ALICE PECK DAY MEMORIAL HOSPITAL: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization: ALICE PECK DAY MEMORIAL HOSPITAL (EIN 02-0222791)
Tax period: 2025-07-01 to 2025-09-30
Filed: 2026-08-20
IRS object ID: 202602329349301320
Schema version: 2025v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-20T11:08:30+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	415375658	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 OLYMPIA PARK PLAZA SUITE 4000	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2025-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222791	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALICE PECK DAY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ALIC	BusinessNameControlTxt
Phone	6034483121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 ALICE PECK DAY DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03766	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL T LYNCH MD MBA	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	6033080099	PhoneNum
Signature	2026-08-20	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RACHEL SPURLOCK	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum
Preparation	2026-08-20	PreparationDt

Field	Value	IRS element (for citing)
Tax	2025	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL T LYNCH MD MBA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 ALICE PECK DAY DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03766	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$27,986,957	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ALICEPECKDAY.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1943	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,121,807	PYContributionsGrantsAmt
CY Contributions Grants	$98,741	CYContributionsGrantsAmt
PY Program Service Revenue	$113,682,992	PYProgramServiceRevenueAmt
CY Program Service Revenue	$27,539,003	CYProgramServiceRevenueAmt
PY Investment Income	$1,152,974	PYInvestmentIncomeAmt
CY Investment Income	$85,907	CYInvestmentIncomeAmt
PY Other Revenue	$1,336,057	PYOtherRevenueAmt
CY Other Revenue	$263,306	CYOtherRevenueAmt
PY Total Revenue	$117,293,830	PYTotalRevenueAmt
CY Total Revenue	$27,986,957	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,468	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$881	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$64,731,625	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$17,710,032	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$28,345	CYTotalFundraisingExpenseAmt
PY Other Expenses	$38,965,560	PYOtherExpensesAmt
CY Other Expenses	$9,527,035	CYOtherExpensesAmt
PY Total Expenses	$103,720,653	PYTotalExpensesAmt
CY Total Expenses	$27,237,948	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,573,177	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$749,009	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,709,167	TotalAssetsBOYAmt
Total Assets EOY	$163,364,447	TotalAssetsEOYAmt
Total Liabilities BOY	$56,806,696	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$60,577,059	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$99,902,471	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$102,787,388	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$24,099,357	ExpenseAmt
Grant	$881	GrantAmt
Revenue	$27,784,558	RevenueAmt
Desc	ALICE PECK DAY MEMORIAL HOSPITAL (APD) IS A COMMUNITY-BASED CRITICAL ACCESS HOSPITAL OPERATING IN LEBANON, NH. IT IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. APD OPERATES AS AN INTEGRAL COMPONENT OF (AND IS FULLY OWNED BY) DARTMOUTH-HITCHCOCK HEALTH (D-HH), A NEW HAMPSHIRE NOT-FOR-PROFIT CORPORATION ORGANIZED TO SUPPORT MEDICAL ORGANIZATIONS LIKE APD. (CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$24,099,357	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TAMERA K SANDERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6033080099	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 ALICE PECK DAY DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03766	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
CHARLES J WHEELAN PHD MPA
TRUSTEE / VICE CHAIR	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
CLAYTON R ADAMS MBA
TRUSTEE / TREASURER	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
GERARD DUPRAT JR MD FRCP
TRUSTEE /SECRETARY	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
LAURA GREER MD
TRUSTEE/MEDICAL STAFF PRESIDENT/EXOFFICIO	40.0	0	Yes (X)	Yes (X)	$0	$0	$0
MARISA D DEVLIN
TRUSTEE/CHAIR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL T LYNCH MD MBA
CHIEF MEDICAL OFFICER	40.0	0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN MOONEY MD MS FACOG
TRUSTEE/PRESIDENT/CEO APDMH	38.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
AIMEE M CLAIBORNE
TRUSTEE	0.5	40.5	Yes (X)		$0	$0	$0
ANNA ADACHI-MEJIA PHD
TRUSTEE	0.5	0	Yes (X)		$0	$0	$0
CHRISTOPHER L HUBBLE MD
TRUSTEE	0.5	40.0	Yes (X)		$0	$0	$0
COURTNEY TANNER
TRUSTEE	0.5	40.0	Yes (X)		$0	$0	$0
CYBELE M MERRICK MA MS
TRUSTEE	0.5	0.5	Yes (X)		$0	$0	$0
DAVID F DUNCAN
TRUSTEE	0.5	40.5	Yes (X)		$0	$0	$0
HARRIETT SLOANE MAYOR AIA
TRUSTEE	0.5	0.5	Yes (X)		$0	$0	$0
JENNIFER SAGE SCHIFFMAN MPH
TRUSTEE	0.5	0	Yes (X)		$0	$0	$0
JENNY H BARBA MBA MHSA
TRUSTEE	0.5	0	Yes (X)		$0	$0	$0
LAURA GILLESPIE AB MS
TRUSTEE/EX-OFFICIO	0.5	1.0	Yes (X)		$0	$0	$0
MICHELE PERKINS
TRUSTEE	0.5	0	Yes (X)		$0	$0	$0
SCOTT W RODI MD MPH
TRUSTEE	0.5	40.0	Yes (X)		$0	$0	$0
MARYANN R CARON
EXECUTIVE DIRECTOR MSC	40.0	0		Yes (X)	$0	$0	$0
TAMERA K SANDERS
CFO	40.0	0.5		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$53,591	GovernmentGrantsAmt
All Other Contributions	$45,150	AllOtherContributionsAmt
Total Contributions	$98,741	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	622110	$25,898,533	$25,898,533
NUTRITIONAL SERVICES	722210	$54,558	$54,558
PHARMACY SALES	446100	$985,912	$985,912
MEDICAID DSH PAYMENT	622110	$600,000	$600,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$27,539,003	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$85,907	TotalRevenueColumnAmt
Exclusion	$85,907	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$17,751	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$17,751	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,751	TotalRevenueColumnAmt
Exclusion	$17,751	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PURCHASE REBATES AND DISCOUNTS	622110	$244,579	$244,579
MISCELLANEOUS	622110	$976	$976

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$245,555	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,986,957	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,784,558	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$103,658	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$881	TotalAmt
Program Services	$881	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,267,559	TotalAmt
Program Services	$13,718,463	ProgramServicesAmt
Management And General	$526,261	ManagementAndGeneralAmt
Fundraising	$22,835	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$613,091	TotalAmt
Program Services	$589,496	ProgramServicesAmt
Management And General	$22,614	ManagementAndGeneralAmt
Fundraising	$981	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,076,004	TotalAmt
Program Services	$1,996,107	ProgramServicesAmt
Management And General	$76,574	ManagementAndGeneralAmt
Fundraising	$3,323	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$753,378	TotalAmt
Program Services	$724,384	ProgramServicesAmt
Management And General	$27,788	ManagementAndGeneralAmt
Fundraising	$1,206	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$902	TotalAmt
Program Services	$902	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,026,972	TotalAmt
Program Services	$734,428	ProgramServicesAmt
Management And General	$1,292,544	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$866	TotalAmt
Management And General	$866	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,852	TotalAmt
Program Services	$27,671	ProgramServicesAmt
Management And General	$12,181	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,636	TotalAmt
Program Services	$1,544	ProgramServicesAmt
Management And General	$15,092	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$527,659	TotalAmt
Management And General	$527,659	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$32,694	TotalAmt
Program Services	$28,872	ProgramServicesAmt
Management And General	$3,822	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,673	TotalAmt
Program Services	$2,673	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$311,266	TotalAmt
Program Services	$75,825	ProgramServicesAmt
Management And General	$235,441	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$972,094	TotalAmt
Program Services	$850,023	ProgramServicesAmt
Management And General	$122,071	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$125,536	TotalAmt
Program Services	$114,108	ProgramServicesAmt
Management And General	$11,428	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS/MEDICAL SUPPLIES	$3,534,764	$3,534,764
MEDICAID ENHANCEMENT TAX	$1,190,218	$1,190,218
REPAIRS/MAINTENANCE	$570,515	$476,189	$94,326
ACADEMIC, TEACHING, & MISC SUPPORT	$88,095	$28,195	$59,900

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$86,293	TotalAmt
Program Services	$4,614	ProgramServicesAmt
Management And General	$81,679	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,237,948	TotalAmt
Program Services	$24,099,357	ProgramServicesAmt
Management And General	$3,110,246	ManagementAndGeneralAmt
Fundraising	$28,345	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,778,906	BOYAmt
EOY	$10,521,945	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$115,551	BOYAmt
EOY	$1,399,389	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,723,654	BOYAmt
EOY	$11,515,838	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,142,542	BOYAmt
EOY	$3,084,431	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$464,247	BOYAmt
EOY	$448,536	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$665,281	BOYAmt
EOY	$276,780	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$84,449,849	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,428,495	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$33,343,414	BOYAmt
EOY	$36,021,354	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$68,322,194	BOYAmt
EOY	$69,794,314	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,217,491	BOYAmt
EOY	$3,411,770	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,131,433	BOYAmt
EOY	$5,131,433	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,804,454	BOYAmt
EOY	$21,758,657	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,709,167	BOYAmt
EOY	$163,364,447	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,353,732	BOYAmt
EOY	$11,339,888	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,795,076	BOYAmt
EOY	$22,786,578	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,657,888	BOYAmt
EOY	$26,450,593	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,806,696	BOYAmt
EOY	$60,577,059	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$92,898,407	BOYAmt
EOY	$94,769,716	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,004,064	BOYAmt
EOY	$8,017,672	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$99,902,471	BOYAmt
EOY	$102,787,388	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,709,167	BOYAmt
EOY	$163,364,447	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$749,009	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,419,185	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$716,723	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,098	OtherActivitiesAmt
Total Lobbying Expenditures	$4,098	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	ALICE PECK DAY MEMORIAL HOSPITAL PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO OUTSIDE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,174,402	BeginningYearBalanceAmt
Investment Earnings Or Losses	$292,445	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,276	OtherExpendituresAmt
End Year Balance	$1,464,571	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$523,781	BeginningYearBalanceAmt
Investment Earnings Or Losses	$659,194	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,573	OtherExpendituresAmt
End Year Balance	$1,174,402	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$114,708	BeginningYearBalanceAmt
Investment Earnings Or Losses	$409,073	InvestmentEarningsOrLossesAmt
End Year Balance	$523,781	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$110,368	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,340	InvestmentEarningsOrLossesAmt
End Year Balance	$114,708	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$133,591	BeginningYearBalanceAmt
Other Expenditures	$23,223	OtherExpendituresAmt
End Year Balance	$110,368	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,600,000	OtherCostOrOtherBasisAmt
Book Value	$4,600,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,220,624	OtherCostOrOtherBasisAmt
Depreciation	$16,124,771	DepreciationAmt
Book Value	$23,095,853	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$245,273	OtherCostOrOtherBasisAmt
Depreciation	$245,273	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,253,301	OtherCostOrOtherBasisAmt
Depreciation	$30,579,810	DepreciationAmt
Book Value	$7,673,491	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,130,651	OtherCostOrOtherBasisAmt
Depreciation	$1,478,641	DepreciationAmt
Book Value	$652,010	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,021,354	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
INVESTMENT IN POOLED FUNDS	$69,794,314	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$69,794,314	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$793,957
RIGHT OF USE ASSETS	$12,948,863
BOND ISSUANCE COSTS
OTHER ASSETS
INVESTMENT IN AFFILIATES	$8,015,837

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$21,758,657	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
MEDICAL LIABILITIES AND PAYABLES	$12,411,536
DUE TO AFFILIATES	$255,326
RIGHT OF USE LIABILITIES	$13,783,731

Field	Value	IRS element (for citing)
Total Liability	$26,450,593	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION USES THE INCOME FROM ITS ENDOWMENT FUNDS IN SUPPORT OF ITS OPERATIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,256	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,256	NetCommunityBenefitExpnsAmt
Total Expense	0.00541	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,421,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,350,937	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,070,661	NetCommunityBenefitExpnsAmt
Total Expense	0.03931	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,568,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,350,937	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,217,917	NetCommunityBenefitExpnsAmt
Total Expense	0.04471	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00267	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$820	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$820	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$74,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,442	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,642,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,351,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,291,359	NetCommunityBenefitExpnsAmt
Total Expense	0.04741	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,534	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00013	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00013	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,943,150	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,422,043	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$478,893	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALICE PECK DAY MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 ALICE PECK DAY DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03766	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ALICEPECKDAY.ORG	WebsiteAddressTxt
State License	00016	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHYSICIAN CLINICS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ALICE PECK DAY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.alicepeckday.org/community-reports	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.alicepeckday.org/community-reports	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.alicepeckday.org/patients/billing-financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.alicepeckday.org/patients/billing-financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.alicepeckday.org/patients/billing-financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - ALICE PECK DAY MEMORIAL HOSPITAL. DURING THE PERIOD OCTOBER 2023 THROUGH DECEMBER 2024, AN ASSESSMENT OF COMMUNITY HEALTH NEEDS WAS COMPLETED BY DARTMOUTH HITCHCOCK MEDICAL CENTER, ALICE PECK DAY MEMORIAL HOSPITAL, AND VISITING NURSE AND HOSPICE FOR VERMONT AND NEW HAMPSHIRE IN PARTNERSHIP WITH MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, NEW LONDON HOSPITAL, CHESHIRE MEDICAL CENTER, AND VALLEY REGIONAL HOSPITAL WITH TECHNICAL SUPPORT FROM THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI. THE AIMS OF THE ASSESSMENT ARE TO: BETTER UNDERSTAND THE HEALTH-RELATED ISSUES AND CONCERNS IMPACTING THE WELL-BEING OF AREA RESIDENTS; INFORM COMMUNITY HEALTH IMPROVEMENT PLANS, PARTNERSHIPS AND INITIATIVES; AND GUIDE COMMUNITY BENEFIT ACTIVITIES OF DARTMOUTH HITCHCOCK MEDICAL CENTER AND ALICE PECK DAY MEMORIAL HOSPITAL AND PARTNER ORGANIZATIONS. FOR THE PURPOSE OF THE ASSESSMENT, THE GEOGRAPHIC AREA OF INTEREST WAS 19 MUNICIPALITIES OF THE UPPER VALLEY REGION OF NEW HAMPSHIRE AND VERMONT COMPRISING THE PRIMARY SERVICE AREA OF DARTMOUTH HITCHCOCK MEDICAL CENTER AND ALICE PECK DAY MEMORIAL HOSPITAL. THE TOTAL RESIDENT POPULATION OF THE PRIMARY SERVICE AREA IS ESTIMATED TO BE 72,736 PEOPLE. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED: SURVEYS OF COMMUNITY RESIDENTS MADE AVAILABLE THROUGH SOCIAL MEDIA, EMAIL DISTRIBUTION, WEBSITE LINKS AND THROUGH PAPER SURVEYS AND COLLECTION BOXES WIDELY DISTRIBUTED IN MULTIPLE LOCATIONS AND CHANNELS ACROSS THE REGION; A DIRECT EMAIL SURVEY OF COMMUNITY LEADERS AND SERVICE PROVIDERS REPRESENTING MULTIPLE COMMUNITY SECTORS; A SET OF ELEVEN COMMUNITY DISCUSSION GROUPS CONVENED ACROSS THE REGION; AND ASSEMBLY OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS INCLUDING DRIVERS OF HEALTH CHARACTERISTICS OF THE HOSPITAL SERVICE AREA COMMUNITIES. COMMUNITY ENGAGEMENT AND INFORMATION GATHERING SOUGHT TO FOCUS ASSESSMENT ACTIVITIES ON VULNERABLE AND DISPROPORTIONATELY SERVED POPULATIONS IN THE REGION INCLUDING POPULATIONS THAT COULD EXPERIENCE LIMITED ACCESS TO HEALTH-RELATED SERVICES OR RESOURCES DUE TO INCOME, AGE, DISABILITY, OR SOCIAL OR PHYSICAL ISOLATION. THE QUANTITATIVE AND QUALITATIVE INFORMATION GATHERED THROUGH THE DIFFERENT SOURCES AND METHODS WAS THEN SYNTHESIZED TO UNDERSTAND DIFFERENT PERSPECTIVES, IDENTIFY COMMON THEMES AND INFORM PRIORITIES FOR IMPROVEMENT. BETWEEN FEBRUARY AND SEPTEMBER 2024, THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE FIELDED TWO SURVEYS; ONE WITH TARGETED DISTRIBUTION TO COMMUNITY LEADERS AND SERVICE PROVIDERS, AND ONE BROADLY DISSEMINATED TO RESIDENTS ACROSS THE REGION. THE SURVEY INSTRUMENTS WERE DESIGNED TO HAVE SOME QUESTIONS IN COMMON TO FACILITATE COMPARISONS AND CONTRASTS IN THE ANALYSIS. THE COMMUNITY LEADER SURVEY WAS DISTRIBUTED VIA A UNIQUE EMAIL LINK TO 350 INDIVIDUALS IN POSITIONS OF LEADERSHIP IN AGENCIES, MUNICIPALITIES, BUSINESS, CIVIC AND VOLUNTEER ORGANIZATIONS SERVING THE COMBINED SERVICE AREAS OF THE PARTNER ORGANIZATIONS RANGING FROM THE GREATER WINDSOR AND CLAREMONT AREA, TO THE NEW LONDON AND NEWPORT AREA, AND TO THE UPPER VALLEY COMMUNITIES OF NEW HAMPSHIRE AND VERMONT AROUND LEBANON AND WHITE RIVER JUNCTION. THE SURVEY DISTRIBUTION LIST WAS DEVELOPED BY THE PLANNING COMMITTEE. WITH THE UNDERSTANDING THAT SOME ORGANIZATIONAL LEADERS MAY BE MORE FAMILIAR WITH SOME AREAS OF THE WIDER REGION THAN OTHERS, THE SURVEY INSTRUMENT ASKED RESPONDENTS TO IDENTIFY "THE AREAS YOU PRIMARILY SERVE OR ARE MOST FAMILIAR WITH". NEARLY ALL COMMUNITY LEADER SURVEY RESPONDENTS INDICATED THE ABILITY TO AFFORD HOUSING HAS GOTTEN WORSE AND A MAJORITY OF COMMUNITY LEADER RESPONDENTS ALSO INDICATED THAT AFFORDABILITY OF CHILD CARE AND HEALTH CARE SERVICES HAVE GOTTEN WORSE. THE COMMUNITY RESIDENT SURVEY WAS DISTRIBUTED ELECTRONICALLY THROUGH EMAIL AND SOCIAL MEDIA COMMUNICATION CHANNELS, ON THE DARTMOUTH HITCHCOCK MEDICAL CENTER AND ALICE PECK DAY MEMORIAL HOSPITAL WEBSITES, PROMOTED THROUGH POSTERS AND FLIERS WITH LINKS AND QR CODES POSTED AROUND THE REGION, AND BY PAPER COPIES MADE AVAILABLE AT A VARIETY OF DISTRIBUTION POINTS THROUGHOUT THE REGION INCLUDING LIBRARIES, CLINICS, AND COMMUNITY MEETING SPACES. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH LANGUAGE. A TOTAL OF 1,739 COMMUNITY MEMBERS COMPLETED THE COMMUNITY RESIDENT SURVEY, REPRESENTING ALL 19 TOWNS OF THE PRIMARY HOSPITAL SERVICE AREA AS WELL AS A NUMBER OF BORDERING COMMUNITIES. ASSESSMENTS OF COMMUNITY HEALTH NEEDS ARE CONDUCTED EVERY THREE YEARS BY DARTMOUTH HEALTH AND PARTNER ORGANIZATIONS. OVER THE COURSE OF THESE ASSESSMENT CYCLES, A RELATIVELY CONSISTENT PATTERN HAS BEEN OBSERVED WITH REGARD TO THE PRIORITY ISSUES AND CONCERNS IDENTIFIED FOR HEALTH IMPROVEMENT BY THE COMMUNITY. AMONG THESE PRIORITIES HAVE BEEN: COST OF HEALTH CARE SERVICES INCLUDING HEALTH INSURANCE AND PRESCRIPTION DRUGS; ACCESS TO BEHAVIORAL HEALTH SERVICES INCLUDING MENTAL HEALTH CARE AND SUBSTANCE USE TREATMENT; AVAILABILITY OF HEALTH CARE SERVICES INCLUDING PRIMARY CARE AND MEDICAL SUB SPECIALTIES; SENIOR SERVICES AND CONCERNS OF AGING; AVAILABILITY AND AFFORDABILITY OF DENTAL SERVICES; AND AFFORDABILITY AND AVAILABILITY OF BASIC NEEDS INCLUDING HOUSING, HEALTHY FOOD AND CHILD CARE. IN CONSIDERATION OF THIS OBSERVED CONSISTENCY OVER TIME, THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT ASKED RESPONDENTS TO THE COMMUNITY RESIDENT AND COMMUNITY LEADER SURVEYS TO REFLECT ON A SET OF STATEMENTS DESCRIBING THE MAIN PRIORITIES AND THEMES IDENTIFIED IN THE RECENT PAST BY INDICATING IF THERE HAS BEEN IMPROVEMENT OR NOT IN THOSE AREAS. IN GENERAL, MORE COMMUNITY RESIDENTS REPORTED NEEDS GETTING WORSE COMPARED TO THOSE REPORTING NEEDS GETTING BETTER OVER THE LAST FEW YEARS IN EACH OF THE TOPIC AREAS. A MAJORITY OF SURVEY RESPONDENTS INDICATED THAT AFFORDABILITY OF HEALTH CARE, CHILD CARE, AND HOUSING HAVE GOTTEN WORSE. POPULATION HEALTH INFORMATION IS REPORTED FOR THE UPPER VALLEY PUBLIC HEALTH REGION WHEN AVAILABLE. THIS REGION ALIGNS WITH THE 12 MUNICIPALITIES THAT COMPRISE 65% OF THE TOTAL SERVICE AREA POPULATION. SUB-STATE DATA AVAILABILITY IS MORE LIMITED IN VERMONT AND IS GENERALLY REPORTED AT THE COUNTY LEVEL. OF THE SEVEN VERMONT MUNICIPALITIES WITHIN THE DH-APDMH SERVICE AREA, FIVE ARE LOