Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.57x
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on this filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on this filing.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Asset Growth
19th percentile
Faster asset growth than 19% of similar nonprofits.
Revenue Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Balance Sheet
Assets
Down$5,249,594
Down $231,865 (-4.2%) from 2018
Net Assets
Down$2,249,594
Down $2,176,732 (-49%) from 2018
Liabilities
Up$3,000,000
Up $1,944,867 (+184%) from 2018
Revenue And Expenses
Revenue
Flat$0
Flat from 2018
Expenses
Up$41,133
Up $10,981 (+36%) from 2018
Net Income
Down-$41,133
Down $10,981 (-36%) from 2018
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2018 to Sep 30, 2019
- Signed
- Aug 13, 2020
- Return Version
- 2018v3.2
- 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
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $4,426,326 | $2,249,594 | ▼ $2,176,732 |
| Investments Program Related | $1,156,182 | $1,875,158 | ▲ $718,976 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $5,481,459 | $5,249,594 | ▼ $231,865 |
| Other Assets Total | $4,325,277 | $3,374,436 | ▼ $950,841 |
| Liabilities | |||
| Other Liabilities | $1,055,133 | $3,000,000 | ▲ $1,944,867 |
| Total Liabilities | $1,055,133 | $3,000,000 | ▲ $1,944,867 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $4,426,326 | $2,249,594 | ▼ $2,176,732 |
| Total Liabilities and Net Assets / Fund Balance | $5,481,459 | $5,249,594 | ▼ $231,865 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Investment Program Related Org | $620,235 | - | - |
| Other Assets Org | $3,000,000 | - | - |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Stephens Mundy | Former President & CEO |
| Michelle Lebeau | President |
| Scott St George | Former Vice President of Finance |
| Christopher Hickey | Vice President |
| Susanna Pillar | Secretary |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $0
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-41,133
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $41,133 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Interest | - | $27,871 | - | $27,871 |
| Fees for Services Accounting | - | $13,262 | - | $13,262 |
| Total Functional Expenses | $0 | $41,133 | $0 | $41,133 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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
| Liability | Amount |
|---|---|
| Line of Credit | $3,000,000 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- 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
“University of vermont health network is the sole member of community providers, inc.(cpi).”
Form 990, Part VI, Section A, Line 7A
“University of vermont health network may elect the members of the board of directors of the organization.”
Form 990, Part VI, Section B, Line 11B
“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. In addition to the tools and processes identified in schedule j, part i, champlain valley physicians hospital receives guidance regarding its president's compensation from the compensation committee of the board of trustees of the university of vermont health network, which is the sole member of the hospital. That network compensation committee utilizes the following methods to establish that guidance: -compensation committee -independent compensation consultant -compensation survey or study -approval by the board or compensation committee”
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
- Filer Name
- Community Providers Inc
- EIN
- 22-2544844
- Phone
- 5185612000
- Address
- 75 BEEKMAN STREET, PLATTSBURGH, NY 12901
Signing Officer
- Name
- Christopher Hickey
- Title
- Vice President
- Phone
- 5185612000
- Signed
- 2020-08-13
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Christopher Hickey
- Formed
- 1984
- Legal Domicile
- Ny
- Voting Board Members
- 3
- Independent Board Members
- 1
- Employees
- 0
- Volunteers
- 0
Preparer
- Firm
- Fust Charles Chambers Llp
- Address
- 5784 WIDEWATERS PARKWAY, SYRACUSE, NY 13214
- Preparer
- Thomas J Giufre
- Phone
- 3154463600
Supplemental Narrative
Additional Explanations
FORM 990, PART XI, LINE 9:
“Subsidiary activity -2,135,599.”
FORM 990, PART XII, LINE 2C:
“The process has not changed from the prior year.”
