CORE PHYSICIANS LLC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CORE PHYSICIANS LLC (EIN 87-0807914)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-15
IRS object ID
201431359349301943
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T08:38:08-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020383073EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM STEELE & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 STARK STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN870807914EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CORE PHYSICIANS LLCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCORENameControl
Phone6035806695Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN J O'LEARYName
TitleTREASURERTitle
Phone6035806695Phone
Date Signed2014-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM G STEELE JR CPAName
PTINP00233103PTIN
Phone6036228881Phone
Date Prepared2014-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBRA CRESTANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15 ALUMNI DRIVEAddressLine1
CityEXETERCity
StateNHState
ZIP Code03833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts68783264GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COREPHYSICIANS.ORGWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionLIMITED LIABILITY CORPORATIONTypeOfOrgOtherDescription
Year Formation2007YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF CORE PHYSICIANS 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. AS A MULTI-SPECIALTY GROUP PRACTICE CORE PHYSICIANS PROVIDES COMMUNITY ACCESS TO PRIMARY CARE PHYSICIANS, SPECIALTY PHYSICIAN SERVICES, PEDIATRIC DENTAL SERVICES, OFFICE BASED LABORATORY SERVICE, AS WELL AS CONTRACTED PHYSICIANS TO SUPPORT EXETER HOSPITAL'S 24/7 INTENSIVEST COVERAGE PROGRAM IN ITS ICU, AND INPATIENT HOSPITALIST PROGRAM. CORE PHYSICIANS SUPPORTS ACCESS TO ITS PHYSICIANS AND MEDICAL SERVICES THROUGH A ROBUST FINANCIAL ASSISTANCE PROGRAM THAT UNDERWRITES UP TO 100% OF THE COST OF MEDICAL CARE PROVIDED BY ITS PHYSICIANS BASED ON FAMILY SIZE AND INCOME FOR RESIDENTS OF OUR SERVICE AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees606TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI46576TotalGrossUBI
Net Unrelated Business Txbl Income14350NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year61648911ProgramServiceRevenuePriorYear
Program Service Revenue CY61129762ProgramServiceRevenueCY
Investment Income Prior Year-239621InvestmentIncomePriorYear
Investment Income Current Year4326InvestmentIncomeCurrentYear
Other Revenue Prior Year5926156OtherRevenuePriorYear
Other Revenue Current Year7649176OtherRevenueCurrentYear
Total Revenue Prior Year67335446TotalRevenuePriorYear
Total Revenue Current Year68783264TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year61204334SalariesEtcPriorYear
Salaries Etc Current Year63778699SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19387654OtherExpensePriorYear
Other Expenses Current Year19273828OtherExpensesCurrentYear
Total Expenses Prior Year80591988TotalExpensesPriorYear
Total Expenses Current Year83052527TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-13256542RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14269263RevenuesLessExpensesCY
Total Assets BOY11348580TotalAssetsBOY
Total Assets EOY12036172TotalAssetsEOY
Total Liabilities BOY9513680TotalLiabilitiesBOY
Total Liabilities EOY10352722TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1834900NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1683450NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF CORE PHYSICIANS 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. AS A MULTI-SPECIALTY GROUP PRACTICE, CORE PHYSICIANS PROVIDES COMMUNITY ACCESS TO PRIMARY CARE PHYSICIANS, SPECIALTY PHYSICIAN SERVICES, PEDIATRIC DENTAL SERVICES, OFFICE BASED LABORATORY SERVICE, AS WELL AS CONTRACTED PHYSICIANS TO SUPPORT EXETER HOSPITAL'S 24/7 INTENSIVEST COVERAGE PROGRAM IN ITS ICU, AND INPATIENT HOSPITALIST PROGRAM. CORE PHYSICIANS SUPPORTS ACCESS TO ITS PHYSICIANS AND MEDICAL SERVICES THROUGH A ROBUST FINANCIAL ASSISTANCE PROGRAM THAT UNDERWRITES UP TO 100% OF THE COST OF MEDICAL CARE PROVIDED BY ITS PHYSICIANS BASED ON FAMILY SIZE AND INCOME FOR RESIDENTS OF OUR SERVICE AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense70079930Expense
Revenue68732362Revenue
