2015-08-13T06:02:53-05:00 2014-09-30 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2013-10-01 222674014 EXETER HOSPITAL INC EXET 6035806695 5 ALUMNI DRIVE EXETER NH 03833 KEVIN J O'LEARY TREASURER 6035806695 2015-08-06 1 TIMOTHY R HEPBURN CPA P00182393 8002447444 2015-08-06 2013 2016-03-07 17:11:31Z KEVIN CALLAHAN 5 ALUMNI DRIVE EXETER NH 03833 206519264 0 X WWW.EXETERHOSPITAL.COM X 1907 NH THE MISSION OF EXETER HOSPITAL IS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS MISSION IS PRINCIPALLY ACCOMPLISHED THROUGH THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY WITHIN THE RESOURCES AVAILABLE. EXETER HOSPITAL WORKS TO ACCOMPLISH THIS MISSION THROUGH THE PROVISION OF DIAGNOSTIC TESTING, THERAPEUTIC INPATIENT AND OUTPATIENT SERVICES, COMMUNITY EDUCATION AND OUTREACH, AND ACUTE EMERGENCY, INPATIENT AND SURGICAL SERVICES AS WELL AS OBSTETRICAL SERVICES. 13 11 1568 84 269921 248105 89544 111581 185485823 197311081 5099754 6810133 4423633 2228231 195098754 206461026 830991 655022 0 0 89839927 87074114 0 0 18076 98905098 104293066 189576016 192022202 5522738 14438824 270991066 276357149 95925723 97591278 175065343 178765871 X THE MISSION OF EXETER HOSPITAL IS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS MISSION IS PRINCIPALLY ACCOMPLISHED THROUGH THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY WITHIN THE RESOURCES AVAILABLE. EXETER HOSPITAL WORKS TO ACCOMPLISH THIS MISSION THROUGH THE PROVISION OF DIAGNOSTIC TESTING, THERAPEUTIC INPATIENT AND OUTPATIENT SERVICES, COMMUNITY EDUCATION AND OUTREACH, AND ACUTE EMERGENCY, INPATIENT AND SURGICAL SERVICES AS WELL AS OBSTETRICAL SERVICES. 0 0 170544429 655022 199525015 THE MISSION OF EXETER HOSPITAL IS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS MISSION IS PRINCIPALLY ACCOMPLISHED THROUGH THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY WITHIN THE RESOURCES AVAILABLE. EXETER HOSPITAL WORKS TO ACCOMPLISH THIS MISSION THROUGH THE PROVISION OF DIAGNOSTIC TESTING, THERAPEUTIC INPATIENT AND OUTPATIENT SERVICES, COMMUNITY EDUCATION AND OUTREACH, AND ACUTE EMERGENCY, INPATIENT AND SURGICAL SERVICES AS WELL AS OBSTETRICAL SERVICES. IN FISCAL YEAR 2014, EXETER HOSPITAL SERVED THE COMMUNITY BY PROVIDING CARE TO 4,988 ACUTE INPATIENTS, 140,931 OUTPATIENT VISITS, 29,882 EMERGENCY ROOM VISITS AND 662 BIRTHS. IN 2014 EXETER HOSPITAL SUPPORTED ITS MISSION BY SUPPORTING $16,239,850 IN COMMUNITY OUTREACH, BENEFITS AND FINANCIAL SUPPORT TO THE COMMUNITY EXCLUDING $23,314,256 IN UNCOVERED MEDICARE EXPENSES. EXETER HOSPITAL SUPPORTS HEALTH CARE ACCESS IN ITS SERVICE AREA BY OFFERING A ROBUST FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COST OF UP TO 100% OF CARE PROVIDED TO AREA RESIDENTS BASED ON INCOME AND FAMILY SIZE. IN 2014, THE CHARITY CARE PROGRAM HELPED PEOPLE ACCESS THE HEALTH CARE SYSTEM AS EXETER HOSPITAL INCURRED A COST OF $4.2 MILLION DOLLARS TO PROVIDE FINANCIAL ASSISTANCE. IN ADDITION WE PROVIDE SUPPORT TO VITAL COMMUNITY PROGRAMS LIKE OUR HEALTHREACH DIABETES PROGRAM, OUR PARAMEDICINE PROGRAM AND FOR PROVIDING ACCESS TO CONTRACTED MENTAL HEALTH PROFESSIONALS IN OUR EMERGENCY ROOM. WE ALSO SUPPORTED ACCESS TO THE HEALTH SYSTEM AND THE DEVELOPMENT OF HEALTHY LIFE STYLES THROUGH OUR COMMUNITY EDUCATION PROGRAMS AND OUR FINANCIAL SUPPORT OF IMPORTANT HEALTHCARE RELATED COMMUNITY BASED NOT FOR PROFITS SUCH AS FAMILIES FIRST AND LAMPREY HEALTHCARE. 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 72% OF OUR ADMISSIONS COME FROM THE EMERGENCY ROOM. WE OFFER INPATIENT ACUTE SERVICES FOR MEDICAL AND SURGICAL DIAGNOSES FOR ADULTS AS WELL AS PEDIATRIC AND OBSTETRICAL INPATIENT SERVICES. EXETER HOSPITAL IS FULLY ACCREDITED BY DNV HEALTHCARE, INC. (AN OFFICIALLY DEEMED MEDICARE AND MEDICAID CREDENTIALING AGENCY), EARNED THE MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER, WHICH IS THE MOST PRESTIGIOUS DISTINCTION A HEALTHCARE ORGANIZATION CAN RECEIVE FOR NURSING EXCELLENCE AND HIGH QUALITY PATIENT CARE AS WELL AS MANY OTHER SERVICE LEVEL SPECIFIC NATIONAL ACCREDITATIONS. OUR PRACTICE MODEL IS GUIDED BY A SERIES OF COLLABORATIVE BEST PRACTICE COMMITTEES THAT ENGAGE NURSES AND PHYSICIANS IN THE DEVELOPMENT OF THE BEST POSSIBLE EVIDENCE BASED CARE PROTOCOLS. EXETER HOSPITAL SUPPORTS THE SAFETY OF OUR PATIENTS AND THE EFFICIENCY OF THE CARE PROVIDED THROUGH THE DEPLOYMENT OF A 24/7 HOSPITALIST PROGRAM THAT MANAGES THE MAJORITY OF THE MEDICAL NEEDS OF OUR PATIENTS DURING THEIR ADMISSION. IN OUR 10 BED ICU WE ALSO USE AN INTENSIVEST SERVICE TO ENSURE THAT OUR MOST ACUTE PATIENTS RECEIVE THE MOST HIGHLY COORDINATED CARE POSSIBLE, RESULTING IN SIGNIFICANTLY LOWER THAN EXPECTED INFECTION RATES, ICU READMISSION RATES AND SHORTER ICU STAYS. FOR OUR PATIENTS AT THE END OF THEIR LIVES WE ENSURE THEIR SAFETY AND COMFORT THROUGH A PHYSICIAN LED, HIGHLY COORDINATED PALLIATIVE CARE PROGRAM. 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, VASCULAR, GENERAL, PLASTICS, PODIATRIC, ONCOLOGY, COLORECTAL, GYNECOLOGICAL AND ENT SURGERY. 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 A 13 CHAIR INFUSION CENTER. THIS UNIQUE CLINICAL COLLABORATION BRINGS RADIATION ONCOLOGISTS FROM THE WORLD'S LEADING ACADEMIC MEDICAL CENTER TO EXETER HOSPITAL'S CENTER FOR CANCER CARE. THIS AFFILIATION ALLOWS EXETER HOSPITAL'S CENTER FOR CANCER CARE TO OFFER STATE-OF-THE-ART RADIATION THERAPY SERVICES TO PATIENTS INCLUDING: ELECTRONIC BRACHYTHERAPY, PARTIAL BREAST IRRADIATION, INTENSITY MODULATED RADIATION THERAPY, CT SIMULATION AND IMAGE GUIDED RADIATION THERAPY. THE CENTER'S AFFILIATED SURGEONS WORK COLLABORATIVELY WITH AFFILIATED PATHOLOGISTS, THE MEDICAL ONCOLOGISTS AND WITH THE RADIATION ONCOLOGISTS TO DEVELOP THE MOST COMPREHENSIVE TREATMENT PLANS FOR OUR PATIENTS.EXETER HOSPITAL'S CARDIOLOGY DEPARTMENT OFFERS ACUTE CARDIAC CARE, HEART CATHETERIZATION, ANGIOPLASTY, CARDIOVERSION, AND IMPLANTATION OF CARDIOVERTER DEFIBRILLATORS, PERMANENT PACEMAKER PLACEMENT AND A THREE PHASE CARDIAC REHABILITATION PROGRAM. EXETER HOSPITAL'S AFFILIATED FELLOWSHIP-TRAINED INTERVENTIONAL CARDIOLOGISTS AND ITS CARDIAC TEAM HAVE RECEIVED NATIONAL RECOGNITION FOR THEIR "DOOR TO BALLOON" TIMES AND ONGOING SUCCESSFUL IMPLEMENTATION OF COMMUNITY BASED EMERGENCY ANGIOPLASTY AND INTERVENTIONAL CARDIOLOGY PROCEDURES. 170544429 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 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 1 133 0 1 1568 1 1 1 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 NH X KEVIN J O'LEARY 6035806695 5 ALUMNI DRIVE EXETER NH 03833 KEVIN J CALLAHAN CEO/TRUSTEE 2.00 43.00 X X 0 739793 198420 GLENN MCKENZIE CHAIRMAN 1.00 X X 0 0 0 ROBERT A EBERLE VICE CHAIRMAN 1.00 X X 0 0 0 KATIE D PAINE TRUSTEE 1.00 X 0 0 0 ROSS GITTELL PHD TRUSTEE 1.00 X 0 0 0 JOSEPH ARMY TRUSTEE 1.00 X 0 0 0 WILLIAM SCHLEYER TRUSTEE 1.00 X 0 0 0 J BONNIE NEWMAN TRUSTEE 1.00 X 0 0 0 MAJ GEN JOSEPH SIMEONE TRUSTEE 1.00 X 0 0 0 NANCY BRAESE DO DIRECTOR THRU 3/2014 0.00 28.00 X 0 174837 35454 ROBERT SCHOENBERGER TRUSTEE 1.00 0.00 X 0 0 0 DAVID DONSKER MD TRUSTEE 1.00 0.00 X 0 0 0 STEVE HERMANS TRUSTEE 1.00 0.00 X 0 0 0 RICHARD HOLLISTER MD EX-OFFICIO MEMBER 1.00 41.00 X 0 439182 36321 KEVIN J O'LEARY CFO/TREASURER 2.00 43.00 X 0 422773 96596 CONSTANCE D SPRAUER SR VP LEGAL AFFAIRS/SECRET 2.00 41.00 X 0 347977 36490 BRIAN CAMPBELL VP-AMBUL CARE 40.00 X 253203 0 45902 JONATHAN A JACKSON PHYSICIST 40.00 X 226679 0 17203 JANE PETERSON DIRECTOR 40.00 0.00 X 181630 0 14012 DEANNA KING DIRECTOR 40.00 0.00 X 167923 0 40895 JUDITH RINES DIRECTOR 40.00 0.00 X 158694 0 35364 KAREN CUE PHARMACIST INFORMATICS SPECIALIST 40.00 0.00 X 170518 0 22688 1158647 2124562 579345 65 0 1 0 CORE PHYSICIAN SERVICES LLC 5 ALUMNI DRIVE EXETER NH 03833 PHYSICIAN SERVICES 5815050 EXETER HEALTH RESOURCES INC 5 ALUMNI DRIVE EXETER NH 03833 ADMINISTRATIVE MANAGEMENT SERVICES 5327992 GE HEALTHCARE INC PO BOX 640944 PITTSBURGH PA 15264 EQUIPMENT & MAINTENANCE 1389727 MASS GEN PHYSICIAN ORG 55 FRUIT STREET BOSTON MA 02114 PHYSICIAN SERVICES 1059889 SODEXHO INC PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE MANAGEMENT 998495 42 111581 111581 NET PATIENT SVCS 621300 193250081 193250081 DISPROPORTIONATE SHARE FUNDING 621300 2619600 2619600 OTHER PROGRAM REVENUE 621300 851221 851221 ARRA FUNDS 621300 590179 590179 197311081 1513204 1513204 73430 43941 29489 29489 29489 5311226 0 14297 5311226 -14297 5296929 -14297 269921 5041305 CAFETERIA INCOME 621300 1341706 1341706 MISCELLANEOUS 621300 704934 704934 GIFT SHOP INCOME 621300 152102 152102 2198742 206461026 199525015 269921 6554509 X 655022 655022 1158647 1008023 150624 66017686 57435387 8582299 1547137 1346009 201128 13542709 11782157 1760552 4807935 4182903 625032 396594 396594 64000 64000 34114 34114 530821 461814 69007 876222 762313 113909 402131 349854 52277 5590105 4863391 726714 194987 169639 25348 471946 410593 61353 3463899 3013592 450307 9961966 8666910 1295056 852071 741302 110769 SUPPLIES 16489388 14345768 2143620 BAD DEBT EXPENSE 14755338 14755338 DRUGS 12302096 12302096 MEDICAID ENHANCEMENT TA 9852049 9852049 28055339 23440269 4596994 18076 192022202 170544429 21459697 18076 X 18403121 21692880 20268282 19684386 2712209 2893065 3461103 2607901 131223010 69291564 65609330 61931446 158532179 162628764 2004842 4918707 270991066 276357149 18273061 18229509 58160952 55983567 19491710 23378202 95925723 97591278 X 158059210 161761072 236812 235478 16769321 16769321 175065343 178765871 270991066 276357149 X 14438824 2106015 -12844311 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 6236 0 1 27878 34114 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES ARE CONSIDERED LOBBYING EXPENSES. 