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ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE (EIN 02-0274905)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202402279349301500
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-14T07:49:51-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 Elm Street Suite 302AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020274905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rockingham Visting Nurse AssociationBusinessNameLine1Txt
Business Name Line2and HospiceBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone6035806694PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Alumni DriveAddressLine1Txt
CityExeterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03833ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCindy RiosPersonNm
Person TitleBILH Executive VP & CFOPersonTitleTxt
Phone6035806694PhoneNum
Signature2024-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnor SmartPreparerPersonNm
PTINP02285543PTIN
Phone6036262200PhoneNum
Preparation2024-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDebra CrestaPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Alumni DriveAddressLine1Txt
CityExeterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03833ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,078,275GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.exeterhospital.com/Rockingham-VNA-HospiceWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionThe mission of Rockingham VNA & Hospice, a home health agency, is to assist in improving the health of the community. This mission is principally accomplished through the provision of health services and information to the community. Rockingham VNA & Hospice works to accomplish this mission by promoting well being and independence by providing patient-centered health care services in the comfort of the home and within the communities served.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee186TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$523,513PYContributionsGrantsAmt
CY Contributions Grants$126,631CYContributionsGrantsAmt
PY Program Service Revenue$16,711,633PYProgramServiceRevenueAmt
CY Program Service Revenue$14,458,916CYProgramServiceRevenueAmt
PY Investment Income$7,470PYInvestmentIncomeAmt
CY Investment Income$303,463CYInvestmentIncomeAmt
PY Other Revenue-$1,353PYOtherRevenueAmt
CY Other Revenue$49,627CYOtherRevenueAmt
PY Total Revenue$17,241,263PYTotalRevenueAmt
CY Total Revenue$14,938,637CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,857,333PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,935,455CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$825PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,315,508PYOtherExpensesAmt
CY Other Expenses$4,556,090CYOtherExpensesAmt
PY Total Expenses$19,173,666PYTotalExpensesAmt
CY Total Expenses$18,491,545CYTotalExpensesAmt
PY Revenues Less Expenses-$1,932,403PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,552,908CYRevenuesLessExpensesAmt
Total Assets BOY$3,859,979TotalAssetsBOYAmt
Total Assets EOY$3,565,265TotalAssetsEOYAmt
Total Liabilities BOY$3,010,072TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,453,681TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$849,907NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,111,584NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Rockingham VNA & Hospice, a home health agency, is to assist in improving the health of the community. This mission is principally accomplished through the provision of health services and information to the community. (Continued on Schedule O)Rockingham VNA & Hospice works to accomplish this mission by promoting well being and independence by providing patient-centered health care services in the comfort of the home and within the communities served.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$15,928,191ExpenseAmt
Grant$0GrantAmt
Revenue$14,458,916RevenueAmt
DescRockingham VNA & Hospice's Home Care Program provides comprehensive skilled services to the adult population. The goal of these services is to improve the health and independence of the patients we serve. Our services include Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Social Work Services, Home Health Aide, Dietician, IV Specialist, Wound/Ostomy Specialist, Certified Diabetes Educator, Lymphedema Specialist and a Palliative Care Program. Rockingham VNA and Hospice provided 38,713 visits to 2,625 Home Care patients during fiscal year 2023. There were no costs to providing charitable care incurred during fiscal year 2023.(Continued on Schedule O)Rockingham VNA & Hospice's Hospice Program provides a comprehensive, medically directed, team oriented program of care. The essential components include care of the patient and family as one unit, pain and symptom management, 24 hour on-call availability, medical and nursing care, Home Health Aide, Social Work services, Bereavement and Spiritual care, Volunteers, Rehab services, and coordination of medications, medical supplies, and durable medical equipment. Rockingham VNA & Hospice provided 21,026 visits to 438 patients who received 26,795 days of patient care during fiscal year 2023. Rockingham VNA & Hospice's Community Outreach Program is dedicated to assisting in improving the health of the communities served through offering a variety of wellness clinics and educational opportunities. Community programs include Community Foot Clinics, Diabetes Support Groups, and Health Education Programs. In fiscal year 2023, RVNA & Hospice supported its mission by providing $63,025 in community outreach, benefits and financial support to the community which excluding $597,332 in uncovered Medicaid expenses.In addition to Rockingham VNA & Hospice's program service accomplishments described above, and as noted further below, the Beth Israel Lahey Health (BILH) network engaged in significant activities focused on expanding access to care and services, including underserved patient populations in order to reduce health inequities. There was also a strong focus on continuing to provide high quality care at a lower cost, when appropriate. BILH continues to focus on the behavioral health care needs of its communities as well. BILH Network Accomplishments and Activities - Fiscal Year Ended September 30, 2023Throughout the period covered by this filing, Beth Israel Lahey Health ("BILH") and its affiliates focused on expanding access and services, including to underserved patient populations in order to reduce health inequities. In addition, there was a strong focus on continuing to provide high quality care at a lower cost, when appropriate, as demonstrated by BILH's efforts to leverage community settings, keep care within the BILH Performance Network ("BILHPN"), and allow patients to receive care in their homes. The following highlights specific efforts during the period covered by this filing:Access & Expansion to Pharmacy Services - BILH Pharmacy has continued to expand its contractual relationships, allowing more patients to utilize its pharmacy for their prescriptions. In FY 2023, BILH Pharmacy successfully negotiated access to the Point32Health specialty pharmacy network as well as the WellSense Medicaid Accountable Care Organization ("ACO") plan. Examples of BILH Pharmacy's other efforts to expand patient access to medications include: - Enhanced medication authorization and access services to help patients obtain necessary insurance authorizations and find co-pay assistance, - Expanded the medication refill center to assist patients and providers in expediting medication renewals and ensuring prescribed medication and dosage are still appropriate, - Extended patient co-pay assistance programs to the Joslin Adult Diabetes clinic and Northeast Hospital Corporation patients, and - Expanded clinical pharmacy services in ambulatory clinics to help manage and optimize patients' complex medication therapies. - BILH Pharmacy also expanded its clinical pharmacy presence in clinics to reduce the health equity gap in the use of highly impactful medications to treat patients with diabetes and atherosclerotic cardiovascular diseases by improving their blood pressure and hemoglobin A1C. Interventions centered around prescribing evidence-based medications, educating patients about their conditions, and ensuring access to medication. Initial results have demonstrated an increase in the use of GLP-1 agonists and SGLT-2 inhibitors by 32% in Black and Hispanic populations, an average reduction in hemoglobin A1c of 0.8, and a decrease of systolic and diastolic blood pressures of 7mmHg and 2mmHg respectively.Improvement in Lab Services - BILH optimized the transportation routes of collected laboratory specimens to testing laboratories, ensuring high standards for turnaround times and maximum efficiency. This is foundational to the system's ability to consolidate testing, expand access to in-network laboratory services which in turn generally reduces cost, and support the provision of high-quality care and the clinician and patient experience. - Focus remained strong in developing physician practice delivery models and re-opening patient service centers. These efforts enhance community providers' ability to use BILH labs and increase patient access to BILH labs.Leveraging In-Network Care - BILH operates a Transfer Center that facilitates patient access to the appropriate placement of patient transfers. With the creation of the Transfer Center, BILH has been able to retain patients who might otherwise have gone outside of the system. By expanding its focus to community hospitals, BILH has enhanced its ability to place patients, including at locations potentially closer to the patients' homes. - BILHPN operates a centralized referral management program that focuses on patients seeking out-of-network specialty care and redirecting them to in-network specialty care, when clinically appropriate. Throughout FY 2023, BILHPN redirected well over one thousand patient visits. In most cases, care retained within BILH resulted in enhanced care coordination at a lower cost of care.Enabling Patients to Receive Care at Home - BILH launched its Hospital at Home program in FY 2023, starting with Lahey Clinic Hospital d/b/a Lahey Hospital & Medical Center. This has allowed eligible patients to be offered care in the setting most comfortable for them - their homes - while also customizing care plans and improving patients' mobility even while they are acutely ill. - In FY 2023, BILHPN put programs in place to manage length of stay at skilled nursing facilities ("SNFs"), reduce readmissions, and discharge medically appropriate patients directly to their homes with homecare services instead of to a SNF, provided patients are medically stable to return home after an acute care stay and will likely have better outcomes and lower cost of care.Behavioral Health - In FY 2023, BILH Behavioral Services launched its Community Behavioral Health Center ("CBHC") in Lawrence, Massachusetts, consolidating outpatient, mobile crisis intervention, and adult community crisis stabilization services. The establishment of the CBHC is a part of the Commonwealth's Executive Office of Health and Human Services Roadmap for Behavioral Health Reform. - In addition, as part of the Roadmap for Behavioral Health Reform, BILH launched an Emergency Services Redesign that shifts emergency evaluations out of the Emergency Department ("ED"). BILH Behavioral Services also expanded its ED integration efforts to a total of six EDs, including Addison Gilbert Hospital, Anna Jaques Hospital, Beverly Hospital, Lahey Medical Center-Peabody, Beth Israel Deaconess Hospital-Milton, and Winchester Hospital.Health Equity - BILH and Lawyers for Civil Rights launched a medical-legal partnership to provide free legal support to low-income patients, beginning at Beth Israel Deaconess Medical Center. The collaboration will expand BILH's ability to address health equity and expand access to health care for patients living in under-resourced communities. - BILHPN focused on reducing health equity disparities in diabetes and hypertension management by stratifying health outcomes by race, ethnicity and language; sharing performance data with primary care groups; and implementing clinical initiatives such as off-hour clinics, home blood pressure monitor distribution, continuous glucose monitoring, and outreach to patients with higher needs.(Continued later on this Schedule O)Desc
Total Program Service Expenses$15,928,191TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee186EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Allison J Casassa CFOTrusteeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6035806694PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Alumni DriveAddressLine1Txt
CityExeterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03833ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kevin J Callahan
