Exeter Hospital Inc

“For the period covered by this filing, beth israel lahey health, inc. (bilh) served as direct or indirect sole member of: beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital milton, inc. (milton), beth israel deaconess hospital needham, inc. (needham), beth israel deaconess hospital plymouth, inc. (plymouth), lahey clinic foundation (lcf) , lahey clinic (lci), lahey clinic hospital d/b/a lahey hospital and medical center (lhmc), winchester hospital (winchester), northeast hospital corporation (northeast), anna jaques hospital (ajh), beth israel lahey health pharmacy, joslin diabetes center, exeter health resources, inc. (ehri) and exeter hospital. Each of these affiliates may have, in turn, served as member of additional entities within the bilh network of affiliates. In addition, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) is the dedicated physician practice of bidmc and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. For this same period hmfp served as the sole member of affiliated physicians of harvard medical faculty physicians at beth israel deaconess medical center (aphmfp) as well as the direct or indirect member of several additional entities. Two or more of the persons listed in this form 990 part vii have a business relationship with each other by virtue of sitting on one or more boards of directors/trustees or by serving in an employment relationship with one or more entities within the network of the affiliated organizations noted above. Additional detail is provided in the explanatory notes to this form 990 schedule j.”

“Exeter health resources, inc. (ehri) is the sole member of exeter hospital (eh).”

“Beth israel lahey health, inc. (bilh or system member) is the sole member of ehri. Bilh, as system member has the following rights related to electing/ appointing the ehri board: the exclusive authority, after consultation with the chair of the board and the president of the corporation and review of recommendations, if any, made by the board, to (a) appoint and reappoint trustees, (b) fill any vacancies in the offices of trustees, and (c) acting by vote of not less than three quarters (3/4) of the member's trustees then in office, remove, with or without cause, a trustee. Notwithstanding the foregoing, any removal shall be following notice to the chair (or the vice-chair if the chair is the subject of removal) and an opportunity for the chair to be heard by the member's board or a standing or ad hoc committee thereof, except in circumstances where the member determines that immediate removal is in the best interest of the corporation.”

“Exeter health resources, inc. (ehri) is the sole member of exeter hospital (eh). In addition, as beth israel lahey health, inc. (bilh or system member) is the sole member of ehri. Subject to the provisions of the eh articles of agreement and the bylaws, the member shall have the right to exercise all powers, both positive and negative, conferred by new hampshire revised statutes annotated ("nh rsa"), as amended to date, on members or shareholders of corporations organized under nh rsa chapter 292. In addition, except as are expressly granted to the eh board of trustees in the bylaws, the member shall have the right to exercise all powers, positive and negative, conferred by nh rsa on boards of corporations organized under nh rsa chapter 292. The powers reserved to the member are the powers to approve and/or initiate actions subject to board authority under nh rsa, provided, that to the extent that an affirmative vote of the board is required under nh rsa chapter 292, the member shall only act in accordance with the limitations as provided in the by-laws. In addition, the board's power to exercise its authority as a member of another legal entity shall be subject to the following limitations: (x) all statutory powers that reside in the corporation as a member of another legal entity under new hampshire law may be exercised by the corporation only at the express and explicit direction of, and with the approval of, the member; (y) all statutory powers that reside in the corporation as a member of another legal entity under new hampshire law may be exercised directly by the member after consultation with the chair but otherwise without the approval or participation of the corporation; and (z) other than statutory powers, the corporation shall have only those powers and authorities over and with respect to the legal entities of which it is a member as are expressly and explicitly delegated or directed to the corporation by action of the member's board.”

“As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the direct or indirect sole member of exeter hospital inc . This form 990 is prepared by the bilh tax department in conjunction with deloitte tax, llp (deloitte). As part of this process, the bilh tax department works with other disciplines and functions within bilh and exeter hospital inc to ensure that all financial and non-financial disclosures are complete and accurate. Examples of such departments include but are not limited to: finance and accounting, human resources and payroll, treasury, compliance, legal, community benefits, financial assistance and reimbursement, governance, development, graduate medical education, government relations, research and/or research finance. Exeter hospital inc 's form 990 is reviewed internally by the bilh assistant vice president, taxation and externally by deloitte. Exeter hospital inc 's form 990, along with the forms 990 of all entities in the bilh network, are discussed with the bilh audit and compliance committee. Deloitte signs the final returns. A copy of the complete return is then provided to each member of exeter hospital inc 's board of trustees prior to submission to the internal revenue service.”