DescriptionCORE PHYSICIANS PROVIDES ACCESS TO PRIMARY CARE SERVICES TO MORE THAN 50,000 SEACOAST AREA RESIDENTS OF ALL AGES AND ALL DEMOGRAPHIC AND SOCIO-ECONOMIC BACKGROUNDS REGARDLESS OF THEIR ABILITY TO PAY. CORE PHYSICIANS HAS OVER 160 PROVIDERS LOCATED IN 32 LOCATIONS ACROSS THE SEACOAST. IN 2013 CORE PHYSICIANS SUPPORTED ITS MISSION BY SUPPORTING $7,348,076 IN COMMUNITY OUTREACH, BENEFITS AND FINANCIAL SUPPORT TO THE COMMUNITY EXCLUDING $14,023,421 IN UNCOVERED MEDICARE EXPENSES. PHYSICIANS PRIMARY CARE SERVICES ARE BROKEN DOWN INTO THREE SPECIALTIES INCLUDING PEDIATRICS, FAMILY PRACTICE AND INTERNAL MEDICINE. CORE PHYSICIANS PEDIATRIC PRACTICE HAS RECEIVED NATIONAL RECOGNITION FOR ITS PIONEERING WORK IN THE DEVELOPMENT OF THE PATIENT CENTERED MEDICAL HOME MODEL. CORE PHYSICIANS PEDIATRICIANS ALSO SUPPORT THE REGION'S ONLY FORMALIZED MEDICAL EVALUATION SERVICE FOR VICTIMS OF CHILD ABUSE. CORE PHYSICIANS PROVIDES FINANCIAL ASSISTANCE TO INDIVIDUALS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THE COST OF THEIR MEDICAL CARE. CORE PHYSICIANS FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO ALL INDIVIDUALS WHO MEET THE FINANCIAL ELIGIBILITY REQUIREMENTS AND WHO LIVE WITHIN CORE PHYSICIANS' SPECIFIED SERVICE AREA FOR MEDICALLY NECESSARY SERVICES. CORE PHYSICIANS' FINANCIAL ASSISTANCE PROGRAM IS ALSO PROMOTED IN THE COMMUNITY THROUGH ITS LONG TERM AFFILIATION WITH SEACARE, AN INDEPENDENT, COMMUNITY NOT-FOR PROFIT THAT IS COMMITTED TO CREATING ACCESS TO MEDICAL AND SOCIAL SUPPORT SERVICES FOR RESIDENTS WHO NEED THE SUPPORT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionIN ORDER TO SUPPORT THE MORE COMPLEX MEDICAL NEEDS OF OUR PRIMARY CARE PATIENTS AND THOSE OF UNAFFILIATED PATIENTS FROM ACROSS OUR SERVICE AREA, CORE PHYSICIANS PROVIDES A FULL RANGE OF MEDICAL AND SURGICAL SPECIALTIES. OUR AREAS OF SPECIALIZATION INCLUDE DIABETES, WOMEN'S HEALTH, COLORECTAL SURGERY, PLASTIC SURGERY, GENERAL SURGERY, VASCULAR SURGERY, NEUROLOGY, ORTHOPEDIC SURGERY, PHYSIATRY, RHEUMATOLOGY, UROLOGY, MEDICAL AND INVASIVE CARDIOLOGY, PULMONOLOGY AND SLEEP MEDICINE. OUR SPECIALTY SERVICES CONTINUE TO EXPAND IN ORDER TO REFLECT THE CHANGING AND GROWING HEALTHCARE NEEDS OF OUR COMMUNITY. CORE PHYSICIAN SPECIALISTS ARE BOARD CERTIFIED. CORE PHYSICIANS FINANCIAL ASSISTANCE PROGRAM ALSO EXTENDS TO COVER MEDICALLY NECESSARY SPECIALIST PROFESSIONAL SERVICES FOR INDIVIDUALS WHO MEET OUR ELIGIBILITY REQUIREMENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionTHE DENTAL PROGRAM WHICH IS CURRENTLY PART OF CORE PHYSICIANS WAS ORIGINALLY INITIATED AS A SEPARATE AFFILIATED ENTITY IN RESPONSE TO A DOCUMENTED GAP IN THE COMMUNITY RELATED TO THE AVAILABILITY OF DENTAL SERVICES FOR CHILDREN EITHER WITHOUT INSURANCE OR ON MEDICAID. THE DENTAL PROGRAM IS ONE OF SEVERAL "MISSION BASED" SPECIALTY MEDICAL SERVICES CORE PHYSICIANS PROVIDES IN THE GREATER SEACOAST COMMUNITY. CURRENTLY CORE PHYSICIANS HAS THREE DENTISTS AND SEVEN DENTAL HYGIENISTS WHO PROVIDE DENTAL CARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense70079930TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees606NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DEBRA CRESTA
CEO/PRESIDENT, SYSTEM MGR0.0040.30XX028032344793
NICK GARCIA MD
CHAIRMAN, CLINICAL MGR40.000.00XX458293034336
KEVIN J O'LEARY
TREASURER, SYSTEM MGR1.0045.00XX0349585100989
KEVIN J CALLAHAN
SYSTEM MANAGER1.0045.00X0603669194576
RICHARD HOLLISTER MD
CLINICAL MANAGER40.000.00X424723043417
MARTIN PRUSS MD
CLINICAL MANAGER40.000.00X190156031664
ALEXANDRA BONESHO MD
CLINICAL MGR40.000.00X240426037470
PETER IHM MD
CLINICAL MGR40.000.00X488692041004
STEVE KAHAN MD
CLINICAL MANAGER40.000.00X470012036344
REBECCA SNIDER MD
CLINICAL MANAGER40.000.00X206681012104
ELIZABETH SMITH MD
CLINICAL MANAGER40.000.00X290501038943
ALLISON CASASSA
ASSISTANT TREASURER1.0030.00X012301611261
CONSTANCE SPRAUER
SECRETARY1.0043.00X026474333086
TARANEH AZAR MD
PHYSICIAN40.000.00538997040263X
THOMAS MCGOVERN MD
PHYSICIAN40.000.00660330035494X
ROGER NOWAK MD
PHYSICIAN40.000.00619088025270X
KIMBERLY MARBLE MD
PHYSICIAN40.000.00747303041783X
E WILLIAM JOHNSON MD
PHYSICIAN40.000.00577182040995X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5912384TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1621336TotalReportableCompFrmRltdOrgs
Total Other Compensation843792TotalOtherCompensation
Number Individuals GT100 K125NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVEEXETERNH03833ADMINISTRATIVE MANAGEMENT FEES1726422
EXETER HOSPITAL INC
5 ALUMNI DRIVEEXETERNH03833SUPPORT SERVICES1358687
NEXTGEN
PO BOX 809390CHICAGOIL60680BILLING SOFTWARE & SUPPORT1074270
JACKSON & COKER
3000 OLD ALABAMA ROADALPHARETTAGA30022CONTRACTED SERVICES315527
NURSE TELEPHONE TRIAGE SERVICES