Financial Statement Notes
PART X, LINE 2:
“Entities within the uvm health network, with the exception of entities specifically named below, 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 these organizations are exempt from federal income taxes on related income pursuant to section 501(a) of the code. Uvm health network specialty care transport, uvm medical center executive services, and uvm medical center skilled nursing are single-member limited liability corporations. As such, for tax purposes, these organizations are treated as divisions of uvm medical center. Ocv and adk aco are limited liability companies and treated for tax purposes as partnerships. Earnings and losses are passed through to the owners, 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. For tax years beginning after december 31, 2017, the tax cuts & jobs act provided for an excise tax on the sum of remuneration in excess of one million dollars paid to a covered employee, and an unrelated business income tax on the value of certain qualified transportation fringe benefits. The tax provisions and related liabilities for these items are not material to the consolidated financial statements for the fiscal years ended september 30, 2019 and 2018, respectively. Uvm health network accounts for recognition and measurement of uncertain tax positions in accordance with asc 740 income taxes, which addresses how to account for and report the effects of taxes based on income. No rovision for uncertain tax positions is recorded in the accompanying consolidated financial statements.”
Raw XML AppendixShowing 400 of 778 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | 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. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CHRISTOPHER HICKEY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5185612000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 75 BEEKMAN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PLATTSBURGH |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 12901 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
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| IRS990/CollectionsOfArtInd | 0 | 0 |
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| IRS990/CompensationProcessOtherInd | 0 | 1 |
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| IRS990/ConservationEasementsInd | 0 | 0 |
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| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 41133 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -41133 |
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| IRS990/CYTotalExpensesAmt | 0 | 41133 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 0 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | THE ORGANIZATION PROVIDES COORDINATION OF HEALTH CARE OPERATIONS IN SERVING THE HEALTH NEEDS OF THE NORTHERN UPSTATE NEW YORK COMMUNITY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
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| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 41133 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 13262 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 11421 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 39374 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 43625 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SCOTT ST GEORGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MICHELLE LEBEAU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SUSANNA PILLAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CHRISTOPHER HICKEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | STEPHENS MUNDY |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 339582 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 758620 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 2254418 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | FORMER VICE PRESIDENT OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | FORMER PRESIDENT & CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1984 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 1 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 27871 |
| IRS990/InterestGrp/TotalAmt | 0 | 27871 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1156182 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1875158 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2249594 |
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| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3000000 |
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| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
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| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
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| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
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| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | CHAMPLAIN VALLEY PHYSICIAN HOSPITAL MEDICAL CENTER |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 0 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt | 0 | 822880 |
| IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt | 1 | 432043 |
| IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt | 2 | 620235 |
| IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc | 0 | INVESTMENT IN MEDIQUEST |
| IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc | 1 | INVESTMENT IN PINE HARBOUR |
| IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc | 2 | INVESTMENT IN EMT |
