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Exeter Hospital Inc
Exeter Hospital Inc
5 Alumni DriveExeter, NH 03833
| Bed count | 100 | Medicare provider number | 300023 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 222674014
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
13.24%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 303,597,769 Total amount spent on community benefits as % of operating expenses$ 40,204,828 13.24 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 379,913 0.13 %Medicaid as % of operating expenses$ 29,599,685 9.75 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 1,708,769 0.56 %Subsidized health services as % of operating expenses$ 6,219,346 2.05 %Research as % of operating expenses$ 464,352 0.15 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 1,322,449 0.44 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 510,314 0.17 %Community building*
as % of operating expenses$ 124,456 0.04 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 124,456 0.04 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 124,456 100 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 2,989,206 0.98 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 2,058,618 68.87 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 263076128 including grants of $ 546714) (Revenue $ 303160225) Exeter Hospital continued to improve the health of its community over the past year. In fiscal year 2022, Exeter Hospital served the community by providing care to 4,305 acute inpatients, 211,834 outpatient visits, 28,188 emergency room visits and 575 births. In 2022, Exeter Hospital supported its mission by providing $10,349,686 in community outreach, benefits and financial assistance to the community excluding $67,913,392 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. (The full disclosure for the Hospital's fiscal year program service accomplishments is continued on Schedule O)In 2022, the charity care program helped people access the health system as Exeter Hospital incurred a cost of $379,913 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. Exeter Hospital's acute care program provides acute inpatient and outpatient observation level care in our 99 staffed inpatient beds. Our inpatient services treat emergent, acute, elective surgical and palliative care patients. Approximately 73% of our admissions come from the emergency department. 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 DNV Healthcare, Inc. (an officially deemed Medicare and Medicaid Credentialing agency), and has three times earned the Magnet designation from the American Nurses Credentialing Center, which is the most prestigious distinction a healthcare organization can receive for nursing excellence and high quality patient care 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 intensivist 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.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, general, ENT, gynecological, urological, plastics, ophthalmologic and vascular. The Center for Cancer Care at Exeter Hospital provides cancer patients and their families with comprehensive inpatient 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 is proud to have a relationship with the Massachusetts General Physician Organization for the provision of medical and radiation oncology services to patients. The medical oncology service supports 13 treatment areas. This unique clinical collaboration brings radiation oncologists from the world's leading academic medical center to Exeter Hospital's Center for Cancer Care. This affiliation allows Exeter Hospital's Center for Cancer Care to offer state-of-the-art radiation therapy services to patients including: CT Simulation, Partial Breast Irradiation, Image Guided Radiation Therapy, Intensity Modulated Radiation Therapy, and Breath Hold Technique for Breast Cancer Treatment and Linear Accelerator delivered treatments. The Center's 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 Hospital's Cardiology Department was awarded the Cardiac Cath Lab Accreditation with PCI by the American College of Cardiology offers acute cardiac care, heart catheterization, angioplasty, angiography, implanted 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 international recognitions for their ongoing successful use of emergency angioplasty and interventional cardiology procedures.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Exeter Hospital, Inc. Part V, Section B, Line 5: Every three years, Exeter Hospital, in collaboration with its community partners, conducts a Community Health Needs Assessment to identify, prioritize, and develop a plan to address critical health issues. The last community needs assessment was completed in FYE 2022. The purpose of the assessment was to engage community members through key leader interviews and Community Forums, and to achieve the following objectives: 1) Educate and inform key leaders and Community Forum participants of the results of the FYE 2019 Community Health Needs Assessment and achievements to date to meet identified needs. 2) Validate Priority Health Needs identified in the FYE 2019 Community Health Needs Assessment and further define these needs in FYE 2022 from the stakeholders' perspective. 3) Identify unmet needs that have emerged since the FYE 2019 Community Health Needs Assessment. 4) Serve as a continuing foundation for the development of a Community Benefits Plan, as mandated under RSA 7:32-e.The FYE 2022 Community Needs Assessment included open community forums, online surveys, key leader interviews, outreach to support agencies and the review of relevant secondary data sources. Information was solicited from a broad cross-section of the hospital's service area and included government welfare, public health, transportation, police, education and emergency preparedness officials, children and families, youth, elderly and the low-income citizens, as well as outreach agencies. Legislators were invited to attend the community forums. Providers of medical care to low-income minority population and mental health services were included.
