Civic Intelligence

Exeter Hospital Inc.

990 • Fiscal year 2020 • EIN 22-2674014

Oct 01, 2019 to Sep 30, 2020 • Filed on Aug 05, 2021

5 Alumni DriveExeter, NH 03833

(603) 580-6695

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

63rd percentile

0.46x

Higher debt load relative to assets than 63% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Liabilities / Revenue

43rd percentile

0.51x

Higher debt load relative to revenue than 43% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Net Margin

61st percentile

7.1%

Higher net margin than 61% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Top Officer Pay

78th percentile

$1,693,536

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Asset Growth

62nd percentile

10%

Faster asset growth than 62% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Revenue Growth

20th percentile

-7.5%

Faster revenue growth than 20% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Assets

Up

$314,845,316

Up $28,973,886 (+10%) from 2019

Net Assets

Down

$170,373,745

Down $14,589,260 (-7.9%) from 2019

Liabilities

Up

$144,471,571

Up $43,563,146 (+43%) from 2019

Revenue

Down

$280,988,340

Down $22,932,708 (-7.5%) from 2019

Expenses

Up

$261,150,046

Up $8,872,004 (+3.5%) from 2019

Net Income

Down

$19,838,294

Down $31,804,712 (-62%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2010: $281,810,222Liabilities 2010: $105,165,067Net Assets 2010: $176,645,1552010Assets 2011: $280,288,030Liabilities 2011: $105,318,138Net Assets 2011: $174,969,8922011Assets 2012: $285,432,823Liabilities 2012: $106,991,448Net Assets 2012: $178,441,3752012Assets 2013: $270,991,066Liabilities 2013: $95,925,723Net Assets 2013: $175,065,3432013Assets 2014: $276,357,149Liabilities 2014: $97,591,278Net Assets 2014: $178,765,8712014Assets 2015: $270,215,446Liabilities 2015: $113,101,771Net Assets 2015: $157,113,6752015Assets 2016: $274,105,488Liabilities 2016: $112,078,919Net Assets 2016: $162,026,5692016Assets 2017: $284,364,235Liabilities 2017: $100,299,810Net Assets 2017: $184,064,4252017Assets 2018: $285,647,104Liabilities 2018: $95,620,104Net Assets 2018: $190,027,0002018Assets 2019: $285,871,430Liabilities 2019: $100,908,425Net Assets 2019: $184,963,0052019Assets 2020: $314,845,316Liabilities 2020: $144,471,571Net Assets 2020: $170,373,7452020Assets 2021: $369,586,384Liabilities 2021: $106,303,441Net Assets 2021: $263,282,9432021Assets 2022: $282,631,034Liabilities 2022: $78,044,792Net Assets 2022: $204,586,2422022Assets 2023: $257,188,839Liabilities 2023: $77,598,435Net Assets 2023: $179,590,4042023Assets 2024: $272,025,403Liabilities 2024: $72,081,544Net Assets 2024: $199,943,8592024

Highlighted filing

2020

Assets$314,845,316
Liabilities$144,471,571
Net Assets$170,373,745

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$300M$200M$100M$0Expenses 2010: $198,950,0162010Expenses 2011: $195,390,4122011Revenue 2012: $199,391,251Expenses 2012: $191,053,436Net Income 2012: $8,337,8152012Expenses 2013: $189,576,0162013Revenue 2014: $206,461,026Expenses 2014: $192,022,202Net Income 2014: $14,438,8242014Revenue 2015: $206,516,060Expenses 2015: $190,281,848Net Income 2015: $16,234,2122015Revenue 2016: $236,382,614Expenses 2016: $204,443,097Net Income 2016: $31,939,5172016Revenue 2017: $253,841,194Expenses 2017: $217,517,675Net Income 2017: $36,323,5192017Revenue 2018: $271,185,172Expenses 2018: $234,676,253Net Income 2018: $36,508,9192018Revenue 2019: $303,921,048Expenses 2019: $252,278,042Net Income 2019: $51,643,0062019Revenue 2020: $280,988,340Expenses 2020: $261,150,046Net Income 2020: $19,838,2942020Revenue 2021: $318,717,288Expenses 2021: $268,574,622Net Income 2021: $50,142,6662021Revenue 2022: $319,159,260Expenses 2022: $303,597,769Net Income 2022: $15,561,4912022Revenue 2023: $319,580,564Expenses 2023: $307,563,236Net Income 2023: $12,017,3282023Revenue 2024: $336,038,286Expenses 2024: $307,985,618Net Income 2024: $28,052,6682024