134 SKYVIEW TERRACEHOLYOKEMA01040AFTER HOURS CALL CENTER175000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column61129762TotalRevenueColumn
Related Or Exempt Function Income61129762RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue61129762TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4326TotalRevenueColumn
Exclusion$4,326ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
OTHER OPERATING INCOME62111068577806857780
MEDICAL DIRECTOR FEES621110744820744820
PHYSICIAN PRACTICE MGMT INCOME6211104657646576
FieldValueIRS element (for citing)
Total Other Revenue7649176TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column68783264TotalRevenueColumn
Related Or Exempt Function Income68732362RelatedOrExemptFunctionIncome
Unrelated Business Revenue46576UnrelatedBusinessRevenue
Exclusion$4,326ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2769484Total
Program Services2306703ProgramServices
Management And General462781ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50057728Total
Program Services41693082ProgramServices
Management And General8364646ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total941163Total
Program Services783895ProgramServices
Management And General157268ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7318095Total
Program Services6095241ProgramServices
Management And General1222854ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2692229Total
Program Services2242358ProgramServices
Management And General449871ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total877Total
Management And General877ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total402161Total
Program Services398139ProgramServices
Management And General4022ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total481525Total
Program Services401062ProgramServices
Management And General80463ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total490266Total
Program Services408343ProgramServices
Management And General81923ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4220432Total
Program Services3515198ProgramServices
Management And General705234ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total531006Total
Program Services442275ProgramServices
Management And General88731ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3081700Total
Program Services3081700ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total998740Total
Program Services831851ProgramServices
Management And General166889ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES27266352271014455621
SERVICE CONTRACTS18955391578794316745
BAD DEBT18167541816754
OUTSIDE FEES/CONSULTING14368201196727240093

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1191373Total
Program Services1016794ProgramServices
Management And General174579ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total83052527Total
Program Services70079930ProgramServices
Management And General12972597ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY705885BOY
EOY787061EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4617658BOY
EOY4924797EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1311510BOY
EOY1213371EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15710065LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12441553LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3161096BOY
EOY3268512EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY358066BOY
EOY358066EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1194365BOY
EOY1484365EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11348580BOY
EOY12036172EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6447202BOY
EOY7141926EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3066478BOY
EOY3210796EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9513680BOY
EOY10352722EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1834900BOY
EOY1683450EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1834900BOY
EOY1683450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11348580BOY
EOY12036172EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14269263ReconcilationRevenueExpenses
Reconcilation Other Changes14117813ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52046692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58705564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65020302CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67286717CurrentTaxYearMinus1Year
Current Tax Year68732362CurrentTaxYear
Total311791637Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52046692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58705564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65020302CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67286717CurrentTaxYearMinus1Year
