EXETER HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- EXETER HOSPITAL INC (EIN 22-2674014)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-13
- IRS object ID
- 201101339349300320
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T07:33:53-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222674014 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EXETER HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EXET | NameControl |
| Phone | 6035806695 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ALUMNI DRIVE | AddressLine1 |
| City | EXETER | City |
| State | NH | State |
| ZIP Code | 03833 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN J O'LEARY | Name |
| Title | TREASURER | Title |
| Phone | 6035806695 | Phone |
| Date Signed | 2011-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael A Barbarita | Name |
| Phone | 6036228881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEVIN CALLAHAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ALUMNI DRIVE | AddressLine1 |
| City | EXETER | City |
| State | NH | State |
| ZIP Code | 03833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 221382321 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.exeterhospital.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1907 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | 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. 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1681 | TotalNbrEmployees |
| Total Nbr Volunteers | 110 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 314411 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 169922 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 212053074 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 217655856 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2451540 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1252617 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1076840 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1666761 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 210992785 | TotalRevenuePriorYear |
| Total Revenue Current Year | 218239922 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1287318 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1352334 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 86766195 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 91239029 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 5626 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 105675870 | OtherExpensePriorYear |
| Other Expenses Current Year | 106358653 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 193729383 | TotalExpensesPriorYear |
| Total Expenses Current Year | 198950016 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 17263402 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19289906 | RevenuesLessExpensesCY |
| Total Assets BOY | 267974740 | TotalAssetsBOY |
| Total Assets EOY | 281810222 | TotalAssetsEOY |
| Total Liabilities BOY | 106782141 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 105165067 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 161192599 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 176645155 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 173842148 | Expense |
| Revenue | 219325005 | Revenue |
| Description | 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. 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 2010 Exeter Hospital served the community by providing care to 5,833 acute inpatients, 138,817 outpatient visits, 36,669 emergency room visits and 683 births. In 2010 Exeter Hospital supported its mission by supporting $17,170,026 in community outreach, benefits and financial support to the community excluding $13,812,296 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 100% of care provided to area residents based on income and family size. In 2010, the combination of our uninsured discount program and charity care program helped people access the health care system by providing $3.9 million dollars of 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, Seacare and Lamprey Healthcare. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Exeter Hospital's acute care program provides acute inpatient and outpatient observation level care in our 100 licensed inpatient beds. Our inpatient services treat emergenCY, acute, elective surgical and palliative care patients. Approximately 70% 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 the Joint Commission for the Accreditation of Health Care Organizations 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | 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. Recently Exeter Hospital received recognition for its joint replacement program in orthopedics with the Blue Distinction Award for the quality and effectiveness of our program. Anesthesiology coverage is provided by an independent group of anesthesiologists who have worked with our surgeons and nurses for years. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | The Center for Cancer Care at Exeter Hospital provides cancer patients and their families with comprehensive in-patient 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 has a relationship with New Hampshire Oncology-Hematology Professional Association (NHOH PA), an affiliate of Dana Farber Cancer Institute for the provision of medical oncology services to patients. The medical oncology service supports a 13 chair infusion center. Our unique clinical collaboration with the Massachusetts General Hospital Cancer Center brings radiation oncologists from the worlds leading academic medical center to Exeter Hospitals Center for Cancer Care. This affiliation allows Exeter Hospitals 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 centers 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 Hospitals 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 173842148 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 207 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1681 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN J O'LEARY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6035806695 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ALUMNI DRIVE | AddressLine1 |
| City | EXETER | City |
| State | NH | State |
| ZIP Code | 03833 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KEVIN J CALLAHAN | ||||||||
| CEO/trustee | 2.00 | X | X | 0 | 704207 | 36720 | ||
| GLENN MCKENZIE | ||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| STEVE HERMANSESQ | ||||||||
| vice CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| RICHARD L LEVY MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| REV JOHN E DENSON JR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT A EBERLE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| LARRY S PRESSMAN MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 154700 | 20343 | |||
| katie delahaye paine | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ross gittell | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| AMY CASE | ||||||||
| 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 | ||||||||
| ex-officio | 1.00 | X | 0 | 166142 | 27375 | |||
| KEVIN J O'LEARY | ||||||||
| TREASURER | 2.00 | X | 0 | 401588 | 32262 | |||
| CONSTANCE D SPRAUER | ||||||||
| SECRETARY | 2.00 | X | 0 | 261244 | 34298 | |||
| ANNE MARIE BULARZIK | ||||||||
| VP-ACUTE CARE | 40.00 | 286003 | 0 | 16039 | X | |||
| BRIAN CAMPBELL | ||||||||
| VP-AMBUL CARE | 40.00 | 255682 | 0 | 36508 | X | |||
| JONATHAN A JACKSON | ||||||||
| PHYSICIST | 40.00 | 213287 | 0 | 30825 | X | |||
| joan raczy | ||||||||
| pharmacy operations | 40.00 | 188522 | 0 | 37567 | X | |||
| PETER J DEGNAN MD | ||||||||
| PHYSICIAN | 40.00 | 204479 | 0 | 33066 | X | |||
| JANE PETERSON | ||||||||
| DIRECTOR | 40.00 | 179335 | 0 | 11916 | X | |||
| DEANNA KING | ||||||||
| DIRECTOR | 40.00 | 146455 | 0 | 29972 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1473763 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1687881 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 346891 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EXETER HEALTH RESOURCES | |||||
| 5 ALUMNI DRIVE | EXETER | NH | 03833 | ADMINISTRATIVE MANAGEMENT SERVICES | 5311164 |
| CORE PHYSICIAN SERVICES llc | |||||
| 5 ALUMNI DRIVE | EXETER | NH | 03833 | PHYSICIAN SERVICES | 2500541 |
| GE HEALTH CARE INC | |||||
| PO BOX 640200 | PITTSbURGH | PA | 15426 | EQUIPMENT MAINTENANCE | 1533361 |
| NH ONCOLOGY HEMATOLOGY PA | |||||
| 200 TECHNOLOGY DRIVE CENTRAL PARK I | HOOKSETT | NH | 03106 | PHYSICIAN SERVICES | 1322950 |
| SEACOAST ANESTHESIA PA | |||||
| PO BOX 9645 | MANCHESTER | NH | 03108 | PHYSICIAN SERVICES | 1182753 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 46 | NumberOfContractorsGT100K |
| All Other Contributions | 169922 | AllOtherContributions |
| Total Contributions | 169922 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SVCS | 621300 | 206718239 | 206718239 |
| Disproportionate share | 621300 | 10485391 | 10485391 |
| other program revenue | 621300 | 452226 | 452226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 217655856 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1844107 | TotalRevenueColumn |
| Exclusion | $1,844,107 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43287 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 37910 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5377 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5377 | TotalRevenueColumn |
| Exclusion | $5,377 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7765 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3104489 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -3104489 | Securities |
| Other | 7765 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3096724 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7765 | RelatedOrExemptFunctionIncome |
| Exclusion | -$3,104,489 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| cafeteria income | 621300 | 1375075 | 1375075 |
| exempt function income | 621300 | 167965 | 167965 |
| gift shop income | 621300 | 118344 | 118344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1661384 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218239922 | TotalRevenueColumn |