Exeter Hospital, Inc. Part V, Section B, Line 6b: Representatives from the following organizations collaborated on the hospital's community needs assessment: Exeter Hospital, Gather, Seacoast Family Promise, The Plaistow Community YMCA, Transportation Assistance for Seacoast Citizens, UNH Extension, Racial Unity Team, Seacoast Mental Health Center, Southern District YMCA, Lamprey Health Care, Waypoint at the Richie McFarland Children's Center, Leadership Seacoast, Rotary Club Exeter New Hampshire, and Society of St. Vincent de Paul Exeter.
Exeter Hospital, Inc. "Part V, Section B, Line 11: The needs identified in the FYE 2022 Community Health Needs Assessment are: Mental and Behavioral Health Services, Access to Care, Transportation, Social Determinants of Health, Needs of Older Adults & Other Underserved Populations.The community benefit spending in FYE 2022 directly related to the FYE 2019 identified needs which were: Access to care due to insurance coverage cost barriers, Access to care due to insurance coverage cost barriers, Substance Use Disorder, Mental Health, Elder Care and Support Services and Transportation.Exeter Hospital addressed these needs by promoting community health and access to primary care by providing: 1) Charity care of $379,913 (calculated at cost) during fiscal year 2022 which served 511 people. 2) Financial assistance through its health care access program which has continued throughout the pandemic and has three components: a) The Uninsured Care Discount/Hospital Access Plus Program - Patients who are uninsured will not be charged more than amounts generally billed to patients who have insurance covering the same care. Exeter Hospital, prior to billing the patients, applies a discount towards gross charges for patients who are uninsured. This discount is not valid for patients who have health insurance coverage, including but not limited to: Medicare, Medicaid, MedPay, third party liability or any other state or federal programs. b) The Financial Assistance Program (FAP) is a community-based program available to uninsured and under-insured patients who meet income and asset guidelines, and who live in our service area. To qualify, patients must first have applied for all other sources of coverage, including the Healthcare Exchange and the New Hampshire Health Protection Program. c) Exeter's 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 patient's gross income. 3) Mental Health Care access was provided by Exeter Hospital partnering with Seacoast Mental Health to offer services to patients and their caregivers in the Emergency Department and the Center for Cancer Care. In fiscal year 2022, the hospital helped to underwrite mental healthcare services in the amount of $671,594. 4) Community Education Programs offered by the Hospital at an expense of $326,169 served 658 people in fiscal year 2022. 5) Diabetes support programs run by the Hospital in fiscal year 2022 served 684 people at an expense of $974,292. 6) Participation in research studies by the ""The Center for Cancer Care"" at Exeter Hospital through several national research groups sponsored by the National Cancer Institute. This enables the Center to offer clinical trials to patients undergoing treatment at the Hospital that allows patients to voluntarily take part in leading edge research that does not necessitate travel outside of the Seacoast area. During fiscal year 2022, the Hospital provided $464,352 for clinical trials and research that served 836 patients. 7) Telehealth Services were provided by the Hospital at an expense of $412,775 in fiscal year 2022. 8) Transportation which is an important health care support service provided by the Hospital 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 fiscal year 2022 Exeter Hospital provided transports at a cost of $59,343. 9) Support for Youth Suicide/Substance Misuse Prevention by the Hospital making a $509,714 financial 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."