Current Tax Year68732362CurrentTaxYear
Total311791637Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509311791637PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12725CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2966CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1626CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1913CurrentTaxYearMinus1Year
Current Tax Year4326CurrentTaxYear
Total23556Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12725CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2966CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1626CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1913CurrentTaxYearMinus1Year
Current Tax Year4326CurrentTaxYear
Total23556Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80389CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37021CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46764CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46816CurrentTaxYearMinus1Year
Current Tax Year46576CurrentTaxYear
Total257566Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52139806CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58745551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65068692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67335446CurrentTaxYearMinus1Year
Current Tax Year68783264CurrentTaxYear
Total312072759Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99910PublicSupportPercentage509
Prior Year Support Percentage0.99900PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$877DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB877TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis380228OtherCostOrOtherBasis
Depreciation268494Depreciation
Book Value111734BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2524426OtherCostOrOtherBasis
Depreciation2121781Depreciation
Book Value402645BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12805411OtherCostOrOtherBasis
Depreciation10051278Depreciation
Book Value2754133BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3268512TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINVESTMENT - DEFERRED COMPDescription
Book Value1484365BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1484365TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED ENTITIES$1,592,783
DEFERRED COMPENSATION$1,484,365
DUE TO THIRD PARTIES$133,648
FieldValueIRS element (for citing)
Total Of Amounts3210796TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationCORE PHYSICIANS, LLC IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF EXETER HEALTH RESOURCES, INC. INCLUDED IN THOSE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "MANAGEMENT EVALUATED THE TAX POSITIONS OF THESE ENTITIES AND HAS CONCLUDED THAT THEY HAVE MAINTAINED THEIR TAX-EXEMPT STATUS, DO NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME, AND HAVE TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS."Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEBRA CRESTA
CEO/PRESIDENT, SYSTEM MGR025220400028119015000029793032511600
NICK GARCIA MD
CHAIRMAN, CLINICAL MGR43826102500017532075000268360492629000
KEVIN J O'LEARY
TREASURER, SYSTEM MGR029606600053519083000017989045057400
KEVIN J CALLAHAN
SYSTEM MANAGER0509869000938000167500027076079824500
RICHARD HOLLISTER MD
CLINICAL MANAGER349450057872017401075000359170468140000
MARTIN PRUSS MD
CLINICAL MANAGER16260701953208017058440258200221820000
ALEXANDRA BONESHO MD
CLINICAL MGR183191039934017301074020300680277896000
PETER IHM MD
CLINICAL MGR373572097493017627075000335040529696000
STEVE KAHAN MD
CLINICAL MANAGER406290040256023466075000288440506356000
REBECCA SNIDER MD
CLINICAL MANAGER16329901976602361606372057320218785000
ELIZABETH SMITH MD
CLINICAL MANAGER23780400052697075000314430329444000
CONSTANCE SPRAUER
SECRETARY021996500044778015000018086029782900
TARANEH AZAR MD
PHYSICIAN423600097493017904075000327630579260000
THOMAS MCGOVERN MD
PHYSICIAN604004021000035326075000279940695824000
ROGER NOWAK MD
PHYSICIAN59757804000017510075000177700644358000
KIMBERLY MARBLE MD
PHYSICIAN3976990331974017630075000342830789086000
E WILLIAM JOHNSON MD
PHYSICIAN3888420170935017405075000334950618177000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS UP PAYMENTS WERE PROVIDED TO DEBRA CRESTA, KEVIN CALLAHAN, KEVIN O'LEARY, CONSTANCE SPRAUER, NICK GARCIA, ALEXANDRA BONESHO, RICHARD HOLLISTER, REBECCA SNIDER, ELIZABETH SMITH AND TARANEH AZAR (FOR ACQUISITION OF SUPPLEMENTAL LONG TERM DISABILITY INSURANCE). THE BENEFIT WAS TREATED AS TAXABLE INCOME.
