Skip to content
Nonprofiteer
← ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION LLC

Form 990 for tax year 2024

Filed by ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION LLC.

Totals

Total revenue
$21,542,460
Total expenses
$21,003,364
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$19,776,557
Investment income
$1,765,903
Other revenue
$0
Total assets, end of year
$119,902,699
Total liabilities, end of year
$110,888,099
Net assets or fund balances, end of year
$9,014,600
Program services expenses (Part IX)
$15,732,511
Management and general expenses
$5,270,853
Fundraising expenses
$0
Program service expenses (Part III)
$15,732,511

Program services were 74.9% 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: PROGRAM REVENUES

    total $2,976,634 · related or exempt $2,976,634

  • 2b · Program service revenue: PARTICIPATION FEES

    total $16,353,842 · related or exempt $16,353,842

  • 2c · Program service revenue: SETTLEMENT INCOME

    total $446,081 · related or exempt $446,081

  • 3 · Investment income

    total $1,765,903 · excluded $1,765,903

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $1,823,262 · program services $849,270 · management and general $973,992 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $3,356,260 · program services $2,234,492 · management and general $1,121,768 · fundraising $0

  • 8 · Pension plan contributions

    total $50,619 · program services $35,035 · management and general $15,584 · fundraising $0

  • 9 · Other employee benefits

    total $740,758 · program services $504,837 · management and general $235,921 · fundraising $0

  • 10 · Payroll taxes

    total $62,519 · program services $43,271 · management and general $19,248 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $284,392 · program services $15,009 · management and general $269,383 · fundraising $0

  • 11c · Fees: accounting

    total $966,872 · program services $0 · management and general $966,872 · fundraising $0

  • 11d · Fees: lobbying

    total $53,400 · program services $0 · management and general $53,400 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $3,173,141 · program services $2,537,841 · management and general $635,300 · fundraising $0

  • 12 · Advertising and promotion

    total $4,755 · program services $1,189 · management and general $3,566 · fundraising $0

  • 13 · Office expenses

    total $57,924 · program services $50,797 · management and general $7,127 · fundraising $0

  • 14 · Information technology

    total $189,546 · program services $125,240 · management and general $64,306 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $59,454 · program services $16,053 · management and general $43,401 · fundraising $0

  • 17 · Travel

    total $35,170 · program services $16,986 · management and general $18,184 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $25,420 · program services $7,663 · management and general $17,757 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $7,078 · program services $1,908 · management and general $5,170 · fundraising $0

  • 23 · Insurance

    total $229,092 · program services $11,205 · management and general $217,887 · fundraising $0

  • 24a · Other expenses: POPUL. HEALTH PROVIDER PYMTS

    total $9,281,715 · program services $9,281,715 · management and general $0 · fundraising $0

  • 24b · Other expenses: GREEN MTN CARE BOARD ASSESSMNT

    total $601,987 · program services $0 · management and general $601,987 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $32,314,222 · end of year $63,397,544

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $25,732,709 · end of year $56,245,749

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $258,669 · end of year $248,788

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

    $59,502

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

    $48,884

  • 10c · Land, buildings and equipment, net

    beginning of year $17,697 · end of year $10,618

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $47,927,702 · end of year $105,354,903

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,920,091 · end of year $5,533,196

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $8,475,504 · end of year $9,014,600

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

ONECARE PARTNERS WITH LOCAL HEALTH CARE PROVIDERS TO TRANSFORM VERMONT'S HEALTH CARE SYSTEM TO ONE THAT FOCUSES ON HEALTH GOALS BY PROVIDING ACTIONABLE DATA AND INNOVATIVE PAYMENTS THAT FOSTER BETTER OUTCOMES FOR ALL (SEE SCHEDULE O).

Activities or mission (Part I)

ONECARE PARTNERS WITH LOCAL HEALTH CARE PROVIDERS TO TRANSFORM VERMONT'S HEALTH CARE SYSTEM TO ONE THAT FOCUSES ON HEALTH GOALS.

  • NETWORK PERFORMANCE MANAGEMENT EFFORTS TAKEN TO FURTHER THE DEVELOPMENT OF FRAMEWORK FOR SUCCESSFUL CLINICAL PROGRAMS INCLUDE THE FOLLOWING: IMPLEMENTED OPERATIONAL ENHANCEMENTS TO THE POPULATION HEALTH MODEL PROGRAM, ESTABLISHED NEW QUALITY TARGET BASELINES FOR PARTICIPANTS BASED ON NATIONAL BENCHMARKS, ENHANCED THE REGIONAL CLINICAL REPRESENTATIVE MODEL TO FOSTER PEER TO PEER LEARNING AND DRIVE RESULTS, DEVELOPED AND LAUNCHED A MENTAL HEALTH SCREENING INITIATIVE, AND EXPANDED THE USE OF WAIVERS TO FACILITATE CARE DELIVERY ENHANCEMENTS AND INITIATIVES. ONECARE RETAINED SIMILAR NETWORK PARTICIPANTS, WHICH REPRESENT 14 HOSPITALS, NINE FEDERALLY QUALIFIED HEALTH CENTERS, AND 24 INDEPENDENT PRIMARY CARE PRACTICES. RESULTS SHOWED IMPROVEMENT IN MANY QUALITY DOMAINS, AND NET POSITIVE SHARED SAVINGS WHEN COMBINED ACROSS ALL PAYERS.

    Expenses $11,374,269 · Revenue $16,799,923

  • DATA AND ANALYTICS WORK CONTINUED TO BUILD OUT THE USE AND CAPABILITIES OF THE ARCADIA ANALYTICS SOFTWARE. EFFORTS WERE MADE TO DEVELOP DASHBOARDS THAT ALIGNED WITH POPULATION HEALTH MODEL ENHANCEMENTS, PROVISION ACCESS TO DATA NECESSARY TO MEET QUALITY TARGETS, STREAMLINE THE DISTRIBUTION OF REPORTS, AND GENERATE MULTI-PAYER ANALYSES FOR NETWORK PARTICIPANTS. DATA WERE SHARE WITH NETWORK PARTICIPANTS IN PRACTICE LEVEL MEETINGS, HEALTH SERVICE AREA CONSULTATIONS, STANDARDIZED REPORTS, AND THROUGH THE DELIVERY OF AD HOC ANALYSES AND INSIGHTS.

    Expenses $2,459,439

  • PAYMENT REFORM ONECARE MAINTAINED AND ENHANCED ALL PREEXISTING PAYMENT REFORM INITIATIVES IN SPIRIT OF RELIABLE REVENUE MODELS DIVORCED FROM FEE-FOR-SERVICE DYNAMICS. THE MEDICAID FIXED PAYMENT MODEL WAS EVOLVED TO INCLUDE A TOTAL HOSPITAL EXPENDITURE COMPONENT DESIGNED TO REWARD HOSPITALS THAT REDUCED TOTAL HOSPITAL UTILIZATION FOR THEIR PATIENTS, REGARDLESS OF THE HOSPITAL AT WHICH THE CARE WAS DELIVERED. THE COMPREHENSIVE PAYMENT REFORM PROGRAM CONTINUED IN SIMILAR FORM WITH UPDATES MADE TO THE PRIMARY CARE SPEND RATE TARGET AND RISK SCORE UPDATES FOR PRACTICES. THE MEDICAID GLOBAL PAYMENT PROGRAM MODEL WAS OPERATED IN SIMILAR FORM TO TEST THE POSSIBLILITY OF HOSPITALS GLOBAL BUDGETS. RELATING TO THE POPULATION HEALTH MODEL PROGRAM, THE BLEND OF BASE PAYMENTS AND BONUS PAYMENTS WAS AGAIN ADJUSTED TO ADD MORE WEIGHT TO OUTCOMES. ADDITIONALLY, FINANCIAL INCENTIVES WERE PROVIDED TO PRACTICES MEETING MENTAL HEALTH SCREENING TARGETS.

    Expenses $1,898,803 · Revenue $2,976,634

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Abraham Berman

    CEO TIL 12/24

    Total calculated
    $523,560
    From this org
    $488,453
    From related orgs
    $0
    Other
    $35,107
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $368,101
    Bonus
    $95,836
    Other
    $24,516
    Deferred
    $17,331
    Nontaxable benefits
    $17,776
    Filer's total
    $523,560
  • Sara Barry

    VP & CHIEF OPERATING OFFICER

    Total calculated
    $408,220
    From this org
    $373,514
    From related orgs
    $0
    Other
    $34,706
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $308,631
    Bonus
    $59,652
    Other
    $5,231
    Deferred
    $21,773
    Nontaxable benefits
    $12,933
    Filer's total
    $408,220
  • Thomas Borys

    CFO, AND CEO AS OF 12/24

    Total calculated
    $358,375
    From this org
    $312,390
    From related orgs
    $0
    Other
    $45,985
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $254,473
    Bonus
    $50,026
    Other
    $7,891
    Deferred
    $18,478
    Nontaxable benefits
    $27,507
    Filer's total
    $358,375
  • Carrie Wulfman MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $271,896
    From this org
    $247,782
    From related orgs
    $0
    Other
    $24,114
    Hours/week
    25

    Schedule J breakdown matched by us

    Base
    $198,723
    Bonus
    $38,874
    Other
    $10,185
    Deferred
    $14,335
    Nontaxable benefits
    $9,779
    Filer's total
    $271,896
  • Aaron Perry

    CHIEF LEGAL COUNSEL

    Total calculated
    $259,501
    From this org
    $210,958
    From related orgs
    $0
    Other
    $48,543
    Hours/week
    30

    Schedule J breakdown matched by us

    Base
    $169,832
    Bonus
    $35,444
    Other
    $5,682
    Deferred
    $20,535
    Nontaxable benefits
    $28,008
    Filer's total
    $259,501
  • Martita Giard

    DIRECTOR ACO STRATEGY&PLANNING

    Total calculated
    $246,322
    From this org
    $204,895
    From related orgs
    $0
    Other
    $41,427
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $177,780
    Bonus
    $17,527
    Other
    $9,588
    Deferred
    $22,092
    Nontaxable benefits
    $19,335
    Filer's total
    $246,322
  • Amy Bodette

    DIRECTOR PUBLIC AFFAIRS

    Total calculated
    $213,106
    From this org
    $175,940
    From related orgs
    $0
    Other
    $37,166
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $159,557
    Bonus
    $16,040
    Other
    $343
    Deferred
    $11,664
    Nontaxable benefits
    $25,502
    Filer's total
    $213,106
  • Kimberley Douglas

    DIRECTOR ACO FINANCE & ACCNTG

    Total calculated
    $210,221
    From this org
    $170,519
    From related orgs
    $0
    Other
    $39,702
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $153,128
    Bonus
    $15,568
    Other
    $1,823
    Deferred
    $14,500
    Nontaxable benefits
    $25,202
    Filer's total
    $210,221
  • Derek Raynes

    DIRECTOR PAYMENT REFORM

    Total calculated
    $203,403
    From this org
    $190,184
    From related orgs
    $0
    Other
    $13,219
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $173,053
    Bonus
    $16,595
    Other
    $536
    Deferred
    $12,068
    Nontaxable benefits
    $1,151
    Filer's total
    $203,403
  • Jodi Frei

    ACO DIRECTOR OF DATA SERVICES

    Total calculated
    $189,008
    From this org
    $173,074
    From related orgs
    $0
    Other
    $15,934
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $156,166
    Bonus
    $9,325
    Other
    $7,583
    Deferred
    $14,186
    Nontaxable benefits
    $1,748
    Filer's total
    $189,008
  • Judy Peterson

    TRUSTEE

    Total calculated
    $1,200
    From this org
    $1,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Sierra Lowell

    TRUSTEE

    Total calculated
    $600
    From this org
    $600
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Daniel Bennett

    TRUSTEE UNTIL 09/24

    Total calculated
    $0
    Hours/week
    2
  • Michael Costa

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Dick Courcelle

    TRUSTEE AS OF 01/24

    Total calculated
    $0
    Hours/week
    2
  • Thomas Dee

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Coleen Condon

    TRUSTEE (FORMERLY KOHAUT)

    Total calculated
    $0
    Hours/week
    2
  • Stephen Leblanc

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Toby Sadkin MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Jen Gilwee MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Tom Huebner

    BOARD VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • Stuart May

    TRUSTEE TIL 09/24

    Total calculated
    $0
    Hours/week
    2
  • Adriane Trout MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Teresa Fama MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Anya Rader Wallack

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Shawn Tester

    TRUSTEE TIL 03/24

    Total calculated
    $0
    Hours/week
    2
  • Leslie Ferrer

    TRUSTEE TIL 01/24

    Total calculated
    $0
    Hours/week
    2
  • Judi Fox

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Jessica Moschella

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Sandy Rousse

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Regina Alexander

    CCO

    Total calculated
    $0
    Hours/week
    50

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

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J PART I, LINE 3
CEO COMPENSATION METHOD ONECARE VERMONT RELIES ON UNIVERSITY OF VERMONT HEALTH NETWORK TO ESTABLISH CEO COMPENSATION VIA PERIODIC MARKET ANALYSIS AND COMPENSATION COMMITTEE REVIEW.
SCHEDULE J, PART I, LINE 7
NONFIXED PAYMENTS ONECARE VERMONT LEVERAGES THE UVM MEDICAL CENTER'S COMPENSATION PROCESS WHICH RESULTS IN PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (DIRECTORS, VICE PRESIDENTS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN, AS THE PLAN'S PERFORMANCE MEASURES ARE MET. MEASURES, WHICH INCLUDE FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL ELEMENTS, ARE REVIEWED AND APPROVED BY ONECARE'S BOARD OF MANAGERS.
SCHEDULE J, PART II
UNRELATED ORGANIZATION ALL ONECARE STAFF ARE EMPLOYED BY UVMC, AN UNRELATED ORGANIZATION. ONECARE REIMBURSES UVMC FOR THE FULL ECONOMIC COST OF THE EMPLOYEES' EFFORTS. AN EXCEPTION TO THIS IS UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN) EMPLOYEES WHO WORK PART TIME FOR ONECARE EFFORTS UNDER A MASTER SERVICE AGREEMENT BETWEEN THE COMPANIES. UNDER THAT AGREEMENT, ONECARE REIMBURSEES UVMHN FOR THE APPLICABLE PERCENTAGE OF THE SALARY AND BENEFITS COST INCURRED. COMPENSATION PAID BY UVMC TO OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES FOR SERVICES TO OCV IS REPORTED IN FORM 990, PART VII AND SCHEDULE J. THE ORGANIZATION ENGAGES BERRY, DUNN, MCNEIL & PARKER LLC, A CONSULTING FIRM, TO FILL THE ROLE OF CHIEF COMPLIANCE OFFICER, REGINA ALEXANDER. REGINA IS PAID BY BERRY DUNN, AN UNRELATED ORGANIZATION. ONECARE VERMONT HAS NO KNOWLEDGE OF THE COMPENSATION ARRANGEMENT BETWEEN THE CONSULTING FIRM AND REGINA.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
10 November 2025
IRS schema version
2024v5.2
Source object
202513159349304436

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.