| Related Or Exempt Function Income | 219325005 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$1,255,005 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1352334 | Total |
| Program Services | 1352334 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 541685 | Total |
| Program Services | 471266 | ProgramServices |
| Management And General | 70419 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67259968 | Total |
| Program Services | 58516172 | ProgramServices |
| Management And General | 8743796 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4288918 | Total |
| Program Services | 3731359 | ProgramServices |
| Management And General | 557559 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14250921 | Total |
| Program Services | 12398302 | ProgramServices |
| Management And General | 1852619 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4897537 | Total |
| Program Services | 4260857 | ProgramServices |
| Management And General | 636680 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228901 | Total |
| Management And General | 228901 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60000 | Total |
| Management And General | 60000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100407 | Total |
| Management And General | 100407 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251080 | Total |
| Program Services | 218440 | ProgramServices |
| Management And General | 32640 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1295908 | Total |
| Program Services | 1127440 | ProgramServices |
| Management And General | 168468 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 448733 | Total |
| Program Services | 390398 | ProgramServices |
| Management And General | 58335 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4959729 | Total |
| Program Services | 4314964 | ProgramServices |
| Management And General | 644765 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370626 | Total |
| Program Services | 322445 | ProgramServices |
| Management And General | 48181 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2309589 | Total |
| Program Services | 2009342 | ProgramServices |
| Management And General | 300247 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4019937 | Total |
| Program Services | 3497345 | ProgramServices |
| Management And General | 522592 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12361664 | Total |
| Program Services | 10754648 | ProgramServices |
| Management And General | 1607016 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101555 | Total |
| Program Services | 88353 | ProgramServices |
| Management And General | 13202 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| supplies | 17128817 | 14902071 | 2226746 |
| BAD DEBT EXPENSE | 14056122 | 14056122 | |
| MEDICAID ENHANCEMENT TA | 10485391 | 10485391 | |
| DRUGS | 9230234 | 9230234 | |
| SERVICE CONTRACTS | 6350319 | 5524778 | 825541 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22599641 | Total |
| Program Services | 16189887 | ProgramServices |
| Management And General | 6404128 | ManagementAndGeneral |
| Fundraising | 5626 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198950016 | Total |
| Program Services | 173842148 | ProgramServices |
| Management And General | 25102242 | ManagementAndGeneral |
| Fundraising | 5626 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28032916 | BOY |
| EOY | 39926892 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21231950 | BOY |
| EOY | 18962118 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2548668 | BOY |
| EOY | 2567476 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1415564 | BOY |
| EOY | 1199801 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 140925760 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 59052582 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87155806 | BOY |
| EOY | 81873178 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125802301 | BOY |
| EOY | 133505345 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1787535 | BOY |
| EOY | 3775412 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267974740 | BOY |
| EOY | 281810222 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16838720 | BOY |
| EOY | 14457684 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64821630 | BOY |
| EOY | 62936316 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25121791 | BOY |
| EOY | 27771067 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106782141 | BOY |
| EOY | 105165067 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144162401 | BOY |
| EOY | 159581890 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260877 | BOY |
| EOY | 293944 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16769321 | BOY |
| EOY | 16769321 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161192599 | BOY |
| EOY | 176645155 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267974740 | BOY |
| EOY | 281810222 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $77,039 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $23,368 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 100407 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | A PORTION OF MEMBERSHIP DUES AND MANAGEMENT FEES ARE CONSIDERED LOBBYING EXPENSES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17030198 | BeginningOfYearBalance |
| Contributions | 37433 | Contributions |
| Other Expenditures | 4366 | OtherExpenditures |
| End Of Year Balance | 17063265 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16940024 | BeginningOfYearBalance |
| Contributions | 213038 | Contributions |
| Other Expenditures | 122864 | OtherExpenditures |
| End Of Year Balance | 17030198 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.01720 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.92280 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 102400 | OtherCostOrOtherBasis |
| Book Value | 102400 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74893784 | OtherCostOrOtherBasis |
| Depreciation | 23729631 | Depreciation |
| Book Value | 51164153 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 523937 | OtherCostOrOtherBasis |
| Depreciation | 357909 | Depreciation |
| Book Value | 166028 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 62424007 | OtherCostOrOtherBasis |
| Depreciation | 33770645 | Depreciation |
| Book Value | 28653362 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2981632 | OtherCostOrOtherBasis |
| Depreciation | 1194397 | Depreciation |
| Book Value | 1787235 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 81873178 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CASH & SHORT-TERM INVESTMENTS | 33077715 | F |
| FIXED INCOME SECURITIES | 30247063 | F |
| MARKETABLE EQUITY SECURITIES | 28759825 | F |
| LIMITED PARTNERSHIPS | 41420742 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 133505345 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYORS | $2,077,895 |
| ACCRUED INTEREST | $1,297,226 |
| accrued pension liability | $15,316,225 |
| SWAP VALUATION LIABILITY | $9,072,079 |
| deferred compensation | $7,642 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 27771067 | TotalOfAmounts |
| Total Revenue | 218239922 | TotalRevenue |
| Total Expenses | 198950016 | TotalExpenses |
| Excess Or Deficit For Year | 19289906 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 10033176 | NetUnrealizedGLOnInvestments |
| Other | -$13,870,526 | OtherAmount |
| Total Adjustments | -3837350 | TotalAdjustments |
| Excess Or Deficit Per FS | 15452556 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 218201484 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 218201484 | RevenueSubtotal |
| Other Revenues Not Included | 38438 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 38438 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 218239922 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 198911573 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 198911573 | ExpensesSubtotal |
| Other Expenses Not Included | 38443 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 38443 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 198950016 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | the goal of the endowment funds is to support future capital expenditures and other major program needs, and to generally increase the financial strength of the corporation. 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 XI, Line 8 - Other Adjustments: | TRANSFERS BETWEEN RELATED ENTITIES: -14924935. ADJ TO MIN PENSION LIABILITY: 1058775. other: -4366. | |
| Part XII, Line 4b - Other Adjustments: | expense reclass to revenue: 38438. | |
| Part XIII, Line 4b - Other Adjustments: | expense reclass to revenue: 38443. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 275.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2071 | PersonsServed |
| Total Community Benefit Expense | 3878471 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3878471 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3503 | PersonsServed |
| Total Community Benefit Expense | 6211205 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6211205 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03360 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5574 | PersonsServed |
| Total Community Benefit Expense | 10089676 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10089676 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05460 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35814 | PersonsServed |
| Total Community Benefit Expense | 1568517 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1517030 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00820 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 547 | PersonsServed |
| Total Community Benefit Expense | 1021823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9650 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1012173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3043 | PersonsServed |
| Total Community Benefit Expense | 3432499 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 560257 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2872242 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 119 | PersonsServed |
