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EXETER HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EXETER HOSPITAL INC (EIN 22-2674014)
Tax period
2012-10-01 to 2013-09-30
Filed
2015-05-11
IRS object ID
201501319349302015
Schema version
2012v3.0
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)
Timestamp2015-05-11T11:32:39-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010494526EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1650 ELM STREET SUITE 302AddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222674014EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EXETER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEXETNameControl
Phone6035806695Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 ALUMNI DRIVEAddressLine1
CityEXETERCity
StateNHState
ZIP Code03833ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN J O'LEARYName
TitleTREASURERTitle
Phone6035806695Phone
Date Signed2015-04-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY R HEPBURN CPAName
PTINP00182393PTIN
Phone8002447444Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonKEVIN CALLAHANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15 ALUMNI DRIVEAddressLine1
CityEXETERCity
StateNHState
ZIP Code03833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts195312301GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EXETERHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1907YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1568TotalNbrEmployees
Total Nbr Volunteers96TotalNbrVolunteers
Total Gross UBI63482TotalGrossUBI
Net Unrelated Business Txbl Income62482NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year142275ContributionsGrantsPriorYear
Contributions Grants Current Year89544ContributionsGrantsCurrentYear
Program Service Revenue Prior Year194263943ProgramServiceRevenuePriorYear
Program Service Revenue CY185485823ProgramServiceRevenueCY
Investment Income Prior Year3241645InvestmentIncomePriorYear
Investment Income Current Year5099754InvestmentIncomeCurrentYear
Other Revenue Prior Year1743388OtherRevenuePriorYear
Other Revenue Current Year4423633OtherRevenueCurrentYear
Total Revenue Prior Year199391251TotalRevenuePriorYear
Total Revenue Current Year195098754TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1274587GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY830991GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year88164767SalariesEtcPriorYear
Salaries Etc Current Year89839927SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year14573TotalFundrsngExpCurrentYear
Other Expense Prior Year101614082OtherExpensePriorYear
Other Expenses Current Year98905098OtherExpensesCurrentYear
Total Expenses Prior Year191053436TotalExpensesPriorYear
Total Expenses Current Year189576016TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8337815RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5522738RevenuesLessExpensesCY
Total Assets BOY285432823TotalAssetsBOY
Total Assets EOY270991066TotalAssetsEOY
Total Liabilities BOY106991448TotalLiabilitiesBOY
Total Liabilities EOY95925723TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY178441375NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY175065343NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense169601736Expense
Grants830991Grants
Revenue189918782Revenue
DescriptionTHE 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 2013, EXETER HOSPITAL SERVED THE COMMUNITY BY PROVIDING CARE TO 5,529 ACUTE INPATIENTS, 135,676 OUTPATIENT VISITS, 29,819 EMERGENCY ROOM VISITS AND 621 BIRTHS. IN 2013 EXETER HOSPITAL SUPPORTED ITS MISSION BY SUPPORTING $16,375,625 IN COMMUNITY OUTREACH, BENEFITS AND FINANCIAL SUPPORT TO THE COMMUNITY EXCLUDING $26,685,670 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 2013, THE CHARITY CARE PROGRAM HELPED PEOPLE ACCESS THE HEALTH CARE SYSTEM AS EXETER HOSPITAL INCURRED A COST OF $4.6 MILLION 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, SEACARE AND LAMPREY HEALTHCARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionEXETER 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 78% 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionEXETER 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionTHE CENTER FOR CANCER CARE AT EXETER HOSPITAL PROVIDES CANCER PATIENTS AND THEIR FAMILIES WITH COMPREHENSIVE IN-PATIENT 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense169601736TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096147NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1568NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN J O'LEARYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6035806695TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15 ALUMNI DRIVEAddressLine1
CityEXETERCity
StateNHState
ZIP Code03833ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KEVIN J CALLAHAN
CEO/TRUSTEE2.0044.00XX0603669194576
GLENN MCKENZIE
CHAIRMAN1.000.00XX000
ROBERT A EBERLE
VICE CHAIRMAN1.000.00XX000
KATIE D PAINE
TRUSTEE1.000.00X000
ROSS GITTELL PHD
TRUSTEE1.000.00X000
JOSEPH ARMY
TRUSTEE1.000.00X000
WILLIAM SCHLEYER
TRUSTEE1.000.00X000
J BONNIE NEWMAN
TRUSTEE1.000.00X000
MAJ GEN JOSEPH SIMEONE
TRUSTEE1.000.00X000
NANCY BRAESE DO
EX-OFFICIO MEMBER1.0041.00X016851633016
ROBERT SCHOENBERGER
TRUSTEE1.000.00X000
DAVID DONSKER MD
TRUSTEE1.000.00X000
STEVE HERMANS
TRUSTEE1.000.00X000
KEVIN J O'LEARY
CFO/TREASURER2.0044.00X0349585100989
CONSTANCE D SPRAUER
SR VP LEGAL AFFAIRS/SECRET2.0042.00X026474333086
BRIAN CAMPBELL
VP-AMBUL CARE40.000.00195740037223X
JONATHAN A JACKSON
PHYSICIST40.000.00240828032594X
MICHAEL GRESSEL
DIRECTOR40.000.00151007026300X
JANE PETERSON
DIRECTOR40.000.00200059014588X
DEANNA KING
DIRECTOR40.000.00157781039263X
JUDITH RINES
DIRECTOR40.000.00155346031040X
ANNE MARIE BULARZIK
FORMER VP-ACUTE CARE40.000.0017606300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1276824TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1386513TotalReportableCompFrmRltdOrgs
Total Other Compensation542675TotalOtherCompensation
Number Individuals GT100 K57NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVEEXETERNH03833ADMINISTRATIVE MANAGEMENT SERVICES5857723
CORE PHYSICIAN SERVICES LLC
5 ALUMNI DRIVEEXETERNH03833PHYSICIAN SERVICES5112541
GE HEALTHCARE INC
PO BOX 640944PITTSBURGHPA15264EQUIPMENT & MAINTENANCE1471468
NIXON PEABODY LLP
100 SUMMER STREETBOSTONMA02110LEGAL FEES1095790
SODEXHO INC
PO BOX 360170PITTSBURGHPA15251FOOD SERVICE MANAGEMENT1062944
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
All Other Contributions89544AllOtherContributions
