2012-05-15T07:35:37-05:00
2011-09-30
WILLIAM STEELE & ASSOCIATES PC
40 STARK STREET
MANCHESTER
NH
03101
990
2010-10-01
200753662
EXETER HEALTH RESOURCES INC SELF-INSURANCE TRUST
EXET
6035806695
5 ALUMNI DRIVE
EXETER
NH
03833
OFFICER
TREASURER
6035806695
2012-05-09
1
MICHAEL A BARBARITA CPA
6036228881
2010
2016-02-24 21:20:13Z
KEVIN CALLAHAN
5 ALUMNI DRIVE
EXETER
NH
03833
158161
0
X
N/A
X
2003
NH
A SELF-INSURANCE TRUST HOLDING FUNDS TO COVER LOSSES OF SUPPORTED ORGANIZATIONS
0
0
0
0
0
0
0
0
657552
0
138962
158161
0
0
796514
158161
0
0
0
0
3000
3000
0
0
0
833096
449936
836096
452936
-39582
-294775
7370465
7078691
6260522
6263523
1109943
815168
NONE
0
0
452936
0
PROVISION OF FUNDING FOR PROFESSIONAL, GENERAL, AND OTHER LIABILITY LOSSES FOR ORGANIZATIONS CONTROLLED, DIRECTLY OR INDIRECTLY, BY EXETER HEALTH RESOURCES, INC.
452936
1
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
X
0
0
0
0
0
0
0
1
1
1
1
0
0
0
0
0
0
0
0
0
NH
X
KEVIN O'LEARY
6035806695
5 ALUMNI DRIVE
EXEXTER
NH
03833
BANK OF AMERICA
TRUSTEE
1.00
X
3000
0
0
3000
0
0
0
0
0
0
SHEEHAN PHINNEY BASS & GREEN
1000 ELM ST PO BOX 3701
MANCHESTER
NH
03105
LEGAL SERVICES
105286
1
158161
158161
158161
0
0
158161
3000
3000
ADMIN EXP/CLAIMS PAID
437074
437074
REALIZED LOSSES
12862
12862
452936
452936
0
0
7370465
7078691
7370465
7078691
1370755
140846
4889767
6122677
6260522
6263523
X
1109943
815168
1109943
815168
7370465
7078691
-294775
0
X
0
0
0
X
X
X
0
0
0
EXETER HOSPITAL INC
222674014
3
1
1
1
0
EXETER HEALTHCARE INC
020360966
11
1
1
1
0
ROCKINGHAM VISITING NURSE ASSOC & HOSPICE
020274905
9
1
1
1
0
CORE PHYSICIANS LLC
870807914
9
1
1
1
0
4
0
0
OTHER INVESTMENTS
7078691
C
7078691
ACCRUED CLAIMS
6122677
6122677
FORM 990, PART VI, SECTION A, LINE 7A
EXETER HEALTH RESOURCES, INC. IS THE GRANTOR OF THE TRUST. THE GRANTOR, BY RESOLUTION OF ITS BOARD OF DIRECTORS MAY REMOVE THE TRUSTEE AT ANY TIME AND APPOINT A SUCCESSOR
FORM 990, PART VI, SECTION A, LINE 7B
AS GRANTOR,EXETER HEALTH RESOURCES, INC. SETS THE FUNDING POLICY AND METHODS OF THE TRUST. THE TRUSTEE INVESTS IN SUCH PROPERTY AND FOR SUCH DURATION AS THE TRUSTEE DETERMINES TO BE CONSISTENT WITH THE POLICIES SET FORTH BY THE GRANTOR.
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 BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION C, LINE 19
THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
EXETER HEALTH RESOURCES INC
5 ALUMNI DRIVE
EXETER
NH
03833
020222126
MANAGEMENT AND SUPPORTING ORGANIZATION; HOLDING COMPANY
NH
501C3
11
0
EXETER HOSPITAL INC
5 ALUMNI DRIVE
EXETER
NH
03833
222674014
HOSPITAL
NH
501C3
3
EXETER HEALTH RESOURCES INC
0
CORE PHYSICIANS LLC
5 ALUMNI DRIVE
EXETER
NH
03833
870807914
PHYSICIAN PRACTICES
NH
501C3
9
EXETER HEALTH RESOURCES INC
0
ROCKINGHAM VISITING NURSE ASSOCIATION
5 ALUMNI DRIVE
EXETER
NH
03833
020274905
HOME CARE, HOSPICE
NH
501C3
9
EXETER HEALTH RESOURCES INC
0
MATRIX HEALTH INC
5 ALUMNI DRIVE
EXETER
NH
03833
020473737
MANAGE RESOURCES
NH
501C3
11
EXETER HEALTH RESOURCES INC
0
EXETER HEALTHCARE INC
5 ALUMNI DRIVE
EXETER
NH
03833
020360966
SUBACUTE NURSING FACILITY
NH
501C3
9
EXETER HEALTH RESOURCES INC
0
EXETER MED REAL INC
5 ALUMNI DRIVE
EXETER
NH
03833
020418718
REAL ESTATE HOLDING
NH
501C25
EXETER HEALTH RESOURCES INC
0
CONVERGENT HEALTH SYSTEMS INC
5 ALUMNI DRIVE
EXETER
NH
03833
020469711
WELLNESS CENTERS
NH
EXETER HEALTH RESOURCES INC
C
VX HEALTH SERVICES INC
5 ALUMNI DRIVE
EXETER
NH
03833
020469712
FITNESS CENTER
NH
CONVERGENT HEALTH SYSTEMS INC
C
EXETER MEDICAL SERVICES INC
5 ALUMNI DRIVE
EXETER
NH
03833
020419850
INACTIVE PHYSICIAN PRACTICE
NH
CONVERGENT HEALTH SYSTEMS INC
C
CORE HEALTH SERVICES OF MA
5 ALUMNI DRIVE
EXETER
NH
03833
201598042
INACTIVE PHYSICIAN PRACTICE
MA
EXETER HEALTH RESOURCES INC
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
EXETER HOSPITAL INC
R
1120240
CASH
EXETER HEALTHCARE INC
R
33440
CASH
EXETER MED REAL INC
R
6688
CASH
ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE
R
33440
CASH
CORE PHYSICIANS LLC
R
468160
CASH
EXETER HEALTH RESOURCES INC
R
5016
CASH