Civic Intelligence

Community Providers Inc

990 • Fiscal year 2014 • EIN 22-2544844

Oct 01, 2013 to Sep 30, 2014 • Filed on Jul 27, 2016

75 Beekman Street12901

(518) 561-2000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

49th percentile

0.18x

Higher debt load relative to assets than 49% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2014

Top Officer Pay

97th percentile

$761,760

Higher top officer pay than 97% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2014

Asset Growth

8th percentile

-11%

Faster asset growth than 8% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2013 to 2014

Assets

Down

$5,527,293

Down $685,635 (-11%) from 2013

Net Assets

Down

$4,518,542

Down $232,641 (-4.9%) from 2013

Liabilities

Down

$1,008,751

Down $452,994 (-31%) from 2013

Revenue

Flat

$0

Flat from 2013

Expenses

Up

$23,842

Up $10,727 (+82%) from 2013

Net Income

Down

-$23,842

Down $10,727 (-82%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0M$6.0M$4.0M$2.0M$0Assets 2010: $6,087,878Liabilities 2010: $985,956Net Assets 2010: $5,101,9222010Assets 2011: $6,910,752Liabilities 2011: $1,454,630Net Assets 2011: $5,456,1222011Assets 2012: $6,447,389Liabilities 2012: $1,448,629Net Assets 2012: $4,998,7602012Assets 2013: $6,212,928Liabilities 2013: $1,461,745Net Assets 2013: $4,751,1832013Assets 2014: $5,527,293Liabilities 2014: $1,008,751Net Assets 2014: $4,518,5422014Assets 2015: $6,002,837Liabilities 2015: $1,628,861Net Assets 2015: $4,373,9762015Assets 2016: $7,968,018Liabilities 2016: $3,722,817Net Assets 2016: $4,245,2012016Assets 2017: $7,911,044Liabilities 2017: $3,760,087Net Assets 2017: $4,150,9572017Assets 2018: $5,481,459Liabilities 2018: $1,055,133Net Assets 2018: $4,426,3262018Assets 2019: $5,249,594Liabilities 2019: $3,000,000Net Assets 2019: $2,249,5942019Assets 2020: $1,416,738Liabilities 2020: $0Net Assets 2020: $1,416,7382020Assets 2021: $1,601,721Liabilities 2021: $0Net Assets 2021: $1,601,7212021Assets 2022: $1,837,709Liabilities 2022: $0Net Assets 2022: $1,837,7092022Assets 2023: $1,272,781Liabilities 2023: $0Net Assets 2023: $1,272,7812023Assets 2024: $557,062Liabilities 2024: $0Net Assets 2024: $557,0622024

Highlighted filing

2014

Assets$5,527,293
Liabilities$1,008,751
Net Assets$4,518,542

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100K$50K$0-$50K-$100KExpenses 2010: $25,8332010Expenses 2011: $20,2322011Expenses 2012: $66,8162012Revenue 2013: $0Expenses 2013: $13,115Net Income 2013: -$13,1152013Revenue 2014: $0Expenses 2014: $23,842Net Income 2014: -$23,8422014Revenue 2015: $8,750Expenses 2015: $26,139Net Income 2015: -$17,3892015Revenue 2016: $0Expenses 2016: $57,457Net Income 2016: -$57,4572016Revenue 2017: $0Expenses 2017: $31,736Net Income 2017: -$31,7362017Revenue 2018: $0Expenses 2018: $30,152Net Income 2018: -$30,1522018Revenue 2019: $0Expenses 2019: $41,133Net Income 2019: -$41,1332019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2014

Revenue$0
Expenses$23,842
Net Income-$23,842
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Jul 27, 2016
Return Version
2013v4.0
Gross Receipts
$0
Mission and Program Overview

Mission

The mission of cpi is to promote health in the region through coordinated cost effective, high quality health care services. Cpi will coordinate a continuum of health care services through partnering with exisiting organizations, initiating services where needed and generate funds to maintain these systems.

