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ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE (EIN 02-0274905)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-13
IRS object ID
201512259349300301
Schema version
2013v4.0
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)
Return2015-08-13T06:02:53-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 ELM STREET SUITE 302AddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020274905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone6035806695PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonOFFICERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6035806692PhoneNum
Signature2015-08-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY R HEPBURN CPAPreparerPersonNm
PTINP00182393PTIN
Phone8002447444PhoneNum
Preparation2015-08-05PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN CALLAHANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 ALUMNI DRIVEAddressLine1
CityEXETERCity
StateNHState
ZIP Code03833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$14,289,865GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionTHE MISSION OF ROCKINGHAM VNA & HOSPICE, A HOME HEALTH AGENCY, IS TO ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. THIS MISSION IS PRINCIPALLY ACCOMPLISHED THROUGH THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY. ROCKINGHAM VNA AND HOSPICE WORKS TO ACCOMPLISH THIS MISSION BY PROMOTING WELL BEING AND INDEPENDENCE BY PROVIDING PATIENT-CENTERED HEALTH CARE SERVICES IN THE COMFORT OF THE HOME AND WITHIN THE COMMUNITIES SERVED.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee170TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$54,479PYContributionsGrantsAmt
CY Contributions Grants$54,252CYContributionsGrantsAmt
PY Program Service Revenue$12,927,688PYProgramServiceRevenueAmt
CY Program Service Revenue$14,227,824CYProgramServiceRevenueAmt
PY Investment Income$8,369PYInvestmentIncomeAmt
CY Investment Income$7,789CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,990,536PYTotalRevenueAmt
CY Total Revenue$14,289,865CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,821,222PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,218,738CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,269,630PYOtherExpensesAmt
CY Other Expenses$3,481,425CYOtherExpensesAmt
PY Total Expenses$13,090,852PYTotalExpensesAmt
CY Total Expenses$13,700,163CYTotalExpensesAmt
PY Revenues Less Expenses-$100,316PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$589,702CYRevenuesLessExpensesAmt
Total Assets BOY$3,422,863TotalAssetsBOYAmt
Total Assets EOY$4,367,472TotalAssetsEOYAmt
Total Liabilities BOY$1,932,490TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,255,813TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,490,373NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,111,659NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ROCKINGHAM VNA & HOSPICE, A HOME HEALTH AGENCY, IS TO ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. THIS MISSION IS PRINCIPALLY ACCOMPLISHED THROUGH THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY. ROCKINGHAM VNA AND HOSPICE WORKS TO ACCOMPLISH THIS MISSION BY PROMOTING WELL BEING AND INDEPENDENCE BY PROVIDING PATIENT-CENTERED HEALTH CARE SERVICES IN THE COMFORT OF THE HOME AND WITHIN THE COMMUNITIES SERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,778,693ExpenseAmt
Revenue$14,227,824RevenueAmt
DescROCKINGHAM VNA & HOSPICE'S HOME CARE PROGRAM PROVIDES COMPREHENSIVE SKILLED SERVICES TO THE ADULT POPULATION. THE GOAL OF THESE SERVICES IS TO IMPROVE THE HEALTH AND INDEPENDENCE OF THE PATIENTS WE SERVE. OUR SERVICES INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL WORK SERVICES, HOME HEALTH AIDE, DIETICIAN, IV SPECIALIST, WOUND SPECIALIST, CERTIFIED DIABETES EDUCATOR, TELEHEALTH SERVICES, AND AN ADVANCED ILLNESS PROGRAM. ROCKINGHAM VNA AND HOSPICE PROVIDED 67,679 VISITS TO 3,331 HOME CARE PATIENTS DURING FY 2014, AND ALSO INCURRED $70,611 IN COSTS TO PROVIDE CHARITY CARE TO PATIENTS THROUGHOUT THE COMMUNITIES SERVED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescROCKINGHAM VNA & HOSPICE'S HOSPICE PROGRAM PROVIDES A COMPREHENSIVE, MEDICALLY DIRECTED, TEAM ORIENTED PROGRAM OF CARE. THE ESSENTIAL COMPONENTS INCLUDE CARE OF THE PATIENT AND FAMILY AS ONE UNIT, PAIN AND SYMPTOM MANAGEMENT, 24 HOUR ON-CALL AVAILABILITY, MEDICAL AND NURSING CARE, HOME HEALTH AIDE, SOCIAL WORK SERVICES, BEREAVEMENT CARE, VOLUNTEERS, REHAB SERVICES, AND COORDINATION OF MEDICATIONS, MEDICAL SUPPLIES, AND DURABLE MEDICAL EQUIPMENT. ROCKINGHAM VNA AND HOSPICE PROVIDED 15,218 VISITS TO 442 PATIENTS WHO RECEIVED 21,756 DAYS OF PATIENT CARE DURING FY 2014.