STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

EXETER HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
EXETER HOSPITAL INC (EIN 22-2674014)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-05
IRS object ID
201632189349300003
Schema version
2014v6.0
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)
Return2016-08-05T06:45:01-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1Txt

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 Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222674014EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Exeter Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEXETBusinessNameControlTxt
Phone6035806695PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN J O'LEARYPersonNm
Person TitleCFO/TreasurerPersonTitleTxt
Phone6035806695PhoneNum
Signature2016-07-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTimothy R HepburnPreparerPersonNm
PTINP00182393PTIN
Phone8002447444PhoneNum
Preparation2016-07-28PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin J CallahanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Alumni DriveAddressLine1Txt
CityExeterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03833ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$213,453,184GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.exeterhospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionThe mission of Exeter Hospital is to improve the health of the community. This mission is principally accomplished through the provision of health services and information to the community within the resources available. Exeter Hospital works to accomplish this mission through the provision of diagnostic testing, therapeutic inpatient and outpatient services, community education and outreach, and acute emergency, inpatient and surgical services as well as obstetrical services.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1574TotalEmployeeCnt
Total Volunteers110TotalVolunteersCnt
Total Gross UBI$4,665TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,380NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$111,581PYContributionsGrantsAmt
CY Contributions Grants$106,468CYContributionsGrantsAmt
PY Program Service Revenue$197,311,081PYProgramServiceRevenueAmt
CY Program Service Revenue$203,247,487CYProgramServiceRevenueAmt
PY Investment Income$6,810,133PYInvestmentIncomeAmt
CY Investment Income$3,148,588CYInvestmentIncomeAmt
PY Other Revenue$2,228,231PYOtherRevenueAmt
CY Other Revenue$13,517CYOtherRevenueAmt
PY Total Revenue$206,461,026PYTotalRevenueAmt
CY Total Revenue$206,516,060CYTotalRevenueAmt
PY Grants And Similar Paid$655,022PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$660,678CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$87,074,114PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$87,108,769CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$104,293,066PYOtherExpensesAmt
CY Other Expenses$102,512,401CYOtherExpensesAmt
PY Total Expenses$192,022,202PYTotalExpensesAmt
CY Total Expenses$190,281,848CYTotalExpensesAmt
PY Revenues Less Expenses$14,438,824PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,234,212CYRevenuesLessExpensesAmt
Total Assets BOY$276,357,149TotalAssetsBOYAmt
Total Assets EOY$270,215,446TotalAssetsEOYAmt
Total Liabilities BOY$97,591,278TotalLiabilitiesBOYAmt
Total Liabilities EOY$113,101,771TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$178,765,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$157,113,675NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Exeter Hospital is to improve the health of the community. This mission is principally accomplished through the provision of health services and information to the community within the resources available. Exeter Hospital works to accomplish this mission through the provision of diagnostic testing, therapeutic inpatient and outpatient services, community education and outreach, and acute emergency, inpatient and surgical services as well as obstetrical services.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$169,862,008ExpenseAmt
Grant$660,678GrantAmt
Revenue$203,261,004RevenueAmt
DescThe mission of Exeter Hospital is to improve the health of the community. This mission is principally accomplished through the provision of health services and information to the community within the resources available. Exeter Hospital works to accomplish this mission through the provision of diagnostic testing, therapeutic inpatient and outpatient services, community education and outreach, and acute emergency, inpatient and surgical services as well as obstetrical services. In Fiscal Year 2015, Exeter Hospital served the community by providing care to 4,892 acute inpatients, 147,242 outpatient visits, 30,733 emergency room visits and 652 births. In 2015, Exeter Hospital supported its mission by supporting $20,264,118 in community outreach, benefits and financial support to the community excluding $23,338,050 in uncovered Medicare expenses. Exeter Hospital supports health care access in its service area by offering a robust financial assistance program that covers the cost of up to 100% of care provided to area residents based on income and family size. In 2015, the charity care program helped people access the health care system as Exeter Hospital incurred a cost of $1,449,764 dollars to provide financial assistance. In addition we provide support to vital community programs like our Healthreach Diabetes program, our paramedicine program and for providing access to contracted mental health professionals in our emergency room. We also supported access to the health system and the development of healthy life styles through our community education programs and our financial support of important healthcare related community based not for profits such as Families First and Lamprey Healthcare.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescExeter Hospital's acute care program provides acute inpatient and outpatient observation level care in our 99 staffed inpatient beds. Our inpatient services treat emergent, acute, elective surgical and palliative care patients. Approximately 71% of our admissions come from the emergency room. We offer inpatient acute services for medical and surgical diagnoses for adults as well as pediatric and obstetrical inpatient services. Exeter Hospital is fully accredited by DNV Healthcare, Inc. (an officially deemed Medicare and Medicaid Credentialing agency), earned the Magnet designation from the American Nurses Credentialing Center, which is the most prestigious distinction a healthcare organization can receive for nursing excellence and high quality patient care as well as many other service level specific national accreditations. Our practice model is guided by a series of collaborative Best Practice Committees that engage nurses and physicians in the development of the best possible evidence based care protocols. Exeter Hospital supports the safety of our patients and the efficiency of the care provided through the deployment of a 24/7 Hospitalist program that manages the majority of the medical needs of our patients during their admission. In our 10 bed ICU we also use an intensivest service to ensure that our most acute patients receive the most highly coordinated care possible, resulting in significantly lower than expected infection rates, ICU readmission rates and shorter ICU stays. For our patients at the end of their lives we ensure their safety and comfort through a physician led, highly coordinated palliative care program.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescExeter Hospital's Surgical program provides a full range of both inpatient and outpatient surgical services for patients of all ages from across our service area. Available surgical specialties include; orthopedics, vascular, general, plastics, podiatric, oncology, colorectal, gynecological and ENT surgery.