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Renown Medical School Associates North: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
Renown Medical School Associates North (EIN 86-0881749)
Tax period
2022-07-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202303179349303750
Schema version
2022v5.0
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)
Return2023-11-13T10:09:22-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12882 Prospect Park Dr Ste 300AddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860881749EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Renown Medical School Associates NorthBusinessNameLine1Txt
Business Name Line2IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRENOBusinessNameControlTxt
Phone7759826488PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnn BeckPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone7759826488PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAnnPersonFirstNm
Person LastBeckPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTracy S PagliaPreparerPersonNm
PTINP00366884PTIN
Phone9165038100PhoneNum
Preparation2023-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBrian ErlingPrincipalOfficerNm

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$5,186,659GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RENOWN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionTo provide patient care services, medical education, and scientific research.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,291PYContributionsGrantsAmt
CY Contributions Grants$78,667CYContributionsGrantsAmt
PY Program Service Revenue$9,383,888PYProgramServiceRevenueAmt
CY Program Service Revenue$5,107,992CYProgramServiceRevenueAmt
PY Investment Income$17,452PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$2,501,436PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,905,067PYTotalRevenueAmt
CY Total Revenue$5,186,659CYTotalRevenueAmt
PY Grants And Similar Paid$583,333PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$175,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,021,448PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,260,737CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,562,713PYOtherExpensesAmt
CY Other Expenses$6,248,249CYOtherExpensesAmt
PY Total Expenses$17,167,494PYTotalExpensesAmt
CY Total Expenses$7,683,986CYTotalExpensesAmt
PY Revenues Less Expenses-$5,262,427PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,497,327CYRevenuesLessExpensesAmt
Total Assets BOY$15,751,284TotalAssetsBOYAmt
Total Assets EOY$22,071,068TotalAssetsEOYAmt
Total Liabilities BOY$4,406,076TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,374,711TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,345,208NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,696,357NetAssetsOrFundBalancesEOYAmt
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$6,404,890ExpenseAmt
Grant$175,000GrantAmt
Revenue$5,107,992RevenueAmt
DescSee 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 six-month period ended December 31, 2022, Renown Medical School Associates North, along with its parent, Renown Health and its subsidiaries, provided approximately $99 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.Desc
Total Program Service Expenses$6,404,890TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 CEO0CompensationProcessCEOInd
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 Line1Ann BeckBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7759826488PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Josiah Johnson - President
(Jul-Nov)/Chief of Staff2.0058.00Yes (X)Yes (X)$0$923,348$150,427
David Hansen - President and
Chair/CEO Hometown Health (Jul-Oct)3.0057.00Yes (X)Yes (X)$0$992,940$30,086
Thomas Graf - CEO Jul-Nov
/Chief Clinical and Quality Officer2.0058.00Yes (X)$0$713,325$119,311
Ann Beck
Chief Financial Officer1.0059.00Yes (X)$0$669,952$109,755
Bethany Sexton - President and
Chair/CEO (Oct-Dec)3.0057.00Yes (X)Yes (X)$0$458,983$87,283
Sean Hawthorne - Treasurer
(Jul-Oct)/VP of Finance3.0057.00Yes (X)Yes (X)$0$377,951$35,232
Jamie Winter - Secretary
/Senior Corporate Counsel3.0057.00Yes (X)Yes (X)$0$238,655$29,733
Samuel King - Former Officer
Chief Financial Officer (Jul-Sep)3.0057.00$0$260,514$16,699Yes (X)
Anthony Slonim
Former Officer0.000.00$0$232,791$13,044Yes (X)
Brian Erling
President/CEO (Nov-Dec)2.0058.00Yes (X)$0$183,417$0
Bill Coffin - Treasurer
(Oct-Dec)/CFO (Oct-Dec)3.0057.00Yes (X)Yes (X)$0$111,831$5,182
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,163,707TotReportableCompRltdOrgAmt
Total Other Compensation$596,752TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
University of Nevada School of Medicine
Medical Bldg 0346RenoNV895570346Medical Services$10,664,637
Zephyr Building Service LLC
PO Box 50091SparksNV89435Cleaning Services$273,254
Isaacson Miller Inc
263 Summer Street 7TH FloorBostonMA02210Recruitment Services$170,625
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$78,667RelatedOrganizationsAmt
Total Contributions$78,667TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient ServicesDesc
Business621500BusinessCd
Total Revenue Column$5,107,992TotalRevenueColumnAmt
Related Or Exempt Func Income$5,107,992RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,107,992TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,186,659TotalRevenueColumnAmt
Related Or Exempt Func Income$5,107,992RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$175,000TotalAmt
Program Services$175,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,057,949TotalAmt
Program Services$1,057,949ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,827TotalAmt
Program Services$3,827ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$129,304TotalAmt
Program Services$129,304ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$69,657TotalAmt
Program Services$69,657ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,954,357TotalAmt
Program Services$2,806,804ProgramServicesAmt
Management And General$1,147,553ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$37,028TotalAmt
Program Services$28,934ProgramServicesAmt
Management And General$8,094ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,054TotalAmt
Program Services$27,054ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$779,324TotalAmt
Program Services$779,324ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$691TotalAmt
Program Services$691ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$563,724TotalAmt
Program Services$563,724ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,438TotalAmt
Program Services$60,438ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$364,335$364,335
Dues and Subscriptions$122,999$60$122,939
Licenses and Taxes$8,607$8,575$32
Repairs and Maintenance$8,058$8,058