Total Contributions89544TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SVCS621300183613156183613156
OTHER PROGRAM REVENUE621300967609967609
ARRA FUNDS621300905058905058
FieldValueIRS element (for citing)
Total Program Service Revenue185485823TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1784363TotalRevenueColumn
Exclusion$1,784,363ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real55692Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real213547Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-157855Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-157855TotalRevenueColumn
Related Or Exempt Function Income-157855RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3306065Securities
Other9326Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3306065Securities
Other9326Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3315391TotalRevenueColumn
Related Or Exempt Function Income9326RelatedOrExemptFunctionIncome
Exclusion$3,306,065ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
INTEREST RATE SWAP62130028229782822978
CAFETERIA INCOME62130013200031320003
MISCELLANEOUS62130026370220022063482

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column174805TotalRevenueColumn
Related Or Exempt Function Income174805RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4581488TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column195098754TotalRevenueColumn
Related Or Exempt Function Income189855300RelatedOrExemptFunctionIncome
Unrelated Business Revenue63482UnrelatedBusinessRevenue
Exclusion$5,090,428ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total830991Total
Program Services830991ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total195740Total
Program Services170294ProgramServices
Management And General25446ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total67811801Total
Program Services58996267ProgramServices
Management And General8815534ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1995000Total
Program Services1735650ProgramServices
Management And General259350ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14976796Total
Program Services13029813ProgramServices
Management And General1946983ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4860590Total
Program Services4228713ProgramServices
Management And General631877ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total317243Total
Management And General317243ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53504Total
Management And General53504ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total35420Total
Management And General35420ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1566015Total
Program Services1362433ProgramServices
Management And General203582ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1063071Total
Program Services924872ProgramServices
Management And General138199ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total651149Total
Program Services566500ProgramServices
Management And General84649ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5139228Total
Program Services4471128ProgramServices
Management And General668100ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total199993Total
Program Services173994ProgramServices
Management And General25999ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total497567Total
Program Services432883ProgramServices
Management And General64684ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3887457Total
Program Services3382088ProgramServices
Management And General505369ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10647930Total
Program Services9263699ProgramServices
Management And General1384231ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1590536Total
Program Services1383766ProgramServices
Management And General206770ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES15432909134266312006278
BAD DEBT EXPENSE1233121212331212
DRUGS1011307110113071
MEDICAID ENHANCEMENT TA90056289005628

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26373165Total
Program Services23772103ProgramServices
Management And General2586489ManagementAndGeneral
Fundraising14573Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total189576016Total
Program Services169601736ProgramServices
Management And General19959707ManagementAndGeneral
Fundraising14573Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37309229BOY
EOY18403121EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19331301BOY
EOY20268282EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2703495BOY
EOY2712209EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3461761BOY
EOY3461103EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis136128588LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec70519258LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY70064513BOY
EOY65609330EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY150200615BOY
EOY158532179EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2361909BOY
EOY2004842EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY285432823BOY
EOY270991066EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22469112BOY
EOY18273061EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY57067636BOY
EOY58160952EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27454700BOY
EOY19491710EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106991448BOY
EOY95925723EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY161432548BOY
EOY158059210EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY239506BOY
EOY236812EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16769321BOY
EOY16769321EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY178441375BOY
EOY175065343EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY285432823BOY
EOY270991066EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5522738ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6256198ReconciliationUnrealizedInvest
Reconcilation Other Changes-15154968ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$11,204DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$24,216OtherActivitiesAmount
Total Lobbying Expenditures IIB35420TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF MEMBERSHIP DUES AND MANAGEMENT FEES ARE CONSIDERED LOBBYING EXPENSES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance17008827BeginningOfYearBalance
Contributions41887Contributions
Other Expenditures-44581OtherExpenditures
End Of Year Balance17006133EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance17001122BeginningOfYearBalance