PART I, LINE 1BTHERE WAS NO EXISTING POLICY CONCERNING TAX INDEMNIFICATION AND GROSS UP PAYMENTS. HOWEVER, IN THE INSTANCE OF SUCH ACTION RELATED TO THE ACQUISITION OF LONG TERM DISABILITY INSURANCE DESCRIBED ABOVE, THE TAX INDEMNIFICATION AND GROSS UP PAYMENTS WERE APPROVED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES EXECUTIVE COMMITTEE COMPRISED OF DISINTERESTED PERSONS.
PART I, LINE 4BTHE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC.) MAINTAINS A SPLIT DOLLAR SUPPLEMENTAL RETIREMENT PLAN FOR TWO EXECUTIVES (LISTED BELOW WITH AMOUNTS) SELECTED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. THE PLAN IS CLOSED TO FUTURE PARTICIPANTS. THE PLAN PROVIDES FOR ANNUAL PAYMENTS OF PREMIUMS FOR LIFE INSURANCE POLICIES INSURING THE LISTED INDIVIDUALS. THOSE LIFE INSURANCE PREMIUMS ARE COLLATERALLY ASSIGNED TO THE CORPORATION AND ANY EXCESS ACCUMULATED VALUE IN THE POLICIES (NET OF ACCUMULATED PREMIUM PAYMENTS) IS AVAILABLE TO BE PAID TO THE PARTICIPANT ONCE VESTED AT AGE 62. KEVIN CALLAHAN - EXCESS ACCUMULATED VALUE - $1,118,815 KEVIN O'LEARY - EXCESS ACCUMULATED VALUE - $466,844 CERTAIN OF THE LISTED EMPLOYEES PARTICIPATE IN A NONQUALIFIED DEFERRED COMPENSATION PLAN AS DESCRIBED IN INTERNAL REVENUE CODE SECTION 457 (F) SPONSORED BY EXETER HEALTH RESOURCES. IN THE CALENDAR YEAR ENDED DECEMBER 31, 2012, THE CONTRIBUTION TO THE PLAN FOR THE NON-VESTED BENEFIT OF KEVIN CALLAHAN WAS $160,000 AND THE CONTRIBUTION TO THE PLAN FOR THE NON-VESTED BENEFIT OF KEVIN O'LEARY WAS $68,000. PARTICIPANTS IN THE 457 (F) PLAN DO NOT VEST UNTIL AGE 62.
