2025-11-14T18:51:38-06:00 2024-12-31 390859910 Baker Tilly Advisory Group LP 805 SW Broadway Ste 1400 Portland OR 97205 990 2024-01-01 880231433 Hometown Health Plan Inc HOME 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 404520614 0 X www.hometownhealth.com X 1987 NV An HMO health insurance company. 4 0 0 0 0 0 41479619 28361000 318284703 358355105 1895901 5327080 121563 29996 361781786 392073181 0 0 0 0 15255532 20265399 0 0 0 311909849 358010349 327165381 378275748 34616405 13797433 90632241 121325277 49504783 67087980 41127458 54237297 X Renown Health makes a genuine difference in the health and well-being of the people and communities we serve. 0 0 321110041 0 358355105 See Schedule OHometown Health Plan is part of the insurance division of Renown Health and is committed to providing high-quality health plans and great customer service. Hometown Health Plan operates a health maintenance organization and health insurance services to commercial enrollees and to those eligible for Medicare through its Medicare Advantage plan Senior Care Plus. Hometown Health Plan had 10,657 members in its commercial product and 18,976 members in its Senior Care Plus product as of December 31, 2024. Hometown Health Plan helps its members receive the most appropriate, financially responsible care based upon individual health needs.For the year ended December 31, 2024, Hometown Health Plan, along with its parent, Renown Health and its subsidiaries, provided approximately $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. 321110041 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 X 1222 0 1 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Anna Loomis 7759826488 1155 Mill St Z-4 Reno NV 89502 X Brian Erling President/CEO 2.00 58.00 X X 0 1872333 225513 Abhilash Akinapelli Physician - Cardiologist 60.00 0.00 X 1213951 0 37357 Shining Sun Physician - Cardiology EP 60.00 0.00 X 1142030 0 26037 John Hansen Physician - Surgeon Vascular 60.00 0.00 X 1124238 0 28969 Athan Roumanas Cardiothoracic CV Surgeon 60.00 0.00 X 1108593 0 31185 Ben Jaquish Physician - Surgeon Vascular 60.00 0.00 X 1092661 0 31964 Bethany Sexton - President & Chair/CEO Hometown Health 57.00 3.00 X X 622282 0 120938 Sean Hawthorne Former Officer 0.00 60.00 X 0 536323 35392 Anna Loomis - Chief Financial Officer (as of 07/24) 2.00 58.00 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) 2.00 58.00 X 0 210679 2042 6303755 3711507 655691 514 1 1 0 Liberty Dental Plan of Nevada Inc 340 Commerce Suite 100 Irvine CA 92602 Insurance Claims Processing 4573301 P3 Health Partners 2370 Corporate Circle Suite 300 Henderson NV 89074 Insurance Claims Processing 2423517 Eyemed Insurance Company 4000 Luxottica Place Mason OH 45040 Insurance Claims Processing 963913 Willis Towers Watson 38 East Scenic Point Drive Draper UT 84020 Insurance Broker Services 697067 Caremore Health Plan of Nevada 220 Virginia Avenue Indianapolis IN 46204 Insurance Claims Processing 361587 6 28361000 28361000 Premium Revenue 524114 338089706 338089706 Physician Svcs Admin 524298 20265399 20265399 358355105 2249515 2249515 39782 9786 29996 29996 29996 4283050 11232162 4452609 7985038 -169559 3247124 3077565 3077565 392073181 358355105 0 5357076 743220 743220 19522179 19522179 25747304 25747304 123923 123923 5756480 5756480 837861 21190 816671 31187 31187 1245 1245 80343 80343 248182 248182 Medical Claims Expense 317749196 317749196 Premium Taxes 2317918 2317918 Cost Containment Exp 1861906 1861906 Regulatory License/Fee 917173 917173 2337631 1397406 940225 378275748 321110041 57165707 0 5624264 32191474 529492 760071 274096 811263 1066078 862602 8055995 203476 50496309 51556187 25652085 35802806 90632241 121325277 45276425 63734426 4228358 3353554 49504783 67087980 X 41127458 54237297 41127458 54237297 90632241 121325277 13797433 -687594 0 X X 0 1 X 1 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29282 29282 0 1036796 833320 203476 203476 Patient Receivables 32484736 Affiliate Receivable 2407616 Cash Reserve Fund - Statutory 750000 Deposits - Guaranty Funds 160454 35802806 Due to Affiliates 2603554 Insolvency Reserve 750000 3353554 X Part X, Line 2: Hometown Health Plan, Inc. 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)(4). This entity must annually file Returns of Organizations Exempt from Income Tax (Form 990) with the IRS. Hometown Health Plan, Inc. 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. Hometown Health Plan, Inc. 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. X 1 1 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 Abhilash Akinapelli Physician - Cardiologist 655083 0 558580 0 288 0 17250 0 20107 0 1251308 0 0 0 Shining Sun Physician - Cardiology EP 478334 0 663507 0 189 0 17250 0 8787 0 1168067 0 0 0 John Hansen Physician - Surgeon Vascular 1123427 0 0 0 811 0 13200 0 15769 0 1153207 0 0 0 Athan Roumanas Cardiothoracic CV Surgeon 1061068 0 46280 0 1245 0 14629 0 16556 0 1139778 0 0 0 Ben Jaquish Physician - Surgeon Vascular 1092472 0 0 0 189 0 11846 0 20118 0 1124625 0 0 0 Bethany Sexton - President & Chair/CEO Hometown Health 513488 0 105973 0 2821 0 99449 0 21489 0 743220 0 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 1a Tax Indemnification and Gross-up Payments: Bethany Sexton - included in taxable compensation Part I, Line 3 Hometown Health Plan, 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). Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Hometown Health Plan pays Providers directly resulting in the issuance of Form 1099s for these payments. However, Renown Health, the parent organization, pays other independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. The number reported on line 1a reflects the number of Form 1099s issued to Providers. Form 990, Part V, Line 2a, Number of Employees on W-3: Hometown Health Plan 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 are reported on Line 7 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 Renown Health is the sole corporate member of Hometown Health Plan. Form 990, Part VI, Section A, line 7a Renown Health, acting through its Board of Directors, appoints the members of the Board of Governors of Hometown Health Plan. Form 990, Part VI, Section A, line 7b Renown Health must approve any merger, consolidation or dissolution of Hometown Health Plan, any borrowing in excess of $1 million in any fiscal year, and encumbrances of assets and certain other actions not in the 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 Hometown Health Plan 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 Hometown Health Plan does not make its governing documents, conflict of interest policy, or financial statements available to the general public. Form 990, Part VII and Part IX The salaries and benefits reported in Part VII are not directly reflected in Part IX, line 7, as the physicians salaries and benefits are directly allocated to the related entities where the work is being done and reported on those respective tax filings. 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 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 Medical School Associates North 1155 Mill St Z-4 Reno NV 89502 860881749 Patient Care NV 501(c)(3) Line 10 Hometown Health Plan 1 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 1 0 0 1 0 1 1 1 1 1 Renown Medical School Associates North M 298038 General Ledger