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescROCKINGHAM VNA & HOSPICE'S COMMUNITY OUTREACH PROGRAM IS DEDICATED TO ASSISTING IN IMPROVING THE HEALTH OF THE COMMUNITIES SERVED THROUGH OFFERING A VARIETY OF WELLNESS CLINICS AND EDUCATIONAL OPPORTUNITIES. COMMUNITY PROGRAMS INCLUDE COMMUNITY FOOT CLINICS, COMMUNITY BLOOD PRESSURE CLINICS, FLU VACCINATION CLINICS, DIABETES SUPPORT GROUPS, AND HEALTH EDUCATION PROGRAMS. IN FY 2014, RVNA&H SUPPORTED ITS MISSION BY SUPPORTING $480,258 IN COMMUNITY OUTREACH, BENEFITS AND FINANCIAL SUPPORT TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,778,693TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln 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 Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee170EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN J O'LEARYBusinessNameLine1
FieldValueIRS element (for citing)
Phone6035806695PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN J O'LEARY
TREASURER/TRUSTEE1.0044.00Yes (X)Yes (X)$0$422,773$96,596
SUSAN BURNS-TISDALE
TRUSTEE1.0040.30Yes (X)$0$347,365$48,469
KEVIN CALLAHAN
CHAIRMAN/TRUSTEE1.0044.00Yes (X)Yes (X)$0$739,793$198,420
MARY PALMER
PRESIDENT/SECRETARY1.0040.00Yes (X)Yes (X)$0$209,469$24,057
KAREN MICHEL
EXEC DIR/TRUSTEE40.000.00Yes (X)Yes (X)$136,930$0$33,287
ELIZABETH SMITH MD
TRUSTEE THRU NOVEMBER 20131.0040.00Yes (X)$0$344,171$29,408
CHRISTOPHER WHALEN
FINANCE DIRECTOR40.000.00$108,207$0$32,652Yes (X)
LOIS FERGUSON
HOSPICE DIRECTOR40.000.00$108,804$0$13,002Yes (X)
SHERRY OVENS BURLEIGH
CLINICAL MANAGER40.000.00$102,969$0$4,199Yes (X)
LINDA TAYLOR
CLINICAL SERVICES DIRECTOR40.000.00$101,015$0$30,280Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$557,925TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,063,571TotReportableCompRltdOrgAmt
Total Other Compensation$510,370TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVEEXETERNH03833ADMIN MANAGEMENT SERVICES$273,230
EXETER HOSPITAL
5 ALUMNI DRIVEEXETERNH03833SUPPORT SERVICES$241,301
CREEKSIDE THERAPY LLC
212 OAK HILL ROADBARRINGTONNH03825CONTRACTED THERAPISTS$207,487
HBO & COMPANY
PO BOX 98347CHICAGOIL60693SERVICE CONTRACTS$191,480
PALLIATIVE CARE SERVICE INC
99 HIGH STREETSOMERSWORTHNH03878PHYSICIAN SERVICES$107,041
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$54,252AllOtherContributionsAmt
Total Contributions$54,252TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621610BusinessCd
Total Revenue Column$14,227,824TotalRevenueColumnAmt
Related Or Exempt Func Income$14,227,824RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,227,824TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,789TotalRevenueColumnAmt
Exclusion$7,789ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,289,865TotalRevenueColumnAmt
Related Or Exempt Func Income$14,227,824RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,789ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$557,925TotalAmt
Program Services$530,029ProgramServicesAmt
Management And General$27,896ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,383,331TotalAmt
Program Services$7,014,164ProgramServicesAmt
Management And General$369,167ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$155,656TotalAmt
Program Services$147,873ProgramServicesAmt
Management And General$7,783ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,546,178TotalAmt
Program Services$1,468,869ProgramServicesAmt
Management And General$77,309ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$575,648TotalAmt
Program Services$546,866ProgramServicesAmt
Management And General$28,782ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,365TotalAmt
Management And General$1,365ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,370TotalAmt
Management And General$33,370ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,433TotalAmt
Management And General$3,433ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,231TotalAmt