17006133 53100 -54434 17004799 17008827 41887 -44581 17006133 17001122 68831 -61126 17008827 17063265 49281 -111424 17001122 17030198 37433 4366 17063265 0.01380 0.98620 0.00000 0 1 1 142400 142400 74689958 35843722 38846236 230057 146053 84004 51364008 30967464 20396544 4796587 2334325 2462262 61931446 CASH & SHORT-TERM INVESTMENTS 32632704 F FIXED INCOME SECURITIES 27415486 F MARKETABLE EQUITY SECURITIES 44603648 F LIMITED PARTNERSHIPS 58257528 F OTHER -280602 C 162628764 DUE TO THIRD PARTY PAYORS 4494473 ACCRUED PENSION LIABILITY 8120840 SWAP VALUATION LIABILITY 8239688 INVESTMENT - PREMIER 196202 RESERVE FOR PROFESSIONAL LIABILITY CLAIMS 2326999 23378202 X 191705688 0 191705688 14755338 14755338 206461026 177266864 0 177266864 14755338 14755338 192022202 PART V, LINE 4: THE GOAL OF THE PERMANENT ENDOWMENT FUND IS TO PROVIDE A SOURCE OF FINANCIAL SUPPORT TO EXETER'S PATIENT CARE ACTIVITIES. THESE FUNDS ARE INVESTED IN A PRUDENT MANNER WITH REGARD TO PRESERVING PRINCIPAL WHILE PROVIDING REASONABLE RETURNS. THESE RETURNS ARE THEN USED FOR CAPITAL EXPENDITURES, OTHER MAJOR PROGRAM NEEDS, AND TO GENERALLY INCREASE THE FINANCIAL STRENGTH OF THE ORGANIZATION. THE QUASI-ENDOWMENTS ARE FUNDS WHICH HAVE BEEN DONATED TO THE ORGANIZATION FOR A PURPOSE SPECIFIED BY THE DONOR. THESE FUNDS ARE HELD UNTIL USED FOR THE PURPOSE INTENDED BY THE DONOR. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT EVALUATED THE TAX POSITIONS OF THE HOSPITAL AND HAS CONCLUDED THAT IT HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME, AND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 14,755,338. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 14,755,338. 1 1 1 X 275.000000000000 1 X 1 1 0 1 1 1876 4218044 4218044 0.02380 3526 15877753 2619600 13258153 0.07480 5402 20095797 2619600 17476197 0.09860 14386 972610 3435 969175 0.00550 245 1090682 1090682 0.00620 2016 3233701 358539 2875162 0.01620 601 164547 18774 145773 0.00080 803006 803006 0.00450 17248 6264546 380748 5883798 0.03320 22650 26360343 3000348 23359995 0.13180 40988 40988 0.00020 67325 67325 0.00040 108313 108313 0.00060 0 5897709 1125020 55565841 78880097 -23314256 X 1 1 1 1 EXETER HOSPITAL 5 ALUMNI DRIVE EXETER NH 03833 6273 X X X EXETER HOSPITAL 1 1 X X X X X X X X 12 1 0 1 X HTTP://EXETERHOSPITAL.COM X X X X X X X X X 1 0 1 1 275.000000000000 1 400.000000000000 1 X X X X 1 1 X X X X 1 0 1 X 0 0 EXETER HOSPITAL PART V, SECTION B, LINE 3: REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS COLLABORATED ON THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT: FAMILIES FIRST HEALTH AND SUPPORT CENTER, LAMPREY HEALTH CARE, SEACOAST MENTAL HEALTH CENTER, UNITED WAY OF THE GREATER SEACOAST AS WELL AS AFFILIATES CORE PHYSICIANS AND ROCKINGHAM VNA & HOSPICE. EXETER HOSPITAL PART V, SECTION B, LINE 20D: THE HOSPITAL USED AMOUNTS BASED ON FEDERAL POVERTY GUIDELINES AND SLIDING SCALE AS SHOWN BELOW.FAMILY DISCOUNT PERCENTAGESIZE 100% 80% 60% 40% 20% 1 23,340 23,341-32,676 32,677-37,344 37,345-42,012 42,013-46,680 2 31,460 31,461-44,044 44,045-50,336 50,337-56,628 56,629-62,9203 39,580 39,581-55,412 55,413-63,328 63,329-71,244 71,245-79,160 4 47,700 47,701-66,780 66,781-76,320 76,321-85,860 85,861-95,400 5 55,820 55,821-78,148 78,149-89,312 89,313-100,476 100,477-111,640 6 63,940 63,941-89,516 89,517- 102,305- 115,093- 102,304 115,092 127,880 7 72,060 72,061- 100,885- 115,297- 129,709- 100,884 115,296 129,708 144,1208 80,180 80,181- 112,253- 128,289- 144,325- 112,252 128,288 144,324 160,360 PART I, LINE 7: A RATIO OF PATIENT COST TO CHARGE WAS CALCULATED UTILIZING WORKSHEET 2. THE RATIO OF COST TO CHARGE WAS UTILIZED IN CALCULATING LINE 7A TOTAL NET COMMUNITY BENEFIT EXPENSE FOR CHARITY CARE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14,755,338. 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 WORKFORCE DEVELOPMENT, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT, LEADERSHIP AND ECONOMIC DEVELOPMENT. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH ACCOUNTS FOR PATIENTS WHO ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PATIENT COST TO CHARGE FROM WORKSHEET 2 WAS APPLIED TO DETERMINE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE AT COST. PART III, LINE 8: MEDICARE COSTS ARE NOT COUNTED AS A COMMUNITY BENEFIT PER NH OR IRS GUIDANCE, THEREFORE THE COST FIGURE OF $23,314,256 IS NOT INCLUDED IN THE TOTAL UNREIMBURSED COMMUNITY BENEFIT EXPENSE. THE RATIO OF COST TO CHARGE WAS UTILIZED IN CALCULATING THE AMOUNT. PART III, LINE 9B: IF A PATIENT HAS BEEN APPROVED FOR FINANCIAL ASSISTANCE AND THEIR ACCOUNT WAS SENT TO A COLLECTION AGENCY, THE ACCOUNT WILL BE RETRACTED FROM THE COLLECTION AGENCY AND FINANCIAL ASSISTANCE WILL BE APPLIED TO THE ACCOUNT. PART VI, LINE 2: EVERY FIVE YEARS, EXETER HOSPITAL, IN COLLABORATION WITH ITS COMMUNITY PARTNERS, CONDUCTS A COMMUNITY NEEDS ASSESSMENT TO IDENTIFY, PRIORITIZE, AND DEVELOP A PLAN TO ADDRESS CRITICAL HEALTH ISSUES. THE LAST COMMUNITY NEEDS ASSESSMENT WAS COMPLETED IN 2013. THE PURPOSE OF THE ASSESSMENT WAS TO ENGAGE COMMUNITY MEMBERS THROUGH KEY LEADER INTERVIEWS AND COMMUNITY FORUMS, AND TO ACHIEVE THE FOLLOWING OBJECTIVES: EDUCATE AND INFORM KEY LEADERS AND COMMUNITY FORUM PARTICIPANTS OF THE RESULTS OF THE 2008 COMMUNITY NEEDS ASSESSMENT AND ACHIEVEMENTS TO DATE TO MEET IDENTIFIED NEEDS VALIDATE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2008 