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Nonprofiteer
← HOMETOWN HEALTH PLAN INC

Form 990 for tax year 2022

Filed by HOMETOWN HEALTH PLAN INC.

Totals

Total revenue
$140,742,491
Total expenses
$164,350,922
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$139,900,012
Investment income
$768,981
Other revenue
$73,498
Total assets, end of year
$79,859,894
Total liabilities, end of year
$74,822,307
Net assets or fund balances, end of year
$5,037,587
Program services expenses (Part IX)
$135,656,736
Management and general expenses
$28,694,186
Fundraising expenses
$0
Program service expenses (Part III)
$135,656,736

Program services were 82.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Premium Revenue

    total $132,659,442 · related or exempt $132,659,442

  • 2b · Program service revenue: Administrative Fees

    total $7,240,570 · related or exempt $7,240,570

  • 3 · Investment income

    total $730,262 · excluded $730,262

  • 6a · Gross rents

    real property $85,808

  • 6b · Less rental expenses

    real property $12,310

  • 6c · Rental income or loss

    real property $73,498

  • 6d · Net rental income or loss

    total $73,498 · excluded $73,498

  • 7a · Gross sales of assets other than inventory

    securities $7,129,070

  • 7b · Less cost or other basis and sales expenses

    securities $7,090,301 · other assets $50

  • 7c · Gain or loss

    securities $38,769 · other assets -$50

  • 7d · Net gain or loss

    total $38,719 · excluded $38,719

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $959,843 · management and general $959,843

  • 7 · Other salaries and wages

    total $6,236,340 · management and general $6,236,340

  • 11f · Fees: investment management

    total $104,268 · management and general $104,268

  • 11g · Fees: other

    total $19,191,325 · management and general $19,191,325

  • 13 · Office expenses

    total $366,701 · program services $1,803 · management and general $364,898

  • 14 · Information technology

    total $12,500 · management and general $12,500

  • 20 · Interest

    total $225,573 · program services $225,573

  • 22 · Depreciation, depletion and amortization

    total $220,938 · management and general $220,938

  • 24a · Other expenses: Medical Claims Expense

    total $133,903,900 · program services $133,903,900

  • 24b · Other expenses: Cost Containment Exp

    total $1,525,460 · program services $1,525,460

  • 24c · Other expenses: Premium Taxes

    total $837,165 · management and general $837,165

  • 24d · Other expenses: Regulatory license/fee

    total $310,983 · management and general $310,983

  • 24e · All other expenses

    total $455,926 · management and general $455,926

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $13,030,459 · end of year $2,627,805

  • 4 · Accounts receivable

    beginning of year $262,840 · end of year $338,968

  • 10a · Land, buildings and equipment: cost or other basis

    $10,789,909

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,449,876

  • 10c · Land, buildings and equipment, net

    beginning of year $8,529,459 · end of year $8,340,033

  • 11 · Investments: publicly traded securities

    beginning of year $49,277,457 · end of year $48,275,734

  • 15 · Other assets

    beginning of year $24,583,902 · end of year $20,277,354

  • 17 · Accounts payable and accrued expenses

    beginning of year $59,904,868 · end of year $52,072,777

  • 25 · Other liabilities

    beginning of year $5,061,790 · end of year $22,749,530

  • 27 · Net assets without donor restrictions

    beginning of year $30,717,459 · end of year $5,037,587

Mission and programs · 2022

Mission

Renown Health makes a genuine difference in the health and well-being of the people and communities we serve.

Activities or mission (Part I)

An HMO health insurance company.

  • 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 8,920 in its commercial product and 18,969 in its Senior Care Plus product as of December 31, 2022. Hometown Health Plan helps its members receive the most appropriate, financially responsible care based upon individual health needs. For the six-month period ended December 31, 2022, Hometown Health Plan, 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.

    Expenses $135,656,736 · Revenue $139,900,012

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Matthew Cain

    Physician - Cardiologist

    Total calculated
    $1,479,147
    From this org
    $1,450,716
    From related orgs
    $0
    Other
    $28,431
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $918,596
    Bonus
    $531,958
    Other
    $162
    Deferred
    $12,200
    Nontaxable benefits
    $16,440
    Filer's total
    $1,479,356

  • Josiah Johnson - President

    (Jul-Nov)/Chief of Staff

    Total calculated
    $1,073,775
    From this org
    $0
    From related orgs
    $923,348
    Other
    $150,427
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $781,371 related
    Bonus
    $0 + $139,454 related
    Other
    $0 + $2,523 related
    Deferred
    $0 + $126,298 related
    Nontaxable benefits
    $0 + $25,590 related
    Filer's total
    $0 + $1,075,236 related

  • Athan Roumanas

    Cardiothoracic CV Surgeon

    Total calculated
    $1,127,044
    From this org
    $1,097,759
    From related orgs
    $0
    Other
    $29,285
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,059,297
    Bonus
    $37,274
    Other
    $1,188
    Deferred
    $10,577
    Nontaxable benefits
    $18,917
    Filer's total
    $1,127,253

  • Abhilash Akinapelli

    Physician - Cardiologist

    Total calculated
    $1,049,280
    From this org
    $1,013,938
    From related orgs
    $0
    Other
    $35,342
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $572,787
    Bonus
    $440,847
    Other
    $304
    Deferred
    $12,200
    Nontaxable benefits
    $23,351
    Filer's total
    $1,049,489

