{"success":true,"data":{"_id":20360966,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The organization operated as a sub-acute and rehabilitation care facility during the majority of 2012 offering patients multidisciplinary expertise that integrated rehabilitation, nursing, nutritional management, medical care and respiratory therapy. During this period, 5,941 days of skilled nursing care was provided to its patients. Exeter healthcare discharged its last patient in august 2012. The facility is currently utilized as hospital office space.","primary_activities":"Exeter healthcare operated the only skilled nursing unit for ventilator dependent patients in new hampshire that accepted medicaid. The program had eight dedicated beds and generally operated at 100% occupancy. The patient population cared for on the unit was a mix of patients who required permanent ventilator support in a skilled setting, along with patients who were eventually weaned off their ventilator support and discharged or transitioned to home for on-going home based ventilator support. The setting of exeter health care allowed these patients to have the highest level of appropriate clinical care while providing as much comfort for them as possible. When the decision was made to close exeter healthcare, other facilities in the state established units to care for the patients. All ventilator dependent patients transferred to those facilities.\n\nIn another area on the unit, exeter healthcare also operated 15 sub-acute care beds. The sub-acute patient population was made up of both complex post-acute medical patients and recovering post surgical patients. Typical medical patients had complex needs such as iv therapy and or wound care that would not allow them to be treated in the home setting. Post operative, recovering surgical patients generally have the need for a few days of additional care following their acute stay in the hospital before transitioning home. These patients tended to be admitted following complex orthopedic, oncological or general surgery procedures. In both cases exeter healthcare offered these patients a high level of coordinated skilled nursing care in a comfortable, safe non-acute setting.\n\nExeter healthcare offered inpatient hospice level care to provide a more comfortable care setting for patients during their final days. The care model at exeter healthcare allowed for close coordination with exeter hospital's palliative care program as well as local hospice providers such as rockingham vna and hospice. The program allowed for supporting the clinical needs,comfort and support these patients and their families needed during this particularly changing period in their lives. Hospice level care patients were cared for in comfortable private rooms that were more easily accessible for friends and family than they would have been in the acute care setting.","year":2011,"name":"EXETER HEALTHCARE INC","phone":"6035806695","website":"WWW.EXETERHOSPITAL.COM","type":"990","principal_officer":"KEVIN J CALLAHAN","year_formation":1981,"state_legal_domicile":"NH","total_volunteers":0,"tax_period_begin":"2011-10-01T00:00:00","tax_period_end":"2012-09-30T00:00:00","address":"5 ALUMNI DRIVE, EXETER, NH, 03833, USA","city":"EXETER","state":"NH","country":"USA","zip_code":"03833"},"Governance":{"501c3 determination":true,"Number of voting members":6,"Number of independent voting members":0,"Number of employees total":151,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":151,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":false,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":false,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":3458480,"Contributions":{"value":25,"Other contributions":25},"Program revenue":{"value":3109467,"Total revenue":3109467,"Unrelated business revenue":0},"Investment income":{"value":-212423,"Investment income total":101,"Net investment gain":-212524},"Other revenues":{"value":561411,"Other total":52837,"Net rental income":508574}},"Expenses":{"value":8766464,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":6361382,"Current officers":234730,"Other salaries and wages":4527239,"Pension plan contributions":167372,"Other employee benefits":1058234,"Payroll taxes":373807},"Other expenses":{"value":2405082,"Legal":137485,"Lobbying services":828,"Information technology":16364,"Travel":11739,"Interest":12365,"Payments to affiliates":273399,"Depreciation and depletion":376425,"Insurance":104569,"Itemized Expenses":{"value":868139,"VARIOUS":868139},"All other expenses":603769}},"Assets":{"value":2254275,"Savings and temp cash investments":34063,"Accounts receivable":114764,"Prepaid expenses deferred charges":4042,"Land, building, equipment":1847813,"Investments other":207522,"Other assets":46071},"Liabilities":{"value":4419367,"Accounts payable, accrued":1067358,"Tax exempt bond liabilities":3203550,"Other liabilities":148459},"Fund balance":{"value":-2165092},"Form990Details":{"program_service_accomplishments":[{"description":"EXETER HEALTHCARE OPERATED THE ONLY SKILLED NURSING UNIT FOR VENTILATOR DEPENDENT PATIENTS IN NEW HAMPSHIRE THAT