Totals
- Total revenue
- $4,015,195
- Total expenses
- $4,136,838
- Contributions and grants received
- $724,356
- Grants paid
- $0
- Program service revenue
- $3,290,839
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $1,102,603
- Total liabilities, end of year
- $466,994
- Net assets or fund balances, end of year
- $635,609
- Program services expenses (Part IX)
- $3,990,486
- Management and general expenses
- $146,352
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $3,990,486
Program services were 96.5% 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.
-
1e · Government grants (contributions)
$724,356
-
2a · Program service revenue: AMBULATORY TRANSPORTAT
total $3,290,839 · related or exempt $3,290,839
Functional expenses
Part IX, the statement of functional expenses.
-
11c · Fees: accounting
total $2,171 · management and general $2,171
-
11g · Fees: other
total $363,628 · program services $363,628
-
13 · Office expenses
total $19,494 · program services $19,494
-
16 · Occupancy
total $73,475 · program services $73,475
-
17 · Travel
total $5,704 · program services $5,704
-
22 · Depreciation, depletion and amortization
total $151,318 · program services $151,318
-
23 · Insurance
total $1,865 · program services $1,865
-
24a · Other expenses: PURCHASED SERVICES
total $2,834,744 · program services $2,690,563 · management and general $144,181
-
24b · Other expenses: BAD DEBT EXPENSE
total $524,361 · program services $524,361
-
24c · Other expenses: MAINTENANCE AND REPAIRS
total $120,601 · program services $120,601
-
24d · Other expenses: OTHER EXPENSES
total $39,477 · program services $39,477
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $70,191 · end of year $89,201
-
4 · Accounts receivable
beginning of year $820,225 · end of year $896,842
-
9 · Prepaid expenses and deferred charges
beginning of year -$1,167 · end of year -$2,448
-
10a · Land, buildings and equipment: cost or other basis
$1,202,552
-
10b · Land, buildings and equipment: accumulated depreciation
$1,083,544
-
10c · Land, buildings and equipment, net
beginning of year $270,326 · end of year $119,008
-
17 · Accounts payable and accrued expenses
beginning of year $5,489 · end of year $48,025
-
25 · Other liabilities
beginning of year $396,834 · end of year $418,969
-
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 $757,252 · end of year $635,609
Mission and programs · 2022
Mission
THE MISSION OF EMT OF CVPH INC IS TO PROVIDE COST EFFECTIVE EMERGENCY TRANSPORTATION SERVICES.
Activities or mission (Part I)
THE MISSION OF EMT OF CVPH IS TO PROVIDE COST EFFECTIVE EMERGENCY MEDICAL TRANSPORTATION SERVICES.
-
THE ORGANIZATION SERVES THE LOCAL COMMUNITY'S NEEDS BY PROVIDING STAFFS 24 FULL-TIME, 12 PER-DIEM, AND 7 PART-TIME EMT'S. DURING 2023 AMBULATORY SERVICES PROVIDED BY THESE EMT'S AMOUNTED TO 4,587 TRANSPORTS, AND 317 NO TRANSPORTS (ASSISTANCE PROVIDED ON SITE). THE ORGANIZATION'S EMTS ALSO PROVIDE BACKUP TRANSPORT SERVICE AND ASSISTANCE TO AREA TOWNSHIPS WHEN OUTFLOW EXISTS, THEREBY FURTHER SERVING LOCAL COMMUNITIES.
Expenses $3,990,486 · Revenue $3,290,839
As filed on the 2022 return.