COMMUNITY NEEDS ASSESSMENT AND FURTHER DEFINE THESE NEEDS IN 2013 FROM THE STAKEHOLDERS' PERSPECTIVE IDENTIFY UNMET NEEDS THAT HAVE EMERGED SINCE THE 2008 COMMUNITY NEEDS ASSESSMENT ENGAGE KEY LEADERS AND COMMUNITY FORUM PARTICIPANTS IN A DISCUSSION TO IDENTIFY SOLUTIONS TO ADDRESS COMMUNITY HEALTH NEEDS SHARE THE FINDINGS OF THE UNH SURVEY CENTER HOUSEHOLD TELEPHONE SURVEY WHERE APPROPRIATE, MOTIVATE KEY LEADERS AND COMMUNITY FORUM PARTICIPANTS TO PARTICIPATE IN EFFORTS TO ADDRESS COMMUNITY HEALTH NEEDS GOING FORWARD SERVE AS A CONTINUING FOUNDATION FOR THE DEVELOPMENT OF A COMMUNITY BENEFITS PLAN, AS MANDATED UNDER RSA 7:32-ETHE 2013 COMMUNITY NEEDS ASSESSMENT INCLUDED TELEPHONE SURVEY,COMMUNITY FORUMS,ONLINE SURVEYS,KEY LEADER INTERVIEWS AND MULTIPLE SECONDARY RESEARCHES. THE REPORT IN ITS ENTIRETY CAN BE ACCESSED ON THE EXETER HOSPITAL WEBSITE: HTTP://WWW.EXETERHOSPITAL.COM/ABOUT-EXETER/COMMUNITY-BENEFITS/. PART VI, LINE 3: EXETER HOSPITAL PROVIDES ITS PATIENTS WITH INFORMATION REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM, AND A SUMMARY OF THE ORGANIZATION'S POLICY, ON THE BACK OF EVERY BILLING STATEMENT. ON THE EXETER HOSPITAL WEBSITE (HTTP://WWW.EXETERHOSPITAL.COM), PATIENTS AND THE GENERAL PUBLIC CAN FIND INFORMATION ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS; FINANCIAL ASSISTANCE, UNINSURED CARE DISCOUNT PROGRAM, CATASTROPHIC CARE PROGRAM; AND STATE-WIDE PROGRAMS. AS AN ADDITIONAL MEASURE TO ENSURE OUR COMMUNITY MEMBERS ARE AWARE OF EXETER HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS, TWICE A YEAR THE ORGANIZATION MAY RUN ADVERTISEMENTS IN COMMUNITY NEWSPAPERS SUMMARIZING THE ORGANIZATION'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY. EXETER HOSPITAL EMPLOYS FINANCIAL COUNSELORS SPECIFICALLY DEDICATED TO ASSISTING PATIENTS WITH QUESTIONS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, AND ASSISTING PATIENTS THROUGH THE QUALIFICATION PROCESS AS APPLICABLE. ALL INPATIENT SELF-PAY PATIENTS ARE PROVIDED INFORMATION AND COUNSELING REGARDING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AT THE TIME OF SERVICE. SELF-PAY PATIENTS IN THE EMERGENCY DEPARTMENT, SURGICAL AREAS AND ONCOLOGY ARE ALSO INFORMED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS AT TIME OF SERVICE OR DISCHARGE. PART VI, LINE 4: EXETER HOSPITAL SERVICES AN AREA THAT ENCOMPASSES 40 COMMUNITIES WITH AN ESTIMATED POPULATION OF 233,455. PART VI, LINE 5: ACCESS TO CAREFINANCIAL ASSISTANCE:EXETER HOSPITAL HAS THREE COMPONENTS TO ITS HEALTH CARE ACCESS PROGRAM. - THE UNINSURED CARE DISCOUNT/HOSPITAL ACCESS PLUS PROGRAM EXTENDS A 30% DISCOUNT OFF TOTAL CHARGES TO SELF PAY PATIENTS, BASED OF THE WEIGHTED AVERAGE OF THE TOP 3 COMMERCIAL PLANS.- THE FINANCIAL ASSISTANCE PROGRAM IS A COMMUNITY-BASED PROGRAM FOR UNINSURED AND UNDERINSURED PATIENTS WHO MEET SPECIFIC INCOME, GEOGRAPHICAL AND OTHER GUIDELINES, AND WHO DO NOT OTHERWISE QUALIFY FOR ANY STATE OR FEDERAL ASSISTANCE. - EXETER'S CATASTROPHIC CARE PROGRAM PROVIDES FINANCIAL RELIEF FOR THOSE PATIENTS WHO DO NOT QUALIFY FOR OUR FINANCIAL ASSISTANCE PROGRAM, BUT WHO ARE FACED WITH A SUBSTANTIAL DEBT DUE TO A SERIOUS ILLNESS OR INJURY. THIS PROGRAM IS CALCULATED BASED ON A PERCENTAGE OF THE PATIENT'S GROSS INCOME. EXETER HOSPITAL PROVIDED $4,218,044 (CALCULATED AT COST) IN CHARITY CARE DURING FY 2014. IN FY 2014 THE CHARITY CARE PROGRAM SERVED 1,876 PEOPLE.TELEHEALTH SERVICES: DURING FY2014 EXETER HOSPITAL PROVIDED $315,597 IN TELEHEALTH MONITORING SERVICES SERVING 8,193 PERSONS.COMMUNITY PARTNERS:EXETER HOSPITAL WORKS COLLABORATIVELY WITH LOCAL NON-PROFIT AGENCIES AND ORGANIZATIONS WHICH STRIVE TO IMPROVE THE HEALTH OF THE COMMUNITY. THESE RELATIONSHIPS INCLUDE:LAMPREY HEALTH CARE: IN FY 2014 EXETER HOSPITAL CONTINUED ITS FINANCIAL SUPPORT OF LAMPREY HEALTH CARE WITH A COMMUNITY BENEFIT GRANT IN THE AMOUNT OF $380,000. LAMPREY HEALTH CARE IS NEW HAMPSHIRE'S OLDEST AND LARGEST PRIVATE, NON-PROFIT COMMUNITY HEALTH CENTER WITH LOCATIONS IN NEWMARKET, RAYMOND, AND NASHUA. THE ORGANIZATION SERVES OVER 16,500 PATIENTS OF ALL AGES EACH YEAR. AS A COMMUNITY HEALTH CENTER, THEY PROVIDE PRIMARY CARE AND HEALTH-RELATED SERVICES TO ALL INDIVIDUALS AND FAMILIES, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. BY FOCUSING ON PREVENTION AND HEALTH CARE MANAGEMENT, LAMPREY HEALTH CARE STRIVES TO KEEP INSURED AND UNINSURED PATIENTS HEALTHY. FAMILIES FIRST HEALTH AND SUPPORT CENTER: IN FY 2014 EXETER HOSPITAL MADE FINANCIAL CONTRIBUTIONS TO FAMILIES FIRST IN THE AMOUNT OF $52,875. FAMILIES FIRST IS A COMMUNITY HEALTH CENTER OFFERING A WIDE VARIETY OF HEALTH SERVICES AND PROGRAMS INCLUDING PRIMARY CARE, PRENATAL CARE, DENTAL CARE, AND MOBILE HEALTH CARE FOR THE HOMELESS. NEW HEIGHTS (FORMERLY KNOWN AS NEW OUTLOOK TEEN CENTER): EXETER HOSPITAL CONTINUED ITS SUPPORT OF NEW HEIGHTS IN THE AMOUNT OF $19,750.NEW HEIGHTS IS AN EXPERIENTIAL LEARNING ORGANIZATION FOR YOUTH IN GRADES 5-12 AND FOCUSES ON THE DEVELOPMENT AND LEADERSHIP