ACCEPTED MEDICAID. THE PROGRAM HAD EIGHT DEDICATED BEDS AND GENERALLY OPERATED AT 100% OCCUPANCY. THE PATIENT POPULATION CARED FOR ON THE UNIT WAS A MIX OF PATIENTS WHO REQUIRED PERMANENT VENTILATOR SUPPORT IN A SKILLED SETTING, ALONG WITH PATIENTS WHO WERE EVENTUALLY WEANED OFF THEIR VENTILATOR SUPPORT AND DISCHARGED OR TRANSITIONED TO HOME FOR ON-GOING HOME BASED VENTILATOR SUPPORT. THE SETTING OF EXETER HEALTH CARE ALLOWED THESE PATIENTS TO HAVE THE HIGHEST LEVEL OF APPROPRIATE CLINICAL CARE WHILE PROVIDING AS MUCH COMFORT FOR THEM AS POSSIBLE. WHEN THE DECISION WAS MADE TO CLOSE EXETER HEALTHCARE, OTHER FACILITIES IN THE STATE ESTABLISHED UNITS TO CARE FOR THE PATIENTS. ALL VENTILATOR DEPENDENT PATIENTS TRANSFERRED TO THOSE FACILITIES.","expense":7712201,"revenue":2949780},{"description":"IN ANOTHER AREA ON THE UNIT, EXETER HEALTHCARE ALSO OPERATED 15 SUB-ACUTE CARE BEDS. THE SUB-ACUTE PATIENT POPULATION WAS MADE UP OF BOTH COMPLEX POST-ACUTE MEDICAL PATIENTS AND RECOVERING POST SURGICAL PATIENTS. TYPICAL MEDICAL PATIENTS HAD COMPLEX NEEDS SUCH AS IV THERAPY AND OR WOUND CARE THAT WOULD NOT ALLOW THEM TO BE TREATED IN THE HOME SETTING. POST OPERATIVE, RECOVERING SURGICAL PATIENTS GENERALLY HAVE THE NEED FOR A FEW DAYS OF ADDITIONAL CARE FOLLOWING THEIR ACUTE STAY IN THE HOSPITAL BEFORE TRANSITIONING HOME. THESE PATIENTS TENDED TO BE ADMITTED FOLLOWING COMPLEX ORTHOPEDIC, ONCOLOGICAL OR GENERAL SURGERY PROCEDURES. IN BOTH CASES EXETER HEALTHCARE OFFERED THESE PATIENTS A HIGH LEVEL OF COORDINATED SKILLED NURSING CARE IN A COMFORTABLE, SAFE NON-ACUTE SETTING."},{"description":"EXETER HEALTHCARE OFFERED INPATIENT HOSPICE LEVEL CARE TO PROVIDE A MORE COMFORTABLE CARE SETTING FOR PATIENTS DURING THEIR FINAL DAYS. THE CARE MODEL AT EXETER HEALTHCARE ALLOWED FOR CLOSE COORDINATION WITH EXETER HOSPITAL'S PALLIATIVE CARE PROGRAM AS WELL AS LOCAL HOSPICE PROVIDERS SUCH AS ROCKINGHAM VNA AND HOSPICE. THE PROGRAM ALLOWED FOR SUPPORTING THE CLINICAL NEEDS,COMFORT AND SUPPORT THESE PATIENTS AND THEIR FAMILIES NEEDED DURING THIS PARTICULARLY CHANGING PERIOD IN THEIR LIVES. HOSPICE LEVEL CARE PATIENTS WERE CARED FOR IN COMFORTABLE PRIVATE ROOMS THAT WERE MORE EASILY ACCESSIBLE FOR FRIENDS AND FAMILY THAN THEY WOULD HAVE BEEN IN THE ACUTE CARE SETTING."}],"program_service_revenue_detail":[{"business_code":"623000","description":"NET PATIENT 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IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF EXETER HEALTH RESOURCES, INC. INCLUDED IN THOSE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING \"MANAGEMENT EVALUATED THE TAX POSITIONS OF THESE ENTITIES AND HAS CONCLUDED THAT THEY HAVE MAINTAINED THEIR TAX-EXEMPT STATUS, DO NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME, AND HAVE TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.\""}]},"ScheduleI":{"grant_records_maintained":false,"grants":[{"ein":20394119,"noncash":14361,"purpose":"EXETER HEALTHCARE GAVE THIS EQUIPMENT TO EDGEWOOD CENTER FOR $ 0 DOLLARS WHEN AN EXETER PATIENT WHO USED THE EQUIPMENT TRANSFERRED TO EDGEWOOD.","noncash_description":"2 VENTILATORS AND ALARM SYSTEMS","valuation_method":"BOOK","address_line1":"928 SOUTH STREET","city":"PORTSMOUTH","state":"NH","zip":"03801","name":"EDGEWOOD CENTER","address":"928 SOUTH STREET, PORTSMOUTH, NH, 03801"}],"detail_org_grants_total":14361,"detail_domestic_grants_total":14361,"supplemental_information":[{"identifier":"PROCEDURE FOR MONITORING GRANTS IN THE U.S.:","form_and_line_reference":"PART I, LINE 2:","explanation":"SCHEDULE I, PART I, LINE 2: ALL REQUESTS FOR GRANTS/CONTRIBUTIONS/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 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."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: ALL REQUESTS FOR GRANTS/CONTRIBUTIONS/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 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. 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THE BENEFIT WAS TREATED AS TAXABLE INCOME."},{"form_and_line_reference":"PART I, LINE 1B","explanation":"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 EXECUTIVE COMMITTEE COMPRISED OF DISINTERESTED PERSONS."},{"form_and_line_reference":"PART I, LINE 4B","explanation":"THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC.) MAINTAINS A SPLIT DOLLAR SUPPLEMENTAL RETIREMENT PLAN FOR TWO EXECUTIVES (LISTED BELOW WITH AMOUNTS) SELECTED BY THE EXETER HEALTH RESOURCES BOARD OF TRUSTEES. THE PLAN IS CLOSED TO FUTURE PARTICIPANTS. THE PLAN PROVIDES FOR ANNUAL PAYMENTS OF PREMIUMS FOR LIFE INSURANCE POLICIES INSURING THE LISTED INDIVIDUALS. THOSE LIFE INSURANCE PREMIUMS ARE COLLATERALLY ASSIGNED TO THE CORPORATION AND ANY EXCESS ACCUMULATED VALUE IN THE POLICIES (NET OF ACCUMULATED PREMIUM PAYMENTS) ARE AVAILABLE TO BE PAID TO THE PARTICIPANT ONCE VESTED AT AGE 62. KEVIN CALLAHAN - EXCESS ACCUMULATED VALUE - $531,215 KEVIN O'LEARY - EXCESS ACCUMULATED VALUE - $214,807 CERTAIN OF THE LISTED EMPLOYEES PARTICIPATE IN A NONQUALIFIED DEFERRED COMPENSATION PLAN AS DESCRIBED IN INTERNAL REVENUE CODE SECTION 457(F) SPONSORED BY EXETER HEALTH RESOURCES. IN THE CALENDAR YEAR ENDED DEC 31, 2011 THE CONTRIBUTION TO THE PLAN FOR THE NON-VESTED BENEFIT OF KEVIN CALLAHAN WAS $160,000 AND THE CONTRIBUTION TO THE PLAN FOR THE NON-VESTED BENEFIT OF KEVIN O'LEARY WAS $68,000. PARTICIPANTS IN THE 457(F) PLAN DO NOT VEST UNTIL AGE 62."