Chair & Trustee (Ex-Off) (end 7/23)1.0058.00Yes (X)Yes (X)$0$1,451,111$34,017
Allison J Casassa
Trustee1.0058.00Yes (X)$0$563,746$18,600
Debra Cresta
Chair & Trustee1.0058.00Yes (X)$0$703,865$31,191
Darren Guy DO
Trustee1.0055.00Yes (X)$0$271,891$39,494
Donna McKinney
Trustee & Secretary1.0055.00Yes (X)Yes (X)$0$523,392$44,167
Neil Meehan DO
Trustee1.0055.00Yes (X)$0$635,627$54,901
Karen Michel
Trustee & Executive Director55.000.00Yes (X)Yes (X)$270,547$0$17,700
Jamie Katz Esq
Secretary (Ex-Off), BILH Gen Counsel1.0064.00Yes (X)$0$898,193$15,864
Cindy Rios
Treasurer (Ex-Off)/BILH Int CFO1.0064.00Yes (X)$0$802,046$220,936
Sherry Ovens Burleigh
Senior Dir, Home Care & Hospice Svcs55.000.00$172,567$0$5,304Yes (X)
Chris Callahan
VP, Human Resources1.0057.00$0$158,877$15,085Yes (X)
Margaret Luna
VP, Human Resources1.0057.00$0$368,476$0Yes (X)
Lisa Burgess
Director of Finance55.000.00$117,992$0$34,087Yes (X)
Michelle Campbell
Clinical Director55.000.00$114,763$0$45,900Yes (X)
Diane Levasseur
Manager Performance Improvement55.000.00$127,972$0$16,626Yes (X)
Nicole Winn
Nurse55.000.00$140,495$0$17,972Yes (X)
Karen Wright
Senior Director55.000.00$161,931$0$15,050Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,106,267TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,377,224TotReportableCompRltdOrgAmt
Total Other Compensation$626,894TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Exeter Hospital Inc
5 Alumni DriveExeterNH03833Support services$1,155,788
Exeter Health Resources Inc
5 Alumni DriveExeterNH03833Administrative management fees$636,209
Core Physicians LLC
5 Alumni DriveExeterNH03833Physician services$462,014
Berry Dunn McNeil & Parker LLC
1000 Elm Street 4th FloorManchesterNH03101Coding and audit services$218,180
Riverside Rest Home
276 County Farm RoadDoverNH03820Respite care$181,659
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$126,631AllOtherContributionsAmt
Total Contributions$126,631TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient services621610$14,437,518$14,437,518
Auxiliary revenues621610$21,398$21,398
FieldValueIRS element (for citing)
Total Program Service Revenue$14,458,916TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,377TotalRevenueColumnAmt
Exclusion$9,377ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$338,347SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$44,261SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$294,086SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$294,086TotalRevenueColumnAmt
Exclusion$294,086ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$145,004GamingGrossIncomeAmt
Gaming Direct Expenses$95,377GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,627TotalRevenueColumnAmt
Exclusion$49,627ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,938,637TotalRevenueColumnAmt
Related Or Exempt Func Income$14,458,916RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$353,090ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$466,118TotalAmt
Program Services$419,506ProgramServicesAmt
Management And General$46,612ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,634,040TotalAmt
Program Services$9,570,636ProgramServicesAmt
Management And General$1,063,404ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$124,609TotalAmt
Program Services$112,148ProgramServicesAmt
Management And General$12,461ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,903,530TotalAmt
Program Services$1,713,177ProgramServicesAmt
Management And General$190,353ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$807,158TotalAmt
Program Services$726,442ProgramServicesAmt
Management And General$80,716ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$636,209TotalAmt
Management And General$636,209ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$793TotalAmt
Management And General$793ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,609TotalAmt
Management And General$37,609ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$269TotalAmt
Management And General$269ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,950,828TotalAmt
Program Services$1,560,662ProgramServicesAmt
Management And General$390,166ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$478TotalAmt
Program Services$287ProgramServicesAmt
Management And General$191ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$290,455TotalAmt
Program Services$255,602ProgramServicesAmt
Management And General$34,853ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$73,415TotalAmt
Program Services$55,061ProgramServicesAmt
Management And General$18,354ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$123,574TotalAmt
Program Services$108,745ProgramServicesAmt
Management And General$14,829ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$371,471TotalAmt
Program Services$352,897ProgramServicesAmt
Management And General$18,574ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,840TotalAmt
Program Services$43,859ProgramServicesAmt
Management And General$5,981ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,727TotalAmt
Program Services$34,080ProgramServicesAmt
Management And General$4,647ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies/fees$891,318$891,318
Recognition/education$40,483$35,625$4,858
Provision for bad debts$30,000$30,000
Other supplies$20,621$18,146$2,475

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,491,545TotalAmt
Program Services$15,928,191ProgramServicesAmt
Management And General$2,563,354ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,228,987BOYAmt
EOY$1,234,233EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,915,494BOYAmt
EOY$1,484,817EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,412BOYAmt
EOY$74,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$193,737LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$207,383BOYAmt
EOY$189,607EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$59,575EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$476,703BOYAmt
EOY$522,872EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,859,979BOYAmt
EOY$3,565,265EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,962,526BOYAmt
EOY$1,481,270EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$224,002BOYAmt
EOY$134,210EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$823,544BOYAmt
EOY$838,201EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,010,072BOYAmt
EOY$2,453,681EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$221,946BOYAmt
EOY$593,958EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$627,961BOYAmt
EOY$517,626EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$849,907BOYAmt
EOY$1,111,584EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,859,979BOYAmt
EOY$3,565,265EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,552,908ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,814,585OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,421,448CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$247,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$523,513CurrentTaxYearMinus1YearAmt
Current Tax Year$126,631CurrentTaxYearAmt
Total$2,424,850TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,199,432CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,660,712CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,968,849CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,711,633CurrentTaxYearMinus1YearAmt
Current Tax Year$14,458,916CurrentTaxYearAmt
Total$85,999,542TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,305,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,082,160CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,216,448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,235,146CurrentTaxYearMinus1YearAmt
Current Tax Year$14,585,547CurrentTaxYearAmt
Total$88,424,392TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$949,158CurrentTaxYearMinus3YearsAmt
Total$949,158TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$949,158CurrentTaxYearMinus3YearsAmt
Total$949,158TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$87,475,234PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,110CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,470CurrentTaxYearMinus1YearAmt
Current Tax Year$9,377CurrentTaxYearAmt
Total$39,318TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,110CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,470CurrentTaxYearMinus1YearAmt
Current Tax Year$9,377CurrentTaxYearAmt
Total$39,318TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$46,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,192CurrentTaxYearMinus1YearAmt
Current Tax Year$49,627CurrentTaxYearAmt
Total$108,328TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,313,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,090,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,268,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,254,808CurrentTaxYearMinus1YearAmt
Current Tax Year$14,644,551CurrentTaxYearAmt
Total$88,572,038TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98760PublicSupportCY509Pct
Public Support PY5090.98870PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$269OtherActivitiesAmt
Total Lobbying Expenditures$269TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of NHPCO & NHAPTA dues are considered lobbying expenses. For the fiscal year ending September 30, 2023, the amount deemed lobbying was $110 & $159, respectively.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$627,961BeginningYearBalanceAmt
Contributions$4,626ContributionsAmt
Investment Earnings Or Losses$32,817InvestmentEarningsOrLossesAmt
Other Expenditures$147,778OtherExpendituresAmt
End Year Balance$517,626EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$541,595BeginningYearBalanceAmt
Contributions$221,671ContributionsAmt
Investment Earnings Or Losses-$56,780InvestmentEarningsOrLossesAmt
Other Expenditures$78,525OtherExpendituresAmt
End Year Balance$627,961EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$492,667BeginningYearBalanceAmt
Contributions$8,329ContributionsAmt
Investment Earnings Or Losses$48,008InvestmentEarningsOrLossesAmt
Other Expenditures$7,409OtherExpendituresAmt
End Year Balance$541,595EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$497,876BeginningYearBalanceAmt
Contributions$6,455ContributionsAmt
Investment Earnings Or Losses$17,570InvestmentEarningsOrLossesAmt
Other Expenditures$29,234OtherExpendituresAmt
End Year Balance$492,667EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$446,562BeginningYearBalanceAmt
Contributions$37,790ContributionsAmt
Investment Earnings Or Losses$21,625InvestmentEarningsOrLossesAmt
Other Expenditures$8,101OtherExpendituresAmt
End Year Balance$497,876EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.02310BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.97690PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$174,709OtherCostOrOtherBasisAmt
Depreciation$724DepreciationAmt
Book Value$173,985BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$950OtherCostOrOtherBasisAmt
Depreciation$950DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,078OtherCostOrOtherBasisAmt
Depreciation$2,456DepreciationAmt
Book Value$15,622BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$189,607TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Beneficial interest in trusts$505,683
Investment - Deferred Comp$17,189
FieldValueIRS element (for citing)
Total Book Value Other Assets$522,872TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to affiliates$778,626
Lease liabilities$59,575
FieldValueIRS element (for citing)
Total Liability$838,201TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,806,193TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,806,193RevenueSubtotalAmt
Other Revenues Not Included$132,444OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$132,444RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,938,637TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,359,101TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$18,359,101ExpensesSubtotalAmt
Other Expenses Not Included$132,444OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$132,444ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,491,545TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowment funds are held by the Town of Derry, New Hampshire. The income earned from the funds is used to fund the organization's operations. The quasi-endowments are funds which have been donated to the organization for a purpose specified by the donor. These funds are held until used for the purpose intended by the donor.
Part X, Line 2:The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.
Part XI, Line 4b - Other Adjustments:Provision for bad debts 30,000. Use of grant funds not booked against expenses 102,444.
Part XII, Line 4b - Other Adjustments:Provision for bad debts 30,000. Use of grant funds not booked against expenses 102,444.