“As noted throughout this filing, exeter hospital inc is a member of the beth israel lahey health (bilh) system of affiliates. All entities in the bilh network adhere to the bilh conflict of interest policy and maintain a written, comprehensive conflict of interest policy at the entity level. Pursuant to these policies, bilh entities' officers, trustees and key employees as well as certain other individuals are required to complete the annual conflict of interest and tax questionnaire (coi-tq). The coi-tq is designed to require disclosure of any business and family relationships and affiliations maintained by officers, trustees, or key employees and their family members and which may result in a real or perceived conflict of interest. The bilh office of integrity and compliance, in conjunction with the bilh tax department, administers the coi-tq process annually. Bilh integrity and compliance collects and reviews all disclosures. Disclosures for bilh executives and key employees are assigned appropriate follow-up action in accordance with the bilh policy. A summary of positive responses for each bilh affiliate is provided to the compliance officer for that entity for review final determination of any potential or actual conflict. Any activity that requires action under the conflict of interest policies is subject to ongoing review by exeter hospital inc as well as the bilh integrity and compliance office. Pursuant to the bilh conflict of interest policy, certain activities which could create conflicts of interest are prohibited while other types of relationships are permitted, subject to compliance with a management plan to require disclosure and recusal, including appropriate documentation in the minutes. In addition, as noted above, the annual coi-tq process outlined above is jointly issued by the bilh tax department, to ensure that the questionnaire is distributed to all current and former members of the exeter hospital inc board of trustees as well as former officers and key employees. The coi-tq process is designed to gather the information necessary for exeter hospital inc to completely and accurately complete form 990 schedule l, transactions with interested persons and form 990, part vi, question 2, family and business relationships between officers, directors/trustees and key employees.”

“As required by this form 990 and as reported in the form 990 schedule j, although this filing covers the fiscal period october 1, 2023 to september 30, 2024, compensation reported in this filing is calendar year 2023 compensation. In addition, as reported in the prior year form 990, effective july 1, 2023, beth israel lahey health (bilh) became the sole member of exeter health resources, inc. (ehri) and ehri is the sole member of exeter hospital (eh). Compensation for the ehri ceo, who is also the eh and bilh ceo, and compensation of other eh officers and trustees whose positions commenced on or after july 1, 2023 and who are employed by bilh, was set by the bilh compensation committee and/or board. The ehri president also serves as the eh president. Compensation for the ehri / eh president who commenced in that role effective july 1, 2023 was also set by the bilh compensation committee. Compensation of other ehri officers, trustees and key employees was set prior to bilh becoming the sole member of ehri and was set by the ehri compensation committee and board. Both compensation committees engaged in processes intended to ensure that all officers, directors/trustees and key employees received reasonable compensation packages. Additional detail is below. Bilh compensation committee process: as noted in this form 990, beth israel lahey health (bilh) became the sole member of ehri effective july 1, 2023 and the president of ehri became an employee of bilh at that time. In this capacity, the bilh compensation committee sets compensation for the president of ehri who started in the role effective july 1, 2023. The compensation setting process for the ehri president who served through june 30, 2023 as well as officers and system managers whose positions commenced before july 1, 2023 is described below. The bilh compensation committee establishes the policies and the compensation structure, including benefits, for the beth israel lahey health network of affiliates including the bilh chief executive officer as well as other members of senior management at bilh and its affiliates. The compensation committee is responsible for assuring that the total compensation provided to these individuals is fair and reasonable using current and credible market practice information and is responsible for ensuring compliance with applicable legal and regulatory guidelines. The bilh compensation committee is composed of independent members of its board of trustees in setting compensation, the compensation committee relies upon published compensation surveys and studies produced by independent compensation consulting firms that regularly assess executive compensation and benefits of substantially similar organizations. The compensation committee meets to review the compensation structure of the individuals described above and at that time reviews the compensation survey details prepared by the independent compensation consulting firm. For some categories of positions, the compensation committee will review the compensation structure and targets as a group, rather than by individual. Compensation for the bilh ceo and other senior executives is reviewed on an individual basis. The compensation committee then votes to approve the compensation arrangements of all individuals described above except for the bilh ceo. The compensation package for the bilh ceo as voted by the compensation committee is submitted to the full bilh board of trustees for approval. All deliberations for both the compensation committee and the board of trustees are contemporaneously documented in minutes. The compensation committee processes and procedures as described above are designed to meet the requirements of treasury regulation section 53.4958-6(c), rebuttable presumption that a transaction is not an excess benefit transaction. Ehri executive committee compensation setting process: prior to july 1, 2023, the ehri board of trustees' executive committee was responsible for maint”