Highlighted filing

2020

Revenue$280,988,340
Expenses$261,150,046
Net Income$19,838,294
Jump To
Filing Snapshot
Filing Period
Oct 1, 2019 to Sep 30, 2020
Signed
Aug 5, 2021
Return Version
2019v5.2
Gross Receipts
$297,007,443
Mission and Program Overview

Mission

The mission of Exeter Hospital is to improve the health of the community. This mission will be accomplished without compromising Exeter Hospital's sustainability principally by the provision of health services and information to the community in collaboration with Exeter Health Resources' other affiliates which share this mission. Exeter Hospital works to accomplish this mission through the provision of comprehensive medical and surgical health care services including, but not limited to breast health, maternal/infant and reproductive medicine, cardiovascular, gastroenterology, sleep medicine, occupational and employee health, oncology, orthopedics and emergency care services.

The mission of Exeter Hospital is to improve the health of the community. This mission will be accomplished without compromising Exeter Hospital's sustainability principally by the provision of health services and information to the community in collaboration with Exeter Health Resources' other affiliates which share this mission.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$115,094,525$131,002,571▲ $15,908,046
Land, Buildings, and Equipment, Net$61,955,464$58,935,879▼ $3,019,585
Cash and Non-Interest-Bearing Accounts$23,331,659$40,447,877▲ $17,116,218
Investments in Publicly Traded Securities$32,663,720$28,983,432▼ $3,680,288
Accounts Receivable$27,914,696$26,209,607▼ $1,705,089
Savings and Temporary Cash Investments$12,564,951$13,823,344▲ $1,258,393
Inventories for Sale or Use$4,482,425$6,042,608▲ $1,560,183
Prepaid Expenses and Deferred Charges$4,456,403$4,044,217▼ $412,186
Pledges and Grants Receivable$60,650$95,909▲ $35,259
Total Assets$285,871,430$314,845,316▲ $28,973,886
Other Assets Total$3,346,937$5,259,872▲ $1,912,935
Liabilities
Other Liabilities$33,924,274$76,535,743▲ $42,611,469
Tax Exempt Bond Liabilities$46,798,667$42,668,057▼ $4,130,610
Accounts Payable and Accrued Expenses$20,185,484$25,267,771▲ $5,082,287
Total Liabilities$100,908,425$144,471,571▲ $43,563,146
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$167,643,054$149,671,600▼ $17,971,454
Net Assets With Donor Restrictions$17,319,951$20,702,145▲ $3,382,194
Total Net Assets Fund Balance$184,963,005$170,373,745▼ $14,589,260
Total Liabilities and Net Assets / Fund Balance$285,871,430$314,845,316▲ $28,973,886

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$27,985,593$45,128,821$73,114,414
Equipment$26,870,856$33,309,972$60,180,828
Other Land Buildings$3,747,189$787,155$4,534,344
Leasehold Improvements$139,279$202,142$341,421
Land$192,962-$192,962
Other Securities$16,120,588--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$17,319,951$578,733▲ $2,996,535$193,074$20,702,145
2018$17,140,056$570,439-$390,544$17,319,951
2017$17,071,757$174,933-$106,634$17,140,056
2016$17,027,510$154,049-$109,802$17,071,757
2015$16,993,856$107,531-$73,877$17,027,510
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Brian CampbellVP Ambulatory CareFT$274,506$103,172$377,678
Donna McKinneyVP Acute CareFT$258,867$100,500$359,367
Jonathan JacksonPhysicistFT$267,288$33,485$300,773
Susan CallahanDirectorFT$178,320$74,548$252,868
Charles ThomasDirectorFT$175,908$70,996$246,904
Jeffrey MeisnerDirectorFT$184,097$61,311$245,408
Deanna KingDirectorFT$188,341$42,823$231,164