Contributions68831Contributions
Other Expenditures-61126OtherExpenditures
End Of Year Balance17008827EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17063265BeginningOfYearBalance
Contributions49281Contributions
Other Expenditures-111424OtherExpenditures
End Of Year Balance17001122EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17030198BeginningOfYearBalance
Contributions37433Contributions
Other Expenditures4366OtherExpenditures
End Of Year Balance17063265EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16940024BeginningOfYearBalance
Contributions213038Contributions
Other Expenditures122864OtherExpenditures
End Of Year Balance17030198EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01390BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.98610PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis142400OtherCostOrOtherBasis
Book Value142400BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75855074OtherCostOrOtherBasis
Depreciation33769192Depreciation
Book Value42085882BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis289927OtherCostOrOtherBasis
Depreciation195836Depreciation
Book Value94091BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis54810365OtherCostOrOtherBasis
Depreciation34372555Depreciation
Book Value20437810BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5030822OtherCostOrOtherBasis
Depreciation2181675Depreciation
Book Value2849147BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings65609330TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH & SHORT-TERM INVESTMENTS24827056F
FIXED INCOME SECURITIES32154944F
MARKETABLE EQUITY SECURITIES55545191F
LIMITED PARTNERSHIPS46311202F
OTHER-306214C
FieldValueIRS element (for citing)
Total Of Book Value Securities158532179TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$4,070,633
ACCRUED PENSION LIABILITY$7,284,170
SWAP VALUATION LIABILITY$8,136,907
FieldValueIRS element (for citing)
Total Of Amounts19491710TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt195098754TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal195098754RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990195098754TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt189576016TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal189576016ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990189576016TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:INCLUDED IN EXETER HOSPITAL INC.'S THE ENTITIES AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "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."

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage275.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served1993PersonsServed
Total Community Benefit Expense4580610TotalCommunityBenefitExpense
Net Community Benefit Expense4580610NetCommunityBenefitExpense
Percent Of Total Expense0.02420PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served3219PersonsServed
Total Community Benefit Expense6002726TotalCommunityBenefitExpense
Net Community Benefit Expense6002726NetCommunityBenefitExpense
Percent Of Total Expense0.03170PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served5212PersonsServed
Total Community Benefit Expense10583336TotalCommunityBenefitExpense
Net Community Benefit Expense10583336NetCommunityBenefitExpense
Percent Of Total Expense0.05590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served16471PersonsServed
Total Community Benefit Expense1014822TotalCommunityBenefitExpense
Direct Offsetting Revenue5055DirectOffsettingRevenue
Net Community Benefit Expense1009767NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served409PersonsServed
Total Community Benefit Expense662284TotalCommunityBenefitExpense
Direct Offsetting Revenue15272DirectOffsettingRevenue
Net Community Benefit Expense647012NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served2126PersonsServed
Total Community Benefit Expense3533166TotalCommunityBenefitExpense
Direct Offsetting Revenue477971DirectOffsettingRevenue
Net Community Benefit Expense3055195NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served122PersonsServed
Total Community Benefit Expense149969TotalCommunityBenefitExpense
Direct Offsetting Revenue14612DirectOffsettingRevenue
Net Community Benefit Expense135357NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense870107TotalCommunityBenefitExpense
Net Community Benefit Expense870107NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served19128PersonsServed
Total Community Benefit Expense6230348TotalCommunityBenefitExpense
Direct Offsetting Revenue512910DirectOffsettingRevenue
Net Community Benefit Expense5717438NetCommunityBenefitExpense
Percent Of Total Expense0.03010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served24340PersonsServed
Total Community Benefit Expense16813684TotalCommunityBenefitExpense
Direct Offsetting Revenue512910DirectOffsettingRevenue
Net Community Benefit Expense16300774NetCommunityBenefitExpense
Percent Of Total Expense0.08600PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense28983TotalCommunityBuildingExpense
Net Community Building Expense28983NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense36306TotalCommunityBuildingExpense
Net Community Building Expense36306NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense65289TotalCommunityBuildingExpense
Net Community Building Expense65289NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$5,657,560BadDebtExpenseAmount
Amount Attributable To1333833AmountAttributableTo
Amount Reimbursed By Medicare53346423AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80032093CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-26685670MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1EXETER HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15 ALUMNI DRIVEAddressLine1
CityEXETERCity
StateNHState
ZIP Code03833ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EXETER HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent275.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 II: THE MAJORITY OF THE REMAINING COMMUNITY BENEFIT ACTIVITIES REPORTED AS COMMUNITY BUILDING ACTIVITIES ARE CASH DONATIONS TO COMMUNITY ORGANIZATIONS FOR THE PURPOSE OF FURTHERING WORKFORCE DEVELOPMENT, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT, LEADERSHIP AND ECONOMIC DEVELOPMENT.
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 PATIENT COST TO CHARGE FROM WORKSHEET 2 WAS APPLIED TO DETERMINE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE AT COST.