“As noted throughout this filing, exeter hospital inc is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as exeter hospital inc 's sole member, or if not as direct sole member, indirectly as the member in its capacity as parent of the beth israel lahey health network. Exeter hospital inc 's governing documents, conflict of interest policy and financial statements are available to the general public upon request at the following location: beth israel lahey health tax department schrafft's city center, 4th floor, 529 main street charlestown, ma 02129”

“The mission of the exeter hospital inc. (ehi or hospital) is committed to improving the health of the communities served by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment. Ehi provides care to patients in the communities where they live and work and provides care to medicare, medicaid and all other patients regardless of their race, color, religion, sex, national origin, ancestry, age, or disability. Ehi accomplishes this mission in close connection with the other members of the beth israel lahey health network of affiliates. In addition, as part of its dedication to providing community benefits, ehi is committed to working in partnership with residents and community leaders as well as civic, social and medical organizations from the communities it serves. Ehi is dedicated to the planning, development, implementation and monitoring of programs that address the health care needs of the community and offer clinical, educational and financial resources. These programs are designed to improve awareness of the health care issues in the communities served and increase participation in wellness and preventative health activities. For additional detail, see form 990 schedule h. During the fiscal period covered by this filing, beth israel lahey health (bilh) served as the sole member of anna jaques hospital (ajh), beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital -- milton, inc. (milton), beth israel deaconess hospital -- needham, inc. (needham), beth israel deaconess hospital -- plymouth, inc. (plymouth), lahey health shared services (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc), the beth israel lahey health performance network (bilhpn), exeter health resources inc. (ehri) and the beth israel lahey health pharmacy. The lahey clinic foundation in turn served as the sole member of lahey clinic inc, and lahey clinic hospital d/b/a lahey hospital and medical center (lhmc) and exeter health resrouces inc served as the sole member of exeter hospital. Each of the entities listed here may have also, in turn, served as member to other network affiliates. Bilh is an integrated health care system committed to expanding access to extraordinary patient care across eastern massachusetts and southern new hampshire and advancing the science and practice of medicine through groundbreaking research and education. The bilh system is comprised of academic and teaching hospitals, a premier orthopedics hospital, primary care and specialty care providers, ambulatory surgery centers, urgent care centers, community hospitals, homecare services, outpatient behavioral health centers and addiction treatment programs. Bilh's community of clinicians, caregivers and staff includes approximately 4,700 physicians and 39,000 employees.”

“Outpatient clinics and services exeter hospital, inc. (eh) is part of beth israel lahey health, is a 100-bed tax exempt, community-based hospital and one of three affiliates of exeter health resources. Eh is committed to providing health care services that are innovative, progressive, and focused on quality and the well-being of patients. Exeter hospital's scope of care allows it to offer comprehensive health care services in breast health, birthing and reproductive medicine, cardiovascular, occupational and employee health, oncology and orthopedics. Beth israel deaconess medical center (bidmc or medical center), is a nationally recognized tertiary care academic medical center, is a teaching hospital of harvard medical school and a sister hospital of eh. Bidmc is exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended and is recognized nationally for the clinical excellence of its faculty and the patient care provided, as well as for the magnitude and breadth of its research and for its commitment to medical education. Many bidmc physicians also hold appointments at harvard or other major medical schools and are tied closely with their colleagues at other academic medical centers. Patients at bidn have seamless access to bidmc when needed. During the period covered by this filing, exeter hospital had 235,968 outpatient encounters. This included 1,430 observation cases, 1,995 pain clinic visits, 4,385 wound center visits, 5,536 outpatient ambulatory surgeries, 7,831 outpatient endoscopy visits, 29,225 outpatient oncology visits, 15,996 outpatient oncology infusions, 3,947 outpatient ekg exams, 1,691 outpatient orthopedic procedures, 27,897 outpatient radiology exams, 18,559 outpatient ct scans, 16,175 outpatient ultrasounds, 7,478 outpatient mris, 1,114 other nuclear medicine tests, 15,389 breast imaging exams, 430,848 outpatient lab tests, 88,718 outpatient rehabilitation/physical therapy visits, and 46,996 other tests and procedures.”