PART I, LINE 7THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC) PROVIDES AN ANNUAL INCENTIVE COMPENSATION PLAN FOR EXECUTIVES SELECTED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. THESE EXECUTIVES INCLUDE: KEVIN CALLAHAN, KEVIN O'LEARY, CONSTANCE SPRAUER, ALLISON CASSASA AND DEBRA CRESTA. THE EXETER HEALTH RESOURCES BOARD AND/OR ITS EXECUTIVE COMMITTEE APPROVES MEASUREABLE ACHIEVEMENT CRITERIA FOR QUALITY, PATIENT SATISFACTION, PROCESS IMPROVEMENT, FINANCIAL PERFORMANCE, SERVICES INNOVATION AND OTHER COMPELLING AREAS OF STRATEGIC AND OPERATIONAL INTEREST. ADDITIONALLY THE EXETER HEALTH RESOURCES BOARD AND/OR ITS EXECUTIVE COMMITTEE ESTABLISHES MINIMUM, TARGETED AND MAXIMUM LEVELS FOR INCENTIVE AWARDS AND APPROVES ALL AWARDS FOR PARTICIPATING EXECUTIVES. CORE PHYSICIANS' HAS A COMPENSATION PLAN THAT IS BASED UPON COMPETITIVE MARKET RATES RELATIVE TO A PHYSICIAN'S SPECIALTY. THE ORGANIZATION UTILIZES THE SERVICES OF AN OUTSIDE COMPENSATION CONSULTANT TO DETERMINE MARKET BENCHMARKS. TOTAL COMPENSATION CONSISTS OF A BASE SALARY, A POTENTIAL FOR A PRODUCTIVITY BONUS, AN ON-CALL STIPEND (IF APPLICABLE), A MEDICAL DIRECTORSHIP STIPEND (IF APPLICABLE), A CITIZENSHIP AND QUALITY PAYMENT THAT IS EARNED BASED UPON THE ACHIEVEMENT OF OBJECTIVES SET IN ADVANCE. THE PRODUCTIVITY BONUS IS BASED ON WORK RELATIVE VALUE UNITS (WRVU) PRODUCTION AND WOULD BE ELIGIBLE TO ANYONE WHO PRODUCES WRVU'S ABOVE HIS OR HER BASE SALARY WRVU LEVEL. BASE COMPENSATION IS ALSO ADJUSTED IF WORK RELATIVE VALUE UNITS FALL BELOW THE BASE SALARY WRVU EQUIVALENCY LEVEL. THE PHYSICIANS' COMPENSATION IS APPROVED BY CORE PHYSICIANS, LLC'S COMPENSATION COMMITTEE WHICH IS COMPRISED OF SYSTEM MANAGERS WHO ARE APPROVED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6EXETER HEALTH RESOURCES, INC. IS THE SOLE MEMBER OF CORE PHYSICIANS, LLC.
FORM 990, PART VI, SECTION A, LINE 7ACORE'S GOVERNING BODY IS MADE UP OF 2 CLASSES OF MANAGERS: SYSTEM MANAGERS AND CLINICIAN MANAGERS. THE 3 SYSTEM MANAGERS ARE THE PRESIDENT (EX-OFFICIO) AND TREASURER (EX-OFFICIO) OF EXETER HEALTH RESOURCES, INC. CORE'S SOLE MEMBER AND CORE'S CEO (EX-OFFICIO), WHO ARE APPOINTED BY THE EXETER HEALTH RESOURCES, INC. BOARD OF TRUSTEES. THE CLINICIAN MANAGERS ARE NOMINATED BY THE CORE CLINICIANS AND APPOINTMENT AS A CLINICIAN MANAGER IS SUBJECT TO THE APPROVAL OF THE EXETER HEALTH RESOURCES, INC. BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER HAS THE AUTHORITY TO APPROVE BUDGETS, AUTHORIZE MAJOR NON-OPERATIONAL TRANSACTIONS, DISSOLVE THE LLC, DESIGNATE THE FISCAL YEAR AND APPOINT A CPA FOR THE CONDUCT OF AN AUDIT, CHANGE THE LLC'S NAME, AMEND THE OPERATING AGREEMENT AND REQUIRE THE LLC TO COMPLY WITH CERTAIN POLICIES AND PROCEDURES OF THE MEMBER FOR GOVERNANCE OF THE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PREPARED BY AN OUTSIDE TAX ACCOUNTANT WITH INFORMATION PROVIDED BY THE ORGANIZATION. THE 990 IS REVIEWED BY THE ORGANIZATION'S TREASURER AND THEN PRESENTED TO THE SYSTEM MANAGERS AND CLINICAL MANAGERS BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE SYSTEM MANAGERS HAVE 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. DIRECTORS (A/K/A MANAGERS), 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. ALL DISCLOSURES ARE REVIEWED. ANY MANAGER WITH A CONFLICT OF INTEREST IS REQUIRED TO ABSTAIN FROM VOTING OR A QUORUM DETERMINATION ON THE MATTER AND ANY OFFICER, KEY EMPLOYEE, OR MEMBER OF SENIOR MANAGEMENT WITH A CONFLICT DOES NOT TAKE PART IN MAKING AND IS NOT PRESENT FOR ANY DECISION REGARDING THE MATTER. THE POLICY IS MONITORED AND ENFORCED BY BOTH THE PRESIDENT AND THE FULL BOARD. A SEPARATE ORGANIZATIONAL POLICY REQUIRES ALL EMPLOYEES TO DISCLOSE ANY CONFLICT OF INTEREST IN WRITING UPON HIRE. THEREAFTER, ON AN ANNUAL BASIS STAFF WITHIN HUMAN RESOURCES SURVEY (A) ALL PROVIDERS, (B) ALL EMPLOYEES AND CONTRACTED STAFF SERVING IN A MANAGERIAL ROLE, AND (C) ALL MEMBERS OF ANY COMMITTEES WHICH MAKE RECOMMENDATIONS OR DECISIONS REGARDING THE PURCHASE OF GOODS OR SERVICES AS A MEANS TO ENSURE THAT ANY CONFLICT OF INTEREST IS APPROPRIATELY DISCLOSED AND MANAGED. EMPLOYEES OTHERWISE ARE REQUIRED TO SUPPLEMENT OR MAKE ANY FURTHER WRITTEN DISCLOSURE AT THE TIME A CONFLICT ARISES. THIS POLICY IS MONITORED AND ENFORCED BY THE DEPARTMENT OF HUMAN RESOURCES, AS WELL AS CORE'S PRESIDENT AND COMPLIANCE OFFICER. ANY CONFLICT OF INTEREST IS MANAGED UNDER THIS POLICY BY DISCLOSURE, RECUSAL, OR DIVESTITURE OF THE INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES) HAS A FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CORE PRESIDENT AND OTHER SYSTEM MANAGERS 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 CORE PRESIDENT AND OTHER LISTED SYSTEM MANAGERS. 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 CORE PRESIDENT AND OTHER SYSTEM MANAGERS. THE EXETER HEALTH RESOURCES EXECUTIVE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW OF THE COMPENSATION OF THE CORE PRESIDENT AND CORE'S OTHER SYSTEM MANAGERS. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF THE CORE PRESIDENT AND OTHER SYSTEM MANAGERS INDIVIDUALLY OR COLLECTIVELY AS EXECUTIVE MANAGEMENT TEAM MEMBERS, 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 FOR THE CORE PRESIDENT AND OTHER SYSTEM MANAGERS' COMPENSATION REVIEW. CORE'S PRESIDENT AND OTHER SYSTEM MANAGERS ARE NOT PRESENT WHEN THE EXECUTIVE COMMITTEE DISCUSSES THEIR RESPECTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE 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. FOR THE PRESIDENT OF CORE, THE EXECUTIVE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE SYSTEM MANAGER WHO IS THE PRESIDENT OF THE MEMBER (EXETER HEALTH RESOURCES, INC.) CONCERNING COMPENSATION ADJUSTMENTS AND INCENTIVE AWARDS; THE EXECUTIVE COMMITTEE THEN DETERMINES CORE'S PRESIDENT'S COMPENSATION. FOR THE SYSTEM MANAGER WHO IS THE TREASURER OF THE MEMBER (EXETER HEALTH RESOURCES, INC.), THAT SYSTEM MANAGER'S COMPENSATION IS CONSIDERED BY THE EXECUTIVE COMMITTEE UPON RECOMMENDATION OF THE MEMBER'S (EXETER HEALTH RESOURCES, INC.) PRESIDENT. THE EXECUTIVE COMMITTEE THEN DETERMINES THAT SYSTEM MANAGER'S COMPENSATION WHICH IS SUBSEQUENTLY RATIFIED BY THE BOARD OF TRUSTEES OF THE MEMBER (EXETER HEALTH RESOURCES, INC.). FOR THE SYSTEM MANAGER WHO IS THE PRESIDENT OF THE MEMBER (EXETER HEALTH RESOURCES, INC.), THAT SYSTEM MANAGER'S COMPENSATION IS CONSIDERED BY THE EXECUTIVE COMMITTEE AND THE COMMITTEE MAKES RECOMMENDATIONS CONCERNING THAT SYSTEM MANAGER'S COMPENSATION TO THE BOARD OF TRUSTEES OF THE MEMBER (EXETER HEALTH RESOURCES, INC.) FOR ITS APPROVAL. THE EXECUTIVE COMMITTEE OF THE MEMBER'S BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF THE MEMBER CONSIDER WHETHER THE COMPENSATION ADJUSTMENTS AND PERFORMANCE AWARDS ARE IN THE ORGANIZATION'S BEST INTEREST AND BENEFIT AND COMPLY WITH BOARD OF TRUSTEES APPROVED PARAMETERS. THE COMPENSATION OF THE CORE PHYSICIANS' CHAIRMAN AND OTHER CLINICIAN MANAGERS IS GOVERNED BY THE CORE PHYSICIANS' COMPENSATION PLAN WHICH IS APPROVED SOLELY BY THE SYSTEM MANAGERS (CORE'S PRESIDENT, PRESIDENT OF THE MEMBER AND TREASURER OF THE MEMBER). THE SYSTEM MANAGERS REVIEW COMPARABILITY DATA PREPARED BY A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT WHEN APPROVING COMPENSATION OF THE CLINICIAN MANAGERS INCLUDING THE CHAIRMAN OF CORE. THE SYSTEM MANAGERS CONSIDER WHETHER THE COMPENSATION OF THE CLINICIAN MANAGERS (INCLUDING THE CHAIRMAN OF CORE) AND ANY ADJUSTMENTS TO COMPENSATION ARE IN THE ORGANIZATION'S BEST INTEREST AND BENEFIT AND IN COMPLIANCE WITH CORE PHYSICIAN'S COMPENSATION PLAN.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFERS TO AFFILIATES 14,117,813.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVEEXETERNH03833020222126MANAGEMENT AND SUPPORTING ORGANIZATION, HOLDING COMPANYNH501(C)(3)110
EXETER HOSPITAL
5 ALUMNI DRIVEEXETERNH03833222674014HOSPITALNH501(C)(3)30EXETER HEALTH RESOURCES INC
EXETER HEALTHCARE
5 ALUMNI DRIVEEXETERNH03833020360966SUBACUTE NURSING FACILITYNH501(C)(3)90EXETER HEALTH RESOURCES INC
ROCKINGHAM VISITING NURSE ASSOC
5 ALUMNI DRIVEEXETERNH03833020274905HOME CARE, HOSPICENH501(C)(3)90EXETER HEALTH RESOURCES INC
MATRIX HEALTH
5 ALUMNI DRIVEEXETERNH03833020473737MANAGE RESOURCESNH501(C)(3)110EXETER HEALTH RESOURCES INC
EXETER MED REAL
5 ALUMNI DRIVEEXETERNH03833020418718REAL ESTATE HOLDINGNH501(C)(25)0EXETER HEALTH RESOURCES INC
EXETER HEALTH RESOURCES SELF INS TRUST
5 ALUMNI DRIVEEXETERNH03833200753662SELF INSURANCE TRUSTNH501(C)(3)110EXETER HEALTH RESOURCES INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
CONVERGENT HEALTH SYSTEMS INC
5 ALUMNI DRIVEEXETERNH03833020469711WELLNESS CENTERNHEXETER HEALTH RESOURCES INCC0
VX HEALTH SERVICES
5 ALUMNI DRIVEEXETERNH03833020469712FITNESS CENTERNHCONVERGENT HEALTH SYSTEMS INCC0
EXETER MEDICAL SERVICES
5 ALUMNI DRIVEEXETERNH03833020419850INACTIVE PHYSICIAN PRACTICENHCONVERGENT HEALTH SYSTEMS INCC0
CORE HEALTH SERVICES OF MA
5 ALUMNI DRIVEEXETERNH03833201598042INACTIVE PHYSICIAN PRACTICEMAEXETER HEALTH RESOURCES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
EXETER HEALTH RESOURCES SELF INS TRUST
Q609889CASH
EXETER HEALTH RESOURCES INC
S7700000CASH
EXETER HOSPITAL
S6417812CASH
EXETER HOSPITAL
M1358687CASH
EXETER HEALTH RESOURCES INC
M1369612CASH
EXETER MED REAL
K2170835CASH
EXETER HEALTH RESOURCES INC
O356810CASH
EXETER HOSPITAL
J18304CASH
EXETER HOSPITAL
K2400CASH

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