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        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Resources, the Hospital, RVNA&amp;H, Core and Matrix (inactive) are not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Med Real is a not-for-profit organization as described in Section 501(c)(25) of the Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the tax positions of these entities and has concluded that they have maintained their tax-exempt status, do not have any significant unrelated business income, and have taken no uncertain tax positions that require adjustment to the consolidated financial statements.</ExplanationTxt>
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          <CityNm>Portsmouth</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        <ExplanationTxt>The Grant program supports programming and events in Rockingham County. Proposals from a wide variety of organizations are considered. Preference is given to programs that fit within the priorities outlined in Exeter Hospital's Community Health Needs Assessment. The 2020-2022 Priority Areas are: Access to Health Care, Substance Use Disorder, Access to Mental Health Service, Transportation, Affordable Housing/Homelessness and Elder Care and Support Services. In addition, we have historically identified several community partners that further our mission of providing quality medical services to the entire community, regardless of income. Applicants must be recognized as tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Organizations are eligible to apply for one grant per calendar year, but may also apply for sponsorship support. If an organization has received funding in the previous year or has an active grant, a grant report must be submitted to be considered for additional funding. Approval process and authorization: 1. Small grants and sponsorships up to $5,000 with annual commitments are approved by the VP of Strategy, Community Relations and Advancement 2. Large grants, up to $40,000 per year and for up to three years require, in addition, the approval of the Chief Executive Officer or Chief Financial Officer in their absence. Exeter Hospital Charitable contribution funding may not be used for: funding for individuals or families, individual fundraising initiatives, religious organizations and church programs or events, public schools or political, labor, or fraternal organizations, political candidates, civic clubs, municipal, county, or state government. Each year a subcommittee of Exeter Health Resources, Inc.'s (parent company) Board of Trustees is charged with overseeing our Community Benefits program and our community needs assessment and reviews a detailed report on the previous year's grants/contributions/sponsorships and approves the current year's plan for community support and recommends an allocation to support the coming year's grant program to the full Board for approval as part of the budget. That subcommittee and the larger Exeter Health Resources, Inc.'s (parent company) Board of Trustees are regularly updated on our community support initiatives. The Grant program was suspended in the spring of 2020 due to the economic impact of responding to COVID-19. In December 2020 the Grant program was suspended for the remainder of the 2021 Fiscal Year. Information about the Community Needs Assessment or the annual Grant program can be found on the www.exeterhospital.com webpage.</ExplanationTxt>
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        <PersonNm>Ernest Podrasky MD</PersonNm>
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        <PersonNm>Constance D Sprauer Esq</PersonNm>
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        <PersonNm>Michael Pangan MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alexandra Bonesho MD</PersonNm>
        <TitleTxt>Chairman/Clinician Manager</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Buono MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Jones MD</PersonNm>
        <TitleTxt>Clinician Manager (ended 3/20)</TitleTxt>
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        <PersonNm>Apara Dave MD</PersonNm>
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        <PersonNm>Allison Casassa</PersonNm>
        <TitleTxt>Assistant Treasurer</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO of Core Physicians, LLC is compensated by a related organization, Exeter Health Resources, Inc. Exeter Health Resources, Inc. uses a compensation committee, an independent compensation consultant, a compensation survey and approval by the Board or compensation committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's parent (Exeter Health Resources, Inc.) maintains a split dollar supplemental retirement plan for two executives (listed below with amounts) selected by the Exeter Health Resources 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 individuals. 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 respective employees includes the annual value of the life insurance provided. Life insurance premium payments during tax year: Kevin J. Callahan $313,241 Kevin J. O'Leary $136,191 Excess Accumulated Value: Kevin J. Callahan $3,506,002 Kevin J. O'Leary $1,448,487 Certain of the listed employees participate in a nonqualified deferred compensation plan as described in Internal Revenue Code Section 457(f) sponsored by Exeter Health Resources, Inc. In the calendar year ended December 31, 2019 the contribution to the plan for the vested benefit of Kevin J. O'Leary was $68,000. The contribution is intended to provide a forfeitable supplemental retirement benefit. Participants in the 457(f) plan do not vest until age 62 when it is payable to the participant. During the calendar year ended December 31, 2019, Kevin O'Leary reached the age of 62 and received $1,002,727 payment from the 457(f) plan, which includes $748,000 of contributions reported on Form 990, Part VII-A and Schedule J, Part II, Column (C) in prior years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Core Physicians, LLC has a compensation plan that is based upon competitive market rates relative to a physician's specialty. The organization utilizes the services of an outside compensation consultant to determine market benchmarks. Total compensation consists of a base salary, a potential for a productivity bonus, an on-call stipend (if applicable), a medical directorship stipend (if applicable), a citizenship and quality payment that is earned based upon the achievement of objectives set in advance. The productivity bonus is based on work relative value units (WRVU) production and would be eligible to anyone who produces WRVU's above his or her base salary WRVU level. Base compensation is also adjusted if work relative value units fall below the base salary WRVU equivalency level. The physicians' compensation is approved by Core Physicians, LLC's Compensation Committee which is comprised of system managers who are approved by the Exeter Health Resources Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II:</FormAndLineReferenceDesc>
        <ExplanationTxt>Kevin J. Callahan, Kevin J. O'Leary and Debra Cresta, who serve as System Managers, and Constance Sprauer, Esq. and Allison Casassa, who serve as Secretary and Assistant Treasurer respectively for Core Physicians, LLC are compensated by a related organization, Exeter Health Resources, Inc. Their compensation is based on their roles as CEO, CFO, President Core Physicians, LLC, Senior VP Legal Affairs and VP of Finance respectively, of the consolidated Exeter Health Resources, Inc. system.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Exeter Health Resources, Inc. is the sole member of Core Physicians, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Core's governing body is made up of 2 classes of managers: System Managers and Clinician Managers. The 3 System Managers are the President (ex-officio) and Treasurer (ex-officio) of Exeter Health Resources, Inc., Core's sole member and Core's CEO (ex-officio), who are appointed by the Exeter Health Resources, Inc. Board of Trustees. The Clinician Managers are nominated by the Core clinicians and appointment as a Clinician Manager is subject to the approval of the Exeter Health Resources, Inc. Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member has the authority to approve budgets, authorize major non-operational transactions, dissolve the LLC, designate the fiscal year, appoint a CPA for the conduct of an audit, change the LLC's name, amend the operating agreement, and require the LLC to comply with certain policies and procedures of the member for governance of the system.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by an outside tax accountant with information provided by the organization. The Form 990 is reviewed by the organization's Treasurer and then presented to the System Managers and Clinician Managers before it is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The System Managers have adopted a Conflict of Interest Policy that requires the disclosure of conflicts of interest either when the interest becomes a matter of possible action by the Board or during an annual disclosure process. Directors (a/k/a Managers), officers, and key employees, as well as all members of senior management, are part of the annual disclosure process, which is initiated by the issuance of a memorandum and accompanying questionnaire by the President. All disclosures are reviewed. Any Manager with a conflict of interest is required to abstain from voting and is not included in a quorum determination on the matter and any officer, key employee, or member of senior management with a conflict does not take part in making and is not present for any decision regarding the matter. The policy is monitored and enforced by both the President and the full Board. A separate organizational policy requires all employees to disclose any conflict of interest in writing upon hire. Thereafter, on an annual basis staff within Human Resources survey (a) all providers, (b) all employees and contracted staff serving in a managerial role, and (c) all members of any committees which make recommendations or decisions regarding the purchase of goods or services as a means to ensure that any conflict of interest is appropriately disclosed and managed. Employees otherwise are required to supplement or make any further written disclosure at the time a conflict arises. This policy is monitored and enforced by the Department of Human Resources, as well as Core's President and Compliance Officer. Any conflict of interest is managed under this policy by disclosure, recusal, or divestiture of the interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's parent (Exeter Health Resources, Inc.) has a formal process for determining total compensation for the Core President and other System Managers 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 Core President and other listed System Managers. 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 Core President and other System Managers. The Exeter Health Resources, Inc. Executive Committee utilizes that analysis and other appropriate information in connection with its annual review of the compensation of the Core President and Core's other System Managers. Information which the Committee may consider can include but is not limited to the performance of the Core President and other System Managers individually or collectively as executive management team members, 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 for the Core President and other System Managers' compensation review. Core's President and other System Managers are not present when the Executive Committee discusses their respective compensation. In addition, the Executive 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. For the President of Core, the Executive Committee considers the recommendations of the System Manager who is the President of the member (Exeter Health Resources, Inc.) concerning compensation adjustments and incentive awards; the Executive Committee then determines Core's President's compensation. For the System Manager who is the Treasurer of the member (Exeter Health Resources, Inc.), that System Manager's compensation is considered by the Executive Committee upon recommendation of the member's (Exeter Health Resources, Inc.) President. The Executive Committee then determines that System Manager's compensation which is subsequently ratified by the Board of Trustees of the member (Exeter Health Resources, Inc.). For the System Manager who is the President of the member (Exeter Health Resources, Inc.), that System Manager's compensation is considered by the Executive Committee and the Committee makes recommendations concerning that System Manager's compensation to the Board of Trustees of the member (Exeter Health Resources, Inc.) for its approval. The Executive Committee of the member's Board of Trustees and the Board of Trustees of the member consider whether the compensation adjustments and performance awards are in the organization's best interest and benefit and comply with Board of Trustees approved parameters. The compensation of the Core Physicians' Chairman and other Clinician Managers is governed by the Core Physicians' compensation plan, which is approved solely by the System Managers (Core's President, President of the member and Treasurer of the member). The System Managers review comparability data prepared by a qualified independent compensation consultant when approving compensation of the Clinician Managers, including the Chairman of Core. The System Managers consider whether the compensation of the Clinician Managers (including the Chairman of Core) and any adjustments to compensation are in the organization's best interest and benefit and in compliance with Core Physicians' compensation plan.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII, Section A, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Kevin J. Callahan, Kevin J. O'Leary and Debra Cresta, who serve as System Managers, and Constance Sprauer, Esq. and Allison Casassa, who serve as Secretary and Assistant Treasurer respectively for Core Physicians, LLC are compensated by a related organization, Exeter Health Resources, Inc. Their compensation is based on their roles as CEO, CFO, President Core Physicians, LLC, Senior VP Legal Affairs and VP of Finance respectively, of the consolidated Exeter Health Resources, Inc. system.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from Affiliates 31,829,295.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is part of the consolidated operations of Exeter Health Resources, Inc. The Exeter Health Resources, Inc. Executive Committee is responsible for the oversight of the audit and the selection of an independent accountant. The audit process has not changed since the prior year.</ExplanationTxt>
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    </IRS990ScheduleO>
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        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Exeter Health Resources Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Core Health Services of MA</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
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          <BusinessNameLine1Txt>Exeter Med Real Inc</BusinessNameLine1Txt>
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        <TransactionTypeTxt>K</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
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</Return>