HOMETOWN HEALTH PLAN INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HOMETOWN HEALTH PLAN INC (EIN 88-0231433)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-15
IRS object ID
202031369349301828
Schema version
2018v3.1
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)
Return2020-05-15T09:25:28-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880231433EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hometown Health Plan IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOMEBusinessNameControlTxt
Phone7759826488PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnn BeckPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone7759826488PhoneNum
Signature2020-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2020-05-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.147.181.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-14IPDt
IP Tm16:18:33IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id159D60DA7C19331A7948BEBC6B1067FF5545FF60AtSubmissionCreationDeviceId
At Submission Filing Device IdEFC25E59FA7409AE560978A003AFB9E955B778C6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAnn BeckPrincipalOfficerNm

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$289,984,021GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.hometownhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionAn HMO health insurance company.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$389,146,673PYProgramServiceRevenueAmt
CY Program Service Revenue$271,523,640CYProgramServiceRevenueAmt
PY Investment Income$1,564,954PYInvestmentIncomeAmt
CY Investment Income$1,263,603CYInvestmentIncomeAmt
PY Other Revenue$146,503PYOtherRevenueAmt
CY Other Revenue$147,557CYOtherRevenueAmt
PY Total Revenue$390,858,130PYTotalRevenueAmt
CY Total Revenue$272,934,800CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$110,258,570PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,037,356CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$295,419,116PYOtherExpensesAmt
CY Other Expenses$231,519,884CYOtherExpensesAmt
PY Total Expenses$405,677,686PYTotalExpensesAmt
CY Total Expenses$257,557,240CYTotalExpensesAmt
PY Revenues Less Expenses-$14,819,556PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,377,560CYRevenuesLessExpensesAmt
Total Assets BOY$124,659,740TotalAssetsBOYAmt
Total Assets EOY$115,448,901TotalAssetsEOYAmt
Total Liabilities BOY$93,711,596TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,559,255TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$30,948,144NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$57,889,646NetAssetsOrFundBalancesEOYAmt
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$209,796,341ExpenseAmt
Revenue$271,523,640RevenueAmt
DescSee Schedule OHometown Health Plan is the insurance division of Renown Health and is committed to providing high-quality health plans and great customer service. Hometown Health 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 6,450 in its commercial HMO and 20,106 in its Senior Care Plus product as of June 30, 2019. Hometown Health Plan helps its members receive the most appropriate, financially responsible care based upon individual health needs. Hometown Health Plan operates community benefit programs such as: an annual influenza immunization campaign for the plan's members and the members of the community at large and a 24 hour health hotline, which is a free service for members of the community to call and receive medical advice and/or coordination of emergency medical services. For the fiscal year ending June 30, 2019, Hometown Health Plan, Inc., along with its parent, Renown Health and its subsidiaries, provided more than $158 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 www.renown.org/communitybenefit.Desc
Total Program Service Expenses$209,796,341TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Organizations0GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document1172IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 CEOYes (1)CompensationProcessCEOInd
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ty Windfeldt PresChair
COO Health Services60.000.00Yes (X)Yes (X)$668,154$0$113,036
Lucius Layfield Secretary
(Apr-Jun)/Chief Legal Officer3.0057.00Yes (X)Yes (X)$0$590,576$90,276
Matthew Ladich
Sec/Treas (Jul-Apr)/CGPO60.000.00Yes (X)Yes (X)$248,602$0$24,720
Samuel King Treasurer Apr-Jun
Chief Financial Officer60.000.00Yes (X)Yes (X)$327,826$0$35,757
Linda Ash-Jackson Director
(Jul-Apr)/VP & CMO Hometown Health60.000.00Yes (X)$474,297$0$31,493
Anthony Slonim
President/CEO2.0058.00Yes (X)$0$1,560,947$184,005
Hakeem Olanrewaju
Chief Financial Officer2.0058.00Yes (X)$0$366,968$14,776
David De La Santos
Intensivist60.000.00$1,096,111$0$25,341Yes (X)
Joshua Jewell
Intensivist60.000.00$1,072,874$0$27,180Yes (X)
David Smith
Cardiologist60.000.00$898,987$0$33,655Yes (X)
Michael Hardacre
Section Chief Oncology60.000.00$890,493$0$34,772Yes (X)
Abhinand Peddada
Radiation Oncologist60.000.00$888,687$0$28,093Yes (X)
Dawn Ahner - Former Officer
Current COO Acute Services0.0060.00$0$896,573$128,435Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,566,031TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,415,064TotReportableCompRltdOrgAmt
Total Other Compensation$771,539TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K334IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