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$321,634TotalAmt
Program Services$321,156ProgramServicesAmt
Management And General$478ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,683,986TotalAmt
Program Services$6,404,890ProgramServicesAmt
Management And General$1,279,096ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,067BOYAmt
EOY$5,780EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,219,800BOYAmt
EOY$2,893,624EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$212,845BOYAmt
EOY$212,594EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,985,435LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,283,438LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,019,254BOYAmt
EOY$2,701,997EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,284,318BOYAmt
EOY$16,257,073EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,751,284BOYAmt
EOY$22,071,068EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,290,806BOYAmt
EOY$1,023,168EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,115,270BOYAmt
EOY$3,351,543EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,406,076BOYAmt
EOY$4,374,711EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,345,208BOYAmt
EOY$17,696,357EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,345,208BOYAmt
EOY$17,696,357EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,751,284BOYAmt
EOY$22,071,068EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,497,327ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$8,848,476OtherChangesInNetAssetsAmt
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$352,050CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$350,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,225,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,291CurrentTaxYearMinus1YearAmt
Current Tax Year$78,667CurrentTaxYearAmt
Total$2,008,008TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,159,067CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,336,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,416,806CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,383,888CurrentTaxYearMinus1YearAmt
Current Tax Year$5,107,992CurrentTaxYearAmt
Total$57,404,695TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,511,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,686,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,641,806CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,386,179CurrentTaxYearMinus1YearAmt
Current Tax Year$5,186,659CurrentTaxYearAmt
Total$59,412,703TotalAmt

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$59,412,703PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$104CurrentTaxYearMinus3YearsAmt
Total$104TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$104CurrentTaxYearMinus3YearsAmt
Total$104TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$667,638CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,501,436CurrentTaxYearMinus1YearAmt
Total$3,169,074TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,511,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,687,046CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,309,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,887,615CurrentTaxYearMinus1YearAmt
Current Tax Year$5,186,659CurrentTaxYearAmt
Total$62,581,881TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94940PublicSupportCY509Pct
Public Support PY5090.95670PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 (e)This is a short period for July 1, 2022 through December 31, 2022.