OF EXCITING, HIGH QUALITY SUMMER AND YEAR-ROUND PROGRAMS DESIGNED TO UNLEASH POTENTIAL AND OPEN YOUNG MINDS TO NEW POSSIBILITIES. PROGRAMS INCLUDE ADVENTURE, ARTS & CULTURE, STEM AND TEAM BUILDING ACTIVITIES. NEW HEIGHTS SERVES UPWARDS OF 700 YOUTH INCLUDING THOSE FROM BRENTWOOD, EAST KINGSTON, EXETER, KENSINGTON, NEWFIELDS AND STRATHAM. MENTAL HEALTH CARE ACCESS SEACOAST MENTAL HEALTH CENTER: EXETER HOSPITAL PARTNERS WITH SEACOAST MENTAL HEALTH TO OFFER MENTAL HEALTH SERVICES TO PATIENTS AND THEIR CAREGIVERS IN THE EMERGENCY DEPARTMENT AND THE CENTER FOR CANCER CARE. IN FY 2014, EXETER HELPED TO UNDERWRITE MENTAL HEALTH SERVICES IN THE AMOUNT OF $405,461 SERVING 582 PEOPLE.TRANSPORTATIONEXETER HOSPITAL'S TRANSPORTATION PROGRAM IS AN IMPORTANT HEALTH CARE SUPPORT SERVICE PROVIDED IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED. EACH YEAR THE PROGRAM ENHANCES ACCESS FOR HUNDREDS OF PATIENTS WHO OTHERWISE WOULD NOT BE ABLE TO OBTAIN NEEDED HEALTH CARE AND HEALTH RELATED SUPPORT SERVICES. DURING FY 2014 EXETER HOSPITAL PROVIDED 2,466 TRANSPORTS AT A COST OF $110,434.YOUTH SUICIDE/SUBSTANCE AND PRESCRIPTION DRUG ABUSEUNITED WAY OF THE GREATER SEACOAST: IN FY2014 EXETER HOSPITAL MADE FINANCIAL CONTRIBUTIONS TO THE UNITED WAY OF THE GREATER SEACOAST OF $18,750 SPECIFICALLY DESIGNATED TO SUPPORT THEIR EFFORTS IN YOUTH SUBSTANCE ABUSE PREVENTION AND EDUCATION SERVICES.COMMUNITY HEALTH SERVICESCOMMUNITY EDUCATION PROGRAMS: EXETER HOSPITAL PROVIDED COMMUNITY EDUCATION SERVICES AT AN EXPENSE OF $235,588 SERVING 2,180 PEOPLE.CANCER WELLNESS AND DIABETES SUPPORT PROGRAMS: DURING FY2014 EXETER HOSPITAL SERVED 1,325 PEOPLE IN ITS CANCER AND DIABETES PROGRAMS AT $126,552.RESEARCHTHE CENTER FOR CANCER CARE AT EXETER HOSPITAL PARTICIPATES IN SEVERAL NATIONAL RESEARCH GROUPS SPONSORED BY THE NATIONAL CANCER INSTITUTE, WHICH ENABLES THE CENTER TO OFFER CLINICAL TRIALS TO PATIENTS UNDERGOING TREATMENT AT EXETER HOSPITAL. THESE OFFERINGS ALLOW PATIENTS TO VOLUNTARILY TAKE PART IN LEADING EDGE RESEARCH THAT DOES NOT NECESSITATE TRAVEL OUTSIDE OF THE SEACOAST AREA. DURING FY 2014, EXETER HOSPITAL PROVIDED $145,773 FOR CLINICAL TRIALS AND RESEARCH THAT SERVED 601 PATIENTS. PART VI, LINE 6: A NETWORK OF CARINGEXETER HOSPITAL, INC. IS ONE OF THREE AFFILIATES OF EXETER HEALTH RESOURCES. AT EACH OF THE AFFILIATED COMPANIES, EXETER IS COMMITTED TO PROVIDING HEALTH CARE SERVICES THAT ARE INNOVATIVE, PROGRESSIVE AND FOCUSED ON QUALITY AND THE WELL-BEING OF PATIENTS. THE MISSION OF EXETER HEALTH RESOURCES AND ITS AFFILIATES IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY SUPPORTING THE PROVISION OF HEALTH SERVICES AND INFORMATION TO THE COMMUNITY.DURING FISCAL YEAR 2014, EXETER HOSPITAL, CORE PHYSICIANS AND ROCKINGHAM VNA & HOSPICE HAVE CONTINUED THE PURSUIT OF THIS MISSION PROVIDING $24,098,293 IN CHARITY CARE AND OTHER COMMUNITY BENEFIT PROGRAMS AND SERVICES TO COMMUNITIES IN THE AREAS SERVED. EXETER HOSPITAL IS A 100-BED COMMUNITY-BASED HOSPITAL SERVING NEW HAMPSHIRE'S SEACOAST REGION. THE HOSPITAL'S SCOPE OF CARE INCLUDES COMPREHENSIVE MEDICAL AND SURGICAL HEALTH CARE SERVICES BUT NOT LIMITED TO BREAST HEALTH, MATERNAL/CHILD AND REPRODUCTIVE MEDICINE, CARDIOVASCULAR, GASTROENTEROLOGY, SLEEP MEDICINE, OCCUPATIONAL AND EMPLOYEE HEALTH, ONCOLOGY, ORTHOPAEDICS, AND EMERGENCY CARE SERVICES. EXETER HOSPITAL IS ACCREDITED BY DNV HEALTHCARE, INC. (AN OFFICIALLY DEEMED MEDICARE AND MEDICAID CREDENTIALING AGENCY) AND 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. CORE PHYSICIANS IS A COMMUNITY-BASED, MULTI-SPECIALTY GROUP PRACTICE PROVIDING COMPREHENSIVE PRIMARY, SPECIALTY AND PEDIATRIC DENTAL CARE THROUGHOUT THE GREATER SEACOAST REGION. OVER 160 PROVIDERS IN 32 LOCATIONS PURSUE EXCEPTIONAL PATIENT SATISFACTION THROUGH CLINICAL COMPETENCE AND PROFESSIONAL OFFICE ADMINISTRATION.ROCKINGHAM VISITING NURSE ASSOCIATION & HOSPICE IS A COMMUNITY-BASED HOME HEALTH AND HOSPICE AGENCY PROVIDING INDIVIDUALS AND FAMILIES WITH THE HIGHEST QUALITY HOME CARE, HOSPICE AND COMMUNITY OUTREACH PROGRAMS WITHIN ROCKINGHAM COUNTY AND THE SURROUNDING TOWNS OF BARRINGTON, LEE AND DURHAM. PART VI, LINE 7, REPORTS FILED WITH STATES NH 1 LAMPREY HEALTHCARE INC 207 SOUTH MAIN STREET NEWMARKET NH 03857 237305106 501(C)(3) 380000 SUPPORTS THE PROVISION OF HIGH QUALITY MEDICAL CARE AND HEALTH RELATED SERVICES TO THE COMMUNITIES IT SERVES REGARDLESS OF THE PATIENTS ABILITY TO PAY. FAMILIES FIRST OF THE GREATER SEACOAST 100 CAMPUS DRIVE SUITE 12 PORTSMOUTH NH 03801 222757341 501(C)(3) 52875 ANNUAL FUNDING CONTRIBUTION THAT HELPS FAMILIES FIRST CONTINUE TO PROVIDE A BROAD RANGE OF HEALTH AND FAMILY SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. UNITED WAY OF THE GREATER SEACOAST 112 CORPORATE DR UNIT 3 PORTSMOUTH NH 03801 042382233 501(C)(3) 22000 GRANT TO SUPPORT HEALTHCARE RELATED PROGRAMMING AND VOLUNTEERISM. AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 5000 MAKING STRIDES SUPPORTER DARTMOUTH HITCHCOCK CLINIC ONE MEDICAL CENTER DR