2023-11-13T10:09:22-06:00 2022-12-31 910189318 Moss Adams LLP 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2022-07-01 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 2023-11-10 1 Ann Beck 999009999 0 Tracy S Paglia P00366884 9165038100 2023-11-10 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z Brian Erling 1155 Mill St c/o Tax Treasury Z-4 Reno NV 89502 5186659 0 X WWW.RENOWN.ORG X 1997 NV To provide patient care services, medical education, and scientific research. 3 0 0 0 0 0 2291 78667 9383888 5107992 17452 0 2501436 0 11905067 5186659 583333 175000 0 0 3021448 1260737 0 0 0 13562713 6248249 17167494 7683986 -5262427 -2497327 15751284 22071068 4406076 4374711 11345208 17696357 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 6404890 175000 5107992 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 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. 6404890 1 1 0 0 0 0 0 0 0 0 1 0 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 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 3 0 1 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X Ann Beck 7759826488 1155 MILL ST Z-4 Reno NV 89502 Josiah Johnson - President (Jul-Nov)/Chief of Staff 2.00 58.00 X X 0 923348 150427 David Hansen - President and Chair/CEO Hometown Health (Jul-Oct) 3.00 57.00 X X 0 992940 30086 Thomas Graf - CEO Jul-Nov /Chief Clinical and Quality Officer 2.00 58.00 X 0 713325 119311 Ann Beck Chief Financial Officer 1.00 59.00 X 0 669952 109755 Bethany Sexton - President and Chair/CEO (Oct-Dec) 3.00 57.00 X X 0 458983 87283 Sean Hawthorne - Treasurer (Jul-Oct)/VP of Finance 3.00 57.00 X X 0 377951 35232 Jamie Winter - Secretary /Senior Corporate Counsel 3.00 57.00 X X 0 238655 29733 Samuel King - Former Officer Chief Financial Officer (Jul-Sep) 3.00 57.00 X 0 260514 16699 Anthony Slonim Former Officer 0.00 0.00 X 0 232791 13044 Brian Erling President/CEO (Nov-Dec) 2.00 58.00 X 0 183417 0 Bill Coffin - Treasurer (Oct-Dec)/CFO (Oct-Dec) 3.00 57.00 X X 0 111831 5182 0 5163707 596752 0 1 1 0 University of Nevada School of Medicine Medical Bldg 0346 Reno NV 895570346 Medical Services 10664637 Zephyr Building Service LLC PO Box 50091 Sparks NV 89435 Cleaning Services 273254 Isaacson Miller Inc 263 Summer Street 7TH Floor Boston MA 02210 Recruitment Services 170625 3 78667 78667 Patient Services 621500 5107992 5107992 5107992 5186659 5107992 0 0 X 175000 175000 1057949 1057949 3827 3827 129304 129304 69657 69657 3954357 2806804 1147553 37028 28934 8094 27054 27054 779324 779324 691 691 563724 563724 60438 60438 Medical Supplies 364335 364335 Dues and Subscriptions 122999 60 122939 Licenses and Taxes 8607 8575 32 Repairs and Maintenance 8058 8058 321634 321156 478 7683986 6404890 1279096 0 15067 5780 1219800 2893624 212845 212594 3985435 1283438 3019254 2701997 11284318 16257073 15751284 22071068 1290806 1023168 3115270 3351543 4406076 4374711 X 11345208 17696357 11345208 17696357 15751284 22071068 X -2497327 8848476 X X 0 1 X 1 0 X 352050 350000 1225000 2291 78667 2008008 15159067 13336942 14416806 9383888 5107992 57404695 15511117 13686942 15641806 9386179 5186659 59412703 0 0 0 59412703 104 104 104 104 667638 2501436 3169074 15511117 13687046 16309444 11887615 5186659 62581881 0.94940 0.95670 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 (e) This is a short period for July 1, 2022 through December 31, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 220938 75464 145474 3737397 1207974 2529423 27100 27100 2701997 Deposits 1155 Right of Usage 2412920 Due From Affiliates 13842998 16257073 Due to Affiliates 13518 Lease Liability 2422518 Third Party Settlements 915507 3351543 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. 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) 175000 0 Scholarships 1 0 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. 1 1 0 0 0 0 0 0 0 Josiah Johnson - President (Jul-Nov)/Chief of Staff 0 781371 0 139454 0 2523 0 126298 0 25590 0 1075236 0 0 David Hansen - President and Chair/CEO Hometown Health (Jul-Oct) 0 411007 0 90005 0 491928 0 10801 0 20503 0 1024244 0 0 Thomas Graf - CEO Jul-Nov /Chief Clinical and Quality Officer 0 709455 0 0 0 3870 0 94702 0 24608 0 832635 0 0 Ann Beck Chief Financial Officer 0 559973 0 98876 0 11103 0 95400 0 15817 0 781169 0 0 Bethany Sexton - President and Chair/CEO (Oct-Dec) 0 374143 0 83333 0 1507 0 61391 0 27090 0 547464 0 0 Sean Hawthorne - Treasurer (Jul-Oct)/VP of Finance 0 376413 0 0 0 1538 0 10410 0 25136 0 413497 0 0 Jamie Winter - Secretary /Senior Corporate Counsel 0 237866 0 0 0 789 0 6591 0 23456 0 268702 0 0 Samuel King - Former Officer Chief Financial Officer (Jul-Sep) 0 214327 0 0 0 46187 0 4669 0 12162 0 277345 0 0 Anthony Slonim Former Officer 0 231898 0 0 0 893 0 7012 0 6032 0 245835 0 0 Brian Erling President/CEO (Nov-Dec) 0 146310 0 30000 0 7107 0 0 0 0 0 183417 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 David 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). 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 2 Brian 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 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 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 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 Other 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. 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 Pregnancy Center NV 501(c)(3) Line 3 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 1 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 1 Hometown Health Plan Inc L 177605 General Ledger