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescThe Center for Cancer Care at Exeter Hospital provides cancer patients and their families with comprehensive inpatient and outpatient services. Accredited by the American College of Surgeon's Commission on Cancer with commendation, the center provides area residents with a leading, comprehensive approach to cancer treatment. The center offers medical oncology, radiation oncology, surgery, clinical trials, multidisciplinary clinics and integrative oncology services. The Center is proud to have a relationship with the Massachusetts General Physician Organization for the provision of medical and radiation oncology services to patients. The medical oncology service supports a 13 chair infusion center. This unique clinical collaboration brings radiation oncologists from the world's leading academic medical center to Exeter Hospital's Center for Cancer Care. This affiliation allows Exeter Hospital's Center for Cancer Care to offer state-of-the-art radiation therapy services to patients including: Electronic Brachytherapy, Partial Breast Irradiation, Intensity Modulated Radiation Therapy, CT Simulation and Image Guided Radiation Therapy. The Center's affiliated surgeons work collaboratively with affiliated pathologists, the medical oncologists and with the radiation oncologists to develop the most comprehensive treatment plans for our patients.Exeter Hospital's Cardiology Department offers acute cardiac care, heart catheterization, angioplasty, cardioversion, and implantation of cardioverter defibrillators, permanent pacemaker placement and a three phase cardiac rehabilitation program. Exeter Hospital's affiliated fellowship-trained interventional cardiologists and its cardiac team have received national recognition for their "door to balloon" times and ongoing successful implementation of community based emergency angioplasty and interventional cardiology procedures.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$169,862,008TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document141IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1574EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kevin J O'LearyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6035806695PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Joseph Army
Trustee1.001.00Yes (X)$0$0$0
David Donsker MD
Trustee1.001.00Yes (X)$0$0$0
Robert A Eberle
Trustee (thru March 2015)1.001.00Yes (X)$0$0$0
Ross Gittell PhD
Trustee1.001.00Yes (X)$0$0$0
Steve Hermans
Trustee1.001.00Yes (X)$0$0$0
Richard Hollister MD
Ex-Officio1.0041.00Yes (X)$0$471,407$38,639
J Bonnie Newman
Trustee1.001.00Yes (X)$0$0$0
Katie D Paine
Trustee1.001.00Yes (X)$0$0$0
Robert Schoenberger
Trustee1.001.00Yes (X)$0$0$0
Major General Joseph Simeone
Trustee1.001.00Yes (X)$0$0$0
Glenn McKenzie
Chairman1.001.00Yes (X)$0$0$0Yes (X)
William Schleyer
Vice Chairman1.001.00Yes (X)$0$0$0Yes (X)
Kevin J Callahan
CEO/Trustee2.0043.00Yes (X)$0$802,610$197,039Yes (X)
Kevin J O'Leary
CFO/Treasurer2.0043.00$0$438,225$101,770Yes (X)
Constance D Sprauer
Sr. VP Legal Affairs/Secretary2.0041.00$0$332,549$36,073Yes (X)
Brian Campbell
VP Ambulatory Care40.00$258,507$0$44,674Yes (X)
Donna McKinney
VP Acute Care40.00$175,616$0$39,427Yes (X)
Jonathan Jackson
Physicist40.00$247,742$0$34,560Yes (X)
Jane Peterson
Director40.00$194,094$0$14,011Yes (X)
Deanna King
Director40.00$168,968$0$41,045Yes (X)
Judith Rines
Director40.00$164,809$0$26,615Yes (X)
Michael Gressel
Director40.00$162,422$0$29,084Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,372,158TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,044,791TotReportableCompRltdOrgAmt
Total Other Compensation$602,937TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K66IndivRcvdGreaterThan100KCnt
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 Health Resources Inc
5 Alumni DriveExeterNH03833Administrative Management Fees$6,035,812
Core Physician Services LLC
5 Alumni DriveExeterNH03833Physician Services$5,331,856
GE Healthcare Inc
PO Box 640944PittsburghPA15264Equipment Maintenance$1,361,274
Mass General Physician Organization
55 Fruit StreetBostonMA02114Physician Services$1,216,188
Sodexho Inc
PO Box 360170PittsburghPA15251Food Service Management$1,056,043
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K47CntrctRcvdGreaterThan100KCnt
All Other Contributions$106,468AllOtherContributionsAmt
Total Contributions$106,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Services621300$197,554,447$197,554,447
Disproportionate Share Funding621300$3,283,869$3,283,869
Cafeteria722210$1,410,523$1,410,523
Other Programs621300$710,416$710,416
Gift Shop453220$138,368$138,368

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,864TotalRevenueColumnAmt
Related Or Exempt Func Income$149,864RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$203,247,487TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,575,729TotalRevenueColumnAmt
Unrelated Business Revenue$4,665UnrelatedBusinessRevenueAmt
Exclusion$1,571,064ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$46,883RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$33,366RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$13,517RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,517TotalRevenueColumnAmt
Related Or Exempt Func Income$13,517RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,473,703SecuritiesAmt
Other$2,914OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,903,758SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,569,945SecuritiesAmt
Other$2,914OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,572,859TotalRevenueColumnAmt
Exclusion$1,572,859ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,516,060TotalRevenueColumnAmt
Related Or Exempt Func Income$203,261,004RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,665UnrelatedBusinessRevenueAmt
Exclusion$3,143,923ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$634,726TotalAmt
Program Services$634,726ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$25,952TotalAmt
Program Services$25,952ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$518,224TotalAmt
Program Services$450,855ProgramServicesAmt
Management And General$67,369ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$67,150,626TotalAmt
Program Services$58,421,045ProgramServicesAmt
Management And General$8,729,581ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,336,629TotalAmt
Program Services$1,162,867ProgramServicesAmt
Management And General$173,762ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,278,648TotalAmt
Program Services$11,552,424ProgramServicesAmt
Management And General$1,726,224ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,824,642TotalAmt
Program Services$4,197,439ProgramServicesAmt
Management And General$627,203ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$225,758TotalAmt
Management And General$225,758ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$63,996TotalAmt
Management And General$63,996ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,690,380TotalAmt
Program Services$17,130,630ProgramServicesAmt
Management And General$2,559,750ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$321,345TotalAmt
Program Services$279,570ProgramServicesAmt
Management And General$41,775ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$857,634TotalAmt
Program Services$746,142ProgramServicesAmt
Management And General$111,492ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$329,677TotalAmt
Program Services$286,819ProgramServicesAmt
Management And General$42,858ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,579,379TotalAmt
Program Services$4,854,060ProgramServicesAmt
Management And General$725,319ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$181,799TotalAmt
Program Services$158,165ProgramServicesAmt
Management And General$23,634ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$626,118TotalAmt
Program Services$544,723ProgramServicesAmt
Management And General$81,395ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,417,751TotalAmt
Program Services$9,063,443ProgramServicesAmt
Management And General$1,354,308ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,038,404TotalAmt
Program Services$903,411ProgramServicesAmt
Management And General$134,993ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$17,737,853$15,431,932$2,305,921
Drugs$13,851,735$13,851,735
Bad Debt Expense$10,853,173$10,853,173
Medicaid Enhancement Ta$9,779,680$9,779,680

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,957,719TotalAmt
Program Services$9,533,217ProgramServicesAmt
Management And General$1,424,502ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$190,281,848TotalAmt
Program Services$169,862,008ProgramServicesAmt
Management And General$20,419,840ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,692,880BOYAmt
EOY$30,319,411EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$31,730,166EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,684,386BOYAmt
EOY$18,082,125EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,893,065BOYAmt
EOY$2,978,984EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,607,901BOYAmt
EOY$2,928,922EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$134,825,531LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$73,247,406LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$61,931,446BOYAmt
