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HEALTH PROVIDER PYMTS 12335767 12335767 GREEN MTN CARE BOARD ASSESSMNT 435796 435796 26091376 21524586 4566790 0 X 0 0 39545587 18483212 0 0 56166677 25111907 0 0 0 0 0 0 0 0 217980 352405 65551 27850 40741 37701 0 0 0 0 0 0 0 0 0 0 95970985 43985225 86242815 35090241 0 0 4041741 1915136 0 0 0 0 0 0 0 0 0 0 0 0 90284556 37005377 X 5686429 6979848 0 0 5686429 6979848 95970985 43985225 1293419 X false true X true false X 0 0 0 22613 58176 80789 0 0 0 0 0 22613 58176 80789 0 80789 163676 32786 196462 0 0 277251 31268195 X 0.00000 SCHEDULE A, PART II THE ORGANIZATION'S 2020 TAX YEAR REFLECTS OCTOBER 26,2020 THROUGH DECEMBER 31, 2020 ACTIVITY (A SHORT PERIOD). THIS IS DUE TO 2020 BEING THE ORGANIZATION'S INITIAL 990 RETURN. 2021 IS THE FIRST REPORTED YEAR REFLECTING A FULL TWELVE MONTHS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52660 52660 20606202 20658862 1000000 250000 false 359678 1000000 1359678 2039517 11000 52660 63660 89920 250000 339920 509880 0 0 0 SCHEDULE C, PART II-A, LINE 2 TAX YEAR 2020 WAS ONECARE'S INITIAL RETURN THEREFORE THERE IS NOT FIVE YEARS WORTH OF HISTORY TO FILL OUT ALL COLUMNS. THE ORGANIZATION FIRST MADE ITS 5768 ELECTION FOR TAX YEAR ENDING 12/31/2020 AND THE ELECTION WAS NOT REVOKED BEFORE TAX YEAR 2021. 9953 9953 0 55598 17897 37701 37701 27384795 27384795 27384795 26091376 26091376 26091376 Schedule D, Part XI WITH THE CHANGE IN OWNERSHIP AS OF OCTOBER 1, 2021 MAKING UVM HEALTH NETWORK THE SOLE MEMBER, THE ORIGINAL MEMBERS, UVM MEDICAL CENTER AND DHH, SURRENDERED THEIR ORIGINAL $25,000 MEMBER INTEREST. SINCE THE AGREEMENT WAS SILENT, ONECARE IS TREATING THESE FORFEITED MONIES AS CASH CONTRIBUTIONS HOWEVER THESE WERE NOT RECORDED AS REVENUE AND INSTEAD WERE A TRANSFER IN NET ASSETS. true UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON VT BURLINGTON VT 05401 030219309 501(c)(3) 33162 NEW AMERICAN CLINIC HOWARD CENTER 208 FLYNN AVENUE BURLINGTON VT 05401 030179433 501(c)3 21016 TELECARE 2 0 SCHEDULE I PART IV PROCEDURES FOR MONITORING GRANT FUNDS IN THE NORMAL COURSE OF BUSINESS, POOLS OF MONEY BECOME AVAILABLE TO FUND VARIOUS QUALITY INITIATIVE PROJECTS. SOME OF THESE FUNDS HAVE BEEN AWARDED IN THE FORM OF GRANTS BASED UPON IDENTIFIED NEEDS. ALL GRANT TYPES STEM FROM ACTIVITIES DEEMED TO FURTHER HEALTH CARE REFORM. PROVIDERS ARE CONTACTED AND ENCOURAGED TO SUBMIT APPLICATIONS. UPON REVIEW AND APPROVAL OF GRANT APPLICATIONS SUBMITTED TO ONE CARE, AWARDS ARE MADE. SOME GRANTS ARE A ONE TIME PAYMENT TO RECIPIENT WHILE OTHERS ARE PAID IN INCREMENTS UPON SUBMISSION OF INVOICES AND APPROVAL OF CONTRACTUAL DELIVERABLES. X false false false false false false false false false true false VICTORIA LONER CHIEF EXECUTIVE OFFICER 371308 0 77813 0 9870 0 20300 0 31614 