“Inpatient medical / surgical and intensive care eh provides a wide range of inpatient care including surgical services, intensive and cardiac care and complete diagnostic facilities. Eh's inpatient facilities include medical/surgical beds as well as intensive and cardiac care beds. Surgical services are available 24 hours a day for critically ill or injured patients requiring immediate surgical intervention, or for other patients on a non-emergent or elective basis. Eh's highly qualified surgeons perform a wide range of surgeries covering many surgical subspecialties. Patients are under the care of medical staff, hospitalists and/or general surgeons along with nurses who are trained in caring for patients with complex medical needs. The nursing care team consists of registered nurses, surgical technicians and qualified ancillary personnel working collaboratively with surgical and anesthesia physicians. The scope of nursing practice in the perioperative area includes preoperative assessment and planning, intra-operative intervention, postoperative assessment and intervention, discharge planning and documentation to ensure high quality patient care and safety. During its fiscal year ended september 30, 2024 bidn had 5,297 inpatient discharges with 24,334 patient days, performed 862 inpatient surgeries, and 619 newborn deliveries.”

“Emergency department eh operates an emergency department (ed) which is open to all patients in need of emergent care, regardless of ability to pay. The ed is open 24 hours a day, 7 days a week, 365 days a year. During the fiscal year covered by this filing, eh had 28,447 emergency department visits. In addition to the program service accomplishments noted above, the bilh network had significant activities across entities related to both behavioral health and other healthcare initiatives. See the narrative support for schedule h for additional details.”

“The boston, ma office of kpmg issued an unqualified opinion on the consolidated audited financial statements of the beth israel lahey health, inc. And affiliates for fiscal period ended september 30, 2024. These statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of the beth israel lahey health, inc. (bilh), and the entities for which beth israel lahey health, inc. (bilh) served as sole member during the fiscal period covered by this filing, (anna jaques hospital (ajh), beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital -- milton, inc. (milton), beth israel deaconess hospital -- needham, inc. (needham), beth israel deaconess hospital -- plymouth, inc. (plymouth), lahey health shared services (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc), the beth israel lahey health performance network (bilhpn), the joslin diabetes center, exeter health resources, inc. (ehri) and the beth israel lahey health pharmacy. The lahey clinic foundation in turn served as the sole member of lahey clinic inc, and lahey clinic hospital d/b/a lahey hospital and medical center (lhmc). Ehri in turn served as the sole member of exeter hospital and other affiliates of ehri. Each of these bilh affiliates may in turn serve as member of additional entities within the network of affiliates, and whose accounts are included in the bilh audited financial statements. In addition, the bilh financial statements also include the accounts of harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp), the dedicated physician practice of beth israel deaconess medical center and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. The accounts of the entities for which hmfp serves as member are also included in the hmfp and bilh audited financial statements. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.”

“As described in this form 990 and for the period covered by this filing, beth israel lahey health, inc. (bilh) is an entity exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended and served as a support organization of and direct or indirect sole member of exeter hospital inc. During this same period, exeter hospital inc was a member of the bilh obligated group which has issued tax-exempt bond financing through either the bilh obligated group or through a previous obligated group which is now a part of the bilh obligated group. The schedule k as included in this form 990 includes all of the bilh obligated group outstanding tax-exempt debt for bonds issued after december 31, 2002, only a portion of which is allocable to and reported on exeter hospital inc's balance sheet.”

“As reported on the form 990 schedule k, the lahey health system inc. (lhsi) series f bonds which were issued in 2015 are now part of the beth israel lahey health (bilh) obligated group debt. The bonds were issued in 2015 and as of september 30, 2023 there was a balance remaining in the construction fund. Proceeds in the construction fund were unexpectedly held beyond the three-year temporary period, and were yield restricted in compliance with federal tax requirements. Although these bonds are not on the exeter hospital inc's balance sheet, exeter hospital inc is including this disclosure in its form 990 because exeter hospital inc is a member of the bilh obligated group.”

“Exeter hospital did not receive any contributions of intellectual property and as such, was not required to file form 8899.”

“Exeter hospital did not receive any contributions of cars, boats, airplanes or other vehicles and as such, was not required to file form 1098-c.”

“Net assets released from restrictions 222,000. Change in funded status of benefit plans 3,028,000. Due to affiliates -26,150,000. Net assets released for capital 1,194,000. Transfer of net assets -1,416,000. Restricted fund adjustment 0.”

“As noted throughout this form 990, exeter hospital, inc. Is a member of the beth israel lahey health network of affiliates. Beth israel lahey health (bilh) serves as the direct or indirect member of exeter hospital, inc. And exeter hospital, inc. Is included in the consolidated audited financial statements of beth israel lahey health. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.”