LEBANON NH 03756 222519596 501(C)(3) 101250 PROVIDE REGIONAL ACCESS IN THE GREATER EXETER SERVICE REGION TO DARTMOUTH HITCHCOCK'S PROGRAM THAT PROVIDES CLINICAL ASSESSMENTS FOR POSSIBLE CHILD VICTIMS OF MALTREATMENT. COMMUNITY COLLEGES OF NEW HAMPSHIRE FOUNDATION 26 COLLEGE DRIVE CONCORD NH 03301 020516490 501(C)(3) 5000 CONTRIBUTION TO SUPPORT THE COMMUNITY COLLEGE TO MAKE HIGHER EDUCATION MORE ACCESSIBLE. NEW HEIGHTS ADVENTURES FOR TEENS 100 CAMPUS DRIVE SUITE 23 PORTSMOUTH NH 03801 271918243 501(C)(3) 19750 SUPPORTS THIS COMPREHENSIVE OUT-OF-SCHOOL PROGRAM FOR YOUNG PEOPLE TO DEVELOP THE COMPETENCE, CHARACTER, CONFIDENCE AND RESILIENCY FOR A HEALTHY SUCCESSFUL ADULTHOOD. SOUTHERN DISTRICT YMCACAMP LINCOLN INC PO BOX 925 EXETER NH 03833 043383996 501(C)(3) 6000 CONTRIBUTION TO THE CAPITAL CAMPAIGN TO BUILD A FULL-SERVICE FACILITY YMCA IN THE TOWN OF EXETER. SOCIETY OF ST VINCENT DE PAUL EXETER INC PO BOX 176 EXETER NH 03833 203945985 501(C)(3) 5000 CONTRIBUTION TOWARDS THEIR MOBILE DENTAL VAN WHICH PROVIDES ORAL HEALTH SERVICES TO THE COMMUNITY. THE WILL TO LIVE FOUNDATION INC 300 BROGDON ROAD SUITE 140 SUWANEE GA 30024 273886864 501(C)(3) 5000 CONTRIBUTION TOWARDS THE SUICIDE PREVENTION OF YOUNG ADULTS. INTERNATIONAL MEDICAL EQUIPMENT COLLABORATIVE 1620 OSGOOD STREET N ANDOVER MA 01845 020489746 501(C)(3) 109925 BOOK CONTRIBUTION OF MEDICAL EQUIPMENT AND SUPPLIES CONTRIBUTION OF MEDICAL EQUIPMENT AND SUPPLIES TO HOSPITALS AND CLINICS WHO SERVE THE NEEDY IN COUNTRIES OUTSIDE THE UNITED STATES. CORE PHYSICIANS LLC 5 ALUMNI DRIVE EXETER NH 03833 870807914 501(C)(3) 22938 REIMBURSMENT OF EXPENSES CORE INCURRED SUPPORTING "PATIENT ASSISTANCE PROGRAM RX" (MEDICATION BRIDGE). 12 PART I, LINE 2: ALL REQUESTS FOR GRANTS/CONTRIBUTIONS/SPONSORSHIPS OVER $5,000 REQUIRE THE APPROVAL OF AT LEAST THE VICE PRESIDENT OF STRATEGY, COMMUNITY RELATIONS AND DEVELOPMENT TO ENSURE THAT THEY ARE CONSISTENT WITH OUR MISSION, VALUES AND STRATEGIC PLAN. LARGE GRANTS LIKE THOSE GIVEN TO LAMPREY, DARTMOUTH HITCHCOCK CLINIC, AND FAMILIES FIRST ARE ALSO REVIEWED BY THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER PRIOR TO APPROVAL. EACH OF THOSE REQUESTING ORGANIZATIONS EITHER PROVIDES A WRITTEN SUMMARY OF HOW THEY HAVE USED OUR PREVIOUS SUPPORT AS WELL AS THEIR SPECIFIC PLANS FOR ANY NEW REQUESTED FUNDING OR THEY MAKE A PRESENTATION IN PERSON USUALLY TO THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER AND THE VICE PRESIDENT OF STRATEGY, COMMUNITY RELATIONS AND DEVELOPMENT. EACH YEAR A SUB COMMITTEE OF EXETER HEALTH RESOURCES' (PARENT COMPANY) BOARD OF TRUSTEES IS CHARGED WITH OVERSEEING OUR COMMUNITY BENEFITS PROGRAM AND OUR COMMUNITY NEEDS ASSESSMENT AND REVIEWS A DETAILED REPORT ON THE PREVIOUS YEAR'S GRANTS/ CONTRIBUTIONS/SPONSORSHIPS AND APPROVES THE CURRENT YEAR'S PLAN FOR COMMUNITY SUPPORT. THAT SUB COMMITTEE AND THE LARGER EXETER HEALTH RESOURCES' (PARENT COMPANY) BOARD OF TRUSTEES ARE REGULARLY UPDATED ON OUR COMMUNITY SUPPORT INITIATIVES. X 0 1 X X X X 1 1 0 0 0 0 0 1 0 KEVIN J CALLAHAN CEO/TRUSTEE 0 543852 0 121000 0 74941 0 167650 0 30770 0 938213 0 0 NANCY BRAESE DO DIRECTOR THRU 3/2014 0 124122 0 26532 0 24183 0 3742 0 31712 0 210291 0 0 RICHARD HOLLISTER MD EX-OFFICIO MEMBER 0 332904 0 88508 0 17770 0 5100 0 31221 0 475503 0 0 KEVIN J O'LEARY CFO/TREASURER 0 297107 0 70620 0 55046 0 75650 0 20946 0 519369 0 0 CONSTANCE D SPRAUER SR VP LEGAL AFFAIRS/SECRET 0 250354 0 51500 0 46123 0 15300 0 21190 0 384467 0 0 BRIAN CAMPBELL VP-AMBUL CARE 159418 0 52845 0 40940 0 15300 0 30602 0 299105 0 0 0 JONATHAN A JACKSON PHYSICIST 202663 0 2115 0 21901 0 13805 0 3398 0 243882 0 0 0 JANE PETERSON DIRECTOR 145474 0 16190 0 19966 0 11048 0 2964 0 195642 0 0 0 DEANNA KING DIRECTOR 151659 0 9050 0 7214 0 10361 0 30534 0 208818 0 0 0 JUDITH RINES DIRECTOR 136496 0 14136 0 8062 0 4886 0 30478 0 194058 0 0 0 KAREN CUE PHARMACIST INFORMATICS SPECIALIST 123429 0 2396 0 44693 0 8193 0 14495 0 193206 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS WERE PROVIDED TO KEVIN CALLAHAN, NANCY BRAESE DO, KEVIN O'LEARY, CONSTANCE SPRAUER, BRIAN CAMPBELL AND KAREN CUE (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. PART I, LINES 4A-B THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC.) MAINTAINS A SPLIT DOLLAR SUPPLEMENTAL RETIREMENT PLAN FOR TWO EXECUTIVES (LISTED BELOW WITH AMOUNTS) SELECTED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. THE PLAN IS CLOSED TO FUTURE PARTICIPANTS. THE PLAN PROVIDES FOR ANNUAL PAYMENTS OF PREMIUMS FOR LIFE INSURANCE POLICIES INSURING THE LISTED INDIVIDUALS. THOSE LIFE INSURANCE PREMIUMS ARE COLLATERALLY ASSIGNED TO THE CORPORATION AND ANY EXCESS ACCUMULATED VALUE IN THE POLICIES (NET OF ACCUMULATED PREMIUM PAYMENTS WHICH ARE RETURNED TO THE ORGANIZATION UPON THE EXECUTIVE ATTAINING THE AGE OF 70) IS AVAILABLE TO BE PAID TO THE PARTICIPANT ONCE VESTED AT AGE 62 AND UPON RETIREMENT FROM THE ORGANIZATION. LIFE INSURANCE PREMIUM PAYMENTS DURING THE 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. KAREN