| Total Community Benefit Expense | 182771 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 59768 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 123003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1440317 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1440317 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 39523 | PersonsServed |
| Total Community Benefit Expense | 7645927 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 681162 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6964765 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03770 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 45097 | PersonsServed |
| Total Community Benefit Expense | 17735603 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 681162 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17054441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09230 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 100 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 100 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10735 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10735 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 29747 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 29747 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4400 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4400 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5869 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5869 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 51851 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 51851 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $5,896,543 | BadDebtExpenseAmount |
| Amount Attributable To | 2679799 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 57916636 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 71728932 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13812296 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EXETER HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ALUMNI DRIVE | AddressLine1 |
| City | EXETER | City |
| State | NH | State |
| ZIP Code | 03833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | 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. | CostingMethodUsed |
| Bad Debt Footnote | Part III, Line 4: THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTIBILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMINING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED ALLOWANCE.The patient cost to charge from worksheet 2 was applied to determine the amount of the organizations bad debt expense at cost | BadDebtFootnote |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Every five years, Exeter Hospital, in collaboration with its community partners, conducts a community needs assessment to identify, prioritize, and address critical health issues. The last community needs assessment was completed in 2008. 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 2003 Community Needs Assessment and achievements to date to meet identified needs Validate Priority Health Needs identified in the 2003 Community Needs Assessment and further define these needs in 2008 from the stakeholders perspective Identify unmet needs that have emerged since the 2003 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 2008 Community Needs Assessment included telephone survey, focus group and key leader interview components. The report in its entirety can be accessed on the Exeter Hospital website: http://www.exeterhospital.com/about-exeter/community-benefits/. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Exeter Hospital provides its patients with information regarding the organizations financial assistance program, and a summary of the organizations policy, on the back of every billing statement. On the Exeter Hospital website (http://exeterhospital.com), patients and the general public can find information on the organizations 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 Hospitals financial assistance programs, twice a year the organization runs advertisements in community newspapers summarizing the organizations 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 hospitals financial assistance programs at time of service or discharge. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Exeter Hospital services an area that encompasses 40 communities with an estimated population of 231,225. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Emergency preparedness officials at Exeter Hospital take part in many emergency and disaster planning activities throughout the region and state, helping to ensure the health and safety of Seacoast area residents. During FY 2010 officials from Exeter Hospital spent more than 1,100 hours participating in emergency preparedness development and training exercises, including Seacoast evacuation planning project meetings, decontamination drills, emergency preparedness planning meetings facilitated by the NH Hospital Association and a Mass Casualty Incidentdrill at Pease Airport. The costs associated with emergency management activities are reported in the community support category within 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. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Access to CareFinancial Assistance:Exeter Hospital has three components to its health care access program: The Financial Assistance Program is a community-based program foruninsured and under-insured patients who meet specific income,geographical and other guidelines, and who do not otherwise qualify for any state or federal assistance. The Uninsured Care Discount/Hospital Access Plus Program extends a 20%discount off total charges to patients who may not be able to access or afford health insurance. Exeters 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 patients gross income.Exeter Hospital provided $3,878,471 in charity care during FY 2010, a 23 percent increase over FY 2009. In FY 2010 the charity care program served 2,070 people for a total of 6,200 visits.Womens Wellness Clinic: Through a partnership with SeaCare Health Services,this clinic provides uninsured and underinsured women with needed breast and cervical cancer screenings. In FY 2010 the Womens Wellness Clinic served 70 women and Exeter Hospital provided $70,500 to continue this initiative.Beyond the Rainbow Fund: This Fund provides financial assistance to oncology patients in need, assisting patients with prescription expenses not covered by insurance, subsidizing rent and fuel bills, purchasing walkers and canes, and any other needs not covered by insurance that may have become unmanageable for individuals or families during cancer treatment. Community PartnersExeter Hospital works extensively with other nonprofit agencies and organizations who strive to improve the health of the community in many ways. Some of these partnerships include:Lamprey Health Care: Exeter Hospital continued its annual financial support of Lamprey Health Care with a community benefit grant in the amount of $500,000.Lamprey Health Care is New Hampshires oldest and largest private, non-profit community health center with centers in Newmarket, Raymond, and Nashua that serve over 16,000 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 healthcare management, Lamprey Health Care strives to keep both the insured and uninsured healthy, improving health outcomes and reducing health care costs for their patients and communities as a whole.SeaCare Health Services: Exeter Hospital annually supports SeaCare Health Services in the amount of $431,470. SeaCare utilizes funding from Exeter Hospital to provide medical care andcoordination, health education, and medication access to uninsured individuals in the community. During FY 2010 SeaCare provided medical access for 2,177 adults and 348 children. The Medication Bridge Program dispensed 4,717 prescriptions worth $2,219,747, and benefited 745 people.Families First Health and Support Center: In FY 2010 Exeter Hospital made afinancial contribution to Families First in the amount of $100,000.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 Outlook Teen Center: Exeter Hospital continued its support of New Outlook Teen Center in the amount of $75,000.New Outlook is a recreational, educational and prevention-oriented program offering after-school and summer adventure program settings for middle and high school youth. New Outlook serves more than 350 youth in the towns of Brentwood, East Kingston, Exeter, Kensington, Newfields and Stratham.TransportationExeter Hospitals 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 2010 Exeter Hospital provided 5,070 transports at a cost of $337,000.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 2010 ExeterHospital provided $123,000 for clinical trials and research that served 119 patients. In FY 2010 the Center for Cancer Care was awarded a grant to undertake a study of its well established Well-fit Exercise Program for cancer survivors with advanced disease. The Cancer Well-fit program provides individualized exercise programs for cancer patients, instructed by oncology trained physical therapists and personal trainers. To date, more than 1,300 cancer survivors have utilized the services offeredthrough the Well-fit Program. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: A Network of CaringExeter Hospital, Inc., is one of five 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. This mission is principally supported through the provision of health services and information to the community.During Fiscal Year 2010, Exeter Hospital, Core Physicians, Exeter Healthcare and Rockingham VNA & Hospice have continued the pursuit of their mission to improve the health of the community providing $27,635,312 in charity care and other community benefit programs and services to communities in the area it serves.Exeter Hospital is a 100-bed community-based hospital serving New Hampshires Seacoast region. Exeter Hospitals scope of care includes comprehensive health care services in breast health, birthing and reproductive medicine, cardiovascular, occupational and employee health, oncology, orthopedics, and emergency care. Exeter Hospital is accredited by the Joint Commission and is a member of the National QualityForum.Core Physicians is a community-based multi-specialty group practice. Over seventy physicians in over twenty-five locations provide high quality care through clinical competence and professional office administration.Exeter Healthcare is a sub acute and rehabilitation care facility offeringmultidisciplinary expertise that integrates; rehabilitation, nursing, nutritional management, sleep medicine, medical care and respiratory therapy.Rockingham Visiting Nurse Association and Hospice is a community-based, non-profit 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.Synergy Health and Fitness Center is a state-of-the-art, full service health and fitness facility which is open to the community on a membership basis | AffiliatedHealthCareSystem |