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$145,004GrossRevenueOtherGamingAmt
Rent Fclty Costs Other Gaming$3,000RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming$92,377OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$145,004GrossRevenueTotalGamingAmt
Rent Fclty Costs Total Gaming$3,000RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$92,377OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$95,377DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$49,627NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNHStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility0.00000GamingOwnFacilityPct
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksLisa BurgessIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line14 Alumni DriveAddressLine1Txt
CityExeterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03833ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevYes (1)CntrctWith3rdPrtyForGameRevInd
Gaming Revenue Received By Org$49,701GamingRevenueReceivedByOrgAmt
Gaming Revenue Rtn By3 Prty$92,302GamingRevenueRtnBy3PrtyAmt

Third Party Business Name ThirdPartyBusinessName

FieldValueIRS element (for citing)
Business Name Line1RMH NH LLCBusinessNameLine1Txt

Third Party US Address ThirdPartyUSAddress

FieldValueIRS element (for citing)
Address Line1319 New Zealand RoadAddressLine1Txt
CitySeabrookCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03874ZIPCd

Gaming Manager Business Name GamingManagerBusinessName

FieldValueIRS element (for citing)
Business Name Line1RMH NH LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gaming Manager Compensation$92,302GamingManagerCompensationAmt
Gaming Manager Services ProvRefer to Part IV, Supplemental Information.GamingManagerServicesProvTxt
Gaming Manager Is Ind CntrctYes (X)GamingManagerIsIndCntrctInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part III, Gaming, Line 16, Description of Services:FormAndLineReferenceDesc
ExplanationRMH NH LLC ("RMH") is an official NH-recognized Game Operator Employer licensed to conduct games of chances pursuant to NH RSA 287-D:8, and is a premier destination for casino gaming in New England. RMH served as NH Licensed Game Operator to operate games of chance on behalf of Rockingham Visiting Nurse Association ("RVNA"). As part of its agreement with RVNA, RMH agreed to hold all applicable and valid gaming licenses to conduct such an event in accordance with NH and Federal laws. RMH also agreed to remit to RVNA no less than 35% of all gaming revenues back to RVNA. RMH maintained adequate books, records, and security for the event, and provided the equipment and staffing to conduct such gaming activities. As RMH was required to remit to RVNA at least 35% of gross revenues from the event, RMH was able to retain as an Operator Fee $92,302. RVNA also paid RMH a $3,000 facility and rental fee.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kevin J Callahan
Chair & Trustee (Ex-Off) (end 7/23)$0$717,155$0$751,685$0-$17,729$0$6,100$0$27,917$0$1,485,128$0$0
Cindy Rios
Treasurer (Ex-Off)/BILH Int CFO$0$574,544$0$174,475$0$53,027$0$188,510$0$32,426$0$1,022,982$0$0
Jamie Katz Esq
Secretary (Ex-Off), BILH Gen Counsel$0$794,826$0$0$0$103,367$0$7,320$0$8,544$0$914,057$0$0
Debra Cresta
Chair & Trustee$0$452,659$0$253,374$0-$2,168$0$15,250$0$15,941$0$735,056$0$0
Neil Meehan DO
Trustee$0$433,550$0$241,454$0-$39,377$0$15,250$0$39,651$0$690,528$0$0
Allison J Casassa
Trustee$0$386,121$0$169,152$0$8,473$0$15,250$0$3,350$0$582,346$0$0
Donna McKinney
Trustee & Secretary$0$327,980$0$178,510$0$16,902$0$15,250$0$28,917$0$567,559$0$0
Margaret Luna
VP, Human Resources$0$368,476$0$0$0$0$0$0$0$0$0$368,476$0$0
Darren Guy DO
Trustee$0$250,912$0$20,538$0$441$0$0$0$39,494$0$311,385$0$0
Karen Michel
Trustee & Executive Director$181,554$0$85,878$0$3,115$0$5,223$0$12,477$0$288,247$0$0$0
Sherry Ovens Burleigh
Senior Dir, Home Care & Hospice Svcs$152,298$0$9,025$0$11,244$0$3,340$0$1,964$0$177,871$0$0$0
Karen Wright
Senior Director$148,944$0$12,645$0$342$0$0$0$15,050$0$176,981$0$0$0
Chris Callahan
VP, Human Resources$0$54,018$0$79,866$0$24,993$0$0$0$15,085$0$173,962$0$0
Michelle Campbell
Clinical Director$98,700$0$5,098$0$10,965$0$2,535$0$43,365$0$160,663$0$0$0
Nicole Winn
Nurse$130,730$0$9,763$0$2$0$1,622$0$16,350$0$158,467$0$0$0
Lisa Burgess
Director of Finance$109,878$0$7,813$0$301$0$2,347$0$31,740$0$152,079$0$0$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aRockingham Visiting Nurse Association (RVNA) is related to Exeter Health Resources, Inc. and other entities with the Beth Israel Lahey Health System. From time to time and under certain circumstances, Exeter Health Resources, Inc. or one of its affiliates may choose to gross-up a payment to make the employee whole from a tax perspective. As explained further below, these situations are reviewed on a case-by-case basis and the cost of any gross-up is considered when reviewing an employee's overall compensation package for reasonableness. Examples of the types of expenses which fall into this category are reimbursement for relocation and temporary housing, or reimbursement for the acquisition of supplemental long term disability insurance.
Part I, Line 1bThere was no existing policy concerning tax indemnification and gross up payments. However, in the instance of such action related to the acquisition of long term disability insurance described above, the tax indemnification and gross up payments were approved by the Exeter Health Resources Board of Trustees Executive Committee which is comprised of disinterested persons.
Part I, Line 3Many of the Organization's trustees, officers, key employees, and executives are compensated by related organizations. The Organization's parent (Exeter Health Resources, Inc.) has a formal process for determining total compensation for the Chairman of Rockingham Visiting Nurse Association and Hospice (RVNA&H) and other listed officers and key employees that is intended to provide reasonable compensation for achieving the Organization's mission, to recognize individual and team performance and to comply with the Organization's obligations as a tax-exempt charitable organization. The Executive Committee of the Exeter Health Resources, Inc.'s Board of Trustees conducts an annual review of the compensation of the Chairman of RVNA&H and other listed officers and key employees. In doing so, the Committee retains a qualified independent compensation consultant to conduct competitive market analysis of the market ranges of base, incentive, and total cash compensation, and to provide advice concerning the reasonableness of the compensation of the Chairman and other listed officers and key employees. The Committee utilizes that analysis and other appropriate information in connection with its annual review and makes recommendations to the full Board of Exeter Health Resources, Inc. for adjustment of the Chairman's compensation and the compensation for other listed officers and key employees. Information which the Committee may consider can include but is not limited to the performance of an individual and/or that individual's contributions to a team, the performance of the Organization in whole and in part, the elements of total compensation and salary history, the Organization's compensation targets and comparability data, including the data prepared by the independent consultant and reviewed with the Committee. The Committee incorporates a performance appraisal process in the Chairman's and the other listed officers and key employees' compensation review. The Chairman and other listed officers and key employees are not present when the Committee discusses their respective compensation. In addition, the Committee determines if the threshold requirements for incentive awards are met, consisting of the Organization's performance results for quality, operating system excellence and financial performance. The results of the Committee's deliberations are presented to the Exeter Health Resources, Inc. Board and include recommendations concerning salary range adjustments and incentive awards and the basis for the Committee's decisions/ recommendations. The deliberations of the Exeter Health Resources, Inc. Board are conducted in executive session with the independent members of the Board but do include the Chairman only for that period of time in which the Exeter Health Resources, Inc. Board has questions concerning the performance of any listed officer or key employee other than the Chairman. The Exeter Health Resources, Inc. Board reviews the Chairman's performance and determines if the adjustments and awards recommended by the Committee for the Chairman are in the Organization's best interest and for the benefit of the Organization and the parent organization. For the other listed officer or key employee positions, adjustments and incentive awards are approved upon recommendation of the Chairman by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and ratified by the Exeter Health Resources, Inc. Board of Trustees. For the Executive Director of Rockingham Visiting Nurse Association and Hospice, compensation is determined by consulting with the Organization's parent Human Resources department. Comparison compensation surveys and external benchmarks are used in the process. In addition, as noted previously in this fling, Beth Israel Lahey Health (BILH) became the sole Member of Exeter Health Resources, Inc. (EHRI) effective July 1, 2023, at which time Kevin Tabb became the CEO of EHRI and compensation reported in this filing is calendar year 2022 compensation as required. The BILH Compensation Committee established the policies and the compensation structure, including benefits, for the BILH Chief Executive Officer as well as other members of senior management at BILH and its affiliates. The Compensation Committee is responsible for assuring that the total compensation provided to these individuals is fair and reasonable using current and credible market practice information and is responsible for ensuring compliance with applicable legal and regulatory guidelines. The BILH Compensation Committee is composed of independent members of its Board of Trustees. In setting compensation, the Compensation Committee relies upon published compensation surveys and studies produced by independent compensation consulting firms that regularly assess executive compensation and benefits of substantially similar organizations. The Compensation Committee meets to review the compensation structure of the individuals described above and at that time reviews the compensation survey details prepared by the independent compensation consulting firm. For some categories of positions, the Compensation Committee will review the compensation structure and targets as a group, rather than by individual. Compensation for the BILH CEO and other senior executives is reviewed on an individual basis. The Compensation Committee then votes to approve the compensation arrangements of all individuals described above EXCEPT for the BILH CEO. The compensation package for the BILH CEO as voted by the Compensation Committee is submitted to the full BILH Board of Trustees for approval. All deliberations for both the Compensation Committee and the Board of Trustees are contemporaneously documented in minutes. The Compensation Committee processes and procedures as described above are designed to meet the requirements of Treasury Regulation Section 53.4958-6(c), Rebuttable Presumption that a Transaction is not an Excess Benefit Transaction.
Part I, Line 4bThe Organization's parent (Exeter Health Resources, Inc.) maintains a split dollar supplemental retirement plan for an executive (listed below with amounts) selected by the Exeter Health Resources Inc. Board of Trustees. The plan is closed to future participants. The Plan provides for annual payments of premiums for life insurance policies insuring the listed individual. Those life insurance premiums are collaterally assigned to the corporation and any excess accumulated value in the policies (net of accumulated premium payments which are returned to the organization upon the executive attaining the age of 70 or at the death of the participant) is available to be paid to the participant once vested at age 62 and upon retirement from the Organization. Note that the split-dollar arrangement is part of an employee benefit program and economically not a direct extension of credit. Furthermore, the reportable compensation of the employee includes the annual value of the life insurance provided. Life insurance premium payments during tax year: Kevin J. Callahan $299,869 Excess Accumulated Value: Kevin J. Callahan $4,563,192 In addition, BILH and its affiliates maintain certain supplemental non-qualified retirement plans. During the period covered by this filing, one or more individuals listed in this Form 990, Schedule J, Compensation Information, may have participated in one or more of the following plans, which under the definition to this Form 990 are supplemental nonqualified plans: Beth Israel Deaconess Medical Center Executive Retirement Program, Beth Israel Lahey Health, Inc. Supplemental Executive Retirement Plan, Lahey Clinic Foundation, Inc. 457(f) Nonqualified Deferred Compensation Plan for Certain Physicians, Senior Management and Defined Medical Staff, and The Jordan Health Systems, Inc. 457(f) Deferred Compensation Plan. In addition, during the period covered by this filing, one or more individuals listed in this Form 990, Schedule J, Compensation Information, may have participated in one or more of these additional IRC 457(b) plans and benefits from participating in one of these plans is also reported in this Form 990: Beth Israel Deaconess Medical Center 457(b) Plan, Beth Israel Lahey Health, Inc. 457(b) Deferred Compensation plan, and the Exeter Health Resources, Inc. 457(b) Retirement Savings Plan. These plans are non-qualified deferred compensation plans and, pursuant to the plan, eligible employees receive certain retirement benefits. Amounts received by participants, deferred by participants, and the change in value of the plan benefits related to these participants' accounts are included in Form 990, Schedule J, Part II, Column B(iii), Other Reportable Compensation, and/or Form 990, Schedule J, Part II, Column C, Deferred Compensation, in accordance with the Instructions to this Form 990. Additional information is included with the Explanatory Notes to this Schedule J below.
Part I, Line 7Various persons on this Form 990, Part VII, and this Schedule J were provided incentive bonus payments under a plan aligned with the strategic interests of Rockingham Visiting Nursing Association and Hospice (RVNA). These incentive awards are approved by operating management and Human Resources. Additional information regarding incentive and other compensation is included in the supplemental information accompanying this Schedule J. In addition, some of the individuals reported in this Form 990, Schedule J, were employed at Beth Israel Lahey Health during the calendar year 2022, which is the period for which compensation is reported in this return. As noted above, the BILH Compensation Committee establishes the policies and the compensation structure, including benefits, for the Beth Israel Lahey Health network of affiliates including the BILH Chief Executive Officer as well as other members of senior management at BILH and its affiliates. The Compensation Committee is responsible for assuring that the total compensation provided to these individuals is fair and reasonable using current and credible market practice information and is responsible for ensuring compliance with applicable legal and regulatory guidelines. The BILH Compensation Committee is composed of independent members of its Board of Trustees. During the 2022 calendar year, BILH maintained executive compensation packages which included opportunities to earn incentive compensation based on a combination of various factors, including but not limited to, meeting or exceeding the employing entity's objectives for quality and patient safety, budgeted consolidated operating margin, and meeting individual goals and objectives. In each case, incentive compensation was reviewed and approved by the compensation committee, and for the BILH CEO as noted above, the full BILH Board of Trustees. Additional information is included in the Explanatory Notes to this Schedule J.