The mission of cpi is to promote health in the region through coordinated cost-effective, high quality health care services. Cpi will coordinate a continuum of health care services through partnering with existing organizations initiating services when needed and generating funds to maintain these systems.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$4,751,183$4,518,542▼ $232,641
Investments Program Related$1,887,651$569,401▼ $1,318,250
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$6,212,928$5,527,293▼ $685,635
Other Assets Total$4,325,277$4,957,892▲ $632,615
Liabilities
Other Liabilities$1,452,995$1,000,000▼ $452,995
Accounts Payable and Accrued Expenses$8,750$8,751▲ $1
Total Liabilities$1,461,745$1,008,751▼ $452,994
Net Assets / Fund Balance
Total Net Assets Fund Balance$4,751,183$4,518,542▼ $232,641
Total Liabilities and Net Assets / Fund Balance$6,212,928$5,527,293▼ $685,635

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$15,574--
Other Assets Org$4,583,456--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Paul SandsChairman of the Board
Alice RecoreBoard Member
Fred WoodwardBoard Member
Herb CarpenterBoard Member
Bob ParksBoard Memeber
Colin Read PhdBoard Memeber
Deena McculloughBoard Memeber
Hope CoryerBoard Memeber
James ForcierBoard Memeber
Jane PrestonBoard Memeber
John MasellaBoard Memeber
Robert PerkinsBoard Memeber
Soham Patel MdBoard Memeber
Stephens MundyChief Executive Officer
Joyce RaffertyChief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-23,842
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$23,842
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$9,640-$9,640
Fees for Services Accounting-$7,893-$7,893
Interest-$6,059-$6,059
Fees for Services Other-$250-$250
Total Functional Expenses$0$23,842$0$23,842
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Line of Credit$1,000,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Fletcher allen partners(fap) is the sole member of community providers inc.(cpi).

Form 990, Part VI, Section A, Line 7A

Fap may elect the members of the board of directors of the organization.

Form 990, Part VI, Section B, Line 11

The organization provides an electronic copy of form 990 to each board member prior to being filed.

Form 990, Part VI, Section B, Line 12C

The conflict of interest policy is applicable to members of the governing body, officers, and key employees. The organization requires that members having a conflict of interest with a transaction recuse themselves of voting on the matter, proposed, and ongoing transactions are reviewed by appropriate groups of individuals (committees and/or levels of review) to ensure the best interest of the organization. The organization solicits from each member of the governing body, officers, and key employees an annual signed statement certifying compliance with the organizations conflict of interest policy and self-disclosure of certain interests for each annual period.

Form 990, Part VI, Section B, Line 15

Cvph has a formal process that is used to determine the compensation of the ceo on an annual basis. This process includes a compensation committtee of the board of trustees, engaging in an independent consultant, performance of a compensation survey or study, review of other organizations form 990 and approval by the board or compensation committee. A written employment agreement is established setting forth the compensation and benefits of the ceo. Cvph pays non-fixed earnings based on the success in meeting performance criteria that are prospectively agreed upon as goals for the ceo. The same format is used to determine the base compensation of the other officers. Non-fixed earnings of other officers are based on the success of meeting performance criteria and comparative market data.

Form 990, Part VI, Section C, Line 19

Parties desiring a copy of the organizations governing documents, conflict of interest policy, and financial statements must present themselves at the administrative offices or make a request in writing.

Filing and Contact Details

Filer

EIN
22-2544844
Phone
5185612000

Signing Officer

Name
Joyce Rafferty
Title
Vice President of Finance
Phone
5185612000
Signed
2016-07-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joyce Rafferty
Formed
1984
Legal Domicile
Ny
Voting Board Members
13
Independent Board Members
13
Employees
0
Volunteers
0

Preparer

Preparer
Joseph J Schlegel
Phone
3154463600
Supplemental Narrative

Additional Explanations

Form 990, Item B on Page 1

The form 990 is being amended to revise the compensation and other compensation reported on part vii and schedule j to reflect the december 2013 information.

FORM 990, PART XI, LINE 9:

Subsidiary activity -208,799.

FORM 990, PART XII, LINE 2C:

The process has not changed involving gaving a committee to assume responsibilities for oversight of the audit review of the financial statements and selection of an independent accountant.