0 510905 0 0 0 THOMAS BORYS VP OF FINANCE, ACO 210872 0 35471 0 4612 0 14937 0 25853 0 291745 0 0 0 GREGORY DANIELS CHIEF COMPLIANCE OFFICER 153404 0 12490 0 4480 0 11163 0 27908 0 209445 0 0 0 NORMAN WARD MD CHIEF MEDICAL OFFICER 214203 0 0 0 44775 0 26426 0 3049 0 288453 0 0 0 SARA BARRY VP & CHIEF OPERATING OFFICER 285767 0 48742 0 5148 0 20154 0 13465 0 373276 0 0 0 JOAN ZIPKO DIRECTOR ACO OPERATIONS 168866 0 15458 0 13262 0 12345 0 28149 0 238080 0 0 0 MARTITA GIARD DIRECTOR ACO STRATEGY&PLANNING 165574 0 15019 0 6544 0 13609 0 21640 0 222386 0 0 0 AMY BODETTE DIRECTOR PUBLIC AFFAIRS 140694 0 12990 0 294 0 10260 0 28822 0 193060 0 0 0 KIMBERLEY DOUGLAS MANAGER ACO FINANCE&ACCOUNTING 129404 0 0 0 3207 0 12291 0 30638 0 175540 0 0 0 SCHEDULE J PART I, LINE 1A PERSONAL SERVICE COMPENSATION CERTAIN ONECARE OFFICERS AND KEY EMPLOYEES RECEIVED COMPENSATION OF $1,400 TO COVER PREPARATION AND FINANCIAL ADVISORY SERVICES. WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING PAYMENT, THE AMOUNT IS INCLUDED IN THE RESPECTIVE INDIVIDUAL'S EMPLOYMENT CONTRACT WHICH IS DETERMINED THROUGH ANNUAL REVIEW (AS DISCUSSED IN SCHEDULE O). PERSONAL SERVICE COMPENSATION IS A FLAT AMOUNT INCLUDED IN THE INDIVIDUAL'S RESPECTIVE FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN, THEREFORE SUBSTANTIATION OF EXPENSE IS UNNECESSARY. 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. FORM 990, PART III, LINE 1 INNOVATIVE PAYMENTS MADE (MISSION CON'T) DURING THIS TAX PERIOD, PAYMENTS MADE TO PROVIDERS FOSTERING INNOVATION AND BETTER OUTCOMES INCLUDE FIXED PROSPECTIVE PAYMENTS TO HOSPITALS AND CERTAIN PRIMARY CARE PROVIDERS OF $408M; POPULATION HEALTH MGMT PAYMENTS OF $6.6M; AND MEDICARE BLUEPRINT FUNDING OF $8.7M. ALL OF THESE PAYMENT ARE NETTED OUT ENTIRELY ON THIS RETURN FOR PURPOSES OF FOLLOWING US GAAP. INNOVATIVE PAYMENTS TO THE NETWORK REPORTED ON THIS RETURN INCLUDE COMPLEX CARE COORDINATION PROGRAM PAYMENTS OF $5.4M; VARIOUS NETWORK REFORM PROJECT PAYMENTS TOTALING $2.2M; POPULATION HEALTH MANAGEMENT PAYMENTS OF $2.2M; VALUE BASED INCENTIVE FUND PAYMENTS OF $2.1M; RISK SETTLEMENT RELATED PAYMENTS OF $323K; AND PRIMARY PREVENTION PROGRAMS AND GRANTS OF $89K (SEE SCHEDULE I FOR DETAILS). FORM 990, PART III, LINE 4A NETWORK PERFORMANCE MANAGEMENT ONECARE SUSTAINED A STATEWIDE NETWORK, WHICH REPRESENTS 14 HOSPITALS AND 82% OF PRIMARY CARE PRACTICES IN VERMONT. ONECARE EXPERIENCED GROWTH IN BOTH MEDICARE AND COMPREHENSIVE PAYMENT REFORM ("CPR") PROGRAM PARTICIPATION. IN 2021, THE ONECARE NETWORK EXCEEDED ALL BUT ONE MEASUREMENT EXPECTATION ON DEFINED CLINICAL PRIORITY AREAS. 