Form 990, Schedule J, Additional Explanatory Notes (Part 1):Directors and Trustees Serve Without Compensation: All Directors/Trustees serve without compensation or benefits. Compensation paid to Officers, Directors/Trustees or Key Employees was earned for work performed in a capacity other than that of Director/Trustee, as denoted by the listed titles in the notes below. Reporting Period: As required by Form 990, compensation reported in the filing for the fiscal year ended September 30, 2023, is calendar year 2022 compensation. Compensation Sources: Compensation reported for individuals may include compensation paid by the reporting entity, an affiliate of the reporting entity, and, in some cases, unrelated entities as required by Form 990. Reportable Compensation: Reportable Compensation listed in Form 990, Part VII, includes Base Compensation, Incentive Compensation, and Other Reportable Compensation as reported in Form 990, Schedule J. Other Compensation: Other Compensation listed in Form 990, Part VII, includes Deferred Compensation and Non-taxable Benefits as reported in Form 990, Schedule J. Base Compensation: Amounts not otherwise separately noted in this return but quantified in Base Compensation include amounts from one or more of the following items: ordinary wages, and employee deferrals to a 401(k) and/or 403(b) plan. Other Reportable Compensation: Amounts not otherwise separately noted in this return but quantified in Other Reportable Compensation include amounts from one or more of the following items: taxable employer subsidized parking; and taxable life, disability, or long-term care insurance. Deferred Compensation: Amounts not otherwise separately noted but quantified in deferred compensation include amounts from one or more of the following items: employer contributions to a 401(k) retirement plan, employer contributions to a 403(b) retirement plan, and employer contributions to a pension plan and/or the change in actuarial value of the pension plan benefit. Non-taxable Benefits: Amounts not otherwise separately noted but quantified in non-taxable benefits include, among other things, amounts from one or more of the following non-taxable benefits: employee contributions to health insurance, employer contributions to health insurance, employee contributions to flexible spending accounts for dependent care and/or medical reimbursement, adoption assistance, tuition assistance pursuant to an employer plan, group term life insurance, and disability insurance. Additional individual specific information is included below. Burgess, Lisa - Director of Finance - Rockingham Visiting Nurse Association and Hospice Burleigh, Sherry Ovens - Senior Director, Home Care and Hospice Services - Rockingham Visiting Nurse Association and Hospice Other Reportable Compensation includes a payment for PTO cashed-out during 2022 in the amount of $6,903. Other Reportable and Deferred Compensation for Ms. Burleigh includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of $3,669. Callahan, Chris - Vice President, Human Resources - Exeter Hospital - Vice President, Human Resources - Exeter Health Resources, Inc - Vice President, Human Resources - Core Physicians, LLC - Vice President, Human Resources - Rockingham Visiting Nurse Association and Hospice Other Reportable Compensation includes a payment for PTO cashed-out during 2022 in the amount of $57,931. Other Reportable and Deferred Compensation for Mr. Callahan includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of -$34,340. This amount includes an unrealized loss in the amount of $54,840, which impacted his nonqualified benefit. Callahan, Kevin J. Unless otherwise noted below, Mr. Callahan held the following positions through July 1, 2023: - Chief Executive Officer, President, and Trustee - Exeter Health Resources, Inc. - Chief Executive Officer, President, and Trustee - Exeter Hospital, Inc. - President, Secretary and Trustee - Exeter Med Real, Inc. - Trustee, System Manager - Core Physicians, LLC - Chair & Trustee (Ex-Officio) - Rockingham Visiting Nurse Assoc & Hospice Although Mr. Callahan served in these positions during the fiscal year ended September 30, 2023, as required in this Form 990, compensation reported here is based on calendar year 2022 compensation. Base Compensation, Incentive Compensation, Other Reportable Compensation, Deferred Compensation and Non-Taxable Benefits are reported as required in Form 990, Schedule J. Incentive Compensation for Mr. Callahan includes a total of $751,685, which includes a $500,000 milestone payment related to long term service and which vested during the 2022 calendar year. Other Reportable and Deferred Compensation for Mr. Callahan includes combined contributions to, payments from, and change in value of, nonqualified retirement plans in the amount of -$87,358. Included in this amount is an unrealized loss in the amount of $107,858. Other Reportable Compensation for Mr. Callahan also includes $6,350 for the personal use of an automobile. Campbell, Michelle - Clinical Director - Rockingham Visiting Nurse Assoc & Hospice Other Reportable Compensation includes a payment for PTO cashed-out during 2022 in the amount of $10,880. Casassa, Allison J. During the fiscal year ended September 30, 2023 and covered by this filing, Ms. Casassa held the following positions until July 1, 2023: - Chief Financial Officer & Treasurer - Exeter Health Resources, Inc. - Chief Financial Officer & Treasurer - Exeter Hospital, Inc. - Trustee - Rockingham Visiting Nurse Assoc & Hospice - Chief Financial Officer & Treasurer - Core Physicians, LLC Effective July 1, 2023, Beth Israel Lahey Health became the sole member of Exeter Health Resources, Inc., which in turn serves as the sole member of Exeter Hospital, RVNA, and additional affiliates. As of that date, Ms. Casassa assumed the following positions: - Assistant Treasurer (Ex-Officio) & Chief Financial Officer - Exeter Health Resources, Inc. - Assistant Treasurer (Ex-Officio) & Chief Financial Officer - Exeter Hospital, Inc. - Chief Financial Officer, Trustee, Treasurer - Exeter Med Real, Inc. - Chief Financial Officer, Treasurer (Ex-Officio) - Core Physicians, LLC - Trustee - Rockingham Visiting Nurse Assoc & Hospice As required in this Form 990, compensation reported here is calendar year 2022 compensation. Base Compensation, Incentive Compensation, Other Reportable Compensation, Deferred Compensation and Non-Taxable Benefits are reported as required in Form 990, Schedule J. Other Reportable and Deferred Compensation for Ms. Casassa includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of -$5,760. Included in this amount is an unrealized loss of $22,710, which impacted her nonqualified benefit, and a $15,250 accrual of benefits. Bonus and Incentive includes a milestone payment in the amount of $77,952. Other Reportable Compensation includes payments for a PTO cash-out in the amount of $22,486. Cresta, Debra During the fiscal year ended September 30, 2023, and covered by this filing, Ms. Cresta held the following positions until July 1, 2023: - Chief Operation Officer - Exeter Health Resources, Inc. - Trustee - Rockingham Visiting Nurse Assoc & Hospice - Assistant Secretary - Core Physicians Effective July 1, 2023, Beth Israel Lahey Health became the sole member of Exeter Health Resources, Inc., which in turn serves as the sole member of Exeter Hospital, RVNA, and additional affiliates. As of that date, Ms. Cresta assumed the following positions: - Trustee (Ex-Officio) & President - Exeter Health Resources, Inc. - President & Trustee (Ex-Officio) - Exeter Hospital, Inc. - President, Trustee & Secretary - Exeter Med Real, Inc. - System Manager & Trustee - Core Physicians, LLC - Chair & Trustee - Rockingham Visiting Nurse Assoc & Hospice As required in this Form 990, compensation reported here is calendar year 2022 compensation. Base Compensation, Incentive Compensation, Other Reportable Compensation, Deferred Compensation and Non-Taxable Benefits are reported as required in Form 990, Schedule J. Bonus and Incentive Compensation includes a milestone payment in the amount of $100,548. Other Reportable Compensation includes a PTO cashed out in the amount of $4,834. Other Reportable and Deferred Compensation for Ms. Cresta includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of -$8,276. Included in the amount is an unrealized loss of $44,016, which impacted her unvested nonqualified benefit. Guy, DO, Darren - Physician - Core Physicians LLC - Trustee - Rockingham Visiting Nurse Assoc & Hospice (Continued in subsequent footnotes)
