Onecare Vermont Accountable Care Organization Llc

Nonprofit profile at a glance

EIN
455399218
IRS 990 coverage
2020–2024
Forms available
Form 990 2024
Location
Colchester, VT, USA
Phone
8028477220
Rating
67
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Public Health Program (Includes General Health and Wellness Promotion Services)

Official website

Reported finances

Revenue
$21,542,460
Expenses
$21,003,364
Assets
$119,902,699
Liabilities
$110,888,099

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

31 people listed

Executive titles in this filing

  • ABRAHAM BERMAN (CEO TIL 12/24)
  • THOMAS BORYS (CFO, AND CEO AS OF 12/24)

Highest reported compensation

  • ABRAHAM BERMAN (CEO TIL 12/24): $523,560 total reported compensation
  • SARA BARRY (VP & CHIEF OPERATING OFFICER): $408,220 total reported compensation
  • THOMAS BORYS (CFO, AND CEO AS OF 12/24): $358,375 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

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).

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 92% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 62
  • Transparency & Controls: 56
  • Accountability: 91
  • Sustainability: 48
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 67%; rating input score 67
  • Program expense ratio: 74.9%; rating input score 75
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 10th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2.5%; rating input score 44; 44th percentile among comparable filings
  • Total-asset coverage ratio: 5.71; rating input score 86; 86th percentile among comparable filings
  • Liabilities to assets ratio: 0.92; rating input score 8; 8th percentile among comparable filings
  • Officer compensation ratio: 13.7%; rating input score 10; 10th percentile among comparable filings

Growth

  • Program expense growth: 21.5% per year; rating input score 100; 91st percentile among comparable filings
  • Revenue growth: 24.8% per year; rating input score 100; 95th percentile among comparable filings
  • Asset growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings

Details

  • Where the money goes: 67% of revenue deployed · 74.9% of spending went to programs
  • Governance: 16 of 16 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $15.7M in reported program spending
  • Leadership: top reported pay $524K · 31 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.9M reported
  • Consistency: 43 of 43 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 4 filing years from 2020 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 44/100.
  • High — Sustainability: Liabilities to assets ratio scored 8/100.
  • High — Sustainability: Officer compensation ratio scored 10/100.