Management And General$4,231ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$310,400TotalAmt
Program Services$294,880ProgramServicesAmt
Management And General$15,520ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$125,813TotalAmt
Program Services$119,522ProgramServicesAmt
Management And General$6,291ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,812TotalAmt
Program Services$54,921ProgramServicesAmt
Management And General$2,891ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$386,365TotalAmt
Program Services$367,047ProgramServicesAmt
Management And General$19,318ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$304,040TotalAmt
Management And General$304,040ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$60,761TotalAmt
Program Services$57,723ProgramServicesAmt
Management And General$3,038ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,051TotalAmt
Program Services$26,648ProgramServicesAmt
Management And General$1,403ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$599,595$599,595
CONTRACT SERVICES$468,976$468,976
BAD DEBT$285,242$285,242
MEDICAL FEES$279,603$279,603

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$532,368TotalAmt
Program Services$516,735ProgramServicesAmt
Management And General$15,633ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,700,163TotalAmt
Program Services$12,778,693ProgramServicesAmt
Management And General$921,470ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$868,685BOYAmt
EOY$957,101EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,787,489BOYAmt
EOY$2,669,583EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$44,804BOYAmt
EOY$38,557EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,494,103LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,157,726LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$387,614BOYAmt
EOY$336,377EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$334,271BOYAmt
EOY$365,854EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,422,863BOYAmt
EOY$4,367,472EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,177,487BOYAmt
EOY$1,289,370EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$562,343BOYAmt
EOY$641,073EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$192,660BOYAmt
EOY$325,370EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,932,490BOYAmt
EOY$2,255,813EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,156,102BOYAmt
EOY$1,745,805EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$334,271BOYAmt
EOY$365,854EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,490,373BOYAmt
EOY$2,111,659EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,422,863BOYAmt
EOY$4,367,472EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$589,702ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$31,584NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,917CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,287CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,479CurrentTaxYearMinus1YearAmt
Current Tax Year$54,252CurrentTaxYearAmt
Total$235,654TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,696,322CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,069,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,614,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,927,688CurrentTaxYearMinus1YearAmt
Current Tax Year$14,227,824CurrentTaxYearAmt
Total$64,536,191TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,734,239CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,109,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,663,687CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,982,167CurrentTaxYearMinus1YearAmt
Current Tax Year$14,282,076CurrentTaxYearAmt
Total$64,771,845TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$64,771,845PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,309CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,369CurrentTaxYearMinus1YearAmt
Current Tax Year$7,789CurrentTaxYearAmt
Total$44,008TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,309CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,369CurrentTaxYearMinus1YearAmt
Current Tax Year$7,789CurrentTaxYearAmt
