2025-11-14T18:39:24-06:00 2024-12-31 390859910 Baker Tilly Advisory Group LP 805 SW Broadway Ste 1400 Portland OR 97205 990 2024-01-01 860881749 Renown Medical School Associates North Inc RENO 7759826488 1155 Mill St co Tax Treasury Z-4 Reno NV 89502 Anna Loomis Chief Financial Officer 7759826488 2025-11-12 1 1 Wendy Campos P00448102 5032421447 2025-11-12 2024 2025-03-06 01:10:19Z Brian Erling 1155 Mill St c/o Tax Treasury Z-4 Reno NV 89502 11442938 0 X WWW.RENOWN.ORG X 1997 NV To provide patient care services, medical education, and scientific research. X 4 0 0 0 0 0 114278 174213 11346252 9056798 0 522136 0 0 11460530 9753147 367460 305207 0 0 3145362 3602998 0 0 0 12603628 8739617 16116450 12647822 -4655920 -2894675 29027259 2211927 3152990 0 25874269 2211927 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 10817434 305207 9056798 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, Renown Medical School Associates North entered into an Affiliation Agreement (the "Affiliation") by and among Renown Medical School Associates North, 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 calendar year ending December 31, 2024, Renown Medical School Associates North, along with its parent, Renown Health and its subsidiaries, provided more than $196 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. 10817434 1 1 0 0 0 0 0 0 0 0 0 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 1 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 1872333 225513 Bethany Sexton President and Chair/CEO 3.00 57.00 X X 0 622282 120938 Sean Hawthorne Former Officer 0.00 60.00 X 0 536323 35392 Anna Loomis - Chief Financial Officer (as of 07/24) 1.00 59.00 X 0 392905 60260 Rebekah Winter Treasurer 3.00 57.00 X X 0 379655 21050 Jamie Winter Secretary 3.00 57.00 X X 0 319612 34984 Ann Beck Chief Financial Officer (thru 01/24) 1.00 59.00 X 0 210679 2042 0 4333789 500179 0 1 1 0 University of Nevada School of Medicine Medical Building 0346 Reno NV 895570346 Medical Services 3647033 Zephyr Building Service LLC PO Box 50091 Sparks NV 89435 Cleaning Services 193051 2 174213 174213 Patient Services 621500 7818939 7818939 Physician Services 621110 1237859 1237859 9056798 2211927 1689791 522136 522136 522136 9753147 9056798 0 522136 X 291667 291667 13540 13540 3066171 3066171 81182 81182 273213 273213 182432 182432 5226787 3445161 1781626 77133 56954 20179 1053697 1053697 824374 824374 115135 115135 UNR Support Agreement 620669 620669 Medical Supplies 386111 386111 Bad Debt 284297 284297 Repairs and Maintenance 33252 33252 118162 89579 28583 12647822 10817434 1830388 0 5238 0 2808456 0 100076 0 0 0 1531607 0 24581882 2211927 29027259 2211927 767637 0 2385353 0 3152990 0 X 25874269 2211927 25874269 2211927 29027259 2211927 X -2894675 -20767667 X X 0 1 X 1 1 1 X 1225000 2291 78667 114278 174213 1594449 14416806 9383888 5107992 11346252 9056798 49311736 15641806 9386179 5186659 11460530 9231011 50906185 0 0 0 50906185 667638 2501436 3169074 16309444 11887615 5186659 11460530 9231011 54075259 0.94140 0.94590 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 (c): Column (c) reports a short period from July 1, 2022 through December 31, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 Due From Affiliates 2211927 2211927 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) 291667 0 Scholarships 1 0 Patient Assistance 351 13540 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. 0 1 0 0 0 0 0 0 0 Brian Erling President/CEO 0 1255113 0 612025 0 5195 0 203710 0 21803 0 2097846 0 0 Bethany Sexton President and Chair/CEO 0 513488 0 105973 0 2821 0 99449 0 21489 0 743220 0 0 Sean Hawthorne Former Officer 0 451016 0 82992 0 2315 0 14639 0 20753 0 571715 0 0 Anna Loomis - Chief Financial Officer (as of 07/24) 0 361450 0 0 0 31455 0 56129 0 4131 0 453165 0 0 Rebekah Winter Treasurer 0 310350 0 69064 0 241 0 11637 0 9413 0 400705 0 0 Jamie Winter Secretary 0 265870 0 53090 0 652 0 14494 0 20490 0 354596 0 0 Ann Beck Chief Financial Officer (thru 01/24) 0 23860 0 186408 0 411 0 1198 0 844 0 212721 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, Line 4b Brian Erling, Anna Loomis, and Bethany Sexton are parties to a supplemental nonqualified retirement plan. Contributions of $190,510 to Brian Erling, $46,875 to Anna Loomis, and $78,749 to Bethany Sexton were included in Schedule J, Part II, Column (C). Cash 2024-09-30 8740 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation Accounts receivables, net 2024-09-30 3277159 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation Prepaid expenses and other 2024-09-30 86297 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation Property and equipment, net 2024-09-30 1041101 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation Other assets 2024-09-30 154522 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation Current liabilities assumed 2024-09-30 2344990 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation Noncurrent liabilities assumed 2024-09-30 10903 book value 880236758 Hometown Health Management Company 10315 Professional Circle Z-4 Reno NV 89521 Corporation 1 0 0 0 Part II, Line 2e: Explanation of Involvement: Bethany Sexton and Rebekah Winter are board members of Renown Medical School Associates North, Inc. and Hometown Health Management Company. 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, Anna Loomis, Ann Beck, Jamie Winter and Sean Hawthorne have a business relationship. Anna Loomis and Sean Hawthorne have a business relationship with Bethany Sexton. Bethany Sexton and Rebekah Winter have a business relationship. 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, 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 191,603. Management and general expenses 0. Fundraising expenses 0. Total expenses 191,603. Medical Equipment Service Agreements: Program service expenses 12,078. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,078. Medical Waste: Program service expenses 14,194. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,194. Other Miscellaneous Services: Program service expenses 53,830. Management and general expenses 70,800. Fundraising expenses 0. Total expenses 124,630. Professional Fees: Program service expenses 3,173,456. Management and general expenses 1,232,240. Fundraising expenses 0. Total expenses 4,405,696. RPA Purch Svc-Overhead Allocation: Program service expenses 0. Management and general expenses 449,784. Fundraising expenses 0. Total expenses 449,784. Document Destruction: Program service expenses 0. Management and general expenses 25,401. Fundraising expenses 0. Total expenses 25,401. RPA Purchased Services: Program service expenses 0. Management and general expenses 3,401. Fundraising expenses 0. Total expenses 3,401. Form 990, Part XI, line 9: Intercompany Settlements -20,767,667. 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 Company 1155 Mill St Z-4 Reno NV 89502 880177026 Insurance NV N/A C 0 0 0 1 0 0 0 1 0 0 0 0 1 1 0 1 1 1 1 0 Hometown Health Plan Inc L 298038 General Ledger