2021 IS PROJECTED TO HAVE $6.9M IN NETWORK-WIDE SHARED SAVINGS, OF WHICH $2.5M IS TO BE DISTRIBUTED TO PRIMARY CARE PROVIDERS THROUGH THE ACCOUNTABILITY POOL. ONECARE'S POPULATION HEALTH MODEL RECOGNIZES EACH INDIVIDUAL'S UNIQUE HEALTH NEEDS AND ALIGNS PROGRAMMING AND SUPPORTS THROUGH THE PROVIDER NETWORK AND LOCAL COMMUNITIES. IN 2021, ONECARE HAS CONTINUED TO PROMOTE HIGH-QUALITY SCREENING IN THE MEDICAL HOME, INCLUDING PROACTIVE PANEL MANAGEMENT TO IDENTIFY INDIVIDUALS MISSING THESE HEALTH ASSESSMENTS TO CONNECT THEM TO THESE SERVICES. ONECARE HAS ALSO CONTINUED TO INVEST IN COMMUNITY PROGRAMMING THROUGH RISEVT IN TEN HSAS. FORM 990, PART III, LINE 4B DATA AND ANALYTICS ONECARE IMPROVED ITS REPORTING AND RESOURCES AND FURTHERED USAGE OF CROSS PAYER/PROVIDER DATA SETS UNIQUE TO ACO TO CONSIDER NEEDS OF NETWORK STRIVING TO SHIFT TO A POPULATION HEALTH MODEL. THROUGH COMMITTEE REVIEW, AS WELL AS MONTHLY AND QUARTERLY REPORTING TO ITS NETWORK AND PAYERS, ONECARE ENSURES SERVICES ARE DELIVERED; IDENTIFIES AND EVALUATES VARIATIONS IN UTILIZATION, COST, AND QUALITY; AND ASSESSES OUTLIERS FOR POTENTIAL IMPROVEMENT OPPORTUNITIES. FORM 990, PART III, LINE 4C PAYMENT REFORM THE COMPREHENSIVE PRIMARY CARE (CPR) PROGRAM EXPERIENCED CONTINUOUS YEAR OVER YEAR GROWTH IN PROGRAM PARTICIPATION. THE PROGRAM NOW INCLUDES NOT ONLY FLAT, PREDICTABLE PER MEMBER PER MONTH (PMPM) PAYMENTS, BUT ALSO ABOVE MARKET PAYMENTS FOR SOME SERVICES. IN 2021, PRACTICES EARNED ON AVERAGE 29% MORE REIMBURSEMENT THAN MEDICARE FEE-FOR-SERVICE WOULD HAVE PROVIDED. FORM 990, PART VI, LINE 2 BUSINESS RELATIONSHIPS DR. JOHN BRUMSTED AND TODD KEATING SERVED AS DIRECTORS AND OFFICERS AT THE UNIVERSITY OF VERMONT HEALTH NETWORK, AN UNRELATED ORGANIZATION. DR. JOHN BRUMSTED SERVED AS DIRECTOR AND OFFICER AT THE UNIVERSITY OF VERMONT MEDICAL CENTER, AN UNRELATED ORGANIZATION, WHERE TODD KEATING SERVED AS A KEY EMPLOYEE. ALL ONECARE STAFF ARE EMPLOYED BY UVMC, AN UNRELATED ORGANIZATION. ONECARE VERMONT REIMBURSES UVMC FOR THE FULL ECONOMIC COST OF THE EMPLOYEES' EFFORTS. AN EXCEPTION TO THIS IS UNIVERSITY OF VERMONT HEALTH NETWORK EMPLOYEES WHO WORK PART TIME FOR ONECARE VERMONT EFFORTS UNDER A MASTER SERVICE AGREEMENT BETWEEN THE COMPANIES. UNDER THAT AGREEMENT, ONECARE REIMBURSEES THE UNIVERSITY OF VERMONT HEALTH NETWORK FOR THE APPLICABLE PERCENTAGE OF THE SALARY AND BENEFITS COST INCURRED. FORM 990, PART VI, LINE 4 CHANGES TO GOVERNING DOCUMENTS ON OCTOBER 1, 2021, THE ORGANIZATION AMENDED ITS OPERATING AGREEMENT SUCH THAT UVM HEALTH NETWORK BECAME ITS SOLE CORPORATE MEMBER. THE CHANGE CONSTITUTED A CHANGE IN THE ACCOUNTING ENTITY OF THE ORGANIZATION, AND AS A RESULT, THE ORGANIZATION QUALIFIED TO APPLY ACCOUNTING GUIDANCE APPLICABLE TO NOT-FOR-PROFIT ORGANIZATIONS EFFECTIVE OCTOBER 1, 2021. FORM 990, PART VI, LINE 6 MEMBERS ONECARE VERMONT IS A LIMITED LIABILITY CORPORATION, FOUNDED IN 2012. ON SEPTEMBER 30, 2021, DARTMOUTH HITCHCOCK HEALTH ("DHH") SURRENDERED ITS