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Onecare Vermont Accountable Care Organization LLC

EIN 45-5399218 · Burlington, VT

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair62 out of 100GovernanceStrong95 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

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).

Income
$21.5 million
Spending
$21.0 million
Spent on programs
75%
Reserves
5.1 months of spending
Largest source of income
fees for its services, 92%
Employees
0
Volunteers
18
Highest pay
$523,560, ceo til 12/24

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 62 out of 100. Higher than 48% of charities in its peer group (health care, $10m to $100m).

  • Reserves

    20 of 35

    Spendable reserves would cover 5.1 months of spending.

  • Debt

    2 of 20

    It owes 92% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 3% of income.

  • Income trend

    10 of 15

    Income fell 4% on the year before.

  • Spending floor

    15 of 15

    75% of spending went to programs.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 95 out of 100. Higher than 39% of charities in its peer group (health care, $10m to $100m).

  • Independent board

    25 of 25

    16 of 16 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    0 of 5

    Reports no independent review process for its chief executive's pay.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (3)
  1. $11.4 million spent. NETWORK PERFORMANCE MANAGEMENT EFFORTS TAKEN TO FURTHER THE DEVELOPMENT OF FRAMEWORK FOR SUCCESSFUL CLINICAL PROGRAMS INCLUDE THE FOLLOWING: IMPLEMENTED OPERATIONAL ENHANCEMENTS TO THE POPULATION HEALTH MODEL PROGRAM, ESTABLISHED NEW QUALITY TARGET BASELINES FOR PARTICIPANTS BASED ON NATIONAL BENCHMARKS, ENHANCED THE REGIONAL CLINICAL REPRESENTATIVE MODEL TO FOSTER PEER TO PEER LEARNING AND DRIVE RESULTS, DEVELOPED AND LAUNCHED A MENTAL HEALTH SCREENING INITIATIVE, AND EXPANDED THE USE OF WAIVERS TO FACILITATE CARE DELIVERY ENHANCEMENTS AND INITIATIVES. ONECARE RETAINED SIMILAR NETWORK PARTICIPANTS, WHICH REPRESENT 14 HOSPITALS, NINE FEDERALLY QUALIFIED HEALTH CENTERS, AND 24 INDEPENDENT PRIMARY CARE PRACTICES. RESULTS SHOWED IMPROVEMENT IN MANY QUALITY DOMAINS, AND NET POSITIVE SHARED SAVINGS WHEN COMBINED ACROSS ALL PAYERS.
  2. $2.5 million spent. DATA AND ANALYTICS WORK CONTINUED TO BUILD OUT THE USE AND CAPABILITIES OF THE ARCADIA ANALYTICS SOFTWARE. EFFORTS WERE MADE TO DEVELOP DASHBOARDS THAT ALIGNED WITH POPULATION HEALTH MODEL ENHANCEMENTS, PROVISION ACCESS TO DATA NECESSARY TO MEET QUALITY TARGETS, STREAMLINE THE DISTRIBUTION OF REPORTS, AND GENERATE MULTI-PAYER ANALYSES FOR NETWORK PARTICIPANTS. DATA WERE SHARE WITH NETWORK PARTICIPANTS IN PRACTICE LEVEL MEETINGS, HEALTH SERVICE AREA CONSULTATIONS, STANDARDIZED REPORTS, AND THROUGH THE DELIVERY OF AD HOC ANALYSES AND INSIGHTS.
  3. $1.9 million spent. 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.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since April 2021.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.