Financial Statement Notes

PART X, LINE 2:

Fap, fahc, cvmc, uvm medical group, famg, fahc foundation, cvph, emt, ech and cpi are incorporated and recognized by the internal revenue service ("irs") as tax-exempt under section 501(c)(3) of the internal revenue code (the "code"). Accordingly, the irs has determined that fap, fahc, cvmc, uvm medical group, famg, fahc foundation, cvph, emt, ech and cpi are exempt from federal income taxes on related income pursuant to section 501(a) of the code. Fact, faes and fasn are single-member limited liability corporations. As such, for tax purposes, fact, faes, and fasn are treated as divisions of fahc. Ocv is a limited liability company taxed as a partnership. Earnings and losses are passed through to the owners, both of which are tax-exempt, and are treated in the same manner for tax purposes. No provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations. Fahv, vmc, mediquest and cvhn are for-profit subsidiaries subject to federal and state taxation. The tax provisions and related tax assets and liabilities for these entities are not material to the consolidated financial statements. Fap accounts for recognition and measurement of uncertain tax positions in accordance with asc 740. No provision for uncertain tax positions is recorded in the accompanying consolidated financial statements. Vmcic is currently not a taxable entity under the provisions of the territory of bermuda and, accordingly, no provision for taxes has been recorded by vmcic. In the event that such taxes are levied, vmcic has received an undertaking from the bermuda government exempting it from all such taxes until march 31, 2035. The standards for accounting for uncertainty in income taxes establish a recognition threshold and measurement for income tax positions recognized in the company's combined financial statements. These standards had no impact on the accompanying combined financial statements. The tax years open to examination by federal and state taxing authorities are 2011 through 2014.

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IRS990/NetAssetsOrFundBalancesEOYAmt04518542
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt04325277
IRS990/OtherAssetsTotalGrp/EOYAmt04957892
IRS990/OtherChangesInNetAssetsAmt0-208799
IRS990/OtherLiabilitiesGrp/BOYAmt01452995
IRS990/OtherLiabilitiesGrp/EOYAmt01000000
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JOYCE RAFFERTY
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt013115
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-13115
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt013115
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt00
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-23842
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd01
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt04751183
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt04518542
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0141338471
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc03
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10CHAMPLAIN VALLEY PHYSICIAN HOSPITAL MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt030431
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt191354
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt2432042
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt315574
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0INVESTMENT IN MEDIQUEST
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc1INVESTMENT IN CVHN
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc2INVESTMENT IN PINE HARBOUR
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc3INVESTMENT IN CVPH MEDICAL CENTER
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd1C
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd2C
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd3C
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0374436
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt14583456
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0DUE FROM MEDIQUEST
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1DUE FROM CVPH MEDICAL CENTER
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01000000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LINE OF CREDIT
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FAP, FAHC, CVMC, UVM MEDICAL GROUP, FAMG, FAHC FOUNDATION, CVPH, EMT, ECH AND CPI ARE INCORPORATED AND RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ACCORDINGLY, THE IRS HAS DETERMINED THAT FAP, FAHC, CVMC, UVM MEDICAL GROUP, FAMG, FAHC FOUNDATION, CVPH, EMT, ECH AND CPI ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. FACT, FAES AND FASN ARE SINGLE-MEMBER LIMITED LIABILITY CORPORATIONS. AS SUCH, FOR TAX PURPOSES, FACT, FAES, AND FASN ARE TREATED AS DIVISIONS OF FAHC. OCV IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. EARNINGS AND LOSSES ARE PASSED THROUGH TO THE OWNERS, BOTH OF WHICH ARE TAX-EXEMPT, AND ARE TREATED IN THE SAME MANNER FOR TAX PURPOSES. NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR THESE ORGANIZATIONS. FAHV, VMC, MEDIQUEST AND CVHN ARE FOR-PROFIT SUBSIDIARIES SUBJECT TO FEDERAL AND STATE TAXATION. THE TAX PROVISIONS AND RELATED TAX ASSETS AND LIABILITIES FOR THESE ENTITIES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. FAP ACCOUNTS FOR RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC 740. NO PROVISION FOR UNCERTAIN TAX POSITIONS IS RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. VMCIC IS CURRENTLY NOT A TAXABLE ENTITY UNDER THE PROVISIONS OF THE TERRITORY OF BERMUDA AND, ACCORDINGLY, NO PROVISION FOR TAXES HAS BEEN RECORDED BY VMCIC. IN THE EVENT THAT SUCH TAXES ARE LEVIED, VMCIC HAS RECEIVED AN UNDERTAKING FROM THE BERMUDA GOVERNMENT EXEMPTING IT FROM ALL SUCH TAXES UNTIL MARCH 31, 2035. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE COMPANY'S COMBINED FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2011 THROUGH 2014.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt04957892
IRS990ScheduleD/TotalBookValueProgramRltdAmt0569401
IRS990ScheduleD/TotalLiabilityAmt01000000
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd01
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/Form990OfOtherOrganizationsInd0X
IRS990ScheduleJ/IndependentConsultantInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0494278
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1293636
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt0100278
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt041730
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt147617
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0125474
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt114632
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0STEPHENS MUNDY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JOYCE RAFFERTY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHIEF EXECUTIVE OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHIEF FINANCIAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0761760
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1355885
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SubstantiationRequiredInd01
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0TRAVEL FOR COMPANIONS: TOTAL TRAVEL COSTS FOR COMPANION OF STEPHENS MUNDY, CEO, OF LESS THAN $1,000 WERE INCURRED AND REIMBURSED BY CVPH MEDICAL CENTER. NO OTHER BOARD MEMBER, OFFICER, DIRECTOR, OR KEY EMPLOYEE RECEIVED THIS BENEFIT.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1TOTAL TRAVEL COSTS FOR COMPANION OF STEPHENS MUNDY, CEO, OF LESS THAN $1,000 WERE INCURRED AND REIMBURSED BY CVPH MEDICAL CENTER. NO OTHER BOARD MEMBER, OFFICER, DIRECTIOR, OR KEY EMPLOYEE RECEIVED THIS BENEFIT.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2A DISTRIBUTION TO STEPHENS MUNDY, CEO, IN THE AMOUNT OF $125,474 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MR. MUNDY'S TAXABLE COMPENSATION. A DISTRIBUTION TO DEBRA DONAHUE, IN THE AMOUNT OF $12,027 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MS. DONAHUE'S TAXABLE COMPENSATION. A DISTRIBUTION TO JOYCE RAFFERTY, CFO, IN THE AMOUNT OF $14,632 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MS. RAFFERTY'S TAXABLE COMPENSATION. IN 2012, STEPHENS MUNDY, CEO, WAS GRANTED A 457(F) DEFERRED COMPENSATION PLAN. FOR 2013, MR. MUNDY RATABLY ACCRUED $100,278 OF DEFERRED COMPENSATION IN THE PLAN AND IT WAS INCLUDED IN HIS COMPENSATION PACKAGE.