EOY$61,578,125EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$52,356,623EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$162,628,764BOYAmt
EOY$64,922,420EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,918,707BOYAmt
EOY$5,318,670EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$276,357,149BOYAmt
EOY$270,215,446EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,229,509BOYAmt
EOY$18,863,291EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,983,567BOYAmt
EOY$59,275,451EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,378,202BOYAmt
EOY$34,963,029EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$97,591,278BOYAmt
EOY$113,101,771EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$161,761,072BOYAmt
EOY$140,119,819EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$235,478BOYAmt
EOY$224,535EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,769,321BOYAmt
EOY$16,769,321EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$178,765,871BOYAmt
EOY$157,113,675EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$276,357,149BOYAmt
EOY$270,215,446EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,234,212ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$7,198,780NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$30,687,628OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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 LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$5,955DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$27,746OtherActivitiesAmt
Total Lobbying Expenditures$33,701TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of annual membership dues paid to the American Hospital Association and the New Hampshire Hospital Association are considered lobbying expenses.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,004,799BeginningYearBalanceAmt
Contributions$69,258ContributionsAmt
Other Expenditures$80,201OtherExpendituresAmt
End Year Balance$16,993,856EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,006,133BeginningYearBalanceAmt
Contributions$53,100ContributionsAmt
Other Expenditures-$54,434OtherExpendituresAmt
End Year Balance$17,004,799EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,008,827BeginningYearBalanceAmt
Contributions$41,887ContributionsAmt
Other Expenditures-$44,581OtherExpendituresAmt
End Year Balance$17,006,133EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,001,122BeginningYearBalanceAmt
Contributions$68,831ContributionsAmt
Other Expenditures-$61,126OtherExpendituresAmt
End Year Balance$17,008,827EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,063,265BeginningYearBalanceAmt
Contributions$49,281ContributionsAmt
Other Expenditures-$111,424OtherExpendituresAmt
End Year Balance$17,001,122EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.01320BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.98680PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,400OtherCostOrOtherBasisAmt
Book Value$142,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,852,504OtherCostOrOtherBasisAmt
Depreciation$39,072,020DepreciationAmt
Book Value$35,780,484BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$275,817OtherCostOrOtherBasisAmt
Depreciation$164,124DepreciationAmt
Book Value$111,693BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,347,175OtherCostOrOtherBasisAmt
Depreciation$31,552,411DepreciationAmt
Book Value$22,794,764BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,207,635OtherCostOrOtherBasisAmt
Depreciation$2,458,851DepreciationAmt
Book Value$2,748,784BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$61,578,125TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Limited Partnerships$38,016,267F
Alternative Investments$26,906,153F
FieldValueIRS element (for citing)
Total Book Value Securities$64,922,420TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to Third Party Payors$3,920,328
Accrued Pension Liability$19,198,874
Swap Valuation Liability$9,619,427
Investment - Premier$80,528
Reserve for Professional Liability Claims$2,143,872
FieldValueIRS element (for citing)
Total Liability$34,963,029TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$196,131,452TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$7,198,780NetUnrealizedGainsInvstAmt
Other Revenue-$3,106,317OtherRevenueAmt
Revenue Not Reported-$10,305,097RevenueNotReportedAmt
Revenue Subtotal$206,436,549RevenueSubtotalAmt
Other Revenues Not Included$79,511OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$79,511RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$206,516,060TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$190,282,538TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$80,201OtherExpensesIncludedAmt
Expenses Not Reported$80,201ExpensesNotReportedAmt
Expenses Subtotal$190,202,337ExpensesSubtotalAmt
Other Expenses Not Included$79,511OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$79,511ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$190,281,848TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The goal of the Permanent Endowment Fund is to provide a source of financial support to Exeter's patient care activities. These funds are invested in a prudent manner with regard to preserving principal while providing reasonable returns. These returns are then used for capital expenditures, other major program needs, and to generally increase the financial strength of the organization. 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 Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue 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 the Hospital and has concluded that it has maintained its tax-exempt status, does not have any significant unrelated business income, and has taken no uncertain tax positions that require adjustment to the financial statements. With few exceptions, the Hospital is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2012.
Part XI, Line 2d - Other Adjustments:Impact of Interest Rate Swaps -3,193,416. Net Assets Released from Restricion 87,099.
Part XI, Line 4b - Other Adjustments:Grant Expenses Included in Income in Audited Financial Statements 79,511.
Part XII, Line 2d - Other Adjustments:Net Assets Released from Restriction 80,201.
Part XII, Line 4b - Other Adjustments:Grant Expenses Included in Income in Audited Financial Statements 79,511.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean00Investments in funds domiciled in the region$26,906,153
Sub-Saharan Africa00Grants to recipients located in region$21,213Contribution of medical equipment and supplies to hospitals and clinics who serve the needy in countries outside the United States.
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$26,927,366SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$26,927,366TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSub-Saharan AfricaRegionTxt
Non Cash Assistance$21,213NonCashAssistanceAmt
Description Of Non Cash AsstContribution of medical equipment and supplies to hospitals and clinics who serve the needy in countries outside the United StatesDescriptionOfNonCashAsstTxt
Valuation Method UsedBook ValueValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 2:All requests for grants/contributions/sponsorships over $5,000 require the approval of at least the Vice President of Strategy, Community Relations and Development to ensure that they are consistent with our mission, values and strategic plan. Each year a sub committee 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. That sub committee and the larger Exeter Health Resources, Inc.'s (parent company) Board of Trustees are regularly updated on our community support initiatives. The only grantee reported on Schedule F is a 501(c)(3) domestic organization located in Massachusetts that provides medical equipment and supplies to needy foreign hospitals and clinics.
Schedule F, Part I, Line 3:The legal owner of Exeter Hospital, Inc.'s foreign investments is a related organization, Exeter Health Resources, Inc. Since a portion of Exeter Health Resources, Inc.'s total foreign investments are allocated to the Hospital's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of Exeter Hospital, Inc.'s Form 990. However, any required IRS Forms 926 and other foreign tax reporting obligations are filed by the legal owner, Exeter Health Resources, Inc.(EIN:02-0222126)
Schedule F, Part IV, Line 3:Exeter Hospital, Inc. did not have an ownership interest in any foreign corporation that was greater than the 10% ownership filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed.