Exeter Hospital, Inc. Part V, Section B, Line 16j: The financial assistance policy (FAP), financial assistance application and plain language summary can be found on our website and paper copies are available to patients. Semi-annually, we publish an ad in the local paper which outlines our financial assistance program. Within our phone system, we have a recording which outlines the financial assistance program when patients, family members etc. are on hold during a call to Exeter Hospital. We present each patient with a copy of the Plain Language Summary at Registration. Currently we have a financial counselor located in the checkout area in our Emergency Department and an Inpatient Financial Counselor to visit inpatients who are uninsured, to inform them of our program and/or if they request more information about needing assistance to pay for services. Signage in public locations notifies patients about our Financial Assistance Program. We have also collaborated with our community partners to have this information publically available and accessible at their locations to reach members of our community who are most likely to need financial assistance.
Exeter Hospital, Inc. Part V, Section B, Line 20e: During fiscal year 2022, we notified Emergency Department patients during discharge about our financial assistance program. Upon admission, we visit all self pay and any other patient who wishes to discuss their coverage and or balances due and inform them of our program. The Plain Language Summary is presented during registration of all patients. This information regarding the financial assistance program is on each patient billing statement as well as available on our website.
Schedule H, Part V, Section B, Line 7a: The Hospital's FYE 2022 CHNA is available at:https://www.exeterhospital.com/UploadedFiles/ExeterHospital/4a/4a75411e-a045-4906-837c-9e3458b33400.pdf
Schedule H, Part V, Section B, Line 10a: The Hospital's FYE 2019 Implementation Strategy is available at:https://www.exeterhospital.com/getattachment/About-Us/Community-Benefits/Exeter-Hospital-Community-Health-Needs-Assessment-Implementation-Plan-2018_2019.docx.aspx?lang=en-USThe Community Benefits Reporting Form is also available at:https://www.exeterhospital.com/UploadedFiles/ExeterHospital/ad/ad75e2e8-9035-4193-80aa-d3f6b06f7dbe.pdf
Schedule H, Part V, Section B, Line 16a-c: The Hospital's Financial Assistance Policy is available at:https://www.exeterhospital.com/getmedia/610a79e5-68b6-41c5-bdac-38b98dbb25a9/(LD)-326-Financial-Assistance-Policy-(ENGLISH).pdf.aspxThe Hospital's Financial Assistance Application is available at: https://www.exeterhospital.com/UploadedFiles/ExeterHospital/26/2683c3c8-2a34-4a8b-b5b7-b859bfa71e46.pdfThe Hospital's Financial Assistance Plain Language Summary is available at:https://www.exeterhospital.com/getmedia/473fdf9e-2400-468c-acab-d7e5ee7a6cee/1641-Plain-Language-Summary-of-Financial-Assistance-(ENGLISH)-Patient-Accounts-Effective-04_01_2023.pdf.aspxThe Financial Assistance documents can be accessed at the web-link listed below, and are also available in Spanish.https://www.exeterhospital.com/patients-and-visitors/Financial-Assistance
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 3c: All eligible financial assistance recipients receive 100% free care. Patients who do not qualify for financial assistance and are uninsured receive a discount that is equal to AGB (amounts generally billed) using the lookback method. AGB decreased from 39% to 37% in October 2022.There are several factors regarding eligibility for Financial Assistance. The applicant must reside in our service area, a geographic location consisting of approximately 40 surrounding towns, listed on our website, Financial Assistance policy and Plain Language Summary. The other factor is combined income and assets (as defined in our Financial Assistance Policy) are compared to the FPG.
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.
Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25 (A), but subtracted for purposes of calculating the percentage in this column is $12,200,019.
Part II, 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 community support and advocacy for community health improvement.
Part III, Line 2: The amount reported represents total bad debt write-offs net of recoveries as reported on the audited financial statements of $10,041,001 x 29.77% (ratio of patient cost to charge) to equal $2,989,206. This amount does not include any estimated provisions which are in bad debt expense reported on the audited financial statements.
Part III, Line 3: The amount reported represents $6,915,074 of charges included in total bad debt write offs for patients eligible for financial assistance x 29.77% (ratio of patient cost to charge) to equal $2,058,618.