| Reports Filed With States | NH | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| New Outlook | |||||||
| PO Box 865 | Exeter | NH | 03833 | 020468342 | 501(C)(3) | 55000 | PROVIDE RECREATIONAL, EDUCATIONAL AND PREVENTION ORIENTED PROGRAMS IN AFTER SCHOOL AND SUMMER PROGRAMS. |
| Lamprey Healthcare Inc | |||||||
| 207 South Main Street | Newmarket | NH | 03857 | 237305106 | 501(C)(3) | 500000 | SUPPORTS THE PROVISION OF VITAL HEALTH CARE SERVICES FOR THE INDIGENT AND UNINSURED individuals IN THE COMMUNITY. |
| Seacare Health Services | |||||||
| 11 Downing Court | Exeter | NH | 03833 | 050473406 | 501(C)(3) | 422118 | ASSISTANCE IN PROVIDING HEALTH CARE COORDINATION AND EDUCATION SERVICES, AS WELL AS MEDICATION ACCESS TO UNINSURED INDIVIDUALS IN THE COMMUNITy IT SERVES. |
| Vx Health Services Inc | |||||||
| 7 Alumni Drive | Exeter | NH | 03833 | 020469712 | 222998 | FUND CHARITABLE FITNESS MEMBERSHIPS | |
| Families First | |||||||
| 100 Campus Drive Suite 12 | Portsmouth | NH | 03801 | 222757341 | 501(C)(3) | 105200 | ANNUAL FUNDING CONTRIBUTION THAT HELPS FAMILIES FIRST CONTINUE TO PROVIDE HEALTH SERVICES INCLUDING PRIMARY CARE, DENTAL, PRENATAL CARE AND MOBILE HEALTH CARE FOR THE HOMELESS. Design, Printing & Installation of Mobile Medical Van wrap THAT provides health care for the homeless. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: All requests for grants,contributions, or 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. Larger grants like those provided to Lamprey, SeaCare and New Outlook Teen Center 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN J CALLAHAN | |||||||||||||
| 0 | 456384 | 0 | 161136 | 0 | 86687 | 0 | 14700 | 0 | 22020 | 0 | 740927 | 0 | 0 |
| LARRY S PRESSMAN MD | |||||||||||||
| 0 | 123444 | 0 | 13336 | 0 | 17920 | 0 | 3916 | 0 | 16427 | 0 | 175043 | 0 | 0 |
| NANCY BRAESE DO | |||||||||||||
| 0 | 118945 | 0 | 24393 | 0 | 22804 | 0 | 4289 | 0 | 23086 | 0 | 193517 | 0 | 0 |
| KEVIN J O'LEARY | |||||||||||||
| 0 | 257446 | 0 | 95136 | 0 | 49006 | 0 | 14700 | 0 | 17562 | 0 | 433850 | 0 | 0 |
| CONSTANCE D SPRAUER | |||||||||||||
| 0 | 168704 | 0 | 52636 | 0 | 39904 | 0 | 14700 | 0 | 19598 | 0 | 295542 | 0 | 0 |
| ANNE MARIE BULARZIK | |||||||||||||
| 178782 | 0 | 77367 | 0 | 29854 | 0 | 14700 | 0 | 1339 | 0 | 302042 | 0 | 0 | 0 |
| BRIAN CAMPBELL | |||||||||||||
| 155983 | 0 | 69067 | 0 | 30632 | 0 | 14696 | 0 | 21812 | 0 | 292190 | 0 | 0 | 0 |
| JONATHAN A JACKSON | |||||||||||||
| 212865 | 0 | 136 | 0 | 286 | 0 | 13005 | 0 | 17820 | 0 | 244112 | 0 | 0 | 0 |
| joan raczy | |||||||||||||
| 172572 | 0 | 136 | 0 | 15814 | 0 | 11792 | 0 | 25775 | 0 | 226089 | 0 | 0 | 0 |
| PETER J DEGNAN MD | |||||||||||||
| 193504 | 0 | 436 | 0 | 10539 | 0 | 12382 | 0 | 20684 | 0 | 237545 | 0 | 0 | 0 |
| JANE PETERSON | |||||||||||||
| 154566 | 0 | 14147 | 0 | 10622 | 0 | 10753 | 0 | 1163 | 0 | 191251 | 0 | 0 | 0 |
| DEANNA KING | |||||||||||||
| 138223 | 0 | 7966 | 0 | 266 | 0 | 3496 | 0 | 26476 | 0 | 176427 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Tax indemnification and gross up payments were provided to nancy braese, kevin callahan, constance sprauer, kevin o'leary, anne marie bularzik, brian campbell and jane peterson (for acquisition of supplemental long term disability insurance). The benefit was treated as taxable income. TRUSTEES ARE ELIGIBLE FOR DISCOUNTED MEMBERSHIP FEES AT A WELLNESS CENTER OWNED BY A SUBSIDIARY OF EXETER HEALTH RESOURCES. THE BENEFIT IS REPORTED AS TAXABLE INCOME TO THE TRUSTEE. |
| 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 COMMITTEE COMPRISED OF DISINTERESTED PERSONS. |
| Part I, Line 4a | THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, inc. ) MAINTAINS A SPLIT DOLLAR SUPPLEMENTAL RETIREMENT PLAN FOR 2 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) ARE AVAILABLE TO BE PAID TO THE PARTICIPANT ONCE VESTED. KEVIN CALLAHAN - EXCESS ACCUMULATED VALUE - $55,376 kEVIN O'LEARY - EXCESS ACCUMULATED VALUE - $30,243 |
| Part I, Line 7 | The organization provides an annual incentive compensation plan for executives selected by the EXETER HEALTH RESOURCES inc. board OF TRUSTEES. tHESE EXECUTIVES INCLUDE: KEVIN CALLAHAN, KEVIN O'LEARY, CONSTANCE SPRAUER, anne marie bularzik and brian campbell. The 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 Board and/or its executive committee establishes minimum, targeted and maximum levels for incentive awards and approves all awards for participating executives. LARRY PRESSMAN 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, JOAN RACZY, PETER DEGNAN MD, JANE PETERSON and deanna king 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH HEALTH AND EDUCATION FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 020279866 | IssuerEIN |
