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← COMMUNITY PROVIDER INC

Form 990 for tax year 2024

Filed by COMMUNITY PROVIDER INC.

Totals

Total revenue
$0
Total expenses
$2,620
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
-$129,694
Total liabilities, end of year
$0
Net assets or fund balances, end of year
-$129,694
Program services expenses (Part IX)
$2,620
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$2,620

Program services were 100.0% 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.

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $2,620 · program services $2,620

Balance sheet

Part X, book values.

  • 13 · Investments: program-related

    beginning of year $557,062 · end of year -$129,694

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $557,062 · end of year -$129,694

Mission and programs · 2024

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.

Activities or mission (Part I)

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.

  • THE ORGANIZATION PROVIDES COORDINATION OF HEALTH CARE OPERATIONS IN SERVING THE HEALTH NEEDS OF THE NORTHERN UPSTATE NEW YORK COMMUNITY.

    Expenses $2,620

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

Listed in Part VII

  • Michelle Lebeau

    PRESIDENT

    Total calculated
    $862,929
    From this org
    $0
    From related orgs
    $729,287
    Other
    $133,642
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,948 related
    Bonus
    $0 + $160,216 related
    Other
    $0 + $31,123 related
    Deferred
    $0 + $94,579 related
    Nontaxable benefits
    $0 + $39,063 related
    Filer's total
    $0 + $862,929 related

  • Linda Bourgeois

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Matej Kollar

    VP/CFO

    Total calculated
    $428,686
    From this org
    $0
    From related orgs
    $375,259
    Other
    $53,427
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,228 related
    Bonus
    $0 + $58,290 related
    Other
    $0 + $23,741 related
    Deferred
    $0 + $17,241 related
    Nontaxable benefits
    $0 + $36,186 related
    Filer's total
    $0 + $428,686 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

  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 8 · Paid under the initial-contract exception
  • 9 · Followed the rebuttable-presumption procedure

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

PART I, LINE 3
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). THE PARENT ORGANIZATION, TO ESTABLISH SENIOR EXECUTIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 8
SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION.

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.

  • UVMHN VENTURES INC

    C · HOLDING COMPANY · VT

    Directly controlled by UVMHN

  • UVM HEALTH NETWORK CREDENTIALING & ENROLLMENT

    C · ADMIN SVC · VT

    Directly controlled by UVMHN VENTURES

  • CHARITABLE REMAINDER TRUST (6)

    T · SUPPORT · VT

    Directly controlled by UVMMCCVMC

  • PERPETUAL TRUST (10)

    T · SUPPORT · VT

    Directly controlled by UVMMC

  • CHARITABLE IRREVOCABLE TRUST (8)

    T · SUPPORT · VT

    Directly controlled by UVMMCCVMC

  • CHAMPLAIN VALLEY HEALTH NETWORK

    C · ADMIN SVC · NY · 100% owned

  • MEDIQUEST INC

    C · MED OFFICE LEASE · NY · 100% owned · share of income $233,704 · share of assets $2,577,286

Provenance

Return type
form_990
Tax year
2024
Filed
6 August 2026
IRS schema version
2024v5.5
Source object
202622259349300107

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