Form 990, Schedule J, Additional Explanatory Notes (Part 2):Katz, J.D., Jamie Unless otherwise noted below, Mr. Katz held the following positions for the full fiscal period ended September 30, 2023: - General Counsel and Clerk (Ex-Officio), - Beth Israel Lahey Health, Inc. - Clerk (Ex-Officio) - Beth Israel Deaconess Medical Center, Inc. - Clerk (Ex-Officio) - Beth Israel Deaconess Hospital - Needham, Inc. - Clerk (Ex-Officio) - Mount Auburn Hospital - Clerk (Ex-Officio) - New England Baptist Hospital - Clerk (Ex-Officio) - Beth Israel Deaconess Hospital - Milton, Inc. - Clerk - Community Physicians Associates, Inc. - Clerk (Ex-Officio) - BID - Milton Physician Associates, Inc. - Clerk (Ex-Officio) - Beth Israel Deaconess Hospital - Plymouth, Inc. - Clerk (Ex-Officio) - Jordan Physician Associates, Inc. - Clerk (Ex-Officio) - The Jordan Health Systems, Inc. - Clerk (Ex-Officio) - Anna Jaques Hospital - Clerk - Seacoast Affiliated Group Practice, Inc. - Trustee and Clerk (Ex-Officio) - Lahey Health Shared Services, Inc. - Trustee (Ex-Officio) and Clerk (Ex-Officio) - Addison Gilbert Society, Inc. - Trustee (Ex-Officio) and Clerk (Ex-Officio) - Northeast Health System, Inc. - Trustee (Ex-Officio)rand Clerk (Ex-Officio) - Northeast Senior Health Corporation - Trustee (Ex-Officio) and Clerk (Ex-Officio) - Northeast Behavioral Health Corporation - Trustee and Clerk (Ex-Officio) - Seacoast Nursing and Rehabilitation Center, Inc. - Director and Clerk (Ex-Officio) - Winchester Hospital Foundation, Inc. - Clerk (Ex-Officio) - Winchester Healthcare Management, Inc. - Clerk (Ex-Officio) - Lahey Clinic Foundation, Inc. - Clerk (Ex-Officio) - Lahey Clinic, Inc. - Clerk (Ex-Officio) - Lahey Clinic Hospital, Inc.d/b/a Lahey Hospital & Medical Center - Clerk (Ex-Officio) - Northeast Hospital Corporation - Trustee (Ex-Officio) and Clerk (Ex-Officio) - Northeast Medical Practice Inc. - Trustee and Clerk - CAB Health and Recovery Services, Inc. - Trustee (Ex-Officio) and Clerk (Ex-Officio) - Health and Education Housing Services, Inc. - Clerk (Ex-Officio) - Winchester Hospital - Clerk (Ex-Officio) - Joslin Clinic, Inc. - Clerk (Ex-Officio) - Joslin Diabetes Center, Inc. - Clerk (Ex-Officio) - Mount Auburn Professional Services, Inc. - Clerk - Medical Care of Boston Management Corporation d/b/a Beth Israel Lahey Health Primary Care a/k/a Affiliated Physicians Group (Term began on March 31, 2023) - Clerk (Ex-Officio) - Beth Israel Lahey Health Pharmacy, Inc. - Clerk (Ex-Officio) - Beth Israel Lahey Health Primary Care, Inc. (Term began on March 31, 2023) Effective July 1, 2023, Beth Israel Lahey Health became the sole member of Exeter Health Resources, Inc., which in turn serves as the sole member of Exeter Hospital, RVNA, and additional affiliates. As of that date, Mr. Katz assumed the following additional positions: - Clerk (Ex-Officio) - Exeter Health Resources, Inc. - Clerk (Ex-Officio) - Exeter Hospital, Inc. - Clerk (Ex-Officio) - Core Physicians, LLC - Secretary (Ex-Officio) - Rockingham Visiting Nurse Association and Hospice As required in this Form 990, compensation reported here is calendar year 2022 compensation. Base Compensation, Incentive Compensation, Other Reportable Compensation, Deferred Compensation and Non-Taxable Benefits are reported as required in Form 990, Schedule J. Other Reportable Compensation for Mr. Katz includes combined contributions to, payments from, and change in value of, nonqualified retirement plans in the amount of $68,094. Included in this amount is a distribution from a nonqualified plan in the amount of $72,875 and an unrealized loss in the amount of $24,281. Levasseur, Diane - Manager Performance Improvement - Rockingham Visiting Nurse Association and Hospice Luna, Margaret Ms. Luna held these positions until November 11, 2022: - Vice President, Human Resources - Exeter Hospital, Inc. - Vice President, Human Resources - Exeter Health Resources, Inc. - Vice President, Human Resources - Core Physicians, LLC - Vice President, Human Resources - Rockingham Visiting Nurse Association and Hospice Ms. Luna's services were retained through Witt Keiffer, Inc., a management company. She started the position prior to the beginning of the fiscal year covered by this filing. She served in the roles stated above through November 11, 2022. Other Reportable Compensation for Ms. Luna includes payments made by EHRI to Witt Keiffer for these services in the amount of $368,476. McKinney, Donna - Vice President Acute Care, Chief Nursing Executive - Exeter Hospital, Inc. - Trustee and Secretary - Rockingham Visiting Nurse Association and Hospice Other Reportable and Deferred Compensation for Ms. McKinney includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of -$2,740. Included in the amount is an unrealized loss of $4,440, which impacted her nonqualified benefit. Bonus and Incentive Compensation for Ms. McKinney includes a $66,860 milestone payment. Other Reportable Compensation includes payments for a PTO cash-out in the amount of $11,250. Meehan, DO, Neil - Chief Executive Physician - Exeter Health Resources, Inc. - Trustee - Rockingham Visiting Nurse Association and Hospice Bonus and Incentive Compensation includes a milestone payment in the amount of $92,453. Other Reportable and Deferred Compensation for Dr. Meehan includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of -$54,297. Included in the amount is an unrealized loss of $74,797. Michel, Karen - Executive Director and Trustee - Rockingham Visiting Nurse Association and Hospice Bonus and Incentive Compensation includes a milestone payment in the amount of $36,771. Other Reportable and Deferred Compensation for Ms. Michel includes combined contributions to, and change in value of, nonqualified retirement plans in the amount of $962. (Continued in subsequent footnotes)
Form 990, Schedule J, Additional Explanatory Notes (Part 3):Rios, Cindy - Treasurer (Ex-Officio) and Interim Chief Financial Officer - Beth Israel Lahey Health, Inc. (Term began January 1, 2023) - Senior Vice President and Operations Chief Financial Officer - Beth Israel Lahey Health, Inc. (Term ended December 31, 2022) Unless otherwise noted, effective January 1, 2023, Ms. Rios also assumed the following positions: - Treasurer - Medical Care of Boston Management Corporation d/b/a Beth Israel Lahey Health Primary Care a/k/a Affiliated Physicians Group (Term began March 31, 2023) - Treasurer (Ex-Officio) - CareGroup Parmenter Home Care & Hospice, Inc. - Treasurer (Ex-Officio) - Northeast Professional Registry of Nurses, Inc. - Trustee & Treasurer - CAB Health and Recovery Services, Inc. - Treasurer (Ex-Officio) - Anna Jaques Hospital, Inc. - Treasurer (Ex-Officio) - Beth Israel Deaconess Medical Center, Inc. - Treasurer (Ex-Officio) - Beth Israel Deaconess Hospital - Milton, Inc. - Treasurer (Ex-Officio) - BID - Milton Physician Associates, Inc. - Treasurer (Ex-Officio) - Beth Israel Deaconess Hospital - Needham, Inc. - Treasurer (Ex-Officio) - Beth Israel Deaconess Hospital - Plymouth, Inc. - Treasurer (Ex-Officio) - Beth Israel Lahey Health Pharmacy, Inc. - Treasurer (Ex-Officio) - Beth Israel Lahey Health Primary Care, Inc. (Term began March 31, 2023) - Treasurer (Ex-Officio) - Community Physicians Associates, Inc. - Treasurer (Ex-Officio) - Joslin Clinic, Inc. - Treasurer (Ex-Officio) - Joslin Diabetes Center, Inc. - Treasurer (Ex-Officio) - The Jordan Health Systems, Inc. - Treasurer (Ex-Officio) - Jordan Physician Associates, Inc. - Treasurer (Ex-Officio) - Lahey Clinic Foundation, Inc. - Treasurer (Ex-Officio) - Lahey Clinic Hospital, Inc. d/b/a Lahey Hospital & Medical Center - Treasurer (Ex-Officio) - Lahey Clinic, Inc. - Treasurer (Ex-Officio) - Mount Auburn Hospital - Treasurer (Ex-Officio) - Mount Auburn Professional Services, Inc. - Treasurer (Ex-Officio) - New England Baptist Hospital - Treasurer (Ex-Officio) - Northeast Hospital Corporation - Treasurer (Ex-Officio) - Seacoast Affiliated Group Practice, Inc. - Director & Treasurer (Ex-Officio) - Winchester Hospital Foundation, Inc. - Treasurer (Ex-Officio) - Winchester Healthcare Management, Inc. - Trustee & Treasurer (Ex-Officio) - Addison Gilbert Society, Inc. - Trustee & Treasurer (Ex-Officio) - Health and Education Housing Services, Inc. - Trustee & Treasurer (Ex-Officio) - Lahey Health Shared Services, Inc. - Trustee & Treasurer (Ex-Officio) - Northeast Behavioral Health Corporation - Trustee & Treasurer (Ex-Officio) - Northeast Health System, Inc. - Trustee & Treasurer (Ex-Officio) - Northeast Medical Practice, Inc. - Trustee & Treasurer (Ex-Officio) - Northeast Senior Health Corporation - Trustee & Treasurer (Ex-Officio) - Seacoast Nursing & Rehabilitation Center, Inc. - Trustee & Treasurer (Ex-Officio) - Winchester Hospital Effective July 1, 2023, Beth Israel Lahey Health became the sole member of Exeter Health Resources, Inc., which in turn serves as the sole member of Exeter Hospital, RVNA, and additional affiliates. As of that date, Ms. Rios assumed the following additional positions: - Treasurer (Ex-Officio) - Exeter Health Resources, Inc. - Treasurer (Ex-Officio) - Exeter Hospital, Inc. - Treasurer (Ex-Officio) - Rockingham Visiting Nurse Assoc & Hospice Ms. Rios served in the positions above during the fiscal year ended September 30, 2023. As required in this Form 990, compensation reported here is calendar year 2022 compensation. Base Compensation, Incentive Compensation, Other Reportable Compensation, Deferred Compensation and Non-Taxable Benefits are reported as required in Form 990, Schedule J. Other Reportable Compensation includes payments for temporary housing and moving expenses in the amount of $41,927 and 9,904, respectively. Deferred Compensation in the amount of $187,500 included in this filing for Ms. Rios relates to a milestone payment which, as of December 31, 2022, was not funded, was not vested and for which there was no guarantee of payment. This amount is included here as deferred compensation as required based on the instructions to the Form 990. Winn, Nicole - Nurse - Rockingham Visiting Nurse Assoc & Hospice Bonus and Incentive Compensation includes a milestone payment in the amount of $5,285. Wright, Karen - Senior Director - Rockingham Visiting Nurse Assoc & Hospice

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 3Rockingham Visiting Nurse Association and Hospice ("RVNA") is a not-for-profit health service provider which primarily serves residents of New Hampshire. RVNA is controlled through Exeter Health Resources, Inc. (Resources), a not-for-profit corporation which functions as the Parent Company to RVNA. Resources and Beth Israel Lahey Health signed a definitive agreement that established the terms under which Resources joined the Beth Israel Lahey Health system. Together, the organizations seek to enhance and expand local access to high-quality care in New Hampshire. This transaction was finalized and became effective July 1, 2023.