Board Members and Trustees

NameTitle
William SchleyerChair
Kevin J CallahanCEO/President/Trustee
Rob EberleVice Chair
Amy CaseTrustee
David Donsker MDTrustee
Ret Maj Gen Susan DesjardinsTrustee
Sally WardTrustee
Steve Hermans EsqTrustee
Cynthia DominguezTrustee (as of 4/20)
David FalckTrustee (as of 4/20)
Ross Gittell PhDTrustee (ended 3/20)
Suzanne FosterTrustee (ended 3/20)
Kevin J O'LearyCFO/Treasurer
Richard Hollister MDEx-Officio Member
Constance D Sprauer EsqSr. VP Legal Affairs/Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Exeter Health Resources IncAdministrative Management Fees5 Alumni Drive, Exeter, NH 03833$10,296,786
Core Physician Services LLCPhysician Services5 Alumni Drive, Exeter, NH 03833$5,936,622
Mass General Physician OrganizationPhysician ServicesPO Box 3662, Boston, MA 02241-3662$2,113,873
North American Partners in Anesthesia NHAnesthesia Services68 South Service Road Suite 350, Melville, NY 11747$1,863,800
American Healthcare Services IncTemporary StaffingPO Box 670529, Dallas, TX 75267-0529$1,438,490
Revenue and Support

Revenue Composition

Contributions and Grants
$10,136,930
Program Service Revenue
$269,257,784
Investment Income
$1,519,148
Other Revenue
$74,478
All Other Contributions
$750,074
Change in Net Assets
$19,838,294

Audited Revenue Reconciliation

Revenue per Audited Statements
$280,988,340
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$8,794,612
Total Revenue per Audited Statements
$289,782,952
Total Revenue per Form 990
$280,988,340
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$140,695,270
Salaries, Compensation, and Employee Benefits$119,960,342
Grants and Similar Amounts Paid$494,434
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$79,092,096$13,037,547-$92,129,643
Fees for Services Other$22,910,180$4,417,429-$27,327,609
Other Employee Benefits$13,786,080$2,272,498-$16,058,578
All Other Expenses$12,386,548$2,388,315-$14,774,863
Depreciation Depletion$10,003,655$1,777,825-$11,781,480
Other Expenses$10,363,605$3,655,756-$10,363,605
Payroll Taxes$5,563,147$917,029-$6,480,176
Occupancy$5,266,904$1,015,539-$6,282,443
Pension Plan Contributions$3,910,322$644,578-$4,554,900
Insurance$834,761$160,955-$995,716
Interest$827,672$147,092-$974,764
Office Expenses$744,198$143,493-$887,691
Current Officers, Directors, Trustees, and Key Employees$632,744$104,301-$737,045
Grants to Domestic Orgs$494,434--$494,434
Information Technology$295,652$57,006-$352,658
Advertising$260,164$50,164-$310,328
Travel$154,264$29,744-$184,008
Fees for Services Accounting-$72,000-$72,000
Fees for Services Legal-$51,641-$51,641
Fees for Services Lobbying-$28,405-$28,405
Total Functional Expenses$230,178,729$30,971,317$0$261,150,046

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$261,493,530
Expenses per Audited Statements$261,150,046
Total Expenses per Form 990$261,150,046
Expenses Not Reported on Form 990$343,484
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Lamprey Health Care IncNewmarket, NH501(c)(3)Supports the provision of high quality medical care and health related services to the communities it serves regardless of the patients' ability to pay$190,000
Foundation for Healthy Communities IncConcord, NH501(c)(3)This contribution through the NH Foundation for Healthy Communities to support the NH Bureau of Drug and Alcohol Services for their programs to combat addiction and substance misuse disorder.$171,352
Seacoast Family PromiseExeter, NH501(c)(3)Empower families with children experiencing homelessness to achieve sustainable independence$10,000
My Breast Cancer SupportPortsmouth, NH501(c)(3)Event sponsorship in support of their mission to provide emotional and financial support to breast care patients$7,500
Strawberry Banke MuseumPortsmouth, NH501(c)(3)Support museum's mission to promote understanding of the lives of individuals and the value of community through encounters with the history and ongoing preservation of a New England Seaport Neighborhood$6,500
HAVEN Violence Prevention and Support ServicesPortsmouth, NH501(c)(3)Support organization's mission to prevent sexual assault, domestic violence and stalking$6,000
WaypointManchester, NH501(c)(3)Support for homelessness, outreach to homeless teens on the seacoast$6,000
American Cancer Society IncAtlanta, GA501(c)(3)Sponsorship - Making Strides Against Breast Cancer$5,000
Community Toolbox IncPortsmouth, NH501(c)(3)Small grant to support seniors, funds small, critical repairs to keep Seacoast seniors in their homes.$5,000
Exeter Parks and RecreationExeter, NHGovernmentSupport for seniors - free health and wellness programs to adults over 55, social programs and special events$5,000
Greater Portsmouth Chamber of Commerce Foundation IncPortsmouth, NH501(c)(3)Support the organizations's mission to advance the economic, industrial, professional , cultural and civic welfare of the Greater Portsmouth area$5,000
New Generation IncGreenland, NH501(c)(3)Small grant to help find permanent housing for clients$5,000
Prescott Park Arts Festival IncPortsmouth, NH501(c)(3)Promote artistic excellence in the community$5,000
Raymond Coalition for Youth IncRaymond, NH501(c)(3)Support organization's mission to promote positive youth development, family strengthening and community building activities in Raymond, NH$5,000
Southeastern Regional Education Service Center IncBedford, NH501(c)(3)SERESC is the fiscal sponsor for SoRock, a coalition to reduce mental health stigma and substance use$5,000
Southern District YMCA - Camp Lincoln IncExeter, NH501(c)(3)Small grant support for healthy lifestyles - "Prescribe the Y" will connect youth and adults from the ages of 6 - 64, who are reported to have high BMI's, at risk for obesity, or other related conditions with FREE use of the Y and additional programs.$5,000
YMCA of the North ShoreBeverly, MA501(c)(3)Small grant for youth suicide prevention and healthy lifestyles$5,000