| CUSIP Number | 644614GN6 | CUSIPNumber |
| Date Issued | 2003-11-20 | DateIssued |
| Issue Price | 20000000 | IssuePrice |
| Description Of Purpose | renovation and expansion projects on the hospital campus | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 1 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 20000000 | TotalProceeds |
| Amount In Reserve Fund | 19892600 | AmountInReserveFund |
| Issuance Costs From Proceeds | 256737 | IssuanceCostsFromProceeds |
| Capital Expenditures | 19635873 | CapitalExpenditures |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 13 OF THE 15 MEMBERS OF THE EXETER HEALTH RESOURCES 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. |
| Form 990, Part VI, Section B, line 15 | FORM 990, PART VI, SECTION B, LINE 15A & 15B THE ORGANIZATIONS 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 ORGANIZATIONS MISSION, TO RECOGNIZE INDIVIDUAL AND TEAM PERFORMANCE, AND TO COMPLY WITH THE ORGANIZATIONS 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 AND 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 AND 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 CEOS 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 INDIVIDUALS CONTRIBUTIONS TO A TEAM, THE PERFORMANCE OF THE ORGANIZATION IN WHOLE AND IN PART, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATIONS 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 CEOS, AND THE LISTED OFFICERS AND KEY EMPLOYEES COMPENSATION REVIEW. THE CEO, AND 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 ORGANIZATIONS PERFORMANCE RESULTS FOR QUALITY, OPERATING SYSTEM EXCELLENCE AND FINANCIAL PERFORMANCE. THE RESULTS OF THE COMMITTEES DELIBERATIONS ARE PRESENTED TO THE EXETER HEALTH RESOURCES BOARD AND INCLUDE RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEES 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 CEOS PERFORMANCE AND DETERMINES IF THE ADJUSTMENTS AND AWARDS RECOMMENDED BY THE COMMITTEE FOR THE CEO ARE IN THE ORGANIZATIONS BEST INTEREST AND FOR THE BENEFIT OF THE ORGANIZATION AND THE PARENT ORGANIZATION. FOR THE 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 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 C, line 19 | These documents are available upon request. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| EXETER HEALTH RESOURCES inc | |||||||||
| 5 alumni drive | EXETER | NH | 03833 | 020222126 | MANAGEMENT AND SUPPORTING ORGANIZATION, HOLDING COMPANY | NH | 501(c)(3) | 11 | |
| eXETER HEALTHCARE | |||||||||
| 5 alumni drive | EXETER | NH | 03833 | 020360966 | SUBACUTE NURSING FACILITY | NH | 501(c)(3) | 9 | EXETER HEALTH RESOURCES INC |
| CORE PHYSICIANS LLC | |||||||||
| 5 alumni drive | EXETER | NH | 03833 | 870807914 | PHYSICIAN PRACTICES | NH | 501(c)(3) | 9 | EXETER HEALTH RESOURCES INC |
| ROCKINGHAM VISITING NURSE ASSOC | |||||||||
| 5 alumni drive | EXETER | NH | 03833 | 020274905 | HOME CARE, HOSPICE | NH | 501(c)(3) | 9 | EXETER HEALTH RESOURCES INC |
| MATRIX HEALTH INC | |||||||||
| 5 alumni drive | EXETER | NH | 03833 | 020473737 | MANAGE RESOURCES | NH | 501(c)(3) | 11 | EXETER HEALTH RESOURCES INC |
| EXETER MED REAL | |||||||||
| 5 alumni drive | EXETER | NH | 03833 | 020418718 | REAL ESTATE HOLDING | NH | 501(c)(25) | eXETER HEALTH RESOURCES INC | |
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|
| convergent health systems inc | ||||||||||
| 5 alumni drive | exeter | NH | 03833 | 020469711 | wellness center | NH | exeter health resources inc | C | -4758 | 270560 |
| Vx HEALTH SERVICES | ||||||||||
| 5 alumni drive | Exeter | NH | 03833 | 020469712 | FITNESS CENTER | NH | CONVERGENT HEALTH SYSTEMS INC | C | 3110 | 548001 |
| EXETER MEDICAL SERVICES | ||||||||||
| 5 alumni drive | Exeter | NH | 03833 | 020419850 | inactive PHYSICIAN PRACTICE | NH | CONVERGENT HEALTH SYSTEMS INC | C | 1000 | |
| CORE HEALTH SERVICES OF MA | ||||||||||
| 5 alumni drive | Exeter | NH | 03833 | 201598042 | inactive PHYSICIAN PRACTICE | MA | Exeter health resources inc | C | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| VX HEALTH SERVICES | |
| B | 222998 |
| EXETER HEALTH RESOURCES | |
| Q | 8300000 |
| EXETER HEALTHCARE | |
| Q | 1525169 |
| CORE PHYSICIANS LLC | |
| Q | 5099770 |
| EXETER HEALTHCARE | |
| J | 476531 |
| EXETER HEALTH RESOURCES | |
| J | 59424 |
| EXETER MED REAL | |
| J | 970106 |
| CORE PHYSICIANS LLC | |
| J | 13859 |
| VX HEALTH SERVICES | |
| J | 76911 |
| EXETER HEALTH RESOURCES SI TRUST | |
| P | 432807 |
| EXETER HEALTH RESOURCES | |
| L | 5468236 |
| EXETER HEALTHCARE | |
| N | 33873 |
| CORE PHYSICIANS LLC | |
| K | 1106375 |
| EXETER MED REAL | |
| K | 150682 |
| ROCKINGHAM VNA | |
| K | 163422 |
| VX HEALTH SERVICES | |
| K | 61695 |
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