Part III, Line 4: Under the provisions of Financial Accounting Standards Board (FASB) ASU No. 2014-09, Revenue from Contracts with Customers, when an unconditional right to payment exists, subject only to the passage of time, the right is treated as a receivable. Patient accounts receivable for which the unconditional right to payment exists are receivables if the right to consideration is unconditional and only the passage of time is required before payment of that consideration is due. Estimated uncollectible amounts are generally considered implicit price concessions that are a direct reduction to accounts receivable rather than allowance for doubtful accounts.
Part III, Line 8: Medicare costs are not counted as a Community Benefit per New Hampshire or IRS guidance, therefore the cost figure of $46,614,293 is not included in the Total Unreimbursed Community Benefit Expense. The ratio of cost to charge was utilized in calculating the amount.
Part III, Line 9b: If an account is sent to a collection agency and the patient applies for financial assistance within 240 days from first bill, the account will be placed on hold with the agency through the consideration process. If the patient is approved for financial assistance, the account will be retracted from the collection agency and financial assistance will be applied to the accounts. Exeter Hospital only contracts with collection agencies that follow Fair Debt Collection Practices and do not engage in Extraordinary Collection Activities.The Bad Debt/Collection Policy can be located online at:https://www.exeterhospital.com/getmedia/dea9264c-9d03-4f28-803f-0bbc4b103f1b/LD327-09-2016.pdf.aspx
Part VI, Line 2: Every three years, Exeter Hospital, in collaboration with its community partners, conducts a Community Health Needs Assessment to identify, prioritize, and develop a plan to address critical health issues. The last community needs assessment was completed in FYE 2022. The purpose of the assessment was to engage community members through key leader interviews and Community Forums, and to achieve the following objectives: 1) Educate and inform key leaders and Community Forum participants of the results of the FYE 2019 Community Health Needs Assessment and achievements to date to meet identified needs. 2) Validate Priority Health Needs identified in the FYE 2019 Community Health Needs Assessment and further define these needs in FYE 2022 from the stakeholders' perspective. 3) Identify unmet needs that have emerged since the FYE 2022 Community Health Needs Assessment. 4) Serve as a continuing foundation for the development of a Community Benefits Plan, as mandated under RSA 7:32-e.The FYE 2022 Community Health Needs Assessment included open community forums, online surveys, key leader interviews, outreach to support agencies and the review of relevant secondary data sources. Information was solicited from a broad cross-section of the hospital's service area and included government welfare, public health, transportation, police, education and emergency preparedness officials, as well as outreach agencies, children & families, youth, elderly and the low-income. Legislators were invited to attend community forums. Providers of medical care to low-income minority population and mental health services were included.The report in its entirety can be accessed on the Exeter Hospital website:https://documents.exeterhospital.com/view/XXX-XX-XXXX/
Part VI, Line 4: Exeter Hospital services an area that encompasses 40 communities.
Part VI, Line 7, Reports Filed With States NH
Part VI, Line 3: Exeter Hospital provides its patients with information regarding the organization's financial assistance program, and a summary of the organization's policy at the time of registration, on the back of every billing statement, and when phone contact is made when there is a balance on the account. On the Exeter Hospital website (http://www. exeterhospital.com), patients and the general public can find information on the organization's 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 Hospital's financial assistance programs, twice a year the organization may run advertisements in community newspapers summarizing the organization's 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 and underinsured patients in the Emergency Department, Surgical areas and Oncology are also informed of the hospital's financial assistance programs at time of service or discharge.