International Summary

Offices
0
Employees
0
Spending
$16,120,588

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,Investments in funds domiciled in the region-00$16,120,588
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$20,001
Fundraising Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Trick or Trot$70,143-$11,293-
Kites$8,907-$2,478-
Total Events$79,050-$20,001$-20,001
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
CMS Accelerated & Advance Payments$29,678,748
Accrued Pension Liability$27,054,998
Due to Third Party Payors$10,160,864
Swap Valuation Liability$7,669,930
Reserve for Professional Liability Claims$1,499,371
Deferred Compensation$471,832

Bond Issues

BondIssuerIssuedIssue PricePurpose
ANH Health and Education Facilities Authority2012-02-09$32,565,000Refinancing and refunding prior bond issuance
BNH Health and Education Facilities Authority2015-03-02$24,020,000Refinancing and refunding prior bond issuance

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$32,565,000$32,349,596-$215,404
B$24,020,000$23,857,846-$162,154

Bond Financing Compliance

Form 8038-T filed
Yes
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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

The Board of Trustees shall consist of a number not to exceed fifteen (15) persons. Of this number, up to thirteen (13) persons shall have been elected by the Member from among the elected members of the Board of Trustees of the Member.

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. Additionally, the Member shall have the power to change the corporate name, merge with or acquire any corporation organized under Chapter 292 of the Revised Statutes Annotated of New Hampshire, amend the articles of agreement, dissolve the Corporation, annually appoint an independent certified public accountant to perform an audit of the accounts of the Corporation, and such other powers and rights as may be reserved to it by law or the articles of agreement.

Form 990, Part VI, Section B, line 11B

The Form 990 is prepared by an outside tax accountant with information provided by the organization. The Form 990 is reviewed by the organization's Treasurer and then presented to the Board of Trustees before it is filed with the IRS.

Form 990, Part VI, Section B, line 12C

The Board of Trustees has adopted a Conflict of Interest Policy that requires the disclosure of conflicts of interest either when the interest becomes a matter of possible action by the Board or during an annual disclosure process. Trustees, officers, and key employees, as well as all members of senior management, are part of the annual disclosure process, which is initiated by the issuance of a memorandum and accompanying questionnaire by the President and Chief Executive Officer (CEO). All disclosures are reviewed. Any trustee with a conflict of interest is required to abstain from voting and is not included in a quorum determination on the matter and any officer, key employee, or member of senior management with a conflict does not take part in making and is not present for any decision regarding the matter. The policy is monitored and enforced by both the President and CEO and the full Board. There are two additional conflicts of interest policies. One is applicable to all employees and contracted staff and the other is applicable to members of the Medical Staff and allied health professionals. The former policy is monitored and enforced by the Vice President of Human Resources and the Vice President of Corporate Integrity and Compliance and the latter is monitored and enforced by the President of the Medical Staff, President and CEO, General Counsel, and Compliance Officer. On an annual basis, staff within Human Resources survey all employees and contracted staff serving in a managerial role, as well as members of any committees that make recommendations or decisions regarding the purchase of goods or services by any of the corporations as a means to ensure that any conflict of interest is disclosed and appropriately managed. Employees otherwise are required to supplement or make any further written disclosure at the time a conflict arises.