PART III, LINE 8: MEDICARE COSTS ARE NOT COUNTED AS A COMMUNITY BENEFIT PER NH OR IRS GUIDANCE, THEREFORE THE COST FIGURE OF $26,685,670 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 V, SECTION B, LINE 20D: THE HOSPITAL USED AMOUNTS BASED ON FEDERAL POVERTY GUIDELINES AND SLIDING SCALE AS SHOWN BELOW.FAMILY DISCOUNT PERCENTAGESIZE 100% 80% 60% 40% 20% 1 23,340 23,341-32,676 32,677-37,344 37,345-42,012 42,013-46,680 2 31,460 31,461-44,044 44,045-50,336 50,337-56,628 56,629-62,9203 39,580 39,581-55,412 55,413-63,328 63,329-71,244 71,245-79,160 4 47,700 47,701-66,780 66,781-76,320 76,321-85,860 85,861-95,400 5 55,820 55,821-78,148 78,149-89,312 89,313-100,476 100,477-111,640 6 63,940 63,941-89,516 89,517- 102,305- 115,093- 102,304 115,092 127,880 7 72,060 72,061- 100,885- 115,297- 129,709- 100,884 115,296 129,708 144,1208 80,180 80,181- 112,253- 128,289- 144,325- 112,252 128,288 144,324 160,360EXETER HOSPITAL
PART VI, LINE 2: EVERY FIVE 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: 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 VALIDATE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2008 COMMUNITY NEEDS ASSESSMENT AND FURTHER DEFINE THESE NEEDS IN 2013 FROM THE STAKEHOLDERS' PERSPECTIVE IDENTIFY UNMET NEEDS THAT HAVE EMERGED SINCE THE 2008 COMMUNITY NEEDS ASSESSMENT ENGAGE KEY LEADERS AND COMMUNITY FORUM PARTICIPANTS IN A DISCUSSION TO IDENTIFY SOLUTIONS TO ADDRESS COMMUNITY HEALTH NEEDS SHARE THE FINDINGS OF THE UNH SURVEY CENTER HOUSEHOLD TELEPHONE SURVEY WHERE APPROPRIATE, MOTIVATE KEY LEADERS AND COMMUNITY FORUM PARTICIPANTS TO PARTICIPATE IN EFFORTS TO ADDRESS COMMUNITY HEALTH NEEDS GOING FORWARD SERVE AS A CONTINUING FOUNDATION FOR THE DEVELOPMENT OF A COMMUNITY BENEFITS PLAN, AS MANDATED UNDER RSA 7:32-ETHE 2013 COMMUNITY NEEDS ASSESSMENT INCLUDED TELEPHONE SURVEY, FOCUS GROUP AND KEY LEADER INTERVIEW COMPONENTS. 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, 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 233,193.
PART VI, LINE 5: ACCESS TO CAREFINANCIAL ASSISTANCE:EXETER HOSPITAL HAS THREE COMPONENTS TO ITS HEALTH CARE ACCESS PROGRAM. - THE UNINSURED CARE DISCOUNT/HOSPITAL ACCESS PLUS PROGRAM EXTENDS A 26% DISCOUNT OFF TOTAL CHARGES TO PATIENTS.- 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. - EXETER'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. THE FINANCIAL RELIEF IS CALCULATED BASED ON A PERCENTAGE OF THE PATIENT'S GROSS INCOME. EXETER HOSPITAL PROVIDED $4,580,610 (CALCULATED AT COST) IN CHARITY CARE DURING FY 2013. IN FY 2013 THE CHARITY CARE PROGRAM SERVED 1,993 PEOPLE.WOMEN'S WELLNESS CLINIC: THE CLINIC PROVIDED UNINSURED AND UNDERINSURED WOMEN WITH RECOMMENDED BREAST AND CERVICAL CANCER SCREENINGS. IN FY 2013 THE WOMEN'S WELLNESS CLINIC SERVED 57 WOMEN AND EXETER HOSPITAL PROVIDED $46,127 TOWARDS THIS INITIATIVE. THIS CLINIC CEASED OPERATIONS IN JUNE 2013. HOWEVER, WOMEN WILL CONTINUE TO HAVE ACCESS TO FINANCIAL SUPPORT FOR THESE IMPORTANT HEALTH SCREENINGS THROUGH PARTICIPATING IN EXETER HOSPITAL'S EXISTING FINANCIAL ASSISTANCE PROGRAM.COMMUNITY PARTNERS:EXETER HOSPITAL WORKS COLLABORATIVELY WITH LOCAL NON-PROFIT AGENCIES AND ORGANIZATIONS WHICH STRIVE TO IMPROVE THE HEALTH OF THE COMMUNITY. THESE RELATIONSHIPS INCLUDE:LAMPREY HEALTH CARE: IN FY 2013 EXETER HOSPITAL CONTINUED ITS FINANCIAL SUPPORT OF LAMPREY HEALTH CARE WITH A COMMUNITY BENEFIT GRANT IN THE AMOUNT OF $350,500. 