Total$44,008TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,743,604CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,121,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,669,996CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,990,536CurrentTaxYearMinus1YearAmt
Current Tax Year$14,289,865CurrentTaxYearAmt
Total$64,815,853TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99930PublicSupportCY509Pct
Public Support PY5090.99930PublicSupportPY509Pct
Investment Income CY0.00070InvestmentIncomeCYPct
Investment Income PY0.00070InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,433OtherActivitiesAmt
Total Lobbying Expenditures$3,433TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF MEMBERSHIP DUES ARE CONSIDERED LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$334,271BeginningYearBalanceAmt
Investment Earnings Or Losses$31,583InvestmentEarningsOrLossesAmt
End Year Balance$365,854EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$318,300BeginningYearBalanceAmt
Investment Earnings Or Losses$15,971InvestmentEarningsOrLossesAmt
End Year Balance$334,271EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$316,344BeginningYearBalanceAmt
Investment Earnings Or Losses$1,956InvestmentEarningsOrLossesAmt
End Year Balance$318,300EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$306,804BeginningYearBalanceAmt
Investment Earnings Or Losses$9,540InvestmentEarningsOrLossesAmt
End Year Balance$316,344EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$277,416BeginningYearBalanceAmt
Investment Earnings Or Losses$29,388InvestmentEarningsOrLossesAmt
End Year Balance$306,804EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$471,906OtherCostOrOtherBasisAmt
Depreciation$195,059DepreciationAmt
Book Value$276,847BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,695OtherCostOrOtherBasisAmt
Depreciation$285,545DepreciationAmt
Book Value$15,150BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,721,502OtherCostOrOtherBasisAmt
Depreciation$1,677,122DepreciationAmt
Book Value$44,380BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$336,377TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN TRUSTSDesc
Book Value$365,854BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$365,854TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$325,370Amt
FieldValueIRS element (for citing)
Total Liability$325,370TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,289,865TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,289,865RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,289,865TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,700,163TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,700,163ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,700,163TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE HELD BY THE TOWN OF DERRY, NEW HAMPSHIRE. THE INCOME EARNED FROM THE FUND IS USED TO FUND THE ORGANIZATION'S OPERATIONS.
PART X, LINE 2:THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THE ASSOCIATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN J O'LEARY
TREASURER/TRUSTEE$0$297,107$0$70,620$0$55,046$0$75,650$0$20,946$0$519,369$0$0
SUSAN BURNS-TISDALE
TRUSTEE$0$252,317$0$61,040$0$34,008$0$15,300$0$33,169$0$395,834$0$0
KEVIN CALLAHAN
CHAIRMAN/TRUSTEE$0$543,852$0$121,000$0$74,941$0$167,650$0$30,770$0$938,213$0$0
MARY PALMER
PRESIDENT/SECRETARY$0$136,313$0$37,177$0$35,979$0$12,580$0$11,477$0$233,526$0$0
KAREN MICHEL
EXEC DIR/TRUSTEE$128,488$0$5,378$0$3,064$0$2,849$0$30,438$0$170,217$0$0$0
ELIZABETH SMITH MD
TRUSTEE THRU NOVEMBER 2013$0$225,253$0$73,360$0$45,558$0$0$0$29,408$0$373,579$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS UP PAYMENTS WERE PROVIDED TO KEVIN CALLAHAN, KEVIN O'LEARY, SUSAN BURNS-TISDALE, MARY PALMER AND ELIZABETH SMITH, MD (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 COMPRISED OF DISINTERESTED PERSONS.
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 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) IS AVAILABLE TO BE PAID TO THE PARTICIPANT ONCE VESTED AT AGE 62 AND UPON RETIREMENT FROM THE ORGANIZATION. LIFE INSURANCE PREMIUM PAYMENTS DURING TAX YEAR: KEVIN CALLAHAN- $312,478 KEVIN O'LEARY-$146,277 KEVIN CALLAHAN - EXCESS ACCUMULATED VALUE = $1,618,484 KEVIN O'LEARY - EXCESS ACCUMULATED VALUE = $674,148 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, 2013 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 WHEN IT IS PAYABLE TO THE PARTICIPANT.