Form 990, Part VI, Section B, line 15

The organization's parent (Exeter Health Resources, Inc.) has a formal process for determining total compensation for the CEO and other listed officers that is intended to provide reasonable compensation for achieving the organization's mission, to recognize individual and team performance and to comply with the organization's obligations as a tax-exempt charitable organization. The Executive Committee of the Exeter Health Resources, Inc.'s Board of Trustees conducts an annual review of the compensation of the CEO, other listed officers and key employees. In doing so, the Committee retains a qualified independent compensation consultant to conduct competitive market analysis of the market ranges of base, incentive, and total cash compensation, and to provide advice concerning the reasonableness of the compensation of the CEO, other listed officers and key employees. The Committee utilizes that analysis and other appropriate information in connection with its annual review and makes recommendations to the full board of Exeter Health Resources, Inc. for adjustment of the CEO's compensation and the compensation for other listed officers. Information which the committee may consider can include but is not limited to the performance of an individual and/or that individual's contributions to a team, the performance of the organization in whole and in part, the elements of total compensation and salary history, the organization's compensation targets and comparability data, including the data prepared by the independent consultant and reviewed with the Committee. The Committee incorporates a performance appraisal process in the CEO's, other listed officers and key employees' compensation review. The CEO, other listed officers and key employees are not present when the committee discusses their respective compensation. In addition, the committee determines if the threshold requirements for incentive awards are met, consisting of the organization's performance results for quality, operating system excellence and financial performance. The results of the Committee's deliberations are presented to the Exeter Health Resources, Inc. Board and include recommendations concerning salary range adjustments and incentive awards and the basis for the Committee's decisions/recommendations. The deliberations of the Exeter Health Resources, Inc. 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, Inc. Board has questions concerning the performance of any listed officer or key employee other than the CEO. The Exeter Health Resources, Inc. Board reviews the CEO's performance and determines if the adjustments and awards recommended by the committee for the CEO are in the organization's best interest and for the benefit of the organization and its parent organization. For the other listed officer positions, adjustments and incentive awards are approved upon recommendation of the CEO by the Executive Committee within the Exeter Health Resources, Inc. Board approved parameters and ratified by the Exeter Health Resources, Inc. 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, Inc. Board approved parameters and reviewed by the Board.

Form 990, Part VI, Section C, line 19

These documents are available upon request.

Form 990, Part VI, Section B, Line 16B:

Although written policies were not in place as of the end of the year covered by this tax return requiring the organization to evaluate its participation in joint venture arrangements under applicable federal law to ensure that the organization's exempt status is protected, the organization performed due diligence with respect to its joint venture arrangements to safeguard the organization's exempt status.

Form 990, Part VII, Section A, Line 1:

Kevin J. Callahan, Kevin J. O'Leary and Constance D. Sprauer, Esq., who serve as officers of Exeter Hospital, Inc., are compensated by a related organization, Exeter Health Resources, Inc. Their compensation is based on their roles as CEO, CFO and Sr. VP Legal Affairs, respectively, of the consolidated Exeter Health Resources, Inc. system.

Filing and Contact Details

Filer

Filer Name
Exeter Hospital Inc
EIN
22-2674014
Phone
6035806695
Address
5 Alumni Drive, Exeter, NH 03833

Signing Officer

Name
KEVIN J O'LEARY
Title
CFO/Treasurer
Phone
6035806695
Signed
2021-08-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin J Callahan
Formed
1907
Legal Domicile
Nh
Voting Board Members
11
Independent Board Members
9
Employees
1,775
Volunteers
15

Preparer

Firm
Baker Newman & Noyes LLC
Address
650 ELM STREET SUITE 302, MANCHESTER, NH 03101
Preparer
Timothy R Hepburn
Phone
8002447444
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Payment to Affiliate: Program service expenses 5,794,086. Management and general expenses 1,117,188. Fundraising expenses 0. Total expenses 6,911,274. Physician Fees: Program service expenses 8,633,051. Management and general expenses 1,664,583. Fundraising expenses 0. Total expenses 10,297,634. Contracted Services: Program service expenses 3,047,696. Management and general expenses 587,642. Fundraising expenses 0. Total expenses 3,635,338. Outside Fees: Program service expenses 2,597,278. Management and general expenses 500,794. Fundraising expenses 0. Total expenses 3,098,072. Contract/Temporary Labor: Program service expenses 2,483,743. Management and general expenses 478,903. Fundraising expenses 0. Total expenses 2,962,646. Consulting: Program service expenses 354,326. Management and general expenses 68,319. Fundraising expenses 0. Total expenses 422,645.