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$220,938OtherCostOrOtherBasisAmt
Depreciation$75,464DepreciationAmt
Book Value$145,474BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,737,397OtherCostOrOtherBasisAmt
Depreciation$1,207,974DepreciationAmt
Book Value$2,529,423BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,100OtherCostOrOtherBasisAmt
Book Value$27,100BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,701,997TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Deposits$1,155
Right of Usage$2,412,920
Due From Affiliates$13,842,998
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,257,073TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Affiliates$13,518
Lease Liability$2,422,518
Third Party Settlements$915,507
FieldValueIRS element (for citing)
Total Liability$3,351,543TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationRenown 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. 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.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF NEVADA RENO FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Mailstop 0162AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89557ZIPCd
FieldValueIRS element (for citing)
Recipient EIN942781749RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$175,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantScholarshipsPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationFor Part II- Assistance is given directly to other non-profit organizations to provide community support and no ongoing monitoring is necessary.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (10 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
Josiah Johnson - President
(Jul-Nov)/Chief of Staff$0$781,371$0$139,454$0$2,523$0$126,298$0$25,590$0$1,075,236$0$0
David Hansen - President and
Chair/CEO Hometown Health (Jul-Oct)$0$411,007$0$90,005$0$491,928$0$10,801$0$20,503$0$1,024,244$0$0
Thomas Graf - CEO Jul-Nov
/Chief Clinical and Quality Officer$0$709,455$0$0$0$3,870$0$94,702$0$24,608$0$832,635$0$0
Ann Beck
Chief Financial Officer$0$559,973$0$98,876$0$11,103$0$95,400$0$15,817$0$781,169$0$0
Bethany Sexton - President and
Chair/CEO (Oct-Dec)$0$374,143$0$83,333$0$1,507$0$61,391$0$27,090$0$547,464$0$0
Sean Hawthorne - Treasurer
(Jul-Oct)/VP of Finance$0$376,413$0$0$0$1,538$0$10,410$0$25,136$0$413,497$0$0
Jamie Winter - Secretary
/Senior Corporate Counsel$0$237,866$0$0$0$789$0$6,591$0$23,456$0$268,702$0$0
Samuel King - Former Officer
Chief Financial Officer (Jul-Sep)$0$214,327$0$0$0$46,187$0$4,669$0$12,162$0$277,345$0$0
Anthony Slonim
Former Officer$0$231,898$0$0$0$893$0$7,012$0$6,032$0$245,835$0$0
Brian Erling
President/CEO (Nov-Dec)$0$146,310$0$30,000$0$7,107$0$0$0$0$0$183,417$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Renown 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-bDavid Hansen received severance payments. Payments of $486,034 to David Hansen were included in Schedule J, Part II, Column (B)(iii). Thomas Graf, Josiah Johnson, Ann Beck, and Bethany Sexton are parties to a supplemental nonqualified retirement plan. Contributions of $82,502 to Thomas Graf, $114,098 to Josiah Johnson, $84,752 to Ann Beck, $52,092 to Bethany Sexton were included in Schedule J, Part II, Column (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 line 7 through 10 of Part IX.
Form 990, Part VI, Section A, line 2Brian Erling has a business relationship with Ann Beck, Bill Coffin, and Jamie Winter. Thomas Graf, Josiah Johnson, Ann Beck, Sean Hawthorne, and Jamie Winter have a business relationship. Bill Coffin has a business relationship with Thomas Graf, Josiah Johnson, Ann Beck, and Jamie Winter. Bethany Sexton, Josiah Johnson, and Jamie Winter have a business relationship. Ann Beck has a business relationship with Bethany Sexton.
Form 990, Part VI, Section A, line 6Hometown Health Plan is the sole corporate member of Renown Medical School Associates North.
Form 990, Part VI, Section A, line 7aHometown 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 7bHometown 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 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 11bThe 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 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 12cOn 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 19Renown 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 11gOther Misc Services: Program service expenses 10,515. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,515. Cleaning Services: Program service expenses 138,314. Management and general expenses 0. Fundraising expenses 0. Total expenses 138,314. Consulting Services: Program service expenses 67,360. Management and general expenses 232,855. Fundraising expenses 0. Total expenses 300,215. Document Destruction: Program service expenses 0. Management and general expenses 16,341. Fundraising expenses 0. Total expenses 16,341. Garbage: Program service expenses 3,263. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,263. Medical Services (Non Physician): Program service expenses 38. Management and general expenses 0. Fundraising expenses 0. Total expenses 38. Medical Waste: Program service expenses 6,796. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,796. Other Service Contracts: Program service expenses 0. Management and general expenses 3,394. Fundraising expenses 0. Total expenses 3,394. Medical Services: Program service expenses 24,402. Management and general expenses 54,387. Fundraising expenses 0. Total expenses 78,789. Construction Projects: Program service expenses 210. Management and general expenses 0. Fundraising expenses 0. Total expenses 210. RPA Purchased Services: Program service expenses 0. Management and general expenses 1,000. Fundraising expenses 0. Total expenses 1,000. RPA Purchased Services - Overhead Allocation: Program service expenses 0. Management and general expenses 437,919. Fundraising expenses 0. Total expenses 437,919. Professional Fees: Program service expenses 2,555,906. Management and general expenses 401,657. Fundraising expenses 0. Total expenses 2,957,563.
Form 990, Part XI, line 9:Interaffilate Transfers 8,848,476.
Form 990, Part XII, Line 2b, Audit Committee:Renown Health, the sole member of this entity has an audit committee that assumes responsibility for the consolidated audit and selection of the independent accountant.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Renown Health
1155 Mill St Z-4RenoNV89502942972845Health CareNV501(c)(3)Line 12c, III-FIN/A0
Renown Regional Medical Center
1155 Mill St Z-4RenoNV89502880213754HospitalNV501(c)(3)Line 30Renown Health
Renown Health Foundation
1155 Mill St Z-4RenoNV89502942972749FoundationNV501(c)(3)Line 70Renown Health
Renown South Meadows Medical Center
1155 Mill St Z-4RenoNV89502460517825HospitalNV501(c)(3)Line 30Renown Health
Hometown Health Plan
1155 Mill St Z-4RenoNV89502880231433HMONV501(c)(4)0Renown Health
Renown Transitional Care Services
1155 Mill St Z-4RenoNV89502880231828Pregnancy CenterNV501(c)(3)Line 30Renown Health

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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 Management Company
1155 Mill St Z-4RenoNV89502880236758Management ServicesNVN/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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
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 Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
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$177,605InvolvedAmt
Method Of Amount DeterminationGeneral LedgerMethodOfAmountDeterminationTxt