Part VI, Line 5: "Exeter Hospital addressed these needs by promoting community health and access to primary care by providing: 1) Charity care of $379,913 (calculated at cost) during fiscal year 2022 which served 511 people 2) Financial assistance through its health care access program which has continued throughout the pandemic and has three components: a. The Uninsured Care Discount/Hospital Access Plus Program - Patients who are uninsured will not be charged more than amounts generally billed to patients who have insurance covering the same care. Exeter Hospital, prior to billing the patients, applies a discount towards gross charges for patients who are uninsured. This discount is not valid for patients who have health insurance coverage, including but not limited to: Medicare, Medicaid, MedPay, third party liability or any other state or federal programs. b. The Financial Assistance Program (FAP) is a community-based program available to uninsured and under-insured patients who meet income and asset guidelines, and who live in our service area. To qualify, patients must first have applied for all other sources of coverage, including the Healthcare Exchange and the New Hampshire Health Protection Program. c. Exeter's 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 patient's gross income. 3) Mental Health Care access was provided by Exeter Hospital partnering with Seacoast Mental Health to offer services to patients and their caregivers in the Emergency Department and the Center for Cancer Care. In fiscal year 2022, the hospital helped to underwrite mental healthcare services in the amount of $671,594. 4) Community Education Programs offered by the Hospital at an expense of $326,169 served 658 people in fiscal year 2022. 5) Diabetes support programs run by the Hospital in fiscal year 2022 served 684 people at an expense of $947,292. 6) Participation in research studies by the ""The Center for Cancer Care"" at Exeter Hospital through several national research groups sponsored by the National Cancer Institute. This enables the Center to offer clinical trials to patients undergoing treatment at the Hospital that allows patients to voluntarily take part in leading edge research that does not necessitate travel outside of the Seacoast area. During fiscal year 2022, the Hospital provided $464,352 for clinical trials and research that served 836 patients. 7) Telehealth Services were provided by the Hospital at an expense of $412,775 fiscal year 2022. 8) Transportation which is an important health care support service provided by the Hospital 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 fiscal year 2022 Exeter Hospital provided transports at a cost of $59,343. 9) Support for Youth Suicide/Substance Misuse Prevention by the Hospital making a $509,714 financial 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."
Part VI, Line 6: Exeter Hospital, Inc. is one of three affiliates of Exeter Health Resources, Inc. Each of the affiliated companies are 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 will be principally accomplished without compromising Exeter Health Resources, Inc.'s sustainability, principally by supporting the provision of health services and information to the community by the affiliated companies of Exeter Health Resources, Inc. 1) Exeter Hospital is a 100-bed community-based hospital serving New Hampshire's Seacoast Region. The Hospital's scope of care includes comprehensive medical and surgical health care services including, but not limited to: breast health, maternal/child and reproductive medicine, cardiovascular, gastroenterology, sleep medicine, occupational and employee health, oncology, orthopedics, and emergency care services. Exeter Hospital is accredited by the DNV Healthcare, Inc. and is a Magnet-recognized hospital. Magnet designation from the American Nurses Credentialing Center is the most prestigious distinction a health care organization can receive for nursing excellence and high quality patient care. 2) Core Physicians is a community-based, multi-specialty group practice affiliated with Exeter Health Resources that provides comprehensive primary, specialty and pediatric dental care throughout the greater Seacoast region. Over 160 providers in 30 locations pursue exceptional patient satisfaction through clinical competence and professional office administration. 3) Rockingham Visiting Nurse Association & Hospice is a community-based 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, Dover and Durham. During Fiscal Year 2022, Exeter Hospital, Core Physicians and Rockingham VNA & Hospice have continued the pursuit of this mission. Despite the enormous challenges of the COVID19 pandemic, the affiliates provided $116,196,740 in charity care and other community benefit programs and services to communities in the areas served and continued to support broad access to health care services by avoiding staff layoffs and furloughs. In addition, as a result of the needs arising from the COVID19 pandemic, the affiliates of Exeter Health Resources continued to provide services and programs to support the community often with limited or non-existent financial support including drive through testing sites, specialized respiratory clinics, substantial investments in social distancing and staff and employee screening.The healthcare system continued with innovative ways to communicate with, inform and care for the communities it serves. This included the creation of a community-based conference call where attendees from various sectors including administrators in education, town officials, community non-profits, the Region 6 IDN, Chambers of Commerce, among many more connected weekly to inform one another on their status during the pandemic including opportunities for collaboration as well as challenges resulting from COVID19.We continued to invest and in some cases expanded investments in our own programs supporting our heroic healthcare staff.