  • David Hansen - President and

    Chair/CEO Hometown Health (Jul-Oct)

    Total calculated
    $1,023,026
    From this org
    $992,940
    From related orgs
    $0
    Other
    $30,086
    Hours/week
    57 + 3 related

    Schedule J breakdown matched by us

    Base
    $411,007
    Bonus
    $90,005
    Other
    $491,928
    Deferred
    $10,801
    Nontaxable benefits
    $20,503
    Filer's total
    $1,024,244

  • Vlad Radulescu

    Physician - Cardiologist

    Total calculated
    $998,654
    From this org
    $972,433
    From related orgs
    $0
    Other
    $26,221
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $695,493
    Bonus
    $276,778
    Other
    $162
    Deferred
    $12,200
    Nontaxable benefits
    $14,229
    Filer's total
    $998,862

  • Shining Sun

    Physician - Cardiologist

    Total calculated
    $954,687
    From this org
    $934,191
    From related orgs
    $0
    Other
    $20,496
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $478,695
    Bonus
    $455,334
    Other
    $162
    Deferred
    $12,200
    Nontaxable benefits
    $8,505
    Filer's total
    $954,896

  • Thomas Graf - CEO Jul-Nov

    Chief Clinical & Quality Officer

    Total calculated
    $832,636
    From this org
    $0
    From related orgs
    $713,325
    Other
    $119,311
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $709,455 related
    Bonus
    $0
    Other
    $0 + $3,870 related
    Deferred
    $0 + $94,702 related
    Nontaxable benefits
    $0 + $24,608 related
    Filer's total
    $0 + $832,635 related

  • Ann Beck

    Chief Financial Officer

    Total calculated
    $779,707
    From this org
    $0
    From related orgs
    $669,952
    Other
    $109,755
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $559,973 related
    Bonus
    $0 + $98,876 related
    Other
    $0 + $11,103 related
    Deferred
    $0 + $95,400 related
    Nontaxable benefits
    $0 + $15,817 related
    Filer's total
    $0 + $781,169 related

  • Bethany Sexton - President and

    Chair/CEO (Oct-Dec)

    Total calculated
    $546,266
    From this org
    $192,773
    From related orgs
    $266,210
    Other
    $87,283
    Hours/week
    57 + 3 related

    Schedule J breakdown matched by us

    Base
    $157,140 + $217,003 related
    Bonus
    $35,000 + $48,333 related
    Other
    $633 + $874 related
    Deferred
    $25,784 + $35,607 related
    Nontaxable benefits
    $11,378 + $15,712 related
    Filer's total
    $229,935 + $317,529 related

  • Sean Hawthorne - Treasurer

    (Jul-Oct)/VP of Finance

    Total calculated
    $413,183
    From this org
    $0
    From related orgs
    $377,951
    Other
    $35,232
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $376,413 related
    Bonus
    $0
    Other
    $0 + $1,538 related
    Deferred
    $0 + $10,410 related
    Nontaxable benefits
    $0 + $25,136 related
    Filer's total
    $0 + $413,497 related

  • Ty Windfeldt

    Former Officer

    Total calculated
    $314,338
    From this org
    $0
    From related orgs
    $305,986
    Other
    $8,352
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $305,986 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,352 related
    Filer's total
    $0 + $314,338 related

  • Jamie Winter - Secretary

    /Senior Corporate Counsel

    Total calculated
    $268,388
    From this org
    $0
    From related orgs
    $238,655
    Other
    $29,733
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $237,866 related
    Bonus
    $0
    Other
    $0 + $789 related
    Deferred
    $0 + $6,591 related
    Nontaxable benefits
    $0 + $23,456 related
    Filer's total
    $0 + $268,702 related

  • Samuel King - Former Officer

    Chief Financial Officer (Jul-Sep)

    Total calculated
    $277,213
    From this org
    $260,514
    From related orgs
    $0
    Other
    $16,699
    Hours/week
    57 + 3 related

    Schedule J breakdown matched by us

    Base
    $214,327
    Bonus
    $0
    Other
    $46,187
    Deferred
    $4,669
    Nontaxable benefits
    $12,162
    Filer's total
    $277,345

  • Anthony Slonim

    Former Officer

    Total calculated
    $245,835
    From this org
    $0
    From related orgs
    $232,791
    Other
    $13,044
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $231,898 related
    Bonus
    $0
    Other
    $0 + $893 related
    Deferred
    $0 + $7,012 related
    Nontaxable benefits
    $0 + $6,032 related
    Filer's total
    $0 + $245,835 related

  • Brian Erling

    President/CEO (Nov-Dec)

    Total calculated
    $183,417
    From this org
    $0
    From related orgs
    $183,417
    Other
    $0
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $146,310 related
    Bonus
    $0 + $30,000 related
    Other
    $0 + $7,107 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $183,417 related

  • Bill Coffin - Treasurer

    (Oct-Dec)/CFO (Oct-Dec)

    Total calculated
    $117,013
    From this org
    $0
    From related orgs
    $111,831
    Other
    $5,182
    Hours/week
    3 + 57 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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, Lines 4a-b
David Hansen and Ty Windfeldt received severance payments. Payments of $486,034 to David Hansen and $172,308 to Ty Windfeldt 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).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Renown Businesses

    C · Health Care · NV

  • Hometown Health Management Company

    C · Management Services · NV

  • Hometown Health Providers Insurance Co

    C · Insurance · NV

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202333179349303078

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