Schedule F, Part IV, Line 4:Exeter Hospital, Inc. meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Hospital.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1211PersonsServedCnt
Total Community Benefit Expns$1,449,764TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,449,764NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served4867PersonsServedCnt
Total Community Benefit Expns$22,847,670TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,283,869DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,563,801NetCommunityBenefitExpnsAmt
Total Expense0.10900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served6078PersonsServedCnt
Total Community Benefit Expns$24,297,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,283,869DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,013,565NetCommunityBenefitExpnsAmt
Total Expense0.11710TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served17360PersonsServedCnt
Total Community Benefit Expns$1,060,725TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,038,735NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served197PersonsServedCnt
Total Community Benefit Expns$693,369TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$693,369NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served1999PersonsServedCnt
Total Community Benefit Expns$3,216,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$235,771DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,980,778NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served397PersonsServedCnt
Total Community Benefit Expns$156,861TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$152,911NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$670,778TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$670,778NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served19953PersonsServedCnt
Total Community Benefit Expns$5,798,282TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$261,711DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,536,571NetCommunityBenefitExpnsAmt
Total Expense0.03090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served26031PersonsServedCnt
Total Community Benefit Expns$30,095,716TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,545,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,550,136NetCommunityBenefitExpnsAmt
Total Expense0.14800TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$102,106NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,340TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100,340NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$202,446TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$202,446NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$4,038,466BadDebtExpenseAmt
Bad Debt Expense Attributable$936,200BadDebtExpenseAttributableAmt
Reimbursed By Medicare$56,804,631ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$80,142,681CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$23,338,050MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Exeter Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 Alumni DriveAddressLine1Txt
CityExeterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03833ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.exeterhospital.comWebsiteAddressTxt
State License1761StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Exeter Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPlease see Schedule H, Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLPlease see Schedule H, Part V, Section CStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPlease see Schedule H, Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPlease see Schedule H, Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Exeter Hospital, Inc.Part V, Section B, Line 5: Every three years, Exeter Hospital, in collaboration with its community partners, conducts a community needs assessment to identify, prioritize, and develop a plan to address critical health issues. The last community needs assessment was completed in 2013. The purpose of the assessment was to engage community members through key leader interviews and Community Forums, and to achieve the following objectives:1) Educate and inform key leaders and Community Forum participants of the results of the 2008 Community Needs Assessment and achievements to date to meet identified needs.2) Validate Priority Health Needs identified in the 2008 Community Needs Assessment and further define these needs in 2013 from the stakeholders' perspective.3) Identify unmet needs that have emerged since the 2008 Community Needs Assessment.4) Engage key leaders and Community Forum participants in a discussion to identify solutions to address community health needs.5) Share the findings of the UNH Survey Center Household Telephone Survey.6) Where appropriate, motivate key leaders and Community Forum participants to participate in efforts to address community health needs going forward.7) Serve as a continuing foundation for the development of a Community Benefits Plan, as mandated under RSA 7:32-e.The 2013 Community Needs Assessment included telephone surveys, community forums, online surveys, key leader interviews and multiple secondary researches. The report in its entirety can be accessed on the Exeter Hospital website.
Exeter Hospital, Inc.Part V, Section B, Line 6b: Representatives from the following organizations collaborated on the hospital's community needs assessment: Families First Health and Support Center, Lamprey Health Care, SeaCare Health Services, Seacoast Mental Health Center, United Way of the Greater Seacoast as well as affiliates Core Physicians and Rockingham VNA & Hospice.
Exeter Hospital, Inc.Part V, Section B, Line 11: Access to Primary Care, Health and Wellness Services, Mental health care access (behavioral health care), Nutrition, Transportation and Youth suicide/substance and prescription drug abuse are needs identified in the 2013 Community Health Needs Assessment. Exeter Hospital addressed these needs by promoting community health and access to primary care by providing:1) Charity care of $1,449,764 (calculated at cost) during FY 2015 which served 1,211 people.2) Financial assistance through its health care access program which has three components: a) The Uninsured Care Discount/Hospital Access Plus Program extends a 34% discount off total charges to self-pay patients, based on the weighted average of the top 3 commercial plans. b) The Financial Assistance Program is a community-based program for uninsured and underinsured patients who meet specific income, geographical and other guidelines, and who do not otherwise qualify for any state or federal assistance. c) Exeter Hospital's Catastrophic Care Program provides financial relief for those patients who do not qualify for our Financial Assistance Program, but who are faced with a substantial debt due to a serious illness or injury. This program is calculated based on a percentage of the patient's gross income.3) Telehealth Services which provided $320,771 in telehealth monitoring services serving 11,548 persons in FY 2015.4) Transportation which is an important health care support service is provided by the Hospital in response to an identified community need. Each year the program enhances access for hundreds of patients who otherwise would not be able to obtain needed health care and health related support services. During FY 2015 Exeter Hospital provided 327 transports at a cost of $25,918.5) Support for Youth Suicide/Substance and Prescription Drug Abuse prevention and education services by: a) Making financial contributions to United Way of the Greater Seacoast in FY2015 of $23,500 specifically designated to support their efforts in youth substance abuse prevention and education services. b) Providing support in the amount of $5,000 to the Connor's Climb Foundation which is dedicated to preventing youth suicide. All funds raised directly impact programs for suicide awareness, education and prevention in the New Hampshire community.6) Community Education Programs offered by the Hospital that provided community education services at an expense of $537,755 serving 5,326 in FY 2015.7) Cancer Wellness and Diabetes Support Programs offered by the hospital that provided cancer and diabetes programs at an expense of $863,248 serving 675 people in FY 2015.8) Participation in research studies by the "The Center for Cancer Care" at Exeter Hospital through several national research groups sponsored by the National Cancer Institute. This enables the Center to offer clinical trials to patients undergoing treatment at the Hospital that allows patients to voluntarily take part in leading edge research that does not necessitate travel outside of the Seacoast area. During FY 2015, the Hospital provided $152,911 for clinical trials and research that served 397 patients.
Exeter Hospital, Inc.Part V, Section B, Line 16i: During 2015 a Steering Committee was formed to oversee the implementation of all aspects of 501r by 9/30/16. We attended educational conferences, worked with consultants and received Board of Trustee approval on our revised policies, developed a Plain Language Summary and updated many operational components as they relate to 501r. Semi-annually, we publish an ad in the local paper which outlines our financial assistance program, as well as have a recording which discusses this financial assistance program when patients are on hold during a call to Exeter Hospital. We currently have a financial counselor located in the checkout area in our Emergency Department and an inpatient financial counselor who will visit inpatients who are uninsured to inform them of our program and or request more information about needing assistance to pay for services. We are updating our signage in public locations to notify patients about our Financial Assistance Program. Effective September, 2016, we will present each patient with a copy of the plain language summary at Registration. We have also collaborated with community partners to have this information publically available and accessible at their locations.