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, THEY PROVIDE 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 HEALTH CARE STRIVES TO KEEP INSURED AND UNINSURED PATIENTS HEALTHY. SEACARE HEALTH SERVICES: EXETER HOSPITAL SUPPORTED SEACARE HEALTH SERVICES IN THE AMOUNT OF $261,000. SEACARE IS THE OLDEST VOLUNTEER PROVIDER NETWORK PRESENTLY FUNCTIONING IN THE US. ORGANIZED IN 1989, SEACARE INITIALLY PROVIDED PRIMARY CARE FOR CHILDREN IN PORTSMOUTH BUT EXPANDED IN 1994 TO INCLUDE PRIMARY AND SPECIALTY HEALTH CARE COORDINATION SERVICES FOR PEOPLE OF ALL AGES IN 21 TOWNS IN THE SEACOAST REGION. SEACARE CEASED OPERATIONS IN NOVEMBER 2013.FAMILIES FIRST HEALTH AND SUPPORT CENTER: IN FY 2013 EXETER HOSPITAL MADE A FINANCIAL CONTRIBUTION TO FAMILIES FIRST IN THE AMOUNT OF $40,875. 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.NEW OUTLOOK TEEN CENTER: EXETER HOSPITAL CONTINUED ITS SUPPORT OF NEW OUTLOOK TEEN CENTER IN THE AMOUNT OF $25,000.NEW OUTLOOK IS A RECREATIONAL, EDUCATIONAL AND PREVENTION-ORIENTED PROGRAM LOCATED IN EXETER, NH OFFERING AFTER-SCHOOL AND SUMMER ADVENTURE PROGRAMS FOR MIDDLE AND HIGH SCHOOL YOUTH. NEW OUTLOOK SERVES MORE THAN 350 YOUTH IN THE TOWNS OF BRENTWOOD, EAST KINGSTON, EXETER, KENSINGTON, NEWFIELDS AND STRATHAM. BEHAVIORAL HEALTH CARE SEACOAST MENTAL HEALTH CENTER: EXETER HOSPITAL PARTNERS WITH SEACOAST MENTAL HEALTH TO OFFER MENTAL HEALTH SERVICES TO PATIENTS AND THEIR CAREGIVERS IN THE EMERGENCY DEPARTMENT AND CANCER CARE CENTER. IN FY 2013, EXETER HELPED TO UNDERWRITE MENTAL HEALTH SERVICES IN THE AMOUNT OF $392,995.TRANSPORTATIONEXETER HOSPITAL'S TRANSPORTATION PROGRAM IS AN IMPORTANT HEALTH CARE SUPPORT SERVICE PROVIDED 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 2013 EXETER HOSPITAL PROVIDED 2,251 TRANSPORTS AT A COST OF $117,723.RESEARCHTHE CENTER FOR CANCER CARE AT EXETER HOSPITAL PARTICIPATES IN SEVERAL NATIONAL RESEARCH GROUPS SPONSORED BY THE NATIONAL CANCER INSTITUTE, WHICH ENABLES THE CENTER TO OFFER CLINICAL TRIALS TO PATIENTS UNDERGOING TREATMENT AT EXETER HOSPITAL. THESE OFFERINGS ALLOW PATIENTS TO VOLUNTARILY TAKE PART IN LEADING EDGE RESEARCH THAT DOES NOT NECESSITATE TRAVEL OUTSIDE OF THE SEACOAST AREA. DURING FY 2013, EXETER HOSPITAL PROVIDED $135,357 FOR CLINICAL TRIALS AND RESEARCH THAT SERVED 122 PATIENTS.
PART VI, LINE 6: A NETWORK OF CARINGEXETER HOSPITAL, INC. IS ONE OF THREE AFFILIATES OF EXETER HEALTH RESOURCES. AT EACH OF THE AFFILIATED COMPANIES, EXETER 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 BY SUPPORTING THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY.DURING FISCAL YEAR 2013, EXETER HOSPITAL, CORE PHYSICIANS AND ROCKINGHAM VNA & HOSPICE HAVE CONTINUED THE PURSUIT OF THIS MISSION PROVIDING $24,220,756 IN CHARITY CARE AND OTHER COMMUNITY BENEFIT PROGRAMS AND SERVICES TO COMMUNITIES IN THE AREAS SERVED. 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, ORTHOPAEDICS, AND EMERGENCY CARE SERVICES. EXETER HOSPITAL IS ACCREDITED BY DNV HEALTHCARE, INC. (AN OFFICIALLY DEEMED MEDICARE AND MEDICAID CREDENTIALING AGENCY) AND EARNED THE MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER, WHICH IS THE MOST PRESTIGIOUS DISTINCTION A HEALTH CARE ORGANIZATION CAN RECEIVE FOR NURSING EXCELLENCE AND HIGH QUALITY PATIENT CARE. CORE PHYSICIANS IS A COMMUNITY-BASED, MULTI-SPECIALTY GROUP PRACTICE PROVIDING COMPREHENSIVE PRIMARY, SPECIALTY AND PEDIATRIC DENTAL CARE THROUGHOUT THE GREATER SEACOAST REGION. OVER 160 PHYSICIANS IN 32 LOCATIONS PURSUE EXCEPTIONAL PATIENT SATISFACTION THROUGH CLINICAL COMPETENCE AND PROFESSIONAL OFFICE ADMINISTRATION.ROCKINGHAM VISITING NURSE ASSOCIATION & HOSPICE 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 AND DURHAM.
NHREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
NEW OUTLOOK
PO BOX 865EXETERNH03833020468342501(C)(3)25000PROVIDE RECREATIONAL, EDUCATIONAL AND PREVENTION ORIENTED PROGRAMS IN AFTER SCHOOL AND SUMMER PROGRAMS.
LAMPREY HEALTHCARE INC
207 SOUTH MAIN STREETNEWMARKETNH03857237305106501(C)(3)350500SUPPORTS THE PROVISION OF VITAL HEALTH CARE SERVICES FOR THE INDIGENT AND UNINSURED POPULATIONS IN THE COMMUNITIES IT SERVES.
SEACARE HEALTH SERVICES
11 DOWNING COURTEXETERNH03833050473406501(C)(3)261000ASSISTANCE IN PROVIDING HEALTH CARE COORDINATION AND EDUCATION SERVICES, AS WELL AS MEDICATION ACCESS TO UNINSURED INDIVIDUALS IN THE COMMUNITIES IT SERVES.
VX HEALTH SERVICES INC
7 ALUMNI DRIVEEXETERNH0383302046971210616FUND CHARITABLE FITNESS MEMBERSHIPS
FAMILIES FIRST
100 CAMPUS DRIVE SUITE 12PORTSMOUTHNH03801222757341501(C)(3)40875ANNUAL FUNDING CONTRIBUTION THAT HELPS FAMILIES FIRST CONTINUE TO PROVIDE HEALTH SERVICES INCLUDING PRIMARY CARE, DENTAL, PRENATAL CARE AND MOBILE HEALTH CARE FOR THE HOMELESS.
UNITED WAY OF THE GREATER SEACOAST
112 CORPORATE DR UNIT 3PORTSMOUTHNH03801042382233501(C)(3)16000GRANT TO SUPPORT HEALTHCARE RELATED PROGRAMMING AND VOLUNTEERISM.
AMERICAN CANCER SOCIETY INC
250 WILLIAMS STREET NWATLANTAGA30303131788491501(C)(3)10000MAKING STRIDES SUPPORTER AND FLAGSHIP SPONSOR
DARTMOUTH HITCHCOCK CLINIC
ONE MEDICAL CENTER DRLEBANONNH03756222519596501(C)(3)117000PROVIDE REGIONAL ACCESS IN THE GREATER EXETER SERVICE REGION TO DARTMOUTH HITCHCOCK'S PROGRAM THAT PROVIDES CLINICAL ASSESSMENTS FOR POSSIBLE CHILD VICTIMS OF MALTREATMENT.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations8TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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. LARGE GRANTS LIKE THOSE GIVEN TO LAMPREY, DARTMOUTH HITCHCOCK CLINIC, SEACARE, FAMILIES FIRST AND NEW OUTLOOK 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KEVIN J CALLAHAN
CEO/TRUSTEE0509869000938000167500027076079824500
NANCY BRAESE DO
EX-OFFICIO MEMBER012594301891602365705305027711020153200
KEVIN J O'LEARY
CFO/TREASURER029606600053519083000017989045057400
CONSTANCE D SPRAUER
SR VP LEGAL AFFAIRS/SECRET021996500044778015000018086029782900
BRIAN CAMPBELL
VP-AMBUL CARE159422000363180118570253660232963000
JONATHAN A JACKSON
PHYSICIST2363570423002410146190179750273422000
MICHAEL GRESSEL
DIRECTOR116148012108022751091950171050177307000
JANE PETERSON
DIRECTOR161510014944023605012124024640214647000
DEANNA KING
DIRECTOR1450800713005571099690292940197044000
JUDITH RINES
DIRECTOR13361001385907877062330248070186386000
ANNE MARIE BULARZIK
FORMER VP-ACUTE CARE000017606300000176063000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS UP PAYMENTS WERE PROVIDED TO KEVIN CALLAHAN, NANCY BRAESE, DO, KEVIN O'LEARY, CONSTANCE SPRAUER AND BRIAN CAMPBELL (FOR ACQUISITION OF SUPPLEMENTAL LONG TERM DISABILITY INSURANCE). THE BENEFIT WAS TREATED AS TAXABLE INCOME. TRUSTEES ARE ELIGIBLE FOR DISCOUNTED MEMBERSHIP FEES AT A WELLNESS CENTER OWNED BY A SUBSIDIARY OF EXETER HEALTH RESOURCES. THE BENEFIT IS REPORTED AS TAXABLE INCOME TO THE TRUSTEE.