P3 Health Partners
2370 Corporate Circle Suite 300HendersonNV89074Insurance Claims Processing$2,765,552
Eyemed Insurance Company
4000 Luxottica PlaceMasonOH45040Insurance Claims Processing$475,534
Delta Dental Insurance Company
1130 Sanctuary ParkwayAlpharettaGA30009Insurance Claims Processing$438,650
Infocrossing Services West Inc
PO Box 415697BostonMA02241IT Services$431,893
Change Healthcare Solutions LLC
3055 Lebanon Pike Suite 1000NashvilleTN37214Insurance Claims Processing$390,005
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Premium Revenue524114$245,463,398$245,463,398
Physician Svcs Admin524298$26,060,242$26,060,242
FieldValueIRS element (for citing)
Total Program Service Revenue$271,523,640TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,344,747TotalRevenueColumnAmt
Exclusion$1,344,747ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$170,508RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$22,951RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$147,557RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,557TotalRevenueColumnAmt
Exclusion$147,557ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,945,126SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,021,452SecuritiesAmt
Other$4,818OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$76,326SecuritiesAmt
Other-$4,818OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$81,144TotalRevenueColumnAmt
Exclusion-$81,144ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$272,934,800TotalRevenueColumnAmt
Related Or Exempt Func Income$271,523,640RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,411,160ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,718,880TotalAmt
Management And General$1,718,880ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,318,476TotalAmt
Management And General$24,318,476ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$64,663TotalAmt
Management And General$64,663ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,784,803TotalAmt
Management And General$18,784,803ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,825TotalAmt
Program Services$18,825ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$379,660TotalAmt
Management And General$379,660ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Healthcare Expense$206,172,786$206,172,786
Cost Containment Exp$3,604,730$3,604,730
Regulatory license/fee$1,265,475$1,265,475
Premium Taxes$1,210,342$1,210,342

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,600TotalAmt
Management And General$18,600ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$257,557,240TotalAmt
Program Services$209,796,341ProgramServicesAmt
Management And General$47,760,899ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$59,638,224BOYAmt
EOY$56,697,245EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$372,520BOYAmt
EOY$320,397EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,194,385BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,788,102LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,117,752LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,054,828BOYAmt
EOY$9,670,350EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,430,643BOYAmt
EOY$25,248,753EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,969,140BOYAmt
EOY$23,512,156EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$124,659,740BOYAmt
EOY$115,448,901EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$83,693,560BOYAmt
EOY$53,890,858EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,018,036BOYAmt
EOY$3,668,397EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,711,596BOYAmt
EOY$57,559,255EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,948,144BOYAmt
EOY$57,889,646EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,948,144BOYAmt
EOY$57,889,646EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$124,659,740BOYAmt
EOY$115,448,901EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,377,560ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$563,942NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$11,000,000OtherChangesInNetAssetsAmt
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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,189,118OtherCostOrOtherBasisAmt
Book Value$3,189,118BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,570,942OtherCostOrOtherBasisAmt
Depreciation$827,068DepreciationAmt
Book Value$5,743,874BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,618OtherCostOrOtherBasisAmt
Depreciation$2,247DepreciationAmt
Book Value$371BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,025,424OtherCostOrOtherBasisAmt
Depreciation$288,437DepreciationAmt
Book Value$736,987BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,670,350TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Cash Reserve Fund - Statutory$1,000,000
Other Receivables$20,635,456
Affiliate Receivable$1,876,700
FieldValueIRS element (for citing)
Total Book Value Other Assets$23,512,156TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Affiliates$2,425,995
Insolvency Reserve$750,000
Contractual Deposit$250,000
Ceded Reinsurance Premiums Payable$242,402
FieldValueIRS element (for citing)
Total Liability$3,668,397TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
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 (13 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