Listed in Part VII
-
Michelle LebeauMICHELLE LEBEAU
PRESIDENT/COO
- Total calculated
- $658,735
- From this org
- $0
- From related orgs
- $607,301
- Other
- $51,434
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $491,886 related
- Bonus
- $0 + $89,938 related
- Other
- $0 + $25,477 related
- Deferred
- $0 + $32,091 related
- Nontaxable benefits
- $0 + $19,343 related
- Filer's total
- $0 + $658,735 related
-
Christopher HickeyCHRISTOPHER HICKEY
SVP/CFO
- Total calculated
- $473,615
- From this org
- $0
- From related orgs
- $440,560
- Other
- $33,055
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $389,094 related
- Bonus
- $0 + $51,466 related
- Other
- $0
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $17,805 related
- Filer's total
- $0 + $473,615 related
-
Matej KollarMATEJ KOLLAR
TREASURER
- Total calculated
- $244,403
- From this org
- $0
- From related orgs
- $212,288
- Other
- $32,115
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $199,031 related
- Bonus
- $0 + $13,257 related
- Other
- $0
- Deferred
- $0 + $9,996 related
- Nontaxable benefits
- $0 + $22,119 related
- Filer's total
- $0 + $244,403 related
-
Brendan OwensBRENDAN OWENS
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
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
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
- 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
The filer's explanations (Part III)
- PART I, LINE 3
- 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
- PART I, LINE 7
- EMT OF CVPH, INC. PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (DIRECTORS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS.
- 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.
-
UVM HEALTH NETWORK MEDICAL GROUP
501(C)(3) · PHYSICIAN SERVICES · VT · controlled entity
Directly controlled by UVMHN
-
UNIV OF VT MED CTR FOUNDATION INC
501(C)(3) · FUNDRAISING · VT · controlled entity
Directly controlled by UVMMC
-
UNIV OF VT MED CTR AUXILLIARY INC
501(C)(3) · SERVICE · VT
-
501(C)(3) · HOLDING COMPANY · VT
-
501(C)(3) · HOSPITAL · VT · controlled entity
Directly controlled by UVM HLTH NET
-
501(C)(3) · HOSPITAL · VT · controlled entity
Directly controlled by UVMHNMG
-
501(C)(3) · HLTH SVC COORD · NY · controlled entity
Directly controlled by UVM HLTH NET
-
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
501(C)(3) · HOSPITAL · NY · controlled entity
Directly controlled by CPI
-
ELIZABETHTOWN COMMUNITY HOSPITAL
501(C)(3) · HOSPITAL · NY · controlled entity
Directly controlled by UVMHN
-
CVPH MEDICAL CENTER FOUNDATION
501(C)(3) · HLTH SVC COORD · NY · controlled entity
Directly controlled by CVPH
-
LAKE CHAMPLAIN PHYSICIAN SERVICES PC
501(C)(3) · PHYSICIAN SERVICES · NY · controlled entity
Directly controlled by CVPH
-
UNIVERSITY MEDICAL EDUCATION ASSOCIATES
501(C)(3) · EDUCATIONAL · VT · controlled entity
Directly controlled by UVMHNMG
-
501(C)(3) · HOSPITAL · NY · controlled entity
Directly controlled by UVMHN
-
501(C)(3) · SUPPORTING ORGANIZATION · VT · controlled entity
Directly controlled by UVM HLTH NET
-
501(C)(3) · NURSING HOME · VT
Directly controlled by PCM
-
AUXILLARY OF PORTER MEDICAL CENTER
501(C)(3) · SUPPORTING ORGANIZATION · VT
Directly controlled by PCM
-
501(C)(3) · HOSPITAL · VT
Directly controlled by PCM
-
UVMHN HOME HEALTH AND HOSPICE
501(C)(3) · SERVICE · VT
Directly controlled by UVMHN
-
501(C)(3) · INSURANCE · VT
Directly controlled by UVMHN
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.
-
CHAMPLAIN VALLEY HEALTH NETWORK
C · ADMINISTRATIVE SERVICES · NY
Directly controlled by COMMUNITY PROVIDERS INC
-
MEDIQUEST INC
C · MEDICAL OFFICE LEASE · NY
Directly controlled by COMMUNITY PROVIDERS INC
-
UVMHN VENTURES INC
C · HOLDING COMPANY · VT
Directly controlled by UVMHN
-
UVM HEALTH NETWORK CREDENTIALING & ENROLLMENT
C · ADMINISTRATIVE SERVICES · 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
-
YANKEE MEDICAL
C · HOME MEDICAL EQUIPMENT · VT
Directly controlled by UVMHN
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 6 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202412289349301991
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.