiliation has a mission of: improving quality patient care; increasing access to care for all, including creating new clinical specialty programs to serve the community; creating new clinical training experiences for residents and students; providing new patient access to clinical trials; expanding the research capabilities of all Parties; creating new residency specialties; increasing medical school student class sizes; and, recruiting physicians to grow clinical, educational and research programs. The Affiliation addresses the provider gap and increases access to care by developing new and innovative ways to train and retain the next generation of Nevada's health care professionals.For the year ended December 31, 2023, RMSAN, along with its parent, Renown Health and its subsidiaries, provided approximately $274 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: https://www.renown.org/about/community-commitment. 13519538 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X Anna Loomis 7759826488 1155 Mill St Z-4 Reno NV 89502 Brian Erling President/CEO 2.00 58.00 X X 0 1288090 215714 Ann Beck Chief Financial Officer 1.00 59.00 X 0 822915 110675 Josiah Johnson Former Officer 0.00 60.00 X 0 768059 18368 Bethany Sexton President and Chair/CEO 3.00 57.00 X X 0 678306 93628 Thomas Graf Former Officer 0.00 60.00 X 0 593777 11028 Sean Hawthorne Former Officer 0.00 60.00 X 0 406006 30797 Rebekah Winter Treasurer 3.00 57.00 X X 0 285584 15531 Jamie Winter Secretary 3.00 57.00 X X 0 258309 30093 0 5101046 525834 0 1 1 0 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 5898173 Opus Search Partners Inc 1700 Sansom Street Suite 1100 Philadelphia PA 19103 Consulting Services 326300 Zephyr Building Service LLC PO Box 50091 Sparks NV 89435 Cleaning Services 276627 3 114278 114278 Patient Services 621500 10237956 10237956 Physician Service Admi 621110 1108296 1108296 11346252 11460530 11346252 0 0 X 350000 350000 17460 17460 2632810 2632810 71245 71245 270627 270627 170680 170680 7427746 4920860 2506886 112876 90656 22220 1000 1000 1585464 1585464 1171090 1171090 90501 90501 UNR Support Agreement 788033 788033 Medical Supplies 676166 676166 Bad Debt 492449 492449 Dues and Subscriptions 65319 1355 63964 192984 189142 3842 16116450 13519538 2596912 0 5780 5238 2893624 2808456 212594 100076 3986135 2454528 2701997 1531607 16257073 24581882 22071068 29027259 1023168 767637 3351543 2385353 4374711 3152990 X 17696357 25874269 17696357 25874269 22071068 29027259 X -4655920 12833832 X X 0 1 X 1 0 X 350000 1225000 2291 78667 114278 1770236 13336942 14416806 9383888 5107992 11346252 53591880 13686942 15641806 9386179 5186659 11460530 55362116 0 0 0 55362116 104 104 104 104 667638 2501436 3169074 13687046 16309444 11887615 5186659 11460530 58531294 0.94590 0.94940 0.00000 X Schedule A, Part III, Line 12, Explanation of Other Income: Forgiveness of Debt - 2020 Amount: $ 667,638. 2021 Amount: $ 2,501,436. Schedule A, Part II, Column (d): Column (d) reports a short period from July 1, 2022 through December 31, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 248038 168180 79858 3738097 2286348 1451749 1531607 Right of Usage 1566169 Due From Affiliates 23015713 24581882 Due to Affiliates 115065 Lease Liability 1581648 Third Party Settlements 688640 2385353 X Part X, Line 2: Renown Medical School Associates North is organized as a Nevada nonprofit entity and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). This entity must annually file Returns of Organizations Exempt from Income Tax (Form 990) with the IRS. In addition, Renown Medical School Associates North is subject to income tax on net income derived from business activities that are unrelated to its tax exempt purpose. In those cases, the tax-exempt entity would file an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report any unrelated business taxable income. Renown Medical School Associates North 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 Medical School Associates North 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. 0 University of Nevada Reno Foundation Mailstop 0162 Reno NV 89557 942781749 501(c)(3) 350000 0 Scholarships 1 0 Patient Assistance 469 17460 Part I, Line 2: For Part II- Assistance is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary. X X X X 1 1 0 0 0 0 0 0 0 Brian Erling President/CEO 0 1220589 0 0 0 67501 0 197268 0 18446 0 1503804 0 0 Ann Beck Chief Financial Officer 0 613763 0 197753 0 11399 0 101462 0 9213 0 933590 0 0 Josiah Johnson Former Officer 0 18377 0 0 0 749682 0 1030 0 17338 0 786427 0 0 Bethany Sexton President and Chair/CEO 0 493462 0 166662 0 18182 0 74999 0 18629 0 771934 0 0 Thomas Graf Former Officer 0 20157 0 0 0 573620 0 985 0 10043 0 604805 0 0 Sean Hawthorne Former Officer 0 404716 0 0 0 1290 0 13317 0 17480 0 436803 0 0 Rebekah Winter Treasurer 0 285344 0 0 0 240 0 11454 0 4077 0 301115 0 0 Jamie Winter Secretary 0 257619 0 0 0 690 0 12613 0 17480 0 288402 0 0 Part I, Line 3 Renown Medical School Associates North, Inc. relied on Renown Health, a related organization to establish compensation for its top management official. Renown Health used the following methods to establish compensation: compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee. See Renown Health's Form 990, Schedule O, narrative for Part VI, Section B, Line 15 for a description of the process utilized by Renown Health. Part I, Lines 4a-b Thomas Graf and Josiah Johnson received severance payments of $573,471 and $749,539, respectively. These amounts are included in Schedule J, Part II, Column (B)(iii). Brian Erling, Ann Beck, and Bethany Sexton are parties to a supplemental nonqualified retirement plan. Contributions of $184,068 to Brian Erling, $88,989 to Ann Beck, and $74,999 to Bethany Sexton were included in Schedule J, Part II, Column (C). Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Renown Medical School Associates North 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 Form W-3: Renown Medical School Associates North 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 and benefits are reported on lines 7 through 10 of Part IX. Form 990, Part VI, Section A, line 2 Brian Erling, Ann Beck, and Jamie Winter have a business relationship. Ann Beck has a business relationship with Bethany Sexton. Form 990, Part VI, Section A, line 6 Hometown Health Plan is the sole corporate member of Renown Medical School Associates North. Form 990, Part VI, Section A, line 7a Hometown Health Plan, acting through its board of directors, appoints the members of the Board of Governors of Renown Medical School Associates North. Form 990, Part VI, Section A, line 7b Hometown Health Plan must approve: 1) any changes of a strategic plan 2) selection of independent auditors, employee benefit consultants, legal counsel, and investment advisors 3) insurance and risk management programs 4) annual operating or capital budgets 5) material changes to the budget 6) investment policies 7) contracts among Renown entities 8) changes to governing documents 9) encumbrances of assets in excess of $1 million or real property 10) any borrowing in excess of $1 million in any fiscal year 11) merger, purchase or acquisition of another organization 12) joint venture with any other organization, entity or persons 13) any other material action take outside of 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 an independent public accounting firm with support from the organization's tax department. The Form 990 is reviewed by the organization's current Corporate Controller and current Chief Financial Officer prior to the final version being sent to the Board. The Form 990, as filed with the IRS, is sent to each voting member of the Renown Health Board prior to filing. Along with the Form 990 and Schedules, the Renown Health Board is provided with a narrative that explains the contents of the various parts of the return. 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 Medical School Associates North 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 C, line 19 Renown Medical School Associates North does not make its governing documents, conflict of interest policy, or financial statements available to the general public. Form 990, Part IX, line 11g Cleaning Services: Program service expenses 276,627. Management and general expenses 0. Fundraising expenses 0. Total expenses 276,627. Garbage: Program service expenses 5,130. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,130. Medical Equipment Service Agreements: Program service expenses 4,026. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,026. Medical Waste: Program service expenses 9,592. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,592. Other Miscellaneous Services: Program service expenses 70,474. Management and general expenses 49,296. Fundraising expenses 0. Total expenses 119,770. Professional Fees: Program service expenses 4,555,011. Management and general expenses 1,034,259. Fundraising expenses 0. Total expenses 5,589,270. RPA Purch Svc-Overhead Allocation: Program service expenses 0. Management and general expenses 1,074,320. Fundraising expenses 0. Total expenses 1,074,320. Consulting Services: Program service expenses 0. Management and general expenses 323,597. Fundraising expenses 0. Total expenses 323,597. Document Destruction: Program service expenses 0. Management and general expenses 20,998. Fundraising expenses 0. Total expenses 20,998. RPA Purchased Services: Program service expenses 0. Management and general expenses 3,000. Fundraising expenses 0. Total expenses 3,000. Other Service Contacts: Program service expenses 0. Management and general expenses 1,416. Fundraising expenses 0. Total expenses 1,416. Form 990, Part XI, line 9: Intercompany Settlements 12,833,832. Form 990, Part XII, Line 2b, Audit Committee: Renown Health, the parent organization of Hometown Health Plan, has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant. Renown Health 1155 Mill St Z-4 Reno NV 89502 942972845 Health Care NV 501(c)(3) Line 12c, III-FI N/A 0 Renown Regional Medical Center 1155 Mill St Z-4 Reno NV 89502 880213754 Hospital NV 501(c)(3) Line 3 Renown Health 0 Renown Health Foundation 1155 Mill St Z-4 Reno NV 89502 942972749 Foundation NV 501(c)(3) Line 7 Renown Health 0 Renown South Meadows Medical Center 1155 Mill St Z-4 Reno NV 89502 460517825 Hospital NV 501(c)(3) Line 3 Renown Health 0 Hometown Health Plan 1155 Mill St Z-4 Reno NV 89502 880231433 HMO NV 501(c)(4) Renown Health 0 Renown Transitional Care Services 1155 Mill St Z-4 Reno NV 89502 880231828 Health Care NV 501(c)(3) Line 12b, II Renown Health 0 Renown Businesses 1155 Mill St Z-4 Reno NV 89502 880228030 Health Care NV N/A C 0 Hometown Health Management Company 1155 Mill St Z-4 Reno NV 89502 880236758 Management Services NV N/A C 0 Hometown Health Providers Insurance Co 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 Hometown Health Plan Inc L 253098 General Ledger