Form 990, Part XI, line 9:

Net Transfers to Affiliates -38,329,295. Pension Liability Adjustment -4,549,387. Impact of Interest Rate Swaps -2,257,679. Net Assets Released from Restriction -193,074.

Form 990, Part XII, Line 2C:

The organization is part of the consolidated operations of Exeter Health Resources, Inc. The Exeter Health Resources, Inc. Executive Committee is responsible for the oversight of the audit and the selection of an independent accountant. The audit process has not changed since the prior year.

Financial Statement Notes

Part V, Line 4:

The goal of the Permanent Endowment Fund is to provide a source of financial support to Exeter's patient care activities. These funds are invested in a prudent manner with regard to preserving principal while providing reasonable returns. These returns are then used for capital expenditures, other major program needs, and to generally increase the financial strength of the organization. The quasi-endowments are funds which have been donated to the organization for a purpose specified by the donor. These funds are held until used for the purpose intended by the donor.

Part X, Line 2:

The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code, and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the tax positions of the Hospital and has concluded that it has maintained its tax-exempt status, does not have any significant unrelated business income, and has taken no uncertain tax positions that require adjustment to the financial statements.

Part XI, Line 2D - Other Adjustments:

Impact of Interest Rate Swaps -2,257,679. Expenses included in Income on Audited Financial Statements 343,484. Net Assets Released from Restricted Gifts -193,074.

Part XII, Line 2D - Other Adjustments:

Expenses included in Income on Audited Financial Statements 343,484.

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IRS990/ActivityOrMissionDesc0The mission of Exeter Hospital is to improve the health of the community. This mission will be accomplished without compromising Exeter Hospital's sustainability principally by the provision of health services and information to the community in collaboration with Exeter Health Resources' other affiliates which share this mission.
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IRS990/Desc0In fiscal year 2020, Exeter Hospital served the community by providing care to 4,665 acute inpatients, 169,567 outpatient visits, 24,705 emergency room visits and 614 births. In 2020, Exeter Hospital supported its mission by providing $7,524,651 in community outreach, benefits and financial assistance to the community excluding $50,500,605 in uncovered Medicare and Medicaid expenses. Exeter Hospital supports health care access in its service area by offering a robust financial assistance program that covers the cost of 100% of care provided to area residents based on income and family size. In 2020, the charity care program helped people access the health system as Exeter Hospital incurred a cost of $749,176 to provide financial assistance. In addition we provide support to vital community programs like our Healthreach Diabetes and Paramedicine programs 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 Lamprey Healthcare.
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IRS990/MissionDesc0The mission of Exeter Hospital is to improve the health of the community. This mission will be accomplished without compromising Exeter Hospital's sustainability principally by the provision of health services and information to the community in collaboration with Exeter Health Resources' other affiliates which share this mission. Exeter Hospital works to accomplish this mission through the provision of comprehensive medical and surgical health care services including, but not limited to breast health, maternal/infant and reproductive medicine, cardiovascular, gastroenterology, sleep medicine, occupational and employee health, oncology, orthopedics and emergency care services.
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IRS990/NetAssetsOrFundBalancesEOYAmt0170373745
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0561568
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0561568
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-20001
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-20001
IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt094479
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt094479
IRS990/NetUnrelatedBusTxblIncmAmt018758
IRS990/NetUnrlzdGainsLossesInvstAmt010901881
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0167643054
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0149671600
IRS990/NoncashContributionsAmt06430
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt01015539
IRS990/OccupancyGrp/ProgramServicesAmt05266904

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$272$72.1$200$336$308$28.1
2023Summary only. Only limited summary data is available for this year.$257$77.6$180$320$308$12.0
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$283$78.0$205$319$304$15.6
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$370$106$263$319$269$50.1
2020Detailed filing. Detailed filing data is available for this year.$315$144$170$281$261$19.8
2019Summary only. Only limited summary data is available for this year.$286$101$185$304$252$51.6
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$286$95.6$190$271$235$36.5
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$284$100$184$254$218$36.3
2016Detailed filing. Detailed filing data is available for this year.$274$112$162$236$204$31.9
2015Detailed filing. Detailed filing data is available for this year.$270$113$157$207$190$16.2
2014Detailed filing. Detailed filing data is available for this year.$276$97.6$179$206$192$14.4
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$271$95.9$175$190
2012Summary only. Only limited summary data is available for this year.$285$107$178$199$191$8.34
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$280$105$175$195
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$282$105$177$199
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2020 filings • 501(c)3 • $250M-$1B nonprofits