Exeter Hospital, Inc.Part V, Section B, Line 20e: Currently we notify all ED patients during discharge about our financial assistance program. Upon admission, we visit all self pay and any other patient who wishes to discuss their coverage and or balances due and inform them of our program. Going forward, the Plain Language Summary will be presented during registration of all patients. This information regarding the FA program is on each patient billing statement.
Exeter Hospital, Inc.Part V, Section B, Line 22d: The Hospital used amounts based on federal poverty guidelines and sliding scale as shown below:FAMILY DISCOUNT PERCENTAGESIZE 100% 80% 60% 40% 20% 1 23,540 23,541-32,956 32,957-37,644 37,645-42,372 42,373-47,080 2 31,860 31,861-44,604 44,605-50,976 50,977-57,348 57,349-63,7203 40,180 40,181-56,252 56,253-64,288 64,289-72,324 72,325-80,360 4 48,500 48,501-67,900 67,901-77,600 77,601-87,300 87,301-97,000 5 56,820 56,821-79,548 79,549-90,912 90,913-102,276 102,277-113,640 6 65,140 65,141-91,196 91,917- 104,225- 117,253- 104,224 117,252 130,280 7 73,460 73,461- 102,845- 117,537- 132,229- 102,844 117,536 132,228 146,2908 81,780 81,781- 114,493- 130,849- 147,205- 114,492 130,848 147,204 163,560Currently all uninsured patients are given an automatic discount of 34% which is based on the discount given to the weighted average of the 3 largest commercial insurers. If the patient is then eligible for Financial Assistance, they are then granted another (20/40/60/80 or 100%) discount on their remaining balance. As discussed in 16 i, as part of our preparation for 501r compliance, we will be eliminating the sliding scale and all eligible financial assistance recipients will receive a 100% financial assistance on their balance. Those who do not qualify, and are uninsured will receive a discount which will be equal to the AGB, using the look back method.
Schedule H, Part V, Section B, Line 7a:The Hospital's 2013 CHNA is available at: http://www.exeterhospital.com/gedownload!/2013%20EH%20Community%20Health%20Needs%20Assessment.pdf?item_id=XXX-XX-XXXX&version_id=XXX-XX-XXXX
Schedule H, Part V, Section B, Line 10a:The Hospital's 2013 Implementation Strategy is available at: http://www.exeterhospital.com/gedownload!/Commnnity%20needs%20implementation%20planFinalBoard9-17.pdfitem_id=XXX-XX-XXXX&version_id=XXX-XX-XXXX
Schedule H, Part V, Section B, Line 16a-c:The Hospital's Financial Assistance Policy is available at:http://www.exeterhospital.com/gedownload!/EH%20Sliding%20Fee%20Scale%200416.pdf?item_id=XXX-XX-XXXX&version_id=225671057The Hospital's Financial Assistance Application is available at:http://www.exeterhospital.com/gedownload!/1091%20NH%20Health%20Access%20Fin%20App%2004-2015.pdf?item_id=225004114&version_id=225004115The Hospital's Plain Language Summary is available at:http://www.exeterhospital.com/patients-and-visitors/financial-assistance/
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Exeter Hospital, Inc. Part V, Section B, line 16a website:Please see Schedule H, Part V, Section C
Exeter Hospital, Inc. Part V, Section B, line 16b website:Please see Schedule H, Part V, Section C

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:A ratio of patient cost to charge was calculated utilizing Worksheet 2. The ratio of cost to charge was utilized in calculating line 7a total net community benefit expense for charity care.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,853,173.
Part II, Community Building Activities:The majority of the remaining community benefit activities reported as community building activities are cash donations to community organizations for the advocacy for community health improvement and leadership.
Part III, Line 2:The amount reported represents total bad debt expense as reported on the audited financial statements of $10,853,173 x 37.21% (ratio of patient cost to charge) to equal $4,038,466.
Part III, Line 3:The amount reported represents $2,515,991 of charges included in total bad debt expense for patient eligible for financial assistance x 37.21% (ratio of patient cost to charge) to equal $936,200.
Part III, Line 4:Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid.) For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which accounts for patients who are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Hospital's allowance for doubtful accounts for self-pay patients increased from 98% of self-pay accounts receivable at September 30, 2014 to 118% of self-pay accounts receivable at September 30, 2015. The Hospital's self-pay bad debt writeoffs decreased approximately $3,470,000 from $9,484,000 in 2014 to $6,014,000 in 2015. The net change in the allowance as a percentage of self-pay accounts receivable and bad debt writeoffs was a result in collection trends and a shift in payor mix.
Part III, Line 8:Medicare costs are not counted as a Community Benefit per New Hampshire or IRS guidance, therefore the cost figure of $23,338,050 is not included in the Total Unreimbursed Community Benefit Expense. The ratio of cost to charge was utilized in calculating the amount.
Part III, Line 9b:If a patient has been approved for financial assistance and their account was sent to a collection agency, the account will be retracted from the collection agency and financial assistance will be applied to the account.
Part VI, Line 2:Every three years, Exeter Hospital, in collaboration with its community partners, conducts a community needs assessment to identify, prioritize, and develop a plan to address critical health issues. The last community needs assessment was completed in 2013. The purpose of the assessment was to engage community members through key leader interviews and Community Forums, and to achieve the following objectives:1) Educate and inform key leaders and Community Forum participants of the results of the 2008 Community Needs Assessment and achievements to date to meet identified needs.2) Validate Priority Health Needs identified in the 2008 Community Needs Assessment and further define these needs in 2013 from the stakeholders' perspective.3) Identify unmet needs that have emerged since the 2008 Community Needs Assessment.4) Engage key leaders and Community Forum participants in a discussion to identify solutions to address community health needs.5) Share the findings of the UNH Survey Center Household Telephone Survey.6) Where appropriate, motivate key leaders and Community Forum participants to participate in efforts to address community health needs going forward.7) Serve as a continuing foundation for the development of a Community Benefits Plan, as mandated under RSA 7:32-e.The 2013 Community Needs Assessment included telephone surveys, community forums, online surveys, key leader interviews and multiple secondary researches. The report in its entirety can be accessed on the Exeter Hospital website: http://www.exeterhospital.com/about-exeter/community-benefits/.
