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Nonprofiteer
← LAKE CHAMPLAIN PHYSICIAN SERVICES PC

Form 990 for tax year 2024

Filed by LAKE CHAMPLAIN PHYSICIAN SERVICES PC.

Totals

Total revenue
$0
Total expenses
$5,846
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$5,846
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$5,846

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHELLE LEBEAU

    PRESIDENT/COO

    Total calculated
    $862,929
    From this org
    $0
    From related orgs
    $729,287
    Other
    $133,642
    Hours/week
    2 + 48 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

  • MATEJ KOLLAR

    VP/CFO

    Total calculated
    $428,685
    From this org
    $0
    From related orgs
    $375,258
    Other
    $53,427
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,227 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 + $428,685 related

  • DR LISA MARK

    CHIEF MEDICAL OFFICER

    Total calculated
    $578,538
    From this org
    $0
    From related orgs
    $525,284
    Other
    $53,254
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,184 related
    Bonus
    $0 + $79,754 related
    Other
    $0 + $2,346 related
    Deferred
    $0 + $20,700 related
    Nontaxable benefits
    $0 + $32,554 related
    Filer's total
    $0 + $578,538 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 — 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
LAKE CHAMPLAIN PHYSICIAN SERVICES, P.C. RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), THE PARENT ORGANIZATION OF CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, TO ESTABLISH SENIOR EXECTUIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMITTEE
PART I, LINE 4B
DURING 2024, 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 2024 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.
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.

Provenance

Return type
form_990
Tax year
2024
Filed
18 June 2026
IRS schema version
2024v5.5
Source object
202601769349300530

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