},{"form_and_line_reference":"PART I, LINE 7","explanation":"THE ORGANIZATION'S PARENT (EXETER HEALTH RESOURCES, INC.) 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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"},{"form_and_line_reference":"Part I, Line 7","explanation":"The organization'S PARENT (EXETER HEALTH RESOURCES) provides an annual incentive compensation plan for executives selected by the EXETER HEALTH RESOURCES board OF TRUSTEES (SEE LIST BELOW). The EXETER HEALTH RESOURCES board and/or its executive committee approves measureable achievement criteria for quality, patient satisfaction, process improvement, financial performance, services innovation and other compelling areas of strategic and operational interest. 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This mission is principally accomplished through the provision of health services and information to the community. Exeter healthcare works to accomplish this mission by providing post acute inpatient skilled nursing care for ventilator dependent patients, complex medical patients, post operative surgical patients and qualifying hospice level patients. In 2011 exeter healthcare provided 8,311 days of skilled nursing care to its patients.","primary_activities":"Exeter healthcare operates the only skilled nursing unit for ventilator dependent patients in new hampshire that accepts medicaid. The program has eight dedicated beds and generally operates at 100% occupancy. The patient population cared for on the unit is a mix of patients who will require permanent ventilator support in a skilled setting, along with patients who may eventually be weaned off their ventilator support and discharged or transitioned to home for on-going home based ventilator support. The setting of exeter health care allows these patients to have the highest level of appropriate clinical care while providing as much comfort for them as possible.\n\nIn another area on the unit, exeter healthcare also operates 15 sub-acute care beds. The sub-acute patient population at exeter healthcare is made up of both complex post-acute medical patients and recovering post surgical patients. Typical medical patients may have complex needs such as iv therapy and or wound care that would not allow them to be treated in the home setting. Post operative, recovering surgical patients generally have the need for a few days of additional care following their acute stay in the hospital before transitioning home. These patients tend to be admitted following complex orthopedic, oncological or general surgery procedures. In both cases exeter healthcare offers these patients a high level of coordinated skilled nursing care in a comfortable, safe non-acute setting. Because of the economics involved there are very few regional options for sub-acute patients who need additional skilled nursing support but no longer qualify for acute level care.\n\nExeter healthcare offers inpatient hospice level care to provide a more comfortable care setting for patients during their final days. The care model at exeter healthcare allows for close coordination of care with rockingham vna and hospice to support both the clinical and emotional needs these patients and their families may have during this particularly challenging period in their lives. Hospice level care patients are cared for in comfortable private rooms that are more easily accessible for friends and family than they would be in the acute care setting. During fy 2011 exeter healthcare provided comfort and support to approximately 27 hospice level care patients.\n\nThe organization's parent (exeter health resources) has a formal process for determining total compensation for the president 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' board of trustees conducts an annual review of the compensation of the president and other listed officers. 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 president and other listed officers. 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 president'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 president's and the listed officers' compensation review. The president and other listed officers 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 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 board are conducted in executive session with the independent members of the board but do include the president only for that period of time in which the exeter health resources board has questions concerning the performance of any listed officer other than the president. The exeter health resources board reviews the president's performance and determines if the adjustments and awards recommended by the committee for the president are in the organization's best interest and for the benefit of the organization and the parent organization. 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