Ty Windfeldt PresChair
COO Health Services$475,724$0$181,384$0$11,046$0$84,395$0$30,707$0$783,256$0$0$0
Lucius Layfield Secretary
(Apr-Jun)/Chief Legal Officer$0$424,495$0$158,659$0$7,422$0$74,097$0$18,089$0$682,762$0$0
Matthew Ladich
Sec/Treas (Jul-Apr)/CGPO$210,200$0$37,448$0$954$0$8,831$0$16,332$0$273,765$0$0$0
Samuel King Treasurer Apr-Jun
Chief Financial Officer$274,134$0$50,986$0$2,706$0$11,000$0$25,200$0$364,026$0$0$0
Linda Ash-Jackson Director
(Jul-Apr)/VP & CMO Hometown Health$363,789$0$92,094$0$18,414$0$11,000$0$22,156$0$507,453$0$0$0
Anthony Slonim
President/CEO$0$1,006,488$0$550,373$0$4,086$0$162,674$0$21,332$0$1,744,953$0$0
Hakeem Olanrewaju
Chief Financial Officer$0$315,480$0$50,000$0$1,488$0$2,077$0$12,699$0$381,744$0$0
David De La Santos
Intensivist$351,464$0$742,865$0$1,782$0$11,000$0$14,636$0$1,121,747$0$0$0
Joshua Jewell
Intensivist$419,231$0$652,455$0$1,188$0$11,000$0$16,475$0$1,100,349$0$0$0
David Smith
Cardiologist$712,753$0$185,460$0$774$0$11,000$0$22,950$0$932,937$0$0$0
Michael Hardacre
Section Chief Oncology$662,258$0$227,965$0$270$0$11,000$0$24,067$0$925,560$0$0$0
Abhinand Peddada
Radiation Oncologist$517,105$0$369,295$0$2,287$0$11,000$0$17,388$0$917,075$0$0$0
Dawn Ahner - Former Officer
Current COO Acute Services$0$645,073$0$240,658$0$10,842$0$108,380$0$22,122$0$1,027,075$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Hometown Health Plan, Inc. relies on Renown Health, a related organization, to establish compensation for officers and other key employees. Renown Health uses the identified methods to establish compensation. See Schedule O, Form 990, Part VI, Section B, Line 15 for a description of the process utilized by Renown Health.
Part I, Line 4bAnthony Slonim, Dawn Ahner, Lucius Layfield, and Ty Windfeldt are parties to a supplemental nonqualified retirement plan. Contributions of $151,674 to Anthony Slonim, $97,380 to Dawn Ahner, $64,200 to Lucius Layfield, and $73,395 to Ty Windfeldt were included in Schedule J, Part II, Column (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 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 2Anthony Slonim, Hakeem Olanrewaju, and Lucius Layfield have a business relationship.
Form 990, Part VI, Section A, line 6Renown Health is the sole corporate member of Hometown Health Plan.
Form 990, Part VI, Section A, line 7aRenown 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 7bRenown 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 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 VP of Finance 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 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 B, line 15aRenown Health's executive compensation, including compensation for the CEO and certain executives, is reviewed and approved by the Renown Health Executive Committee. As a member of the executive committee, the CEO abstains from any decisions or discussions related to their own compensation. All decisions are submitted for final ratification at the next scheduled board meeting. The discussion is documented in the Executive Committee minutes and Board minutes. Total cash compensation for the organization's executives is targeted at competitive compensation levels, relative to market surveys of comparable healthcare organizations, based upon the level of performance required to achieve the targeted compensation levels. Base compensation and total cash compensation is reviewed at a minimum of every two years in comparison to the surveys for comparable businesses and responsibilities and adjusted as to maintain equity with the survey information. The Executive Committee undertook the process outlined above for the fiscal year 2019 executive compensation.
Form 990, Part VI, Section C, line 19Hometown 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 IXThe current year salaries and benefits reported in Part VII are not directly reflected in Part IX, lines 7 and 9, 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. In the prior year the salaries and benefits reflected in Part IX, lines 7 and 9 reflected all the physician salary and benefits of the individuals employed by the filing entity.
Form 990, Part XI, line 9:Capital contribution from related organization 11,000,000.
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)III-FIN/A0
Renown Regional Medical Center
1155 Mill St Z-4RenoNV89502880213754HospitalNV501(c)(3)30Renown Health
Renown Health Foundation
1155 Mill St Z-4RenoNV89502942972749FoundationNV501(c)(3)70Renown Health
Renown South Meadows Medical Center
1155 Mill St Z-4RenoNV89502460517825HospitalNV501(c)(3)30Renown Health
Renown Transitional Care Services
1155 Mill St Z-4RenoNV89502880231828Pregnancy CenterNV501(c)(3)30Renown Health
Renown Skilled Nursing
1155 Mill St Z-4RenoNV89502201347269Nursing FacilityNV501(c)(3)100Renown Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Routt Dialysis LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Mill St Z-4AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd
FieldValueIRS element (for citing)
EIN263558729EIN
Primary ActivitiesKidney DialysisPrimaryActivitiesTxt
Legal Domicile StateNVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

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 Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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