PART I, LINE 7THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC.) 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, SUSAN BURNS-TISDALE AND MARY PALMER. THE EXETER HEALTH RESOURCES 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 EXETER HEALTH RESOURCES BOARD AND /OR ITS EXECUTIVE COMMITTEE ESTABLISHES MINIMUM, TARGETED AND MAXIMUM LEVELS FOR INCENTIVE AWARDS AND APPROVES ALL INCENTIVE AWARDS FOR PARTICIPATING EXECUTIVES. CORE PHYSICIANS HAS A COMPENSATION PLAN THAT IS BASED UPON COMPETITIVE MARKET RATES RELATIVE TO A PHYSICIAN'S SPECIALTY. THE ORGANIZATION UTILIZES THE SERVICES OF AN OUTSIDE COMPENSATION CONSULTANT TO DETERMINE MARKET BENCHMARKS. TOTAL COMPENSATION CONSISTS OF A BASE SALARY, A POTENTIAL FOR A PRODUCTIVITY BONUS, AN ON-CALL STIPEND (IF APPLICABLE), A MEDICAL DIRECTORSHIP STIPEND (IF APPLICABLE), A CITIZENSHIP AND QUALITY PAYMENT THAT IS EARNED BASED UPON THE ACHIEVEMENT OF OBJECTIVES SET IN ADVANCE. THE PRODUCTIVITY BONUS IS BASED ON WORK RELATIVE VALUE UNITS (WRVU) PRODUCTION AND WOULD BE ELIGIBLE TO ANYONE WHO PRODUCES WRVU'S ABOVE HIS OR HER BASE SALARY WRVU LEVEL. BASE COMPENSATION IS ALSO ADJUSTED IF WORK RELATIVE VALUE UNITS FALL BELOW THE BASE SALARY WRVU EQUIVALENCY LEVEL. THE PHYSICIANS' COMPENSATION IS APPROVED BY CORE PHYSICIANS, LLC'S COMPENSATION COMMITTEE WHICH IS COMPRISED OF SYSTEM MANAGERS WHO ARE APPROVED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. ELIZABETH SMITH WAS COMPENSATED BY CORE PHYSICIANS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 7AEXETER HEALTH RESOURCES, INC., AS SOLE MEMBER, ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES OF RVNA&H, IN ADDITION TO ONE OF ITS OFFICERS WHO SERVES AS EX-OFFICIO TRUSTEE.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, EXETER HEALTH RESOURCES HAS CERTAIN RESERVED RIGHTS AS REFLECTED IN THE BY-LAWS OF THE ORGANIZATION.
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 AND 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 OF THE MEMBER (I.E., EXETER HEALTH RESOURCES, INC.). 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 THE FULL BOARD. A SEPARATE ORGANIZATIONAL POLICY REQUIRES ALL EMPLOYEES TO DISCLOSE ANY CONFLICT OF INTEREST IN WRITING UPON HIRE. THEREAFTER, ON AN ANNUAL BASIS, ALL EMPLOYEES AND CONTRACTED STAFF MUST MAKE A FULL AND COMPLETE DISCLOSURE IN WRITING OF ANY CONFLICT OF INTEREST, CONFLICT OF COMMITMENT, AND/OR PERSONAL INTEREST. EMPLOYEES ARE OTHERWISE REQUIRED TO MAKE ANY FURTHER WRITTEN DISCLOSURE AT THE TIME SUCH CONFLICT ARISES. THIS POLICY IS MONITORED AND ENFORCED BY THE DEPARTMENT OF HUMAN RESOURCES, AS WELL AS THE AGENCY'S EXECUTIVE DIRECTOR AND COMPLIANCE OFFICER. ANY CONFLICT OF INTEREST IS MANAGED UNDER THIS POLICY BY DISCLOSURE, RECUSAL, OR DIVESTITURE OF THE INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES) HAS A FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CHAIRMAN OF ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE (RVNA&H) AND OTHER LISTED OFFICERS THAT IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACHIEVING THE ORGANIZATION'S MISSION, TO RECOGNIZE INDIVIDUAL AND TEAM PERFORMANCE AND TO COMPLY WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE EXECUTIVE COMMITTEE OF THE EXETER HEALTH RESOURCES' BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CHAIRMAN OF RVNA&H AND OTHER LISTED OFFICERS. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CHAIRMAN AND OTHER LISTED OFFICERS. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND MAKES RECOMMENDATIONS TO THE FULL BOARD OF EXETER HEALTH RESOURCES FOR ADJUSTMENT OF THE CHAIRMAN'S COMPENSATION AND THE COMPENSATION FOR OTHER LISTED OFFICERS. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL AND/OR THAT INDIVIDUAL'S CONTRIBUTIONS TO A TEAM, THE PERFORMANCE OF THE ORGANIZATION IN WHOLE AND IN PART, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A PERFORMANCE APPRAISAL PROCESS IN THE CHAIRMAN'S AND THE OTHER LISTED OFFICERS' COMPENSATION REVIEW. THE CHAIRMAN AND OTHER LISTED OFFICERS ARE NOT PRESENT WHEN THE COMMITTEE DISCUSSES THEIR RESPECTIVE COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR QUALITY, OPERATING SYSTEM EXCELLENCE AND FINANCIAL PERFORMANCE. THE RESULTS OF THE COMMITTEE'S DELIBERATIONS ARE PRESENTED TO THE EXETER HEALTH RESOURCES 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 CHAIRMAN ONLY FOR THAT PERIOD OF TIME IN WHICH THE EXETER HEALTH RESOURCES BOARD HAS QUESTIONS CONCERNING THE PERFORMANCE OF ANY LISTED OFFICER OTHER THAN THE CHAIRMAN. THE EXETER HEALTH RESOURCES BOARD REVIEWS THE CHAIRMAN'S PERFORMANCE AND DETERMINES IF THE ADJUSTMENTS AND AWARDS RECOMMENDED BY THE COMMITTEE FOR THE CHAIRMAN ARE IN THE ORGANIZATION'S BEST INTEREST AND FOR THE BENEFIT OF THE ORGANIZATION AND THE PARENT ORGANIZATION. FOR THE OTHER LISTED OFFICER POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED UPON RECOMMENDATION OF THE CHAIRMAN BY THE EXECUTIVE COMMITTEE WITHIN THE EXETER HEALTH RESOURCES BOARD APPROVED PARAMETERS AND RATIFIED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. FOR THE EXECUTIVE DIRECTOR OF ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE, COMPENSATION IS DETERMINED BY CONSULTING WITH THE ORGANIZATION'S PARENT HUMAN RESOURCE DEPARTMENT. COMPARISON COMPENSATION SURVEYS AND EXTERNAL BENCHMARKS ARE USED IN THE PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVEEXETERNH03833020222126MANAGEMENT AND SUPPORTING ORGANIZATION; HOLDING COMPANYNH501C3110
EXETER HOSPITAL INC
5 ALUMNI DRIVEEXETERNH03833222674014HOSPITALNH501C330EXETER HEALTH RESOURCES INC
CORE PHYSICIANS LLC
5 ALUMNI DRIVEEXETERNH03833870807914PHYSICIAN PRACTICESNH501C390EXETER HEALTH RESOURCES INC
MATRIX HEALTH INC
5 ALUMNI DRIVEEXETERNH03833020473737MANAGE RESOURCESNH501C3110EXETER HEALTH RESOURCES INC
EXETER MED REAL INC
5 ALUMNI DRIVEEXETERNH03833020418718REAL ESTATE HOLDINGNH501C250EXETER HEALTH RESOURCES INC
EXETER HEALTH RESOURCES INC SELF-INSURANCE TRUST
5 ALUMNI DRIVEEXETERNH03833200753662SELF INSURANCE TRUSTNH501C3110EXETER HEALTH RESOURCES INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CONVERGENT HEALTH SYSTEMS INC
5 ALUMNI DRIVEEXETERNH03833020469711WELLNESS CENTERNHEXETER HEALTH RESOURCES INCC0
VX HEALTH SERVICES INC
5 ALUMNI DRIVEEXETERNH03833020469712INACTIVE FITNESS CENTERNHCONVERGENT HEALTH SYSTEMSC0
EXETER MEDICAL SERVICES INC
5 ALUMNI DRIVEEXETERNH03833020419850INACTIVE PHYSICIAN PRACTICENHCONVERGENT HEALTH SYSTEMSC0
CORE HEALTH SERVICES OF MA
5 ALUMNI DRIVEEXETERNH03833201598042INACTIVE PHYSICIAN PRACTICEMAEXETER HEALTH RESOURCES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other 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 Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd