2023-08-10T14:30:45-05:00 2022-09-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2021-10-01 222674014 Exeter Hospital Inc EXET 6035806751 5 Alumni Drive Exeter NH 03833 KEVIN J O'LEARY CFO/Assistant Treasurer 6035806751 2023-08-09 1 KEVIN OLEARY 999009999 Connor Smart P02285543 6036262200 2023-08-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Debra Cresta 5 Alumni Drive Exeter NH 03833 348014335 0 X www.exeterhospital.com X 1907 NH The mission of Exeter Hospital is to improve the health of the community. This mission will be accomplished without compromising Exeter Hospital's sustainability principally by the provision of health services and information to the community in collaboration with Exeter Health Resources' other affiliates which share this mission. 12 9 1911 14 5894 4146 14489245 2739069 296886958 303068140 7213947 13271842 127138 80209 318717288 319159260 444361 546714 0 0 120202155 133748240 0 0 0 147928106 169302815 268574622 303597769 50142666 15561491 369586384 282631034 106303441 78044792 263282943 204586242 X The mission of Exeter Hospital is to improve the health of the community. This mission will be accomplished without compromising Exeter Hospital's sustainability principally by the provision of health services and information to the community in collaboration with Exeter Health Resources' other affiliates which share this mission. Exeter Hospital works to accomplish this mission through the provision of comprehensive medical and surgical health care services including, but not limited to breast health, maternal/infant and reproductive medicine, cardiovascular, gastroenterology, sleep medicine, occupational and employee health, oncology, orthopedics and emergency care services. 0 0 263076128 546714 303160225 Exeter Hospital continued to improve the health of its community over the past year. In fiscal year 2022, Exeter Hospital served the community by providing care to 4,305 acute inpatients, 211,834 outpatient visits, 28,188 emergency room visits and 575 births. In 2022, Exeter Hospital supported its mission by providing $10,349,686 in community outreach, benefits and financial assistance to the community excluding $67,913,392 in uncovered Medicare and Medicaid expenses. Exeter Hospital supports health care access in its service area by offering a robust financial assistance program that covers the cost of 100% of care provided to area residents based on income and family size. (The full disclosure for the Hospital's fiscal year program service accomplishments is continued on Schedule O)In 2022, the charity care program helped people access the health system as Exeter Hospital incurred a cost of $379,913 to provide financial assistance. In addition we provide support to vital community programs like our Healthreach Diabetes and Paramedicine programs 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. Exeter 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 73% of our admissions come from the emergency department. 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), and has three times 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 intensivist 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.Exeter 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, general, ENT, gynecological, urological, plastics, ophthalmologic and vascular. The Center for Cancer Care at Exeter Hospital provides cancer patients and their families with comprehensive inpatient and outpatient services. Accredited by the American College of Surgeon's Commission on Cancer with commendation, the Center provides area residents with a leading, comprehensive approach to cancer treatment. The Center offers medical oncology, radiation oncology, surgery, clinical trials, multidisciplinary clinics and integrative oncology services. The Center is proud to have a relationship with the Massachusetts General Physician Organization for the provision of medical and radiation oncology services to patients. The medical oncology service supports 13 treatment areas. 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: CT Simulation, Partial Breast Irradiation, Image Guided Radiation Therapy, Intensity Modulated Radiation Therapy, and Breath Hold Technique for Breast Cancer Treatment and Linear Accelerator delivered treatments. 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 was awarded the Cardiac Cath Lab Accreditation with PCI by the American College of Cardiology offers acute cardiac care, heart catheterization, angioplasty, angiography, implanted 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 international recognitions for their ongoing successful use of emergency angioplasty and interventional cardiology procedures. 263076128 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 172 0 1 1911 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Allison J Casassa CFOAssistant Treasurer 6035806751 5 Alumni Drive Exeter NH 03833 X Kevin J Callahan CEO/President/Trustee 1.00 44.00 X X 0 1480567 33578 Richard Hollister MD Ex-Officio Member 1.00 41.00 X 0 549325 45451 Michael Pangan MD Trustee 1.00 42.00 X 0 334910 48167 Ret Maj Gen Susan Desjardins Trustee 1.00 1.00 X 0 0 0 Cynthia Dominguez PhD Trustee 1.00 1.00 X 0 0 0 David Donsker MD Trustee (end 3/2022) 1.00 1.00 X 0 0 0 David Falck Esq Trustee 1.00 1.00 X 0 0 0 Charles Davis Farmer Jr Trustee 1.00 1.00 X 0 0 0 Steve Hermans Esq Trustee (end 3/2022) 1.00 1.00 X 0 0 0 Robert Hevert Trustee 1.00 1.00 X 0 0 0 Nick Toumpas Trustee 1.00 1.00 X 0 0 0 Sally Ward PhD Trustee 1.00 1.00 X 0 0 0 Rob Eberle Chair 1.00 1.00 X X 0 0 0 Amy Case Vice Chair 1.00 1.00 X X 0 0 0 Kevin J O'Leary CFO/Treasurer (end 1/2022) 1.00 44.00 X 0 935187 34467 Constance D Sprauer Esq Sr. VP Legal Affairs/Sec. 1.00 42.00 X 0 406582 33068 Allison J Casassa CFO/Treasurer (start 1/2022) 1.00 44.00 X 0 359277 7749 Sean O'Neil VP Ambulatory Care 40.00 0.00 X 0 306388 40875 Donna McKinney VP Acute Care 40.00 1.00 X 443859 0 31704 Kelly L Gingras VP Accounting 40.00 0.00 X 232024 0 40566 Susan Callahan Director 40.00 0.00 X 259275 0 17089 Nolan Gagne Chief Medical Physicist 40.00 0.00 X 237784 0 33937 Charles Thomas Director 40.00 0.00 X 241072 0 44892 Deanna King Director 40.00 0.00 X 238252 0 18716 Brian Campbell Former VP Ambulatory Care (end 5/21) 40.00 0.00 X 315350 0 11811 1967616 4372236 442070 172 1 1 0 Exeter Health Resources Inc 5 Alumni Drive Exeter NH 03833 Administrative Management Fees 9414511 American Healthcare Services LL PO Box 670529 Dallas TX 752670529 Temporary Staffing 2787363 Engelberth Construction Inc 150 Water Tower Circle Colchester VT 05446 Building Contractor 2513548 Mass General Physician Organization PO Box 3662 Boston MA 022413662 Physician Services 1906063 Hutter Construction Corp 810 Turnpike Road New Ipswich NH 03071 Building Contractor 1850304 78 109486 2122065 507518 13032 2739069 Net Patient Services 621300 294235901 294235901 Disproportionate Share Funding 621300 6599279 6599279 Auxilliary hospital services 621300 1207994 1207994 Cafeteria 722210 962107 962107 Gift Shop 453220 62859 62859 303068140 1008786 5894 1002892 121637 29552 92085 92085 92085 41029728 21500 28788172 0 12241556 21500 12263056 12263056 25475 109486 37351 -11876 -11876 319159260 303160225 5894 13254072 X 546714 546714 802724 693739 108985 105726722 91372281 14354441 3746016 3237422 508594 15903156 13743996 2159160 7569622 6541900 1027722 53364 53364 60000 60000 35851 35851 43938511 34653312 9285199 660308 520346 139962 837703 660139 177564 419686 330727 88959 6779251 5342283 1436968 205723 162117 43606 488008 403192 84816 9755445 8059949 1695496 926265 729929 196336 Drugs 35140680 35140680 Supplies 25057975 19746548 5311427 MET 14899865 14899865 Bad debt expense 12200019 12200019 17844161 14090970 3753191 303597769 263076128 40521641 0 42800480 12077833 11554780 6782288 327829 556668 30561706 31147474 6834595 7882894 13129240 13760445 131410629 71500704 56644130 59909925 43535599 29409212 155107924 114983949 9090101 6120346 369586384 282631034 28337924 32586791 38196377 34198808 39769140 11259193 106303441 78044792 X 237167581 184647828 26115362 19938414 263282943 204586242 369586384 282631034 X 15561491 -37334263 -36923929 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35851 35851 0 Part II-B, Line 1: A portion of annual membership dues paid to the American Hospital Association, the New Hampshire Hospital Association, and the Association of Community Cancer Centers are considered lobbying expenses. For fiscal year ending September 30, 2022, the amounts deemed for lobbying were $8,456, $27,383, and $12, respectively. 26115362 630764 -3870191 2937521 19938414 20702145 2025164 5161715 1773662 26115362 17319951 578733 2996535 193074 20702145 17140056 570439 390544 17319951 17071757 174933 106634 17140056 0.04960 0.95040 0.00000 0 1 1 192962 192962 57602281 34066976 23535305 324512 231460 93052 57530246 36194885 21335361 15760628 1007383 14753245 59909925 Limited Partnerships 98301724 F Alternative Investments 16682225 F 114983949 CMS Accelerated & Advance Payments 3440187 Due to Third Party Payors 5296627 Swap Valuation Liability 1496581 Reserve for Professional Liability Claims 456854 Deferred Compensation 568944 11259193 X 272036025 -37334263 2920759 -34413504 306449529 12709731 12709731 319159260 286665320 37351 37351 286627969 16969800 16969800 303597769 Part V, Line 4: The goal of the Permanent Endowment Fund is to provide a source of financial support to Exeter's patient care activities. These funds are invested in a prudent manner with regard to preserving principal while providing reasonable returns. These returns are then used for capital expenditures, other major program needs, and to generally increase the financial strength of the organization. The quasi-endowments are funds which have been donated to the organization for a purpose specified by the donor. These funds are held until used for the purpose intended by the donor. Part X, Line 2: The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code, and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the tax positions of the Hospital and has concluded that it has maintained its tax-exempt status, does not have any significant unrelated business income, and has taken no uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Impact of interest rate swaps 2,883,408. Fundraising event expenses 37,351. Part XI, Line 4b - Other Adjustments: Bad debt expense 12,200,019. Contributions to community programs 509,712. Part XII, Line 2d - Other Adjustments: Fundraising event expenses 37,351. Part XII, Line 4b - Other Adjustments: Bad debt expense 12,200,019. Contributions to community programs 509,712. Net periodic pension gain 4,260,069. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments in funds domiciled in the region 16682225 0 0 0 0 0 0 16682225 0 16682225 0 0 1 1 1 0 Part III Accounting Method: Schedule F, Part I, Line 3: The legal owner of Exeter Hospital, Inc.'s foreign investments is a related organization, Exeter Health Resources, Inc. Since a portion of Exeter Health Resources, Inc.'s total foreign investments are allocated to the Hospital's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of Exeter Hospital, Inc.'s Form 990. However, any required IRS Forms 926 and other foreign tax reporting obligations are filed by the legal owner, Exeter Health Resources, Inc.(EIN:02-0222126) Schedule F, Part IV, Line 3: Exeter Hospital, Inc. did not have an ownership interest in any foreign corporation that was greater than the 10% ownership filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed. Schedule F, Part IV, Line 4: Exeter Hospital, Inc. meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Hospital. Schedule F, Part IV, Line 5: Exeter Hospital, Inc. did not have an ownership interest in any foreign partnership that was greater than the 10% ownership filing threshold; did not have control over any foreign partnerships; did not transfer $100,000 or more to a foreign partnership during the reporting period; and did not experience a Form 8865 Reportable Event. Accordingly, IRS Form(s) 8865 is not required to be filed. Trick or Treat Trot 64013 58288 5725 1015 1498 7006 Golf Tournament 48730 28980 19750 9120 4004 4334 1 22218 22218 3764 6610 134961 109486 25475 1015 9120 9266 17950 37351 -11876 Schedule G, Part II, Fundraising Events In accordance with the IRS instructions for the reporting of income on Schedule G, event revenue deemed to be charitable contributions has been reported on line 2, thus reducing the total gross event income on line 3. This presentation gives the appearance on Schedule G of a loss from the event. However, when the charitable contributions are considered and added back, this event had a profit of $97,610. 1 1 1 X 320.000000000000 0 1 1 0 1 1 511 379913 379913 0.00130 6052 36198964 6599279 29599685 0.10160 6563 36578877 6599279 29979598 0.10290 3113 1338088 15639 1322449 0.00450 184 1708769 1708769 0.00590 1307 6687702 468356 6219346 0.02130 836 489322 24970 464352 0.00160 103 510314 510314 0.00180 5543 10734195 508965 10225230 0.03510 12106 47313072 7108244 40204828 0.13800 124456 124456 0.00040 124456 124456 0.00040 0 2989206 2058618 94079597 140693890 -46614293 X 1 1 1 1 Exeter Hospital Inc 5 Alumni Drive Exeter NH 03833 www.exeterhospital.com 1761 X X X Exeter Hospital Inc 1 0 0 1 X X X X X X X X 21 1 0 1 1 X See Part V, Section C X 1 21 1 See Part V, Section C 0 1 X 320.000000000000 X X X X 1 1 X X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X X 1 X 0 X X X 1 X 0 0 Exeter Hospital, Inc. Part V, Section B, Line 5: Every three years, Exeter Hospital, in collaboration with its community partners, conducts a Community Health Needs Assessment to identify, prioritize, and develop a plan to address critical health issues. The last community needs assessment was completed in FYE 2022. The purpose of the assessment was to engage community members through key leader interviews and Community Forums, and to achieve the following objectives: 1) Educate and inform key leaders and Community Forum participants of the results of the FYE 2019 Community Health Needs Assessment and achievements to date to meet identified needs. 2) Validate Priority Health Needs identified in the FYE 2019 Community Health Needs Assessment and further define these needs in FYE 2022 from the stakeholders' perspective. 3) Identify unmet needs that have emerged since the FYE 2019 Community Health Needs Assessment. 4) Serve as a continuing foundation for the development of a Community Benefits Plan, as mandated under RSA 7:32-e.The FYE 2022 Community Needs Assessment included open community forums, online surveys, key leader interviews, outreach to support agencies and the review of relevant secondary data sources. Information was solicited from a broad cross-section of the hospital's service area and included government welfare, public health, transportation, police, education and emergency preparedness officials, children and families, youth, elderly and the low-income citizens, as well as outreach agencies. Legislators were invited to attend the community forums. Providers of medical care to low-income minority population and mental health services were included. Exeter Hospital, Inc. Part V, Section B, Line 6b: Representatives from the following organizations collaborated on the hospital's community needs assessment: Exeter Hospital, Gather, Seacoast Family Promise, The Plaistow Community YMCA, Transportation Assistance for Seacoast Citizens, UNH Extension, Racial Unity Team, Seacoast Mental Health Center, Southern District YMCA, Lamprey Health Care, Waypoint at the Richie McFarland Children's Center, Leadership Seacoast, Rotary Club Exeter New Hampshire, and Society of St. Vincent de Paul Exeter. Exeter Hospital, Inc. Part V, Section B, Line 11: The needs identified in the FYE 2022 Community Health Needs Assessment are: Mental and Behavioral Health Services, Access to Care, Transportation, Social Determinants of Health, Needs of Older Adults & Other Underserved Populations.The community benefit spending in FYE 2022 directly related to the FYE 2019 identified needs which were: Access to care due to insurance coverage cost barriers, Access to care due to insurance coverage cost barriers, Substance Use Disorder, Mental Health, Elder Care and Support Services and Transportation.Exeter Hospital addressed these needs by promoting community health and access to primary care by providing: 1) Charity care of $379,913 (calculated at cost) during fiscal year 2022 which served 511 people. 2) Financial assistance through its health care access program which has continued throughout the pandemic and has three components: a) The Uninsured Care Discount/Hospital Access Plus Program - Patients who are uninsured will not be charged more than amounts generally billed to patients who have insurance covering the same care. Exeter Hospital, prior to billing the patients, applies a discount towards gross charges for patients who are uninsured. This discount is not valid for patients who have health insurance coverage, including but not limited to: Medicare, Medicaid, MedPay, third party liability or any other state or federal programs. b) The Financial Assistance Program (FAP) is a community-based program available to uninsured and under-insured patients who meet income and asset guidelines, and who live in our service area. To qualify, patients must first have applied for all other sources of coverage, including the Healthcare Exchange and the New Hampshire Health Protection Program. c) 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. This program is calculated based on a percentage of the patient's gross income. 3) Mental Health Care access was provided by Exeter Hospital partnering with Seacoast Mental Health to offer services to patients and their caregivers in the Emergency Department and the Center for Cancer Care. In fiscal year 2022, the hospital helped to underwrite mental healthcare services in the amount of $671,594. 4) Community Education Programs offered by the Hospital at an expense of $326,169 served 658 people in fiscal year 2022. 5) Diabetes support programs run by the Hospital in fiscal year 2022 served 684 people at an expense of $974,292. 6) Participation in research studies by the "The Center for Cancer Care" at Exeter Hospital through several national research groups sponsored by the National Cancer Institute. This enables the Center to offer clinical trials to patients undergoing treatment at the Hospital that allows patients to voluntarily take part in leading edge research that does not necessitate travel outside of the Seacoast area. During fiscal year 2022, the Hospital provided $464,352 for clinical trials and research that served 836 patients. 7) Telehealth Services were provided by the Hospital at an expense of $412,775 in fiscal year 2022. 8) Transportation which is an important health care support service provided by the Hospital in response to an identified community need. Each year the program enhances access for hundreds of patients who otherwise would not be able to obtain needed health care and health related support services. During fiscal year 2022 Exeter Hospital provided transports at a cost of $59,343. 9) Support for Youth Suicide/Substance Misuse Prevention by the Hospital making a $509,714 financial contribution through the NH Foundation for Healthy Communities to support the NH Bureau of Drug and Alcohol services for their programs to combat addiction and substance misuse disorder. Exeter Hospital, Inc. Part V, Section B, Line 16j: The financial assistance policy (FAP), financial assistance application and plain language summary can be found on our website and paper copies are available to patients. Semi-annually, we publish an ad in the local paper which outlines our financial assistance program. Within our phone system, we have a recording which outlines the financial assistance program when patients, family members etc. are on hold during a call to Exeter Hospital. We present each patient with a copy of the Plain Language Summary at Registration. Currently we have a financial counselor located in the checkout area in our Emergency Department and an Inpatient Financial Counselor to visit inpatients who are uninsured, to inform them of our program and/or if they request more information about needing assistance to pay for services. Signage in public locations notifies patients about our Financial Assistance Program. We have also collaborated with our community partners to have this information publically available and accessible at their locations to reach members of our community who are most likely to need financial assistance. Exeter Hospital, Inc. Part V, Section B, Line 20e: During fiscal year 2022, we notified Emergency Department patients during discharge about our financial assistance program. Upon admission, we visit all self pay and any other patient who wishes to discuss their coverage and or balances due and inform them of our program. The Plain Language Summary is presented during registration of all patients. This information regarding the financial assistance program is on each patient billing statement as well as available on our website. Schedule H, Part V, Section B, Line 7a: The Hospital's FYE 2022 CHNA is available at:https://www.exeterhospital.com/UploadedFiles/ExeterHospital/4a/4a75411e-a045-4906-837c-9e3458b33400.pdf Schedule H, Part V, Section B, Line 10a: The Hospital's FYE 2019 Implementation Strategy is available at:https://www.exeterhospital.com/getattachment/About-Us/Community-Benefits/Exeter-Hospital-Community-Health-Needs-Assessment-Implementation-Plan-2018_2019.docx.aspx?lang=en-USThe Community Benefits Reporting Form is also available at:https://www.exeterhospital.com/UploadedFiles/ExeterHospital/ad/ad75e2e8-9035-4193-80aa-d3f6b06f7dbe.pdf Schedule H, Part V, Section B, Line 16a-c: The Hospital's Financial Assistance Policy is available at:https://www.exeterhospital.com/getmedia/610a79e5-68b6-41c5-bdac-38b98dbb25a9/(LD)-326-Financial-Assistance-Policy-(ENGLISH).pdf.aspxThe Hospital's Financial Assistance Application is available at: https://www.exeterhospital.com/UploadedFiles/ExeterHospital/26/2683c3c8-2a34-4a8b-b5b7-b859bfa71e46.pdfThe Hospital's Financial Assistance Plain Language Summary is available at:https://www.exeterhospital.com/getmedia/473fdf9e-2400-468c-acab-d7e5ee7a6cee/1641-Plain-Language-Summary-of-Financial-Assistance-(ENGLISH)-Patient-Accounts-Effective-04_01_2023.pdf.aspxThe Financial Assistance documents can be accessed at the web-link listed below, and are also available in Spanish.https://www.exeterhospital.com/patients-and-visitors/Financial-Assistance 15 1 - Center For Orthopedics and Movement 7 Alumni Drive Exeter NH 03833 Rehabilation Services, Cardiac Rehabiliation, Massage 2 - Centers for Sleep & Wound Healing 4 Alumni Drive Exeter NH 03833 Sleep Lab, Wound Care, DriveAbility 3 - Epping Regional Health Center 212 Calef Highway Epping NH 03042 Pediatric and Adult Rehabilation Services, Radiology, Mammography 4 - Plaistow Regional Health Center 127 Plaistow Road Plaistow NH 03865 Pediatric and Adult Rehabilation Services, Mammography 5 - Center for Reproductive Care 118 Portsmouth Avenue Stratham NH 03885 Reproductive Services 6 - Ctr for Occup & Employee Health 6 Hampton Road Exeter NH 03833 Occupational Health 7 - Kingston Athleticare 53 Church Street Kingston NH 03848 Physical Therapy, Occupational Therapy 8 - Ortho & Sports Phys Therapy Ctr 311 Winnacunnet Road Hampton NH 03842 Physical Therapy and Athletic Performance Center 9 - Diagnostic Imaging - Saltonstall 9 Buzell Avenue Exeter NH 03833 Radiology 10 - Rehab & Diagnostic Services Raymond 128 Route 27 Raymond NH 03077 Physical Therapy, Radiology, Mammography 11 - Rehab & Diagnostic Services Lamprey 207 South Main Street Newmarket NH 03857 Physical Therapy, Radiology, Mammography 12 - Exeter Diagnostic Services at Hampton 879 Lafayette Road Hampton NH 03842 Radiology, Mammography 13 - Physical Therapy at Portsmouth 95 Brewery Lane Unit 15 Portsmouth NH 03801 Adult & Pediatric Physical Therapy 14 - Healthreach Diab Endocrin & Nut Ctr 881 Lafayette Road Hampton NH 03842 Diabetes and Nutrition Education 15 - Epping Athletic Performance Center 88 Shirking Road Hampton NH 03842 Athletic Performance Center Part I, Line 3c: All eligible financial assistance recipients receive 100% free care. Patients who do not qualify for financial assistance and are uninsured receive a discount that is equal to AGB (amounts generally billed) using the lookback method. AGB decreased from 39% to 37% in October 2022.There are several factors regarding eligibility for Financial Assistance. The applicant must reside in our service area, a geographic location consisting of approximately 40 surrounding towns, listed on our website, Financial Assistance policy and Plain Language Summary. The other factor is combined income and assets (as defined in our Financial Assistance Policy) are compared to the FPG. Part I, Line 7: A ratio of patient cost to charge was calculated utilizing Worksheet 2. The ratio of cost to charge was utilized in calculating line 7a total net community benefit expense for charity care. Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25 (A), but subtracted for purposes of calculating the percentage in this column is $12,200,019. Part II, Community Building Activities: The majority of the remaining community benefit activities reported as community building activities are cash donations to community organizations for the purpose of furthering community support and advocacy for community health improvement. Part III, Line 2: The amount reported represents total bad debt write-offs net of recoveries as reported on the audited financial statements of $10,041,001 x 29.77% (ratio of patient cost to charge) to equal $2,989,206. This amount does not include any estimated provisions which are in bad debt expense reported on the audited financial statements. Part III, Line 3: The amount reported represents $6,915,074 of charges included in total bad debt write offs for patients eligible for financial assistance x 29.77% (ratio of patient cost to charge) to equal $2,058,618. Part III, Line 4: Under the provisions of Financial Accounting Standards Board (FASB) ASU No. 2014-09, Revenue from Contracts with Customers, when an unconditional right to payment exists, subject only to the passage of time, the right is treated as a receivable. Patient accounts receivable for which the unconditional right to payment exists are receivables if the right to consideration is unconditional and only the passage of time is required before payment of that consideration is due. Estimated uncollectible amounts are generally considered implicit price concessions that are a direct reduction to accounts receivable rather than allowance for doubtful accounts. Part III, Line 8: Medicare costs are not counted as a Community Benefit per New Hampshire or IRS guidance, therefore the cost figure of $46,614,293 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 an account is sent to a collection agency and the patient applies for financial assistance within 240 days from first bill, the account will be placed on hold with the agency through the consideration process. If the patient is approved for financial assistance, the account will be retracted from the collection agency and financial assistance will be applied to the accounts. Exeter Hospital only contracts with collection agencies that follow Fair Debt Collection Practices and do not engage in Extraordinary Collection Activities.The Bad Debt/Collection Policy can be located online at:https://www.exeterhospital.com/getmedia/dea9264c-9d03-4f28-803f-0bbc4b103f1b/LD327-09-2016.pdf.aspx Part VI, Line 2: Every three years, Exeter Hospital, in collaboration with its community partners, conducts a Community Health Needs Assessment to identify, prioritize, and develop a plan to address critical health issues. The last community needs assessment was completed in FYE 2022. The purpose of the assessment was to engage community members through key leader interviews and Community Forums, and to achieve the following objectives: 1) Educate and inform key leaders and Community Forum participants of the results of the FYE 2019 Community Health Needs Assessment and achievements to date to meet identified needs. 2) Validate Priority Health Needs identified in the FYE 2019 Community Health Needs Assessment and further define these needs in FYE 2022 from the stakeholders' perspective. 3) Identify unmet needs that have emerged since the FYE 2022 Community Health Needs Assessment. 4) Serve as a continuing foundation for the development of a Community Benefits Plan, as mandated under RSA 7:32-e.The FYE 2022 Community Health Needs Assessment included open community forums, online surveys, key leader interviews, outreach to support agencies and the review of relevant secondary data sources. Information was solicited from a broad cross-section of the hospital's service area and included government welfare, public health, transportation, police, education and emergency preparedness officials, as well as outreach agencies, children & families, youth, elderly and the low-income. Legislators were invited to attend community forums. Providers of medical care to low-income minority population and mental health services were included.The report in its entirety can be accessed on the Exeter Hospital website:https://documents.exeterhospital.com/view/XXX-XX-XXXX/ Part VI, Line 3: Exeter Hospital provides its patients with information regarding the organization's financial assistance program, and a summary of the organization's policy at the time of registration, on the back of every billing statement, and when phone contact is made when there is a balance on the account. 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 and underinsured 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. Part VI, Line 5: Exeter Hospital addressed these needs by promoting community health and access to primary care by providing: 1) Charity care of $379,913 (calculated at cost) during fiscal year 2022 which served 511 people 2) Financial assistance through its health care access program which has continued throughout the pandemic and has three components: a. The Uninsured Care Discount/Hospital Access Plus Program - Patients who are uninsured will not be charged more than amounts generally billed to patients who have insurance covering the same care. Exeter Hospital, prior to billing the patients, applies a discount towards gross charges for patients who are uninsured. This discount is not valid for patients who have health insurance coverage, including but not limited to: Medicare, Medicaid, MedPay, third party liability or any other state or federal programs. b. The Financial Assistance Program (FAP) is a community-based program available to uninsured and under-insured patients who meet income and asset guidelines, and who live in our service area. To qualify, patients must first have applied for all other sources of coverage, including the Healthcare Exchange and the New Hampshire Health Protection Program. c. 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. This program is calculated based on a percentage of the patient's gross income. 3) Mental Health Care access was provided by Exeter Hospital partnering with Seacoast Mental Health to offer services to patients and their caregivers in the Emergency Department and the Center for Cancer Care. In fiscal year 2022, the hospital helped to underwrite mental healthcare services in the amount of $671,594. 4) Community Education Programs offered by the Hospital at an expense of $326,169 served 658 people in fiscal year 2022. 5) Diabetes support programs run by the Hospital in fiscal year 2022 served 684 people at an expense of $947,292. 6) Participation in research studies by the "The Center for Cancer Care" at Exeter Hospital through several national research groups sponsored by the National Cancer Institute. This enables the Center to offer clinical trials to patients undergoing treatment at the Hospital that allows patients to voluntarily take part in leading edge research that does not necessitate travel outside of the Seacoast area. During fiscal year 2022, the Hospital provided $464,352 for clinical trials and research that served 836 patients. 7) Telehealth Services were provided by the Hospital at an expense of $412,775 fiscal year 2022. 8) Transportation which is an important health care support service provided by the Hospital in response to an identified community need. Each year the program enhances access for hundreds of patients who otherwise would not be able to obtain needed health care and health related support services. During fiscal year 2022 Exeter Hospital provided transports at a cost of $59,343. 9) Support for Youth Suicide/Substance Misuse Prevention by the Hospital making a $509,714 financial contribution through the NH Foundation for Healthy Communities to support the NH Bureau of Drug and Alcohol services for their programs to combat addiction and substance misuse disorder. Part VI, Line 6: Exeter Hospital, Inc. is one of three affiliates of Exeter Health Resources, Inc. Each of the affiliated companies are committed to providing health care services that are innovative, progressive and focused on quality and the well-being of patients. The mission of Exeter Health Resources and its affiliates is to improve the health of the community. This mission will be principally accomplished without compromising Exeter Health Resources, Inc.'s sustainability, principally by supporting the provision of health services and information to the community by the affiliated companies of Exeter Health Resources, Inc. 1) Exeter Hospital is a 100-bed community-based hospital serving New Hampshire's Seacoast Region. The Hospital's scope of care includes comprehensive medical and surgical health care services including, but not limited to: breast health, maternal/child and reproductive medicine, cardiovascular, gastroenterology, sleep medicine, occupational and employee health, oncology, orthopedics, and emergency care services. Exeter Hospital is accredited by the DNV Healthcare, Inc. and is a Magnet-recognized hospital. Magnet designation from the American Nurses Credentialing Center is the most prestigious distinction a health care organization can receive for nursing excellence and high quality patient care. 2) Core Physicians is a community-based, multi-specialty group practice affiliated with Exeter Health Resources that provides comprehensive primary, specialty and pediatric dental care throughout the greater Seacoast region. Over 160 providers in 30 locations pursue exceptional patient satisfaction through clinical competence and professional office administration. 3) 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, Dover and Durham. During Fiscal Year 2022, Exeter Hospital, Core Physicians and Rockingham VNA & Hospice have continued the pursuit of this mission. Despite the enormous challenges of the COVID19 pandemic, the affiliates provided $116,196,740 in charity care and other community benefit programs and services to communities in the areas served and continued to support broad access to health care services by avoiding staff layoffs and furloughs. In addition, as a result of the needs arising from the COVID19 pandemic, the affiliates of Exeter Health Resources continued to provide services and programs to support the community often with limited or non-existent financial support including drive through testing sites, specialized respiratory clinics, substantial investments in social distancing and staff and employee screening.The healthcare system continued with innovative ways to communicate with, inform and care for the communities it serves. This included the creation of a community-based conference call where attendees from various sectors including administrators in education, town officials, community non-profits, the Region 6 IDN, Chambers of Commerce, among many more connected weekly to inform one another on their status during the pandemic including opportunities for collaboration as well as challenges resulting from COVID19.We continued to invest and in some cases expanded investments in our own programs supporting our heroic healthcare staff. Part VI, Line 7, Reports Filed With States NH 1 Foundation for Healthy Communities Inc 125 Airport Road Concord NH 03301 020275078 501(c)(3) 509714 0 For the NH Bureau of Drug and Alcohol, for programs to treat addiction and substance disorders Exeter Junior Softball and Baseball League PO Box 471 Exeter NH 03833 753241754 501(c)(3) 7000 0 To develop good sportsmanship among all players for the betterment of their emotional and social well-being. 2 0 Part I, Line 2: The Grant program supports programming and events in Rockingham County. Proposals from a wide variety of organizations are considered. Preference is given to programs that fit within the priorities outlined in Exeter Hospital's Community Health Needs Assessment. The 2020-2022 Priority Areas are: Access to Health Care, Substance Use Disorder, Access to Mental Health Service, Transportation, Affordable Housing/Homelessness and Elder Care and Support Services. In addition, we have historically identified several community partners that further its mission of providing quality medical services to the entire community, regardless of income. Applicants must be recognized as tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Organizations are eligible to apply for one grant per calendar year, but may also apply for sponsorship support. If an organization has received funding in the previous year or has an active grant, a grant report must be submitted to be considered for additional funding. Approval process and authorization 1. Small grants and sponsorships up to $5,000 with annual commitments are approved by the VP of Strategy, Community Relations and Advancement 2. Large grants, up to $40,000 per year and for up to three years require, in addition, the approval of the Chief Executive Officer or Chief Financial Officer in their absence Exeter Hospital charitable contribution funding may not be used for: funding for individuals or families, Individual fundraising initiatives, religious organizations and church programs or events, public schools or political, labor, or fraternal organizations, political candidates, civic clubs, municipal, county, or state government. Each year a subcommittee of Exeter Health Resources, Inc.'s (parent company) Board of Trustees is charged with overseeing our Community Benefits program and our community needs assessment and reviews a detailed report on the previous year's grants/ contributions/sponsorships and approves the current year's plan for community support and recommends an allocation to support the coming year's grant program to the full Board for approval as part of the budget. That subcommittee and the larger Exeter Health Resources, Inc.'s (parent company) Board of Trustees are regularly updated on our community support initiatives. The Grant program was suspended in the spring of 2020 due to the economic impact of responding to COVID-19. The program wasn't reinstated during FY22, however, the Organization has resumed sponsorship commitments to non-profit organizations that further the greatest health needs in the community. Information about the Community Needs Assessment or the annual Grant program can be found on the www.exeterhospital.com webpage. X 0 1 0 1 0 0 0 0 0 1 0 Kevin J Callahan CEO/President/Trustee 0 691365 0 676250 0 112952 0 5661 0 27917 0 1514145 0 0 Kevin J O'Leary CFO/Treasurer (end 1/2022) 0 608054 0 275000 0 52133 0 5800 0 28667 0 969654 0 0 Richard Hollister MD Ex-Officio Member 0 440490 0 108433 0 402 0 5800 0 39651 0 594776 0 0 Donna McKinney VP Acute Care 324906 0 112006 0 6947 0 2587 0 29117 0 475563 0 0 0 Constance D Sprauer Esq Sr. VP Legal Affairs/Sec. 0 302953 0 75400 0 28229 0 2701 0 30367 0 439650 0 0 Michael Pangan MD Trustee 0 232371 0 101437 0 1102 0 5800 0 42367 0 383077 0 0 Allison J Casassa CFO/Treasurer (start 1/2022) 0 267123 0 89082 0 3072 0 4522 0 3227 0 367026 0 0 Sean O'Neil VP Ambulatory Care 0 216603 0 84250 0 5535 0 4610 0 36265 0 347263 0 0 Brian Campbell Former VP Ambulatory Care (end 5/21) 219385 0 75110 0 20855 0 0 0 11811 0 327161 0 0 0 Charles Thomas Director 204041 0 34860 0 2171 0 4335 0 40557 0 285964 0 0 0 Susan Callahan Director 202404 0 35978 0 20893 0 4654 0 12435 0 276364 0 0 0 Kelly L Gingras VP Accounting 190320 0 41309 0 395 0 4919 0 35647 0 272590 0 0 0 Nolan Gagne Chief Medical Physicist 237653 0 0 0 131 0 3501 0 30436 0 271721 0 0 0 Deanna King Director 207021 0 27196 0 4035 0 3765 0 14951 0 256968 0 0 0 Part I, Line 1a Tax indemnification and gross up payments were provided to Donna McKinney (for acquisition of supplemental long term disability insurance). The benefit was treated as taxable income. Part I, Line 1b There was no existing policy concerning tax indemnification and gross up payments. However, in the instance of such action related to the acquisition of long term disability insurance described above, the tax indemnification and gross up payments were approved by the Exeter Health Resources Board of Trustees Executive Committee which is comprised of disinterested persons. Part I, Line 3 The CEO of Exeter Hospital, Inc. is compensated by a related organization, Exeter Health Resources, Inc. Exeter Health Resources, Inc. uses a compensation committee, an independent compensation consultant, a compensation survey and approval by the Board or compensation committee. The organization's parent (Exeter Health Resources, Inc.) has a formal process for determining total