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| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | DUE FROM MEDIQUEST |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | ENTITIES WITHIN THE UVM HEALTH NETWORK, WITH THE EXCEPTION OF ENTITIES SPECIFICALLY NAMED BELOW, 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 THESE ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. UVM HEALTH NETWORK SPECIALTY CARE TRANSPORT, UVM MEDICAL CENTER EXECUTIVE SERVICES, AND UVM MEDICAL CENTER SKILLED NURSING ARE SINGLE-MEMBER LIMITED LIABILITY CORPORATIONS. AS SUCH, FOR TAX PURPOSES, THESE ORGANIZATIONS ARE TREATED AS DIVISIONS OF UVM MEDICAL CENTER. OCV AND ADK ACO ARE LIMITED LIABILITY COMPANIES AND TREATED FOR TAX PURPOSES AS PARTNERSHIPS. EARNINGS AND LOSSES ARE PASSED THROUGH TO THE OWNERS, 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. FOR TAX YEARS BEGINNING AFTER DECEMBER 31, 2017, THE TAX CUTS & JOBS ACT PROVIDED FOR AN EXCISE TAX ON THE SUM OF REMUNERATION IN EXCESS OF ONE MILLION DOLLARS PAID TO A COVERED EMPLOYEE, AND AN UNRELATED BUSINESS INCOME TAX ON THE VALUE OF CERTAIN QUALIFIED TRANSPORTATION FRINGE BENEFITS. THE TAX PROVISIONS AND RELATED LIABILITIES FOR THESE ITEMS ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY. UVM HEALTH NETWORK ACCOUNTS FOR RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC 740 INCOME TAXES, WHICH ADDRESSES HOW TO ACCOUNT FOR AND REPORT THE EFFECTS OF TAXES BASED ON INCOME. NO ROVISION FOR UNCERTAIN TAX POSITIONS IS RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | MICHELLE LEBEAU |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | STEPHENS MUNDY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | FORMER VICE PRESIDENT OF FINANCE |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | PRESIDENT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | FORMER PRESIDENT & CEO |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | TRAVEL 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/ExplanationTxt | 1 | 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, DIRECTIOR, OR KEY EMPLOYEE RECEIVED THIS BENEFIT. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 2 | IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN PART I, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THAT GUIDANCE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 3 | SCHEDULE J, PART I, QUESTION 4A STEPHENS MUNDY, PRESIDENT & CFO OF CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, SEPARATED FROM SERVICE ON JULY 1, 2018. IN ACCORDANCE WITH THE SEPARATION AGREEMENT, HE IS ENTITLED TO 18 MONTHS CONTINUATION OF SALARY AND CONTINUATION OF CERTAIN BENEFITS. IN 2018 HE RECEIVED PAYMENTS IN LIEU OF BENEFIT CONTINUATION PLUS SALARY CONTINUATION PAYMENTS TOTALLING $409,487. DURING CALENDAR YEAR 2018, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, A SUBSIDIARY OF THE UVM HEALTH NETWORK, PAID OFFICER MUNDY FOR AMOUNTS VESTED IN 2018 UNDER A LONG TERM SUPPLEMENTAL RETIREMENT BENEFIT PLAN SRP) WHICH WAS ENTERED INTO DURING 2012. THE AMOUNT VESTED AND PAID FOR CALENDAR YEAR 2018 OF $988,459 IS REPORTED IN SCHEDULE J, PART II, COLUMN BIII. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 4 | DURING 2019, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER CONTINUED A COMPENSATION INCENTIVE PLAN FOR MANAGEMENT OF THE ORGANIZATION. THE PLAN SETS FORTH NUMEROUS OBJECTIVES AND GOALS (16) 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 OPERATION, AND MEETING COMMUNITY NEEDS. ONLY ONE OF THE 16 OBJECTIVES INCLUDED IN THE 2019 PLAN IS KEYED TO NET MARGIN OF THE ORGANIZATION. THIS MEASURE IS INTENDED TO MEET THE OVERALL GOAL OF MAINTAINING THE FINANCIAL HEALTH OF THE ORGANIZATION. OTHER GOALS IN THE PLAN ARE TO IMPROVE PATIENT & EMPLOYEE SATISFACTION. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 1A |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART I, LINE 1B |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART I, LINE 3 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | PART I, LINES 4A-B |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | PART I, LINE 6 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | UNIVERSITY OF VERMONT HEALTH NETWORK IS THE SOLE MEMBER OF COMMUNITY PROVIDERS, INC.(CPI). |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | UNIVERSITY OF VERMONT HEALTH NETWORK MAY ELECT THE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE ORGANIZATION PROVIDES AN ELECTRONIC COPY OF FORM 990 TO EACH BOARD MEMBER PRIOR TO BEING FILED. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | 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. IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN SCHEDULE J, PART I, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THAT GUIDANCE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | SUBSIDIARY ACTIVITY -2,135,599. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART XI, LINE 9: |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990, PART XII, LINE 2C: |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 4 | SUPPORT |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 5 | SUPPORT |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 6 | ADMIN SVC |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 7 | MED OFFICE LEASE |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 8 | HOME MEDICAL EQUIPMENT |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 1 | VMC INDEMNITY COMPANY LTD |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 2 | UVM HEALTH NETWORK CREDENTIALING & ENROLLMENT |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 3 | CHARITABLE REMAINDER TRUST (5) |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 4 | PERPETUAL TRUST (4) |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 5 | CHARITABLE IRREVOCABLE TRUST (7) |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $5,249,594
- Liabilities
- $3,000,000
- Net assets
- $2,249,594
- Revenue
- $0
- Expenses
- $41,133
- Net income
- -$41,133