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt3DURING 2013, CVPH CONTINUED A COMPENSATION INCENTIVE PLAN FOR MANAGEMENT OF THE ORGANIZATION. THE PLAN SET FORTH NUMEROUS OBJECTIVES AND GOALS TO BE MET IN ORDER TO EARN AN INCENTIVE AWARD. EACH OF THE GOALS ARE AIMED AT IMPROVING THE EXPANSE OF CVPH'S SERVICE OFFERINGS, QUALITY OF SERVICE AND OPERATIONS, AND MEETING THE COMMUNITY NEEDS. UNDER THE PLAN, THESE GOALS AND OBJECTIVES ARE ASSIGNED POINT VALUES, TOWARDS A TOTAL 100 POSSIBLE POINTS. SPECIFIC MEASURES ARE SET TO DETERMINE WHETHER THE STATED OBJECTIVE HAS BEEN MET. ONE OF THE OBJECTIVES INCLUDED IN THE 2013 PLAN IS KEYED TO NET MARGIN OF THE ORGANIZATION. THIS OBJECTIVE MEASURE, HOWEVER, HAS NO MORE THAN 5 POTENTIAL POINTS THAT MAY BE ACHIEVED IF THE ORGANIZATION MAINTAINS THE STATED BUDGETED MARGIN, AND IS INTENDED TO MEET THE OVERALL GOAL OF MAINTAINING THE FINANCIAL HEALTH OF THE ORGANIZATION. OTHER GOALS IN THE PLAN ARE TO IMPROVE QUALITY OF SERVICE, EXPANSE OF SERVICE OFFERING, ORGANIZATIONAL DEVELOPMENT AND REACH COMMITTEE NEEDS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 1A
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 1B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc3PART I, LINE 6
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990ScheduleJ/TravelForCompanionsInd0X
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990ScheduleJ/WrittenPolicyRefTAndEExpnssInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS BEING AMENDED TO REVISE THE COMPENSATION AND OTHER COMPENSATION REPORTED ON PART VII AND SCHEDULE J TO REFLECT THE DECEMBER 2013 INFORMATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FLETCHER ALLEN PARTNERS(FAP) IS THE SOLE MEMBER OF COMMUNITY PROVIDERS INC.(CPI).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FAP MAY ELECT THE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION PROVIDES AN ELECTRONIC COPY OF FORM 990 TO EACH BOARD MEMBER PRIOR TO BEING FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CONFLICT OF INTEREST POLICY IS APPLICABLE TO MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES. THE ORGANIZATION REQUIRES THAT MEMBERS HAVING A CONFLICT OF INTEREST WITH A TRANSACTION RECUSE THEMSELVES OF VOTING ON THE MATTER, PROPOSED, AND ONGOING TRANSACTIONS ARE REVIEWED BY APPROPRIATE GROUPS OF INDIVIDUALS (COMMITTEES AND/OR LEVELS OF REVIEW) TO ENSURE THE BEST INTEREST OF THE ORGANIZATION. THE ORGANIZATION SOLICITS FROM EACH MEMBER OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES AN ANNUAL SIGNED STATEMENT CERTIFYING COMPLIANCE WITH THE ORGANIZATIONS CONFLICT OF INTEREST POLICY AND SELF-DISCLOSURE OF CERTAIN INTERESTS FOR EACH ANNUAL PERIOD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CVPH HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE COMPENSATION OF THE CEO ON AN ANNUAL BASIS. THIS PROCESS INCLUDES A COMPENSATION COMMITTTEE OF THE BOARD OF TRUSTEES, ENGAGING IN AN INDEPENDENT CONSULTANT, PERFORMANCE OF A COMPENSATION SURVEY OR STUDY, REVIEW OF OTHER ORGANIZATIONS FORM 990 AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. A WRITTEN EMPLOYMENT AGREEMENT IS ESTABLISHED SETTING FORTH THE COMPENSATION AND BENEFITS OF THE CEO. CVPH PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE CEO. THE SAME FORMAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE OTHER OFFICERS. NON-FIXED EARNINGS OF OTHER OFFICERS ARE BASED ON THE SUCCESS OF MEETING PERFORMANCE CRITERIA AND COMPARATIVE MARKET DATA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6PARTIES DESIRING A COPY OF THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS MUST PRESENT THEMSELVES AT THE ADMINISTRATIVE OFFICES OR MAKE A REQUEST IN WRITING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7SUBSIDIARY ACTIVITY -208,799.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE PROCESS HAS NOT CHANGED INVOLVING GAVING A COMMITTEE TO ASSUME RESPONSIBILITIES FOR OVERSIGHT OF THE AUDIT REVIEW OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, ITEM B ON PAGE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd11
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine10COMMUNITY PROVIDERS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine11COMMUNITY PROVIDERS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0161586102
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1141663061
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1NY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0ADMINISTRATIVE SERVICE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1MEDICAL OFFICE LEASE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine10CHAMPLAIN VALLEY HEALTH NETWORK

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.56$0.00$0.56$0.00$0.00$0.00
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.27$0.00$1.27$0.00$0.00$0.00
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.84$0.00$1.84$0.00$0.00$0.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.60$0.00$1.60$0.00$0.00$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.42$0.00$1.42$0.00$0.00$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.25$3.00$2.25$0.00$0.04$0.04
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.48$1.06$4.43$0.00$0.03$0.03
2017Summary only. Only limited summary data is available for this year.$7.91$3.76$4.15$0.00$0.03$0.03
2016Summary only. Only limited summary data is available for this year.$7.97$3.72$4.25$0.00$0.06$0.06
2015Detailed filing. Detailed filing data is available for this year.$6.00$1.63$4.37$0.01$0.03$0.02
2014Detailed filing. Detailed filing data is available for this year.$5.53$1.01$4.52$0.00$0.02$0.02
2013Summary only. Only limited summary data is available for this year.$6.21$1.46$4.75$0.00$0.01$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.45$1.45$5.00$0.07
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.91$1.45$5.46$0.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.09$0.99$5.10$0.03