compensation for the CEO and other listed officers that is intended to provide reasonable compensation for achieving the organization's mission, to recognize individual and team performance and to comply with the organization's obligations as a tax-exempt charitable organization. The Executive Committee of the Exeter Health Resources, Inc.'s Board of Trustees conducts an annual review of the compensation of the CEO, other listed officers and key employees. In doing so, the Committee retains a qualified independent compensation consultant to conduct competitive market analysis of the market ranges of base, incentive, and total cash compensation, and to provide advice concerning the reasonableness of the compensation of the CEO, other listed officers and key employees. The Committee utilizes that analysis and other appropriate information in connection with its annual review and makes recommendations to the full board of Exeter Health Resources, Inc. for adjustment of the CEO's compensation and the compensation for other listed officers. Information which the committee may consider can include but is not limited to the performance of an individual and/or that individual's contributions to a team, the performance of the organization in whole and in part, the elements of total compensation and salary history, the organization's compensation targets and comparability data, including the data prepared by the independent consultant and reviewed with the Committee. The Committee incorporates a performance appraisal process in the CEO's, other listed officers and key employees' compensation review. The CEO, other listed officers and key employees are not present when the committee discusses their respective compensation. In addition, the committee determines if the threshold requirements for incentive awards are met, consisting of the organization's performance results for quality, operating system excellence and financial performance. The results of the Committee's deliberations are presented to the Exeter Health Resources, Inc. Board and include recommendations concerning salary range adjustments and incentive awards and the basis for the Committee's decisions/recommendations. The deliberations of the Exeter Health Resources, Inc. Board are conducted in executive session with the independent members of the Board but do include the CEO only for that period of time in which the Exeter Health Resources, Inc. Board has questions concerning the performance of any listed officer or key employee other than the CEO. The Exeter Health Resources, Inc. Board reviews the CEO's performance and determines if the adjustments and awards recommended by the committee for the CEO are in the organization's best interest and for the benefit of the organization and its parent organization. For the other listed officer positions, adjustments and incentive awards are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and ratified by the Exeter Health Resources, Inc. Board of Trustees. Adjustments and awards for other listed key employees are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and reviewed by the Board. Part I, Line 4b The organization's parent (Exeter Health Resources, Inc.) maintains a split dollar supplemental retirement plan for two executives (listed below with amounts) selected by the Exeter Health Resources Inc. Board of Trustees. The plan is closed to future participants. The Plan provides for annual payments of premiums for life insurance policies insuring the listed individuals. Those life insurance premiums are collaterally assigned to the corporation and any excess accumulated value in the policies (net of accumulated premium payments which are returned to the organization upon the executive attaining the age of 70 or at the death of the participant) is available to be paid to the participant once vested at age 62 and upon retirement from the organization. Note that the split-dollar arrangement is part of an employee benefit program and economically not a direct extension of credit. Furthermore, the reportable compensation of the respective employees includes the annual value of the life insurance provided. Life insurance premium payments during tax year: Kevin J. Callahan $ 304,160 Kevin J. O'Leary $ 37,962 Excess Accumulated Value: Kevin J. Callahan $ 4,197,032 Kevin J. O'Leary $ 1,333,508 Part I, Line 7 The 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 J. Callahan, Allison J. Casassa, Constance D. Sprauer, Brian Campbell and Donna McKinney. The Board and/or its Executive Committee approves measurable achievement criteria for quality, patient satisfaction, process improvement, financial performance, services innovation and other compelling areas of strategic and operational interest. Additionally, the Board and /or its Executive Committee establishes minimum, targeted and maximum levels for incentive awards and approves all awards for participating executives. Susan Callahan, Deanna King, Charles Thomas, and Kelly Gingras participate in an annual incentive program which is administered by Exeter Hospital, Inc.'s Human Resources Department. The management of Exeter Hospital, Inc. approves measureable achievement criteria for quality/innovation, patient satisfaction, process improvement and financial performance on an annual basis that aligns with overall strategic interests of the company. The incentive award levels are established at minimum, target and maximum levels and those incentive awards are approved by operating management and Human Resources. A NH Health and Education Facilities Authority 020279866 NONEAVAIL 2012-02-09 32565000 Refinancing and refunding prior bond issuance 0 0 0 B NH Health and Education Facilities Authority 020279866 NONEAVAIL 2015-03-02 24020000 Refinancing and refunding prior bond issuance 0 0 0 A 32565000 215404 32349596 2012 0 0 1 1 B 24020000 162154 23857846 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 1 0 0 0 1 B 1 1 0 0 0 1 A 1 B 1 Form 990, Part VI, Section A, line 6 Exeter 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 7a The Board of Trustees shall consist of a number not to exceed fifteen (15) persons. Of this number, up to thirteen (13) persons shall have been elected by the Member from among the elected members of the Board of Trustees of the Member. In addition, Exeter Health Resources (EHR), the sole member of the Organization, shall have the power to elect Trustees to the Board as outlined in the Organization's Bylaws and to fill Board vacancies. Trustees shall be elected by the Member at the annual meeting of the Corporation. An elected Trustee may be removed with or without cause by vote of a majority of the Trustees then in office, subject to the approval of the Member. Form 990, Part VI, Section A, line 7b The sole member, Exeter Health Resources, Inc. has the right to approve decisions of the governing body. Additionally, the Member shall have the power to change the corporate name, merge with or acquire any corporation organized under Chapter 292 of the Revised Statutes Annotated of New Hampshire, amend the articles of agreement, dissolve the Corporation, annually appoint an independent certified public accountant to perform an audit of the accounts of the Corporation, and such other powers and rights as may be reserved to it by law or the articles of agreement. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an outside tax accountant with information provided by the organization. The Form 990 is reviewed by the organization's Treasurer and then presented to the Board of Trustees before it is filed with the IRS. Form 990, Part VI, Section B, line 12c The 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 15 The organization's parent (Exeter Health Resources, Inc.) has a formal process for determining total compensation for the CEO and other listed officers that is intended to provide reasonable compensation for achieving the organization's mission, to recognize individual and team performance and to comply with the organization's obligations as a tax-exempt charitable organization. The Executive Committee of the Exeter Health Resources, Inc.'s Board of Trustees conducts an annual review of the compensation of the CEO, other listed officers and key employees. In doing so, the Committee retains a qualified independent compensation consultant to conduct competitive market analysis of the market ranges of base, incentive, and total cash compensation, and to provide advice concerning the reasonableness of the compensation of the CEO, other listed officers and key employees. The Committee utilizes that analysis and other appropriate information in connection with its annual review and makes recommendations to the full board of Exeter Health Resources, Inc. for adjustment of the CEO's compensation and the compensation for other listed officers. Information which the committee may consider can include but is not limited to the performance of an individual and/or that individual's contributions to a team, the performance of the organization in whole and in part, the elements of total compensation and salary history, the organization's compensation targets and comparability data, including the data prepared by the independent consultant and reviewed with the Committee. The Committee incorporates a performance appraisal process in the CEO's, other listed officers and key employees' compensation review. The CEO, other listed officers and key employees are not present when the committee discusses their respective compensation. In addition, the committee determines if the threshold requirements for incentive awards are met, consisting of the organization's performance results for quality, operating system excellence and financial performance. The results of the Committee's deliberations are presented to the Exeter Health Resources, Inc. Board and include recommendations concerning salary range adjustments and incentive awards and the basis for the Committee's decisions/recommendations. The deliberations of the Exeter Health Resources, Inc. Board are conducted in executive session with the independent members of the Board but do include the CEO only for that period of time in which the Exeter Health Resources, Inc. Board has questions concerning the performance of any listed officer or key employee other than the CEO. The Exeter Health Resources, Inc. Board reviews the CEO's performance and determines if the adjustments and awards recommended by the committee for the CEO are in the organization's best interest and for the benefit of the organization and its parent organization. For the other listed officer positions, adjustments and incentive awards are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and ratified by the Exeter Health Resources, Inc. Board of Trustees. Adjustments and awards for other listed key employees are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and reviewed by the Board. Form 990, Part VI, Section C, line 19 These documents are available upon request. Form 990, Part VII, Section A, Line 1: Kevin J. Callahan, Kevin J. O'Leary, Allison J. Casassa, and Constance D. Sprauer, Esq., who serve as officers of Exeter Hospital, Inc., are compensated by a related organization, Exeter Health Resources, Inc. Their compensation is based on their roles as CEO, CFO and Sr. VP Legal Affairs, respectively, of the consolidated Exeter Health Resources, Inc. system (Kevin J. O'Leary retired from the Exeter System in December, 2021, at which time Allison J. Casassa was promoted to the CFO/Treasurer position, and assumed responsibilities that this position entails). Form 990, Part IX, line 11g Payments to affiliates: Program service expenses 7,280,769. Management and general expenses 1,958,381. Fundraising expenses 0. Total expenses 9,239,150. Outside fees: Program service expenses 3,089,276. Management and general expenses 830,942. Fundraising expenses 0. Total expenses 3,920,218. Contracted labor: Program service expenses 9,736,863. Management and general expenses 6,136,785. Fundraising expenses 0. Total expenses 15,873,648. Physician fees: Program service expenses 14,256,487. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,256,487. Medical Leadership: Program service expenses 289,917. Management and general expenses 0. Fundraising expenses 0. Total expenses 289,917. Consulting: Program service expenses 0. Management and general expenses 359,091. Fundraising expenses 0. Total expenses 359,091. Form 990, Part XI, line 9: Impact of interest rate swaps 2,883,408. Net periodic pension gain 4,260,069. Pension liability adjustment -3,620,233. Net transfers to affiliates -40,447,173. Form 990, Part XII, Line 2c: The organization is part of the consolidated operations of Exeter Health Resources, Inc. The Exeter Health Resources, Inc. Executive Committee is responsible for the oversight of the audit and the selection of an independent accountant. The audit process has not changed since the prior year. Exeter Health Resources Inc 5 Alumni Drive Exeter NH 03833 020222126 Management and Supporting Organization; Holding Company NH 501(c)(3) Line 12a, I N/A 0 Core Physicians LLC 5 Alumni Drive Exeter NH 03833 870807914 Physician Practices NH 501(c)(3) Line 10 Exeter Health Resources Inc 0 Rockingham Visiting Nurse Association 4 Alumni Drive Exeter NH 03833 020274905 Home Care, Hospice NH 501(c)(3) Line 10 Exeter Health Resources Inc 0 Exeter Med Real Inc 5 Alumni Drive Exeter NH 03833 020418718 Real Estate Holding Company NH 501(c)(25) Exeter Health Resources Inc 0 Exeter Health Resources Self-Insurance Trust 5 Alumni Drive Exeter NH 03833 200753662 Self Insurance Trust NH 501(c)(3) Line 12a, I Exeter Health Resources Inc 0 Core Health Services of MA 5 Alumni Drive Exeter NH 03833 201598042 Inactive Physician Practice MA N/A C 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 Exeter Med Real Inc K 2522673 Actual per book Exeter Med Real Inc O 409130 Actual per book