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, LINES 4A-BTHE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC.) MAINTAINS A SPLIT DOLLAR SUPPLEMENTAL RETIREMENT PLAN FOR TWO EXECUTIVES (LISTED BELOW WITH AMOUNTS) SELECTED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. THE PLAN IS CLOSED TO FUTURE PARTICIPANTS. THE PLAN PROVIDES FOR ANNUAL PAYMENTS OF PREMIUMS FOR LIFE INSURANCE POLICIES INSURING THE LISTED INDIVIDUALS. THOSE LIFE INSURANCE PREMIUMS ARE COLLATERALLY ASSIGNED TO THE CORPORATION AND ANY EXCESS ACCUMULATED VALUE IN THE POLICIES (NET OF ACCUMULATED PREMIUM PAYMENTS) IS AVAILABLE TO BE PAID TO THE PARTICIPANT ONCE VESTED AT AGE 62. KEVIN CALLAHAN - EXCESS ACCUMULATED VALUE - $1,118,815 KEVIN O'LEARY - EXCESS ACCUMULATED VALUE - $466,844 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. IN THE CALENDAR YEAR ENDED DEC 31, 2012 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. PARTICIPANTS IN THE 457(F) PLAN DO NOT VEST UNTIL AGE 62.
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 INCENTIVE AWARDS FOR PARTICIPATING EXECUTIVES. NANCY BRAESE DO IS COMPENSATED UNDER CORE PHYSICIANS, LLC'S COMPENSATION PROGRAM. COMPENSATION IS DETERMINED USING SURVEYS OF CURRENT COMPENSATION WITHIN COMPARABLE MARKETS AND THE ADVICE OF OUTSIDE CONSULTANTS. THE PHYSICIANS' COMPENSATION IS APPROVED BY CORE PHYSICIANS, LLC'S COMPENSATION COMMITTEE WHICH IS COMPRISED OF SYSTEM MANAGERS WHO ARE APPROVED BY THE EXETER HEALTH RESOURCES INC. BOARD OF TRUSTEES. JONATHAN JACKSON, JANE PETERSON, DEANNA KING, JUDITH RINES AND MICHAEL GRESSEL PARTICIPATE IN AN ANNUAL INCENTIVE PROGRAM WHICH IS ADMINISTERED BY EXETER HOSPITAL'S HUMAN RESOURCES DEPARTMENT. THE PROGRAM INCLUDES MEASURABLE ACHIEVEMENT CRITERIA FOR PERFORMANCE AND SERVICE INNOVATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NH HEALTH AND EDUCATION FACILITIES AUTHORITY
A020279866644614GH62003-11-2020000000RENOVATION AND EXPANSION PROJECTS ON THE HOSPITAL CAMPUS010
NH HEALTH AND EDUCATION FACILITIES AUTHORITY
B020279866NONEAVAIL2012-02-0932565000REFINANCING AND REFUNDING PRIOR BOND ISSUANCE010

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A20000000198926002567271963587320060011
B325650002154042012101132349596

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000101
B00000.000000.000000.00000101

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A110001
B110001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 7AEXETER HEALTH RESOURCES, INC. ELECTS 11 OF THE 13 MEMBERS OF THE EXETER HOSPITAL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER, EXETER HEALTH RESOURCES, INC., HAS THE RIGHT TO APPROVE DECISIONS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PREPARED BY AN OUTSIDE TAX ACCOUNTANT WITH INFORMATION PROVIDED BY THE ORGANIZATION. THE 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) 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' BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO, OTHER LISTED OFFICERS AND KEY EMLOYEES. 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 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 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 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 BOARD HAS QUESTIONS CONCERNING THE PERFORMANCE OF ANY LISTED OFFICER OR KEY EMPLOYEE OTHER THAN THE CEO. THE EXETER HEALTH RESOURCES 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 BOARD APPROVED PARAMETERS AND RATIFIED BY THE EXETER HEALTH RESOURCES 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 BOARD APPROVED PARAMETERS AND REVIEWED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 24EPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,732,517. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,732,517. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 5,789,131. MANAGEMENT AND GENERAL EXPENSES 865,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,654,174. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,093,297. MANAGEMENT AND GENERAL EXPENSES 611,642. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,704,939. OUTSIDE FEES: PROGRAM SERVICE EXPENSES 1,926,839. MANAGEMENT AND GENERAL EXPENSES 287,919. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,214,758. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 913,124. MANAGEMENT AND GENERAL EXPENSES 136,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,049,568. COLLECTION FEES: PROGRAM SERVICE EXPENSES 622,996. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 622,996. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 506,609. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 506,609. CONSULTING: PROGRAM SERVICE EXPENSES 478,492. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 478,492. MAINTENANCE: PROGRAM SERVICE EXPENSES 376,926. MANAGEMENT AND GENERAL EXPENSES 56,322. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 433,248. PROJECT/DESIGN COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 354,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 354,207. FREIGHT AND TRANSPORTATION: PROGRAM SERVICE EXPENSES 323,916. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,916. MEDICAL LEADERSHIP/ FEES: PROGRAM SERVICE EXPENSES 290,031. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 290,031. DUES/SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 240,813. MANAGEMENT AND GENERAL EXPENSES 35,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 276,797. STORAGE: PROGRAM SERVICE EXPENSES 202,501. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,501. FINANCING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 199,560. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 199,560. REFRESHMENTS: PROGRAM SERVICE EXPENSES 152,991. MANAGEMENT AND GENERAL EXPENSES 22,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,852. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 71,545. MANAGEMENT AND GENERAL EXPENSES 15,661. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,206. PATIENT TRANSPORT/SUPPORT GROUPS: PROGRAM SERVICE EXPENSES 50,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,375. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 14,573. TOTAL EXPENSES 14,573. MEDICAL DEVICE TAX: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 846.ALL OTHER FUNCTIONAL EXPENSES
FORM 990, PART XI, LINE 9:TRANSFERS BETWEEN RELATED ENTITIES -16,898,654. PENSION ADJUSTMENT 4,185,464. ASSETS RELEASED -44,581. LOSS FROM DISCONTINUED OPERATIONS -232,107. EXETER HEALTHCARE MERGER -2,165,090.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990,PART VIII, LINE 11C FOR THE YEAR ENDED SEPTEMBER 30, 2013 HAS BEEN AMENDED TO REFLECT THE UNRELATED BUSINESS INCOME OF $63,482 FROM THE LATE ARRIVING SCHEDULE K-1 FROM YANKEE ALLIANCE SUPPLY CHAIN SOLUTIONS, LLC ( EIN: 46-2047077).AMENDED RETURN

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVEEXETERNH03833020222126MANAGEMENT AND SUPPORTING ORGANIZATION, HOLDING COMPANYNH501(C)(3)110
EXETER HEALTHCARE
5 ALUMNI DRIVEEXETERNH03833020360966SUBACUTE NURSING FACILITYNH501(C)(3)90EXETER HEALTH RESOURCES INC
CORE PHYSICIANS LLC
5 ALUMNI DRIVEEXETERNH03833870807914PHYSICIAN PRACTICESNH501(C)(3)90EXETER HEALTH RESOURCES INC
ROCKINGHAM VISITING NURSE ASSOC
5 ALUMNI DRIVEEXETERNH03833020274905HOME CARE, HOSPICENH501(C)(3)90EXETER HEALTH RESOURCES INC
MATRIX HEALTH INC
5 ALUMNI DRIVEEXETERNH03833020473737MANAGE RESOURCESNH501(C)(3)110EXETER HEALTH RESOURCES INC
EXETER MED REAL
5 ALUMNI DRIVEEXETERNH03833020418718REAL ESTATE HOLDINGNH501(C)(25)0EXETER HEALTH RESOURCES INC
EXETER HEALTH RESOURCES SELF INSURANCE TRUST
5 ALUMNI DRIVEEXETERNH03833200753662SELF INSURANCE TRUSTNH501(C)(3)110EXETER HEALTH RESOURCES INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
CONVERGENT HEALTH SYSTEMS INC
5 ALUMNI DRIVEEXETERNH03833020469711WELLNESS CENTERNHEXETER HEALTH RESOURCES INCC0
VX HEALTH SERVICES
5 ALUMNI DRIVEEXETERNH03833020469712FITNESS CENTERNHCONVERGENT HEALTH SYSTEMS INCC0
EXETER MEDICAL SERVICES
5 ALUMNI DRIVEEXETERNH03833020419850INACTIVE PHYSICIAN PRACTICENHCONVERGENT HEALTH SYSTEMS INCC0
CORE HEALTH SERVICES OF MA
5 ALUMNI DRIVEEXETERNH03833201598042INACTIVE PHYSICIAN PRACTICEMAEXETER HEALTH RESOURCES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
VX HEALTH SERVICES
B10616CASH
EXETER HEALTH RESOURCES
R11528700CASH
EXETER HEALTHCARE
R272669CASH
CORE PHYSICIANS LLC
R6417812CASH
EXETER HEALTHCARE
K611847CASH
EXETER HEALTH RESOURCES
K59424CASH
EXETER MED REAL
K1342570CASH
CORE PHYSICIANS LLC
K18304CASH
VX HEALTH SERVICES
K19228CASH
EXETER HEALTH RESOURCES SI TRUST
Q891272CASH
EXETER HEALTH RESOURCES
J7268CASH
EXETER HEALTH RESOURCES
O174115CASH
EXETER MED REAL
L296364CASH
ROCKINGHAM VNA
L223646CASH
VX HEALTH SERVICES
L1139CASH
EXETER HEALTH RESOURCES
L102032CASH
CORE PHYSICIANS LLC
J2400CASH
CORE PHYSICIANS LLC
L1358687CASH
EXETER HEALTH CARE
L162512CASH
EXETER HEALTH RESOURCES
S89765CASH
EXETER HEALTH RESOURCES
C93096CASH
EXETER HEALTH RESOURCES
M5857723CASH
EXETER HEALTH CARE
R1259535FMV