Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Exeter Health Resources Inc
 
Employer identification number

02-0222126
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015
Page 2

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Richard Hollister MDEx-Officio (i)

(ii)		 0
-------------
310,729 		0
-------------
90,383 		0
-------------
61,158 		0
-------------
7,950 		0
-------------
20,182 		0
-------------
490,402 		0
-------------
0
2Kevin J CallahanCEO/Trustee (i)

(ii)		 589,297
-------------
0 		210,000
-------------
0 		50,481
-------------
0 		167,950
-------------
0 		23,420
-------------
0 		1,041,148
-------------
0 		0
-------------
0
3Kevin J O'LearyCFO/Treasurer (i)

(ii)		 370,844
-------------
0 		109,365
-------------
0 		24,963
-------------
0 		83,900
-------------
0 		16,873
-------------
0 		605,945
-------------
0 		0
-------------
0
4Constance D SprauerSr. VP Legal Affairs/Sec. (i)

(ii)		 278,729
-------------
0 		68,750
-------------
0 		11,414
-------------
0 		15,900
-------------
0 		16,835
-------------
0 		391,628
-------------
0 		0
-------------
0
5Susan Burns-TisdaleVP Clinical Operations (i)

(ii)		 291,568
-------------
0 		95,700
-------------
0 		16,717
-------------
0 		15,900
-------------
0 		24,569
-------------
0 		444,454
-------------
0 		0
-------------
0
6Debra CrestaPresident, Core Physicians (i)

(ii)		 292,564
-------------
0 		82,360
-------------
0 		10,232
-------------
0 		15,900
-------------
0 		24,352
-------------
0 		425,408
-------------
0 		0
-------------
0
7Mark WhitneyVP Strategic Planning/Comm Rel (i)

(ii)		 226,824
-------------
0 		71,070
-------------
0 		6,747
-------------
0 		15,900
-------------
0 		21,513
-------------
0 		342,054
-------------
0 		0
-------------
0
8David BridenVP Information Services (i)

(ii)		 240,850
-------------
0 		68,160
-------------
0 		18,399
-------------
0 		15,900
-------------
0 		17,348
-------------
0 		360,657
-------------
0 		0
-------------
0
9Nicholas GarciaChief Physician Exec (i)

(ii)		 385,716
-------------
0 		0
-------------
0 		11,137
-------------
0 		7,950
-------------
0 		21,661
-------------
0 		426,464
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015
Page 3

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 1a Tax indemnification and gross up payments were provided to Kevin Callahan, Kevin O'Leary, Constance Sprauer, Susan Burns-Tisdale, Debra Cresta, Nicholas Garcia MD, Mark Whitney and David Briden (for acquisition of supplemental long term disability insurance). The benefit was treated as taxable income.
Part I, Line 1b There was no existing policy concerning tax indemnification and gross up payments. However, in the instance of such action related to the acquisition of long term disability insurance described above, the tax indemnification and gross up payments were approved by the Board of Trustees Executive Committee comprised of disinterested persons.
Part I, Line 4b The organization maintains a split dollar supplemental retirement plan for two executives (listed below with amounts) selected by the Exeter Health Resources, Inc. 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 which are returned to the organization upon the executive attaining the age of 70 or at the death of the participant) is available to be paid to the participant once vested at age 62 and upon retirement from the organization. Note that the split-dollar arrangement is part of an employee benefit program and economically not a direct extension of credit. Furthermore, the reportable compensation of the respective employees includes the annual value of the life insurance provided. Life insurance premium payments during tax year: Kevin Callahan $ 329,534 Kevin O'Leary $ 137,997 Excess Accumulated Value: Kevin Callahan $ 2,282,718 Kevin O'Leary $ 930,279 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, Inc. In the calendar year ended December 31, 2015 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. The contributions are intended to provide a forfeitable supplemental retirement benefit. Participants in the 457(f) plan do not vest until age 62 when it is payable to the participant.
Part I, Line 7 The organization provides an annual incentive compensation plan for executives selected by the Exeter Health Resources Board of Trustees. These executives include: Kevin Callahan, Kevin O'Leary, Constance Sprauer, Susan Burns-Tisdale, Debra Cresta, Nicholas Garcia MD, Mark Whitney and David Briden. The Board and / or its Executive Committee approves measurable achievement criteria for quality, patient satisfaction, process improvement, financial performance, services innovation and other compelling areas of strategic and operational interest. Additionally, the Board and /or its Executive Committee establishes minimum, targeted and maximum levels for incentive awards and approves all awards for participating executives.
Schedule J (Form 990) 2015
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