Part VI, Line 3:Exeter Hospital provides its patients with information regarding the organization's financial assistance program and a summary the organization's policy is on the back of every billing statement. On the Exeter Hospital website (http://www. exeterhospital.com), patients and the general public can find information on the organization's financial assistance programs: financial assistance, uninsured care discount program, catastrophic care program, and state-wide programs. As an additional measure to ensure our community members are aware of Exeter Hospital's financial assistance programs, twice a year the organization may run advertisements in community newspapers summarizing the organization's financial assistance/charity care policy. Exeter Hospital employs financial counselors specifically dedicated to assisting patients with questions regarding their eligibility for financial assistance, and assisting patients through the qualification process as applicable. All inpatient self-pay patients are provided information and counseling regarding the eligibility for financial assistance programs at the time of service. Self-pay patients in the Emergency Department, Surgical areas and Oncology are also informed of the hospital's financial assistance programs at time of service or discharge.
Part VI, Line 4:Exeter Hospital services an area that encompasses 40 communities with an estimated population of 235,676.
Part VI, Line 5:Exeter Hospital promotes community health and access to primary care by providing: 1) Charity care of $1,449,764 (calculated at cost) during fiscal year 2015 which served 1,211 people.2) Financial assistance through its health care access program which has three components: a) The Uninsured Care Discount/Hospital Access Plus Program extends a 34% discount off total charges to self-pay patients, based on the weighted average of the top 3 commercial plans. b) The Financial Assistance Program is a community-based program for uninsured and underinsured patients who meet specific income, geographical and other guidelines, and who do not otherwise qualify for any state or federal assistance. c) Exeter Hospital's Catastrophic Care Program provides financial relief for those patients who do not qualify for our Financial Assistance Program, but who are faced with a substantial debt due to a serious illness or injury. This program is calculated based on a percentage of the patient's gross income.3) Telehealth Services which provided $320,771 in telehealth monitoring services serving 11,548 persons in FY 2015.4) Transportation which is an important health care support service is provided by the Hospital in response to an identified community need. Each year the program enhances access for hundreds of patients who otherwise would not be able to obtain needed health care and health related support services. During fiscal year 2015 Exeter Hospital provided 327 transports at a cost of $25,918.5) Support for Youth Suicide/Substance and Prescription Drug Abuse prevention and education services by: a) Making financial contributions to United Way of the Greater Seacoast in Fiscal year 2015 of $23,500 specifically designated to support their efforts in youth substance abuse prevention and education services. b) Providing support in the amount of $5,000 to the Connor's Climb Foundation which is dedicated to preventing youth suicide. All funds raised directly impact programs for suicide awareness, education and prevention in the New Hampshire community.6) Community Education Programs offered by the Hospital that provided community education services at an expense of $337,926 serving 3,444 in fisal year 2015.7) Cancer Wellness and Diabetes Support Programs offered by the Hospital that provided cancer and diabetes programs at an expense of $1,076,094 serving 2,557 people in fiscal year 2015.8) Participation in research studies by the "The Center for Cancer Care" at Exeter Hospital through several national research groups sponsored by the National Cancer Institute. This enables the Center to offer clinical trials to patients undergoing treatment at the Hospital that allows patients to voluntarily take part in leading edge research that does not necessitate travel outside of the Seacoast area. During fiscal year 2015, the Hospital provided $152,911 for clinical trials and research that served 397 patients.
Part VI, Line 6:Exeter Hospital, Inc. is one of three affiliates of Exeter Health Resources, Inc. Each of the affiliated companies is committed to providing health care services that are innovative, progressive and focused on quality and the well-being of patients. The mission of Exeter Health Resources and its affiliates is to improve the health of the community. This mission will be principally accomplished without compromising Exeter Health Resource, Inc.'s sustainability by supporting the provision of health services and information to the community by the affiliated companies of Exeter Health Resources, Inc. During fiscal year 2015, Exeter Hospital, Core Physicians and Rockingham VNA & Hospice have continued the pursuit of this mission providing $26,865,452 in charity care and other community benefit programs and services to communities in the areas served. 1) Exeter Hospital is a 100-bed community-based hospital serving New Hampshire's Seacoast Region. The Hospital's scope of care includes comprehensive medical and surgical health care services but not limited to breast health, maternal/child and reproductive medicine, cardiovascular, gastroenterology, sleep medicine, occupational and employee health, oncology, orthopedics, and emergency care services. Exeter Hospital is accredited by DNV Healthcare, Inc. and is a Magnet-recognized hospital. Magnet designation from the American Nurses Credentialing Center is the most prestigious distinction a health care organization can receive for nursing excellence and high quality patient care.2) Core Physicians, LLC is a community-based, multi-specialty group practice providing comprehensive primary, specialty and pediatric dental care throughout the greater Seacoast region. Over 160 providers in 15 locations pursue exceptional patient satisfaction through clinical competence and professional office administration.3) Rockingham Visiting Nurse Association & Hospice, Inc. is a community-based home health and hospice agency providing individuals and families with the highest quality home care, hospice and community outreach programs within Rockingham County and the surrounding towns of Barrington, Lee, Dover and Durham.Exeter Hospital works collaboratively with local non-profit agencies and organizations which strive to improve the health of the community. These relationships include:1) Lamprey Health Care: In fiscal year 2015, the Hospital continued its financial support with a community benefit grant in the amount of $380,500. Lamprey Health Care is New Hampshire's oldest and largest private, non-profit community health center with locations in Newmarket, Raymond, and Nashua. The organization serves over 16,500 patients of all ages each year. As a community health center, Lamprey provides primary care and health-related services to all individuals and families, regardless of insurance status or ability to pay. By focusing on prevention and health care management, Lamprey strives to keep the insured and uninsured patients healthy.2) Families First Health and Support Center: In fiscal year 2015, the Hospital made financial contributions in the amount of $44,500. Families First is a community health center offering a wide variety of health services and programs including primary care, prenatal care, dental care, and mobile health care for the homeless.3) New Heights (formerly known as New Outlook Teen Center): In fiscal year 2015, the Hospital continued its financial support with contributions in the amount of $18,250. New Heights is an experiential learning organization for youth in grades 5-12 and focuses on the development and leadership of exciting, high quality summer and year-round programs designed to unleash potential and open young minds to new possibilities. Programs include adventure, arts & culture, STEM and team building activities. New Heights serves upwards of 700 youth including those from Brentwood, East Kingston, Exeter, Kensington, Newfields and Stratham. 4) Seacoast Mental Health Center: The Hospital partners with Seacoast Mental Health Center to offer mental health services to patients and their caregivers in the Emergency Department and The Center for Cancer Care. In fiscal year 2015, the Hospital helped to underwrite mental health services in the amount of $432,043 serving 571 people. 5) Southern District YMCA: In fiscal year 2015, the hospital provided $25,000 in financial support. The newly opened Exeter Area YMCA is a 33,000 square foot multi-generational health and wellness center. The YMCA believes in developing the whole person and the whole community.
Part VI, Line 7, Reports Filed With StatesNH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
American Cancer Society Inc
250 Williams StreetAtlantaGA30303131788491501(c)(3)$5,000Making Strides 2015 supporter
Connors Climb Foundation
PO Box 283ExeterNH03833473553455501(c)(3)$5,000Grant for suicide awareness and prevention
Core Physicians LLC
5 Alumni DriveExeterNH03833870807914501(c)(3)$12,732Reimbursement of expenses incurred supporting "Patient Assistance Program RX" (Medication Bridge)
Dartmouth Hitchcock Clinic
One Medical Center DriveLebanonNH03756222519596501(c)(3)$96,000Provide regional access in the greater Exeter service region to Dartmouth Hitchcock's program that provides clinical assessments for possible child victims of maltreatment
Exeter Area Chamber of Commerce
PO Box 278ExeterNH03833020243506501(c)(6)$6,000Supports the mission of representing and promoting interests of local businesses so they can make positive contributions to the common good of the area
Families First of the Greater Seacoast
100 Campus Drive Suite 12PortsmouthNH03801222757341501(c)(3)$44,500Annual funding contribution that helps Families First continue to provide a broad range of health and family services to all regardless of ability to pay
Lamprey Healthcare Inc
207 South Main StreetNewmarketNH03857237305106501(c)(3)$380,500Supports the provision of high quality medical care and health related services to the communities it serves regardless of the patients' ability to pay
My Breast Cancer Support
PO Box 1576PortsmouthNH03802432072206501(c)(3)$6,000Supports the mission of delivering tangible, practical and emotional support to breast cancer patients in the Greater Seacoast area on their individual paths to wellness and healing
New Heights Adventures for Teens
100 Campus Drive Suite 23PortsmouthNH03801271918243501(c)(3)$18,250Supports this comprehensive out-of-school program for young people to develop the competence, character, confidence and resiliency for a healthy successful adulthood
Richie McFarland Children's Center
11 Sandy Point RoadStrathamNH03885020302005501(c)(3)$7,250Supports providing developmental and therapy services for children with and without special needs, support and education to their families and guidance in accessing community and health resources
Southern District YMCACamp Lincoln Inc
PO Box 925ExeterNH03833043383996501(c)(3)$25,000Contribution to the capital campaign to build a full-service facility YMCA in the Town of Exeter
The New Hampshire Fisher Cats Charitable Foundation
One Line DriveManchesterNH03101141973034501(c)(3)$5,000Supports this organization dedication to bettering the lives of New Hampshire youth
United Way of the Greater Seacoast
112 Corporate Drive Unit 3PortsmouthNH03801042382233501(c)(3)$23,500Grant to support healthcare related programming and volunteerism
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationAll requests for grants/contributions/sponsorships over $5,000 require the approval of at least the Vice President of Strategy, Community Relations and Development to ensure that they are consistent with our mission, values and strategic plan. Large grants like those given to Lamprey, Dartmouth Hitchcock Clinic, and Families First are also reviewed by the Chief Financial Officer and Chief Executive Officer prior to approval. Each of those requesting organizations either provides a written summary of how they have used our previous support as well as their specific plans for any new requested funding or they make a presentation in person usually to the Chief Financial Officer, the Chief Executive Officer and the Vice President of Strategy, Community Relations and Development. Each year a sub committee of Exeter Health Resources' (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. That sub committee and the larger Exeter Health Resources' (parent company) Board of Trustees are regularly updated on our community support initiatives.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (11 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
Richard Hollister MD
Ex-Officio$0$383,710$0$87,437$0$260$0$7,800$0$30,839$0$510,046$0$0
Kevin J Callahan
CEO/Trustee$0$586,029$0$150,000$0$66,581$0$167,800$0$29,239$0$999,649$0$0
Kevin J O'Leary
CFO/Treasurer$0$343,993$0$75,017$0$19,215$0$81,487$0$20,283$0$539,995$0$0
Constance D Sprauer
Sr. VP Legal Affairs/Secretary$0$273,300$0$52,787$0$6,462$0$15,600$0$20,473$0$368,622$0$0
Brian Campbell
VP Ambulatory Care$202,006$0$53,366$0$3,135$0$15,600$0$29,074$0$303,181$0$0$0
Donna McKinney
VP Acute Care$171,184$0$0$0$4,432$0$10,767$0$28,660$0$215,043$0$0$0
Jonathan Jackson
Physicist$223,152$0$0$0$24,590$0$15,076$0$19,484$0$282,302$0$0$0
Jane Peterson
Director$164,352$0$18,058$0$11,684$0$11,747$0$2,264$0$208,105$0$0$0
Deanna King
Director$160,838$0$6,021$0$2,109$0$10,526$0$30,519$0$210,013$0$0$0
Judith Rines
Director$142,936$0$14,631$0$7,242$0$5,046$0$21,569$0$191,424$0$0$0
Michael Gressel
Director$148,248$0$13,574$0$600$0$9,897$0$19,187$0$191,506$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax indemnification and gross up payments were provided to Kevin Callahan, Kevin O'Leary, Constance Sprauer, and Brian Campbell (for acquisition of supplemental long term disability insurance). The benefit was treated as taxable income.
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 3The CEO of Exeter Hospital, Inc. 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.
Part I, Line 4bThe 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, 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 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 Callahan $ 343,870 Kevin O'Leary $ 148,100 Excess Accumulated Value: Kevin Callahan $ 2,059,399 Kevin O'Leary $ 821,634 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, 2014 the contribution to the plan for the non-vested benefit of Kevin Callahan was $160,000 and the contribution to the plan for the non-vested benefit of Kevin O'Leary was $68,000. The contributions are 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.