Form 990, Part III, Line 4a (continued):Ongoing Intiatives: Enhanced Access for MassHealth Patients - To mitigate barriers in access to care and increase the number of MassHealth patients that BILH serves, the system committed to universal network-wide provider participation in MassHealth. All BILH hospitals and providers employed by BILH or on whose behalf BILH jointly contracts participate in and/or have applied to participate in some form of MassHealth. In FY 2022, BILH signed a new MassHealth ACO contract with BMC HealthNet Plan / WellSense Health Plan that went into effect in April 2023. As part of this contract, BILHPN extended participation to all eligible primary care providers ("PCPs") who were not otherwise participating in a MassHealth ACO. Prior to that time, while all eligible BILHPN PCPs were participants in a form of MassHealth, some PCPs were not previously participating in a MassHealth ACO. - BILH has developed, refined and implemented a multicultural marketing, advertising, and outreach plan with the purpose of expanding access for underserved populations, including MassHealth patients, in targeted BILH service areas. Investments in Underserved Communities - BILH hospitals have created and maintain strong connections to a network of affiliated hospitals and health centers that provide community-based care to historically underserved populations. In the regions that they serve, the Safety Net Affiliates ("SNAs") and Community Care Alliance ("CCA") Community Health Centers ("CHCs") are the cornerstone of BILH's delivery system regarding community-based care for MassHealth and historically underserved patients. - CCA CHCs include Bowdoin Street Health Center, Charles River Community Health, The Dimock Center, Fenway Health, and South Cove Community Health Center. - SNAs include Cambridge Health Alliance and Signature Healthcare Brockton Hospital. - BILH continues to invest in the CCA CHCs and SNAs, enabling them to expand their capabilities and care for more historically underserved patients. In FY 2022, BILH invested over $8 million in its CHCs and SNAs, in addition to engaging in regional planning and collaborative program development. These investments represent only a portion of a much larger community benefits investment portfolio that is described in greater detail in this and other BILH network tax filings. - BILH continues to explore additional opportunities with CHCs in Essex and Middlesex Counties. For example, BILH has established a telehealth pilot program between physicians at Addison Gilbert and Beverly Hospitals and patients at North Shore Community Health Center. BILH Behavioral Health Services The Beth Israel Lahey Health Network (BILH) is committed to the behavioral health needs of the patients and communities serviced. Below are some of activities that BILH Behavioral Services (BILHBS) has provided to the patients and communities served by BILH and its affiliated entities. BILHBS (which includes the activities of BILH's tax-exempt affiliate Northeast Behavioral Health Corp) is the largest network of mental health and substance use disorder services in eastern Massachusetts. BILHBS' network of behavioral health care includes services for children and adults ranging from inpatient treatment to community-based programs. Services include: - Inpatient psychiatric and detoxification treatment; - Emergency psychiatric and mobile emergency services teams; - Outpatient mental health and addiction treatment; - Individual/couple/family therapy; - Medication assisted treatment programs; and - School-based and home-based counseling for youth and their families. BILHBS serves approximately 35,000 unduplicated individuals annually, offering a full continuum of care for children and adults. Services range from inpatient to home and community-based services. BILHBS operates over 250 beds in 9 facilities for clients requiring acute psychiatric care, detoxification and residential step-down services. During the period covered by this filing, community-based services included mobile emergency services teams in three catchment areas and home-based counseling for adults, youth and their families. BILHBS also provided services in 63 middle and high schools, as well as 9 police departments. Since its creation in March 2019, BILH has continued to invest significantly in improving access to behavioral health care through a system-wide approach to care delivery. As one of several ongoing initiatives, BILH has made a multi-year commitment to provide behavioral health support to its employed primary care practices using an evidence-based approach known as the IMPACT model. More than 75% of BILH employed primary care practices participated in this Collaborative Care Program implementation. BILHBS has a Centralized Bed Finding team that is responsible for conducting bed searches for patients seen through the Emergency Services Program and who are awaiting an inpatient psychiatric placement. This team directly increases the availability of clinicians to continue to see patients in the Emergency Department (ED) and the community who are experiencing a behavioral health and/or co-occurring substance use disorder crisis while other team members search for available inpatient placements. This initiative supports decreased response time to responding to new patients in crisis and reduces ED boarding time for patients who can be safely managed in the community. During the period covered by this filing, and in the area of addiction services, BILHBS serves approximately 17,000 individuals annually, providing over 380,000 units of service, in a vast array of settings based on their needs. BILH BS' ambulatory division serves nearly 4,300 patients every year, delivering more than 108,000 units of services in various settings. More than 43,000 were delivered by telehealth Ambulatory programs and services offered under the children's behavioral health initiative (CBHI) including a broad range of counseling and therapy as well as more intensive treatment modalities. All therapy programs are supported by medication clinics if that is determined to be an appropriate adjunct to treatment. In FY23, NBHC delivered 99,419 units of ambulatory services, supported by 8,432 psychopharmacology visits. BILH BS' emergency psychiatric and mobile response teams in Lawrence, Salem and Lowell are available around the clock, providing psychiatric assessments and supportive services in various settings. NBHC provides these services in conjunction with a large number of area hospitals, including facilities outside of the BILH umbrella. Mobile crisis clinicians also respond to schools, homes and outpatient clinics, and NBHC also provides walk-in services at the three team locations. In addition to emergency evaluation, team members provide ongoing crisis counseling until the patient is stable and relationships are established with longer-term care providers. The Lawrence and Salem locations also house 8-bed community crisis stabilization units, which offer short-term (3-5 day) crisis beds in lieu of hospitalization for MassHealth, Medicare, and uninsured clients. During the fiscal period covered by this filing, emergency service programs had 13,502 encounters, 1,895 of which were done remotely, and the CCS programs recorded 2,546 bed days.
Form 990, Part IV, Lines 12a and 12b:In addition, as noted throughout this filing, as of July 1, 2023, Beth Israel Lahey Health became the sole Member of Exeter Health Resources, Inc. (EHRI). The Boston, MA office of KPMG issued an unqualified opinion on the consolidated audited financial statements of the Beth Israel Lahey Health, Inc. And affiliates for fiscal period ended September 30, 2023. These statements were prepared in accordance with generally accepted accounting principles (GAAP) and included the accounts of the Beth Israel Lahey Health, Inc. (BILH), and the entities for which Beth Israel Lahey Health, Inc. (BILH) served as sole member during the fiscal period covered by this filing, (Anna Jaques Hospital (AJH), Beth Israel Deaconess Medical Center, Inc. (BIDMC), Mount Auburn Hospital (MAH), New England Baptist Hospital (NEBH), Beth Israel Deaconess Hospital -- Milton, Inc. (Milton), Beth Israel Deaconess Hospital -- Needham, Inc. (Needham), Beth Israel Deaconess Hospital -- Plymouth, Inc. (Plymouth), Lahey Health Shared Services (LHSS), Lahey Clinic Foundation (LCF), Winchester Hospital (Winchester), Northeast Hospital Corporation (NHC) which includes Beverly, Addison Gilbert and Bayridge Hospitals, Northeast Behavioral Corporation (NBHC), the Beth Israel Lahey Health Performance Network (BILHPN), the Joslin Diabetes Center and the Beth Israel Lahey Health Pharmacy. The Lahey Clinic Foundation in turn served as the sole Member of Lahey Clinic Inc, and Lahey Clinic Hospital d/b/a Lahey Hospital and Medical Center (LHMC).) Each of these affiliates may in turn serve as member of additional entities within the network of affiliates, and whose accounts are included in the BILH audited financial statements. In addition, the BILH financial statements also include the accounts of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc. (HMFP), the dedicated physician practice of Beth Israel Deaconess Medical Center and an entity integrally related to helping BIDMC and other affiliates in the BILH network accomplish their charitable purposes. The accounts of the entities for which HMFP serves as Member are also included in the HMFP and BILH audited financial statements. As of July 1, 2023, Beth Israel Lahey Health became the sole Member of Exeter Health Resources, Inc. (EHRI) which in turns serves as the sole Member of Exeter Hospital and other affiliates of EHRI. The BILH audited financial statements also include the accounts of these entities for the last three months of the fiscal period covered by this filing. The Audit and Compliance Committee of BILH's Board of Trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.
Form 990, Part VI, Section A, line 2For the period covered by this filing, Beth Israel Lahey Health, Inc. (BILH) served as direct or indirect sole Member to: Beth Israel Deaconess Medical Center, Inc. (BIDMC), Mount Auburn Hospital (MAH), New England Baptist Hospital (NEBH), Beth Israel Deaconess Hospital - Milton, Inc. (Milton), Beth Israel Deaconess Hospital - Needham, Inc. (Needham), Beth Israel Deaconess Hospital - Plymouth, Inc. (Plymouth), Lahey Clinic Foundation (LCF) , Lahey Clinic (LCI), Lahey Clinic Hospital d/b/a Lahey Hospital and Medical Center (LHMC), Winchester Hospital (Winchester), Northeast Hospital Corporation (Northeast), Anna Jaques Hospital (AJH), Beth Israel Lahey Health Pharmacy, Joslin Diabetes Center and to affiliates of these entities. Effective July 1, 2023, BILH also became the sole Member of Exeter Health Resources, Inc. (EHRI) and its affiliates', including Exeter Hospital. Each of these affiliates may have, in turn, served as Member of additional entities within the BILH network of affiliates. In addition, Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc. (HMFP) is the dedicated physician practice of BIDMC and an entity integrally related to helping BIDMC and other affiliates in the BILH network accomplish their charitable purposes. For this same period HMFP served as the sole Member of Affiliated Physicians of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (APHMFP) as well as several additional entities. Two or more of the persons listed in this Form 990 Part VII have a business relationship with each other by virtue of sitting on one or more Boards of Directors/Trustees or by serving in an employment relationship with one or more entities within the network of the affiliated organizations noted above. Additional detail is provided in the explanatory notes to this Form 990 Schedule J.
Form 990, Part VI, Section A, line 3Ms. Margaret Luna held these positions until November 11, 2022: - Vice President, Human Resources - Exeter Hospital, Inc. - Vice President, Human Resources - Exeter Health Resources, Inc. - Vice President, Human Resources - Rockingham Visiting Nurse Association and Hospice. - Vice President, Human Resources - Core Physicians, LLC Ms. Luna's services were retained through Witt Keiffer, Inc., a management company. She started the position prior to the beginning of the fiscal year covered by this filing. She served in the roles stated above through November 11, 2022. Other Reportable Compensation for Ms. Luna includes payments made by Exeter Health Resources, Inc. to Witt Keiffer for these services in the amount of $368,476. As Ms. Luna served the Organization as a Vice President, and was engaged through an independent third-party management company: this Form 990, Part VI, Line 3, has been marked "Yes; Ms. Luna's relationship, role, and compensation has been disclosed here on this Schedule O; and she has been listed on this Form 990, Part VII, and this Form 990, Schedule J, as an officer in accordance with IRS Instructions.
Form 990, Part VI, Section A, line 4Yes. Exeter Health Resources, Inc. (EHRI) is the sole Member of Rockingham Visiting Nurse Association and Hospice (RVNA or Corporation)). In addition, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) became the sole Member of EHRI and RVNA adopted Amended and Restated By-Laws. Additional information is included further below in this filing.
Form 990, Part VI, Section A, line 6Exeter Health Resources, Inc. (EHRI) is the sole Member of Rockingham Visiting Nurse Association and Hospice (RVNA or Corporation). In addition, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH or System Member) became the sole Member of EHRI.
Form 990, Part VI, Section A, line 7aThe Board of Trustees (the "Board") shall consist of from five (5) to seven (7) persons, including the Executive Director of the Corporation ex-officio (with vote), and the Treasurer of the Member ex-officio (with vote), and from three (3) to five (5) persons elected by the Member (Elected Trustees). Any vacancy in the Elected Trustees may be filled by the Member.