MEMBERSHIP IN ONECARE AND THE UNIVERSITY OF VERMONT MEDICARE CENTER ("UVMMC") TRANSFERRED ITS MEMBERSHIP STATUS TO ITS PARENT ORGANIZATION, UVM HEALTH NETWORK. AS OF OCTOBER 1, 2021, UVM HEALTH NETWORK BECAME THE SOLE CORPORATE MEMBER OF ONECARE. FORM 990, PART VI, LINES 7A MEMBER APPOINTMENTS TO GOVERNING BODY UVM HEALTH NETWORK, THE SOLE MEMBER OF ONECARE HAS THE RIGHT TO APPOINT THREE MEMBERS OF THE GOVERNING BODY. THE GOVERNING BODY IS COMPRISED OF UP TO TWENTY-ONE MEMBERS IN TOTAL. OTHER MEMBERS OF THE GOVERNING BODY REPRESENT SPECIFIC PROVIDER TYPES REPRESENTED IN ONECARE'S PROVIDER NETWORK, AS SET OUT IN THE ORGANIZATION'S OPERATING AGREEMENT. FORM 990, PART VI, LINE 11B RETURN PREPARATOIN ONECARE VERMONT'S FORM 990 IS PREPARED BY ONECARE STAFF AND REVIEWED BY PRICEWATERHOUSECOOPERS (PWC). FOLLOWING PWC'S REVIEW, THE RETURN IS REVIEWED BY ONECARE'S SENIOR LEADERSHIP. FINALLY, ONECARE'S MANAGEMENT PRESENTS THE FORM 990 TO THE FINANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE ONECARE BOARD OF MANAGERS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, LINE 12C MONITORING OF THE CONFLICT OF INTEREST POLICY THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. IN ACCORDANCE WITH THE POLICY, BOARD OF TRUSTEES, OFFICERS AND CERTAIN OTHER INDIVIDUALS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE ONECARE COMPLIANCE TEAM, WHO REPORTS AT LEAST ANNUALLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF MANAGERS. CONFLICTS OF INTEREST ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED. FORM 990, PART VI, LINES 15A AND 15B COMPENSATION DETERMINATION POLICY ONECARE UTILIZES THE SERVICES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (THE 'HEALTH NETWORK') IN THE SETTING OF ALL COMPENSATION. COMPENSATION DETERMINATION IS SUBJECT TO THE HEALTH NETWORK'S COMPENSATION FRAMEWORK, WHICH INVOLVES UTILIZATION OF NATIONAL AND REGIONAL PEER GROUPS, TARGETING THE 50TH PERCENTILE, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES. FORM 990, PART VI, LINE 19 DOCUMENT DISCLOSURE GOVERNANCE DOCUMENTS CONSIST OF THE ORGANIZATION'S ARTICLES OF INCORPORATION AND OPERATING AGREEMENT. THE ARTICLES OF INCORPORATION ARE FILED WITH THE VERMONT SECRETARY FO STATE AND ARE PUBLICLY AVAILABLE THROUGH THAT OFFICE. THE OPERATING AGREEMENT IS NOT PUBLICLY POSTED, BUT A COPY WOULD BE FURNISHED TO ANY MEMBER OF THE PUBLIC WHO REQUESTED ONE. FORM 990, PART X, ASC 958 ORGANIZATIONS THAT FOLLOW FASB ASC 958 ON OCTOBER 1, 2021, THE ORGANIZATION AMENDED ITS OPERATING AGREEMENT SUCH THAT UVM HEALTH NETWORK BECAME ITS SOLE CORPORATE MEMBER. THE CHANGE CONSTITUTED A CHANGE IN THE ACCOUNTING ENTITY OF THE ORGANIZATION, AND AS A RESULT, THE ORGANIZATION QUALIFIED TO APPLY ACCOUNTING GUIDANCE APPLICABLE TO NOT-FOR-PROFIT ORGANIZATIONS EFFECTIVE OCTOBER 1, 2021.