Part I, Line 7The organization provides an annual incentive compensation plan for executives selected by the Exeter Health Resources Board of Trustees. These executives include: Kevin Callahan, Kevin O'Leary, Constance Sprauer and Brian Campbell. The Board and/or its Executive Committee approves measurable achievement criteria for quality, patient satisfaction, process improvement, financial performance, services innovation and other compelling areas of strategic and operational interest. Additionally, the Board and/or its Executive Committee establishes minimum, targeted and maximum levels for incentive awards and approves all awards for participating executives. Jane Peterson, Deanna King, Judith Rines and Michael Gressel participate in an annual incentive program which is administered by Exeter Hospital, Inc.'s Human Resources Department. The management of Exeter Hospital, Inc. approves measureable achievement criteria for Quality/Innovation, Patient Satisfaction, Process Improvement and Financial Performance on an annual basis that aligns with overall strategic interests of the company. The incentive award levels are established at minimum, target and maximum levels and those incentive awards are approved by operating management and Human Resources.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NH Health and Education Facilities Authority
A020279866644614GH62003-11-20$20,000,000renovation and expansion projects on the hospital campus000
NH Health and Education Facilities Authority
B020279866NONEAVAIL2012-02-09$32,565,000Refinancing and refunding prior bond issuance000
NH Health and Education Facilities Authority
C020279866NONEAVAIL2015-03-02$24,020,000Refinancing and refunding prior bond issuance000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$20,000,000$20,000,000$19,892,600$256,727$19,635,873200600Yes (1)Yes (1)
B$32,565,000$215,404201200Yes (1)Yes (1)$32,349,596
C$24,020,000$162,1542015Yes (1)0Yes (1)Yes (1)$23,857,846

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)Yes (1)000Yes (1)
BYes (1)Yes (1)000Yes (1)
C0Yes (1)000Yes (1)Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Exeter Health Resources, Inc., a charitable organization acting through its Board of Trustees, is the sole member of the organization.
Form 990, Part VI, Section A, line 7aThe Board of Trustees shall consist of a number not to exceed fifteen (15) persons. Of this number, up to thirteen (13) persons shall have been elected by the Member from among the elected members of the Board of Trustees of the Member.
Form 990, Part VI, Section A, line 7bThe sole member, Exeter Health Resources, Inc. has the right to approve decisions of the governing body. Additionally, the Member shall have the power to change the corporate name, merge with or acquire any corporation organized under Chapter 292 of the Revised Statutes Annotated of New Hampshire, amend the articles of agreement, dissolve the Corporation, annually appoint an independent certified public accountant to perform an audit of the accounts of the Corporation, and such other powers and rights as may be reserved to it by law or the articles of agreement.
Form 990, Part VI, Section B, line 11The 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, then presented to the Board of Trustees before it is filed with the IRS.
Form 990, Part VI, Section B, line 12cThe Board of Trustees has 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. Trustees, 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 and Chief Executive Officer (CEO). All disclosures are reviewed. Any trustee 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 CEO and the full Board. There are two additional conflicts of interest policies. One is applicable to all employees and contracted staff and the other is applicable to members of the Medical Staff and allied health professionals. The former policy is monitored and enforced by the Vice President of Human Resources and the Vice President of Corporate Integrity and Compliance and the latter is monitored and enforced by the President of the Medical Staff, President and CEO, General Counsel, and Compliance Officer. On an annual basis, staff within Human Resources survey all employees and contracted staff serving in a managerial role, as well as members of any committees that make recommendations or decisions regarding the purchase of goods or services by any of the corporations as a means to ensure that any conflict of interest is disclosed and appropriately managed. Employees otherwise are required to supplement or make any further written disclosure at the time a conflict arises.
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 CEO 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 CEO, 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 CEO, 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 CEO'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 CEO's, other listed officers and key employees' compensation review. The CEO, 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 CEO 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 CEO. The Exeter Health Resources, Inc. Board reviews the CEO's performance and determines if the adjustments and awards recommended by the committee for the CEO are in the organization's best interest and for the benefit of the organization and its parent organization. For the other listed officer positions, adjustments and incentive awards are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and ratified by the Exeter Health Resources, Inc. Board of Trustees. Adjustments and awards for other listed key employees are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and reviewed by the Board.
Form 990, Part VI, Section C, line 19These documents are available upon request.
Form 990, Part VI-B, Line 16b:Although written policies were not in place as of the end of the year covered by this tax return requiring the organization to evaluate its participation in joint venture arrangements under applicable federal law to ensure that the organization's exempt status is protected, the organization performed due diligence with respect to its joint venture arrangements to safeguard the organization's exempt status. The organization is considering adopting formal written policies by the end of the next fiscal year.
Form 990, Part IX, line 11gPayment to Affiliate: Program service expenses 3,421,114. Management and general expenses 511,201. Fundraising expenses 0. Total expenses 3,932,315. Physician Fees: Program service expenses 6,159,951. Management and general expenses 920,453. Fundraising expenses 0. Total expenses 7,080,404. Contracted Services: Program service expenses 3,014,534. Management and general expenses 450,448. Fundraising expenses 0. Total expenses 3,464,982. Outside Fees: Program service expenses 2,481,652. Management and general expenses 370,821. Fundraising expenses 0. Total expenses 2,852,473. Contract/Temporary Labor: Program service expenses 1,452,687. Management and general expenses 217,068. Fundraising expenses 0. Total expenses 1,669,755. Consulting: Program service expenses 600,692. Management and general expenses 89,759. Fundraising expenses 0. Total expenses 690,451.
Form 990, Part XI, line 9:Net Transfers to Affiliates -17,786,072. Pension Liability Adjustment -9,715,038. Impact of Interest Rate Swaps -3,193,416. Net Assets Released from Restriction 6,898.
Form 990, Part XII, Line 2c: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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Exeter Health Resources Inc
5 Alumni DriveExeterNH03833020222126Management and Supporting Organization; Holding CompanyNH501(c)(3)Line 11a, I0
Core Physicians LLC
5 Alumni DriveExeterNH03833870807914Physician PracticesNH501(c)(3)Line 90Exeter Health Resources Inc
Rockingham Visiting Nurse Association
5 Alumni DriveExeterNH03833020274905Home Care, HospiceNH501(c)(3)Line 90Exeter Health Resources Inc
Matrix Health Inc
5 Alumni DriveExeterNH03833020473737Manage ResourcesNH501(c)(3)Line 11a, I0Exeter Health Resources Inc
Exeter Med Real Inc
5 Alumni DriveExeterNH03833020418718Real Estate Holding CompanyNH501(c)(25)0Exeter Health Resources Inc
Exeter Health Resources Self-Insurance Trust
5 Alumni DriveExeterNH03833200753662Self Insurance TrustNH501(c)(3)Line 11a, I0Exeter Health Resources Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Convergent Health Systems Inc
5 Alumni DriveExeterNH03833020469711Wellness CenterNHN/AC0
Vx Health Services Inc
5 Alumni DriveExeterNH03833020469712Inactive Fitness CenterNHN/AC0
Exeter Medical Services Inc
5 Alumni DriveExeterNH03833020419850Inactive Physician PracticeNHN/AC0
Core Health Services of MA
5 Alumni DriveExeterNH03833201598042Inactive Physician PracticeMAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Exeter Med Real Inc
K$1,531,464Cash
Exeter Med Real Inc
L$264,325Cash