Form 990, Part VI, Section A, line 7bExeter Health Resources, Inc. (EHRI) is the sole Member of Rockingham Visiting Nurse Association and Hospice (RVNA or Corporation). In addition, as noted throughout this filing, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH or System Member) became the sole Member of EHRI. Except for those powers reserved to the Member by law, the Articles of Agreement or the By-Laws, the affairs of the Corporation shall be managed by the Board, which shall have and may exercise all the powers of the Corporation in accordance with its legal responsibilities. Notwithstanding any provision of the By-Laws to the contrary, the Board shall have no authority, except upon the prior express approval of the Member, to: (a) amend the Articles of Agreement or By-Laws of the Corporation; (b) merge consolidate or dissolve the Corporation; (c) sell, transfer, distribute, lease or encumber all or substantially all of the assets of the Corporation; or (d) donate, loan or invest any assets of the Corporation in excess of $10,000.00. Subject to the provisions of the RVNA Articles of Agreement and the Bylaws and the authorities of Beth Israel Lahey Health (BILH or System Member) as described in the EHRI Articles of Agreement and the Bylaws and Chapter 292 of the New Hampshire Revised Statues (Act), the sole Member shall have the right to amend the Articles of Agreement and the By-Laws (Governance Action), as follows: "To the extent that New Hampshire law requires the Board of Trustees to make a recommendation or adopt a resolution on a Governance Action, then the recommendation or resolution shall be taken by the Board of Trustees in accordance with the By-Laws. In the normal course, either the Governance Action will be recommended by the Board of Trustees of its own accord, or the sole Member of the Corporation will request that the Board of Trustees consider and make a recommendation to the sole Member of the Corporation regarding such Governance Action. If the Board of Trustees recommends a Governance Action, then the sole Member of the Corporation may approve, disapprove, defer or suggest reconsideration or amendment of the Governance Action as recommended by the Board of Trustees. If the sole Member of the Corporation requests that the Board of Trustees reconsider or amend a Governance Action, then the Board of Trustees shall take the requested action within such reasonable time as may be specified by the sole Member of the Corporation for such action." Unless otherwise provided in the Articles of Agreement, these By-Laws may be amended by action of the sole Member of the Corporation.
Form 990, Part VI, Section B, line 11bAs noted in various disclosures throughout this filing, Exeter Health Resources, Inc. (EHRI) is the sole Member of Rockingham Visting Nurse Association and Hospice (RVNA). In addition, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) is the sole Member of EHRI. This Form 990 is prepared by the EHRI finance team in conjunction with the BILH tax department and Baker Newman Noyes (BNN). As part of this process, the EHRI finance and BILH tax teams work with other disciplines and functions within BILH and EHRI to ensure that all financial and non-financial disclosures are complete and accurate. Examples of such departments include but are not limited to: Finance and Accounting, Human Resources and Payroll, Treasury, Compliance, Legal, Community Benefits, Financial Assistance and Reimbursement, Governance, Development, Graduate Medical Education, Government Relations, Research and/or Research Finance. RVNA's Form 990 is reviewed internally by the EHRI Vice President of Accounting, the EHRI Chief Financial Officer, the BILH Assistant Vice President, Taxation and externally by BNN. RVNA's Form 990, along with the Forms 990 of all entities in the BILH network, are discussed with the BILH Audit and Compliance Committee. BNN signs the final returns. A copy of the complete return is then provided to each member of RVNA's Board of Trustees prior to submission to the Internal Revenue Service.
Form 990, Part VI, Section B, line 12cAs noted throughout this filing, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) became the sole Member of Exeter Health Resources, Inc (EHRI) and the indirect Member of Rockingham Visting Nurse Association and Hospice (RVNA). All entities in the BILH network adhere to the BILH Conflict of Interest Policy and maintain a written, comprehensive Conflict of Interest Policy at the entity level. Pursuant to these policies, BILH entities' Officers, Trustees and Key Employees as well as certain other individuals are required to complete the annual Conflict of Interest and Tax Questionnaire (COI-TQ). The COI-TQ is designed to require disclosure of any business and family relationships and affiliations maintained by Officers, Trustees, or Key Employees and their family members and which may result in a real or perceived conflict of interest. The BILH Office of Integrity and Compliance, in conjunction with the BILH Tax Department, administers the COI-TQ process annually. The BILH Integrity and Compliance office collects and reviews all disclosures. Disclosures for Executives and Key Employees are assigned appropriate follow-up action in accordance with the COI Policy. A summary of positive responses for each BILH affiliate is provided to the Compliance Officer for that entity for review and final determination of any potential or actual conflict. Any activity that requires action under the Conflict of Interest Policies is subject to ongoing review by RVNA as well as the BILH Integrity and Compliance Office. Pursuant to the BILH Conflict of Interest Policy, certain activities which could create conflicts of interest are prohibited while other types of relationships are permitted, subject to compliance with a management plan to require disclosure and recusal, including appropriate documentation in the minutes. In addition, as noted above, the annual COI-TQ process outlined above is jointly issued by the BILH Tax Department, to ensure that the questionnaire is distributed to all current and former members of the RVNA Board of Trustees as well as former Officers and Key Employees. The COI-TQ process is designed to gather the information necessary for RVNA to completely and accurately respond to Form 990 Schedule L, Transactions with Interested Persons and Form 990, Part VI, Question 2, Family and Business Relationships between Officers, Directors/Trustees and Key Employees.
Form 990, Part VI, Section B, line 15The organization's parent (Exeter Health Resources, Inc.) has a formal process for determining total compensation for the Chairman of Rockingham Visiting Nurse Association and Hospice (RVNA&H) and other listed officers that is intended to provide reasonable compensation for achieving the organization's mission, to recognize individual and team performance and to comply with the organization's obligations as a tax-exempt charitable organization. The Executive Committee of the Exeter Health Resources, Inc.'s Board of Trustees conducts an annual review of the compensation of the Chairman of RVNA&H and other listed officers. In doing so, the Committee retains a qualified independent compensation consultant to conduct competitive market analysis of the market ranges of base, incentive, and total cash compensation, and to provide advice concerning the reasonableness of the compensation of the Chairman and other listed officers. The Committee utilizes that analysis and other appropriate information in connection with its annual review and makes recommendations to the full Board of Exeter Health Resources, Inc. for adjustment of the Chairman's compensation and the compensation for other listed officers. Information which the Committee may consider can include but is not limited to the performance of an individual and/or that individual's contributions to a team, the performance of the organization in whole and in part, the elements of total compensation and salary history, the organization's compensation targets and comparability data, including the data prepared by the independent consultant and reviewed with the Committee. The Committee incorporates a performance appraisal process in the Chairman's, other listed officers', and key employees' compensation review. The Chairman and other listed officers are not present when the Committee discusses their respective compensation. In addition, the Committee determines if the threshold requirements for incentive awards are met, consisting of the organization's performance results for quality, operating system excellence and financial performance. The results of the Committee's deliberations are presented to the Exeter Health Resources, Inc. Board and include recommendations concerning salary range adjustments and incentive awards and the basis for the Committee's decisions/ recommendations. The deliberations of the Exeter Health Resources, Inc. Board are conducted in executive session with the independent members of the Board but do include the Chairman only for that period of time in which the Exeter Health Resources, Inc. Board has questions concerning the performance of any listed officer or key employee other than the Chairman. The Exeter Health Resources, Inc. Board reviews the Chairman's performance and determines if the adjustments and awards recommended by the Committee for the Chairman are in the organization's best interest and for the benefit of the organization and the parent organization. For the other listed officer positions, adjustments and incentive awards are approved upon recommendation of the Chairman by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and ratified by the Exeter Health Resources, Inc. Board of Trustees. For the Executive Director of Rockingham Visiting Nurse Association and Hospice, compensation is determined by consulting with the organization's parent Human Resources department. Comparison compensation surveys and external benchmarks are used in the process.
Form 990, Part VI, Section C, line 19As noted throughout this filing, effective July 1, 2023, Beth Israel Lahey Health, Inc. (BILH) became the sole Member of Exeter Health Resources, Inc (EHRI) and the indirect Member of Rockingham Visiting Nurse Association and Hospice (RVNA). RVNA's governing documents, Conflict of Interest Policy and Financial Statements are available to the general public upon request at the following location: Exeter Health Resources, Inc. and Affiliates 5 Alumni Drive Exeter, NH 03833 And Beth Israel Lahey Health Tax Department Schrafft's City Center, 4th Floor, 529 Main Street Charlestown, MA 02129
Part VII, Section A, Line 1:In addition, as noted throughout this filing, as of July 1, 2023, Beth Israel Lahey Health (BILH) became the sole Member of Exeter Health Resources, Inc. (EHRI). Accordingly, various persons who serve as directors, trustees, officers, key employees, or highly compensated employees of Rockingham Visting Nurse Association and Hospice may be compensated by a related organization affiliated with EHRI or BILH. Such persons' compensation, if any, is based on their roles held and services performed with and for the applicable related organization. For additional information regarding the compensation and benefits of the individuals listed on this Form 990, Part VII, please refer to the explanatory notes included on this Form 990, Schedule J.
Form 990, Part IX, line 11gContracted services: Program service expenses 1,183,006. Management and general expenses 295,752. Fundraising expenses 0. Total expenses 1,478,758. Physician fees: Program service expenses 377,656. Management and general expenses 94,414. Fundraising expenses 0. Total expenses 472,070.
Form 990, Part XI, line 9:Change in beneficial interest in perpetual trusts 32,817. Net transfers from affiliates 3,705,443. Application of push-down accounting 76,325.
Form 990, Part XII, Line 2c:The Organization is part of the consolidated operations of Exeter Health Resources, Inc. The Exeter Health Resources, Inc. ("Resources") Executive Committee is responsible for the oversight of the audit and the selection of an independent accountant. Furthermore, pursuant to an affiliation agreement between Resources and Beth Israel Lahey Health, key members of the various Beth Israel executive teams and audit and finance committees may also provide review and oversight over the Resources audit procedures. During the year ending September 30, 2023, Resources and Beth Israel Lahey Health signed a definitive agreement that established the terms under which Resources joined the Beth Israel Lahey Health system. For financial reporting of the Organization, the affiliation was accounted for as an acquisition and "push down" accounting was required to be applied, with the result that acquisition accounting adjustments have been reflected in the Organization's financial statements. The application of "push down" accounting resulted in a new basis of accounting for property, plant and equipment based on the assets' fair value at the date of affiliation. Accordingly, the Organization's audited financial statements refer to RVNA in the period prior to the affiliation as "Predecessor and in the period subsequent to the affiliation as "Successor." The 2023 Predecessor period represents the nine-month period ending June 30, 2023 prior to push-down accounting adjustments, and the 2023 Successor period represents the three-month period ending September 30, 2023 subsequent to push-down accounting adjustments. As of July 1, 2023, Beth Israel Lahey Health (BILH) became the sole Member of Exeter Health Resources, Inc. (EHRI) which in turns serves as the sole Member of RVNA and other affiliates of EHRI. The BILH audited financial statements also include the accounts of these entities for the last three months of the fiscal period covered by this filing. The Boston office of KPMG performs an annual audit and signs a consolidated financial statement audit of Beth Israel Lahey Health (BILH) and its affiliates. The Audit and Compliance Committee of BILH's Board of Trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (65 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Addison Gilbert Society Inc
529 Main St 4th FlCharlestownMA02129464371382Professional services & financial supportMA501(c)(3)Line 10Lahey Health Shared Services IncYes (1)
Anna Jaques Hospital
25 Highland AveNewburyportMA01950042104338HealthcareMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Assoc Phys Harvard Med Fac Phy at BIDMC
375 Longwood AveBostonMA02215320058309To provide emergency medical servicesMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Baim Institute for Clinical Research Inc dba BAIM Institute
930 Commonwealth AveBostonMA02215043521077Scientific & Medical ResearchMA501(c)(3)Line 70N/A
Beth Israel Anaesthesia Foundation Inc
330 Brookline AveBostonMA02215042997215Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Community Foundation Inc
330 Brookline AveBostonMA02215042776678Inactive CorporationMA501(c)(3)Line 70N/A
Beth Israel Deaconess Department of Emergency Medicine Foundation Inc
330 Brookline AveBostonMA02215364803234Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Department of Medicine Foundation Inc
330 Brookline AveBostonMA02215043079630Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Department of Neonatology Foundation Inc
330 Brookline AveBostonMA02215208253452Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Department of Neurology Foundation Inc
330 Brookline AveBostonMA02215043030397Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Department of Orthopaedic Surgery Foundation Inc
330 Brookline AveBostonMA02215204974585Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Department of Radiation Oncology Foundation Inc
330 Brookline AveBostonMA02215873655583Support patient care, research and teaching missions of BIDMC, HMFP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Department of Surgery Foundation Inc
110 Francis StBostonMA02215020671240Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Deaconess Hospital Milton Inc
199 Reedsdale RdMiltonMA02186042103604Hospital for the treatment, care and relief of sick and suffering personsMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Beth Israel Deaconess Hospital Needham Inc
148 Chestnut StNeedhamMA02492043229679Hospital for the treatment, care and relief of sick and suffering personsMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Beth Israel Deaconess Hospital Plymouth Inc
275 Sandwich StPlymouthMA02360222667354Hospital for the treatment, care and relief of sick and suffering personsMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Beth Israel Deaconess Medical Center Inc
330 Brookline AveBostonMA02215042103881The operation of a world class academic medical center in Boston, MAMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Beth Israel Dermatology Foundation Inc
330 Brookline AveBostonMA02215043117601Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Beth Israel Lahey Health Pharmacy Inc
80 Wilson WayWestwoodMA02090822526816To operate a specialty pharmacy and 340B program for BIDMCMA501(c)(3)Line 10Beth Israel Deaconess Medical CenterYes (1)
Beth Israel Lahey Health Primary Care
529 Main St 4th FlCharlestownMA02129472248298HealthcareMA501(c)(3)Line 10Lahey Health Shared Services IncYes (1)
Beth Israel Lahey Health Inc
529 Main St 4th FlCharlestownMA02129832671600Management professional & IT support servicesMA501(c)(3)Line 12c, III-FI0N/A
BID-Milton Physician Associates Inc
199 Reedsdale RoadMiltonMA02186222566792Promote HealthcareMA501(c)(3)Line 10Beth Israel Deaconess Hospital - MiltonYes (1)
BIDMC and Children's Hospital Medical Care Corp
300 Longwood AveBostonMA02215043200113Outpatient ambulatory center - InactiveMA501(c)(3)Line 12a, I0N/A
BIDMC Obstetrics and Gynecology Foundation Inc
330 Brookline AveBostonMA02215042794855Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
BIH Pathology Foundation Inc
330 Brookline AveBostonMA02215222548374Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
BIH Radiologic Foundation Inc
330 Brookline AveBostonMA02215042571853Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
CAB Health and Recovery Services Inc
199 Rosewood DriveDanversMA01923042400270Substance Abuse - InactiveMA501(c)(3)Line 10Northeast Behavioral Health CorporationYes (1)
Community Physicians Associates Inc
199 Reedsdale RdMiltonMA02186043243146Outpatient and Primary Care ServicesMA501(c)(3)Line 3Beth Israel Deaconess Hospital - MiltonYes (1)
Continuing Edu Program dba BID Dept of Psych FDN
375 Longwood AveBostonMA02215043242952Support patient care, research and teaching missions of BIDMC, HFMP and HMSMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Core Physicians LLC
5 Alumni DriveExeterNH03833870807914Physician PracticesNH501(c)(3)Line 10Exeter Health Resources IncYes (1)
CPHCH Inc dba BILH at Home - Watertown
C/O NRPN 600 Cummings CtrBeverlyMA01915473111453Home Care & Hospice - InactiveMA501(c)(3)Line 12a, INortheast Senior Health CorporationYes (1)
Exeter Health Resources Self-Insurance Trust
5 Alumni DriveExeterNH03833200753662Self-Insurance TrustNH501(c)(3)Line 12a, IExeter Health Resources IncYes (1)
Exeter Health Resources Inc
5 Alumni DriveExeterNH03833020222126Support Community Health & Network Mgmt SvcsNH501(c)(3)Line 12a, IBeth Israel Lahey Health IncYes (1)
Exeter Hospital
5 Alumni DriveExeterNH03833222674014Hospital for the treatment, care and relief of sick and suffering persons.NH501(c)(3)Line 3Exeter Health Resources IncYes (1)
Exeter Med Real Inc
5 Alumni DriveExeterNH03833020418718Real Estate Holding CompanyNH501(c)(25)Exeter Health Resources IncYes (1)
Harvard Medical Faculty Physicians at BIDMC Inc
375 Longwood AveBostonMA02215222768204General and specialized medical services to the patients of BIDMC and othersMA501(c)(3)Line 10Beth Israel Deaconess Medical CenterYes (1)
Health and Education Housing Services Inc
199 Rosewood DriveDanversMA01923223232914HUD Housing - InactiveMA501(c)(3)Line 10Northeast Behavioral Health CorporationYes (1)
Jordan Physician Associates Inc
275 Sandwich StPlymouthMA02360043228556Outpatient and Primary Care ServicesMA501(c)(3)Line 10Beth Israel Deaconess Hospital - Plymouth IncYes (1)
Joslin Clinic Inc
One Joslin PlaceBostonMA02215222984590Prevention, treatment, and cure of diabetesMA501(c)(3)Line 12a, IJoslin Diabetes Center IncYes (1)
Joslin Diabetes Center Inc
One Joslin PlaceBostonMA02215042203836Prevention, treatment, and cure of diabetesMA501(c)(3)Line 7Beth Israel Lahey Health IncYes (1)
Lahey Clinic Canadian Foundation
Fundraising org0N/A130 King St WestTorontoOntarioCACA
Lahey Clinic Foundation Inc
529 Main St 4th FlCharlestownMA02129042323457Financial & operational support to LCI and LCHMA501(c)(3)Line 7Beth Israel Lahey Health IncYes (1)
Lahey Clinic Hospital Inc dba Lahey Hospital & Medical Center and LMC
529 Main St 4th FlCharlestownMA02129042704686HealthcareMA501(c)(3)Line 3Lahey Clinic Foundation IncYes (1)
Lahey Clinic Inc
529 Main St 4th FlCharlestownMA02129042704683HealthcareMA501(c)(3)Line 10Lahey Clinic Foundation IncYes (1)
Lahey Health Shared Services Inc
529 Main St 4th FlCharlestownMA02129043178972AdminMA501(c)(3)Line 10Beth Israel Lahey Health IncYes (1)
Longwood Medical Energy Collaborative Inc
375 Longwood AveBostonMA02215043476764Coordinate and provide strategic planning opp for HMSMA501(c)(3)Line 12a, I0N/A
Longwood Medical International Foundation Inc
375 Longwood AveBostonMA02215043208878Inactive CorporationMA501(c)(3)Line 12a, IHarvard Medical Physicians Beth Israel Medical CenterYes (1)
Med Care of Boston Mgmt Corp dba BILH Primary Care
464 Hillside AveNeedhamMA02494042810972Outpatient, Primary Care and Specialty ServicesMA501(c)(3)Line 10Beth Israel Lahey Health Primary CareYes (1)
Mount Auburn Hospital
330 Mount Auburn StCambridgeMA02138042103606Hospital for the treatment, care and relief of sick and suffering personsMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Mount Auburn Professional Services Inc
330 Mount Auburn StCambridgeMA02138043026897Offering medical care in general and specialized practicesMA501(c)(3)Line 12a, IMount Auburn HospitalYes (1)
New England Baptist Hospital
125 Parker Hill AveBostonMA02120042103612Orthopedic specialty hospitalMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
New England Baptist Medical Associates Inc
125 Parker Hill AveBostonMA02120043235796Outpatient medical services to the various communities serviced by NEBHMA501(c)(3)Line 3New England Baptist HospitalYes (1)
Northeast Behavioral Health Corporation dba BILH Behavioral Health Service
199 Rosewood DriveDanversMA01923042777145HealthcareMA501(c)(3)Line 10Beth Israel Lahey Health IncYes (1)
Northeast Health Systems Inc
85 Herrick StBeverlyMA01915043240453Financial & operational supportMA501(c)(3)Line 12b, IILahey Health Shared Services IncYes (1)
Northeast Hospital Corporation
85 Herrick StBeverlyMA01915042121317HealthcareMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Northeast Medical Practice Inc
85 Herrick StBeverlyMA01915043201853HealthcareMA501(c)(3)Line 10Northeast Hospital CorporationYes (1)
Northeast Professional Registry of Nurses Inc dba BILH at Home
800 Cummings CenterBeverlyMA01915201287349HealthcareMA501(c)(3)Line 10Northeast Senior Health CorporationYes (1)
Northeast Senior Health Corporation
85 Herrick StBeverlyMA01915042731137HealthcareMA501(c)(3)Line 10Lahey Health Shared Services IncYes (1)
Seacoast Affiliated Group Practice Inc
25 Highland AveNewburyportMA01915043485648Physician GroupMA501(c)(3)Line 10Anna Jaques Hospital IncYes (1)
Seacoast Nursing and Rehabilitation Center Inc
300 Washington StGloucesterMA01930041305001HealthcareMA501(c)(3)Line 10Lahey Health Shared Services IncYes (1)
The Jordan Health Systems Inc
275 Sandwich StPlymouthMA02360042103805Promote HealthcareMA501(c)(3)Line 7Beth Israel Deaconess Medical CenterYes (1)
Winchester Community Accountable Care Organization Inc
41 Highland AveWinchesterMA01890223137856ACO - InactiveMA501(c)(3)Line 12a, IWinchester Healthcare Management IncYes (1)
Winchester Healthcare Management Inc
41 Highland AveWinchesterMA01890222701817ManagementMA501(c)(3)Line 12a, ILahey Health Shared Services IncYes (1)
Winchester Hospital
41 Highland AveWinchesterMA01890042104434HealthcareMA501(c)(3)Line 3Beth Israel Lahey Health IncYes (1)
Winchester Hospital Foundation Inc
41 Highland AveWinchesterMA01890043399570Professional services & financial supportMA501(c)(3)Line 12a, IWinchester Healthcare Management IncYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Exeter Hospital Inc
O$475,110Actual per books
Exeter Health Resources Inc
O$341,655Actual per books
Core Physicians LLC
O$435,632Actual per books
Exeter Health Resources Inc
P$220,201Actual per books
Exeter Health Resources Self-Insurance Trust
P$14,812Actual per books
Exeter Health Resources Inc
R$7,864Actual per books
Exeter Hospital Inc
S$3,205,444Actual per books
Exeter Health Resources Inc
S$151,016Actual per books