CUE RECEIVED A SEVERANCE PAYMENT OF $25,636. PART I, LINE 7 THE ORGANIZATION PROVIDES AN ANNUAL INCENTIVE COMPENSATION PLAN FOR EXECUTIVES SELECTED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. THESE EXECUTIVES INCLUDE: KEVIN CALLAHAN, KEVIN O'LEARY, CONSTANCE SPRAUER AND BRIAN CAMPBELL. THE BOARD AND / OR ITS EXECUTIVE COMMITTEE APPROVES MEASURABLE ACHIEVEMENT CRITERIA FOR QUALITY, PATIENT SATISFACTION, PROCESS IMPROVEMENT, FINANCIAL PERFORMANCE, SERVICES INNOVATION AND OTHER COMPELLING AREAS OF STRATEGIC AND OPERATIONAL INTEREST. ADDITIONALLY, THE BOARD AND /OR ITS EXECUTIVE COMMITTEE ESTABLISHES MINIMUM, TARGETED AND MAXIMUM LEVELS FOR INCENTIVE AWARDS AND APPROVES ALL INCENTIVE AWARDS FOR PARTICIPATING EXECUTIVES. RICHARD HOLLISTER MD AND NANCY BRAESE DO ARE COMPENSATED UNDER CORE PHYSICIANS, LLC'S COMPENSATION PROGRAM. COMPENSATION IS DETERMINED USING SURVEYS OF CURRENT COMPENSATION WITHIN COMPARABLE MARKETS AND THE ADVICE OF OUTSIDE CONSULTANTS. THE PHYSICIANS' COMPENSATION IS APPROVED BY CORE PHYSICIANS, LLC'S COMPENSATION COMMITTEE WHICH IS COMPRISED OF SYSTEM MANAGERS WHO ARE APPROVED BY THE EXETER HEALTH RESOURCES INC. BOARD OF TRUSTEES. JONATHAN JACKSON, JANE PETERSON, DEANNA KING, KAREN CUE AND JUDITH RINES PARTICIPATE IN AN ANNUAL INCENTIVE PROGRAM WHICH IS ADMINISTERED BY EXETER HOSPITAL'S HUMAN RESOURCES DEPARTMENT. THE PROGRAM INCLUDES MEASURABLE ACHIEVEMENT CRITERIA FOR PERFORMANCE AND SERVICE INNOVATION. A NH HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 644614GH6 2003-11-20 20000000 RENOVATION AND EXPANSION PROJECTS ON THE HOSPITAL CAMPUS 0 1 0 B NH HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 NONEAVAIL 2012-02-09 32565000 REFINANCING AND REFUNDING PRIOR BOND ISSUANCE 0 1 0 A 20000000 19892600 256727 19635873 2006 0 0 1 1 B 32565000 215404 32349596 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 1 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 EXETER HEALTH RESOURCES, INC. ELECTS 11 OF THE 13 MEMBERS OF THE EXETER HOSPITAL BOARD OF TRUSTEES. 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. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY AN OUTSIDE TAX ACCOUNTANT WITH INFORMATION PROVIDED BY THE ORGANIZATION. THE 990 IS REVIEWED BY THE ORGANIZATION'S TREASURER THEN PRESENTED TO THE BOARD OF TRUSTEES BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 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) HAS A FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER LISTED OFFICERS THAT IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACHIEVING THE ORGANIZATION'S MISSION, TO RECOGNIZE INDIVIDUAL AND TEAM PERFORMANCE, AND TO COMPLY WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE EXECUTIVE COMMITTEE OF THE EXETER HEALTH RESOURCES' BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO, OTHER LISTED OFFICERS AND KEY EMLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO, OTHER LISTED OFFICERS AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND MAKES RECOMMENDATIONS TO THE FULL BOARD OF EXETER HEALTH RESOURCES FOR ADJUSTMENT OF THE CEO'S COMPENSATION AND THE COMPENSATION FOR OTHER LISTED OFFICERS. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL AND/OR THAT INDIVIDUAL'S CONTRIBUTIONS TO A TEAM, THE PERFORMANCE OF THE ORGANIZATION IN WHOLE AND IN PART, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA,INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A PERFORMANCE APPRAISAL PROCESS IN THE CEO'S, OTHER LISTED OFFICERS' AND KEY EMPLOYEES' COMPENSATION REVIEW. THE CEO, OTHER LISTED OFFICERS AND KEY EMPLOYEES ARE NOT PRESENT WHEN THE COMMITTEE DISCUSSES THEIR RESPECTIVE COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR QUALITY, OPERATING SYSTEM EXCELLENCE AND FINANCIAL PERFORMANCE. THE RESULTS OF THE COMMITTEE'S DELIBERATIONS ARE PRESENTED TO THE EXETER HEALTH RESOURCES BOARD AND INCLUDE RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS / RECOMMENDATIONS. THE DELIBERATIONS OF THE EXETER HEALTH RESOURCES BOARD ARE CONDUCTED IN EXECUTIVE SESSION WITH THE INDEPENDENT MEMBERS OF THE BOARD BUT DO INCLUDE THE CEO ONLY FOR THAT PERIOD OF TIME IN WHICH THE EXETER HEALTH RESOURCES BOARD HAS QUESTIONS CONCERNING THE PERFORMANCE OF ANY LISTED OFFICER OR KEY EMPLOYEE OTHER THAN THE CEO. THE EXETER HEALTH RESOURCES BOARD REVIEWS THE CEO'S PERFORMANCE AND DETERMINES IF THE ADJUSTMENTS AND AWARDS RECOMMENDED BY THE COMMITTEE FOR THE CEO ARE IN THE ORGANIZATION'S BEST INTEREST AND FOR THE BENEFIT OF THE ORGANIZATION AND ITS PARENT ORGANIZATION. FOR THE OTHER LISTED OFFICER POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED UPON RECOMMENDATION OF THE CEO BY THE EXECUTIVE COMMITTEE WITHIN THE EXETER HEALTH RESOURCES BOARD APPROVED PARAMETERS AND RATIFIED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. ADJUSTMENTS AND AWARDS FOR OTHER LISTED KEY EMPLOYEES ARE APPROVED UPON RECOMMENDATION OF THE CEO BY THE EXECUTIVE COMMITTEE WITHIN THE EXETER HEALTH RESOURCES BOARD APPROVED PARAMETERS AND REVIEWED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 16B: ALTHOUGH WRITTEN POLICIES WERE NOT IN PLACE AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL LAW TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED, THE ORGANIZATION PERFORMED DUE DILIGENCE WITH RESPECT TO ITS JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS. THE ORGANIZATION IS CONSIDERING ADOPTING FORMAL WRITTEN POLICIES BY THE END OF THE NEXT FISCAL YEAR. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 24E PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,426,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,426,448. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 5,604,895. MANAGEMENT AND GENERAL EXPENSES 837,513. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,442,408. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,783,826. MANAGEMENT AND GENERAL EXPENSES 565,399. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,349,225. OUTSIDE FEES: PROGRAM SERVICE EXPENSES 2,460,363. MANAGEMENT AND GENERAL EXPENSES 367,641. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,828,004. INTEREST RATE SWAP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,999,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,999,961. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 919,765. MANAGEMENT AND GENERAL EXPENSES 137,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,057,201. COLLECTION FEES: PROGRAM SERVICE EXPENSES 549,627. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 549,627. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 536,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 536,350. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 440,508. MANAGEMENT AND GENERAL EXPENSES 65,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 506,331. MAINTENANCE: PROGRAM SERVICE EXPENSES 371,781. MANAGEMENT AND GENERAL EXPENSES 55,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 427,334. FREIGHT AND TRANSPORTATION: PROGRAM SERVICE EXPENSES 331,988. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 331,988. DUES/SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 242,590. MANAGEMENT AND GENERAL EXPENSES 36,249. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 278,839. MEDICAL LEADERSHIP/ FEES: PROGRAM SERVICE EXPENSES 266,818. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,818. PROJECT/DESIGN COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 266,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,262. FINANCING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 242,642. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,642. CONSULTING: PROGRAM SERVICE EXPENSES 203,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,099. REFRESHMENTS: PROGRAM SERVICE EXPENSES 149,263. MANAGEMENT AND GENERAL EXPENSES 22,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,567. STORAGE: PROGRAM SERVICE EXPENSES 138,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,998. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 18,076. TOTAL EXPENSES 18,076. PATIENT TRANSPORT: PROGRAM SERVICE EXPENSES 13,950. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,950. MEDICAL DEVICE TAX: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211. F990, PART X: THE ORGANIZATION MAINTAINS A REVOCABLE SELF-INSURANCE TRUST TO FUND THE RELATED ACTUARIALLY DETERMINED LIABILITY FOR INCURRED BUT UNPAID CLAIMS. THE ASSET AND CORRESPONDING LIABILITY ARE PRESENTED ON LINES 15 AND 25 IN THE CURRENT YEAR. IN THE PRIOR YEAR, THE ASSET AND CORRESPONDING LIABILITY WERE OFFSET. FORM 990, PART XI, LINE 9: TRANSFERS BETWEEN RELATED ENTITIES -13,502,854. PENSION ADJUSTMENT 710,467. ASSETS RELEASED -51,924. EXETER HEALTH RESOURCES INC 5 ALUMNI DRIVE EXETER NH 03833 020222126 MANAGEMENT AND SUPPORTING ORGANIZATION, HOLDING COMPANY NH 501(C)(3) 11 0 CORE PHYSICIANS LLC 5 ALUMNI DRIVE EXETER NH 03833 870807914 PHYSICIAN PRACTICES NH 501(C)(3) 9 EXETER HEALTH RESOURCES INC 0 ROCKINGHAM VISITING NURSE ASSOC 5 ALUMNI DRIVE EXETER NH 03833 020274905 HOME CARE, HOSPICE NH 501(C)(3) 9 EXETER HEALTH RESOURCES INC 0 MATRIX HEALTH INC 5 ALUMNI DRIVE EXETER NH 03833 020473737 MANAGE RESOURCES NH 501(C)(3) 11 EXETER HEALTH RESOURCES INC 0 EXETER MED REAL 5 ALUMNI DRIVE EXETER NH 03833 020418718 REAL ESTATE HOLDING 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) 11 EXETER HEALTH RESOURCES INC 0 CONVERGENT HEALTH SYSTEMS INC 5 ALUMNI DRIVE EXETER NH 03833 020469711 WELLNESS CENTER NH EXETER HEALTH RESOURCES INC C 0 VX HEALTH SERVICES 5 ALUMNI DRIVE EXETER NH 03833 020469712 FITNESS CENTER NH CONVERGENT HEALTH SYSTEMS INC C 0 EXETER MEDICAL SERVICES 5 ALUMNI DRIVE EXETER NH 03833 020419850 INACTIVE PHYSICIAN PRACTICE NH CONVERGENT HEALTH SYSTEMS INC C 0 CORE HEALTH SERVICES OF MA 5 ALUMNI DRIVE EXETER NH 03833 201598042 INACTIVE PHYSICIAN PRACTICE MA EXETER HEALTH RESOURCES INC C 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 0 1 1 1 EXETER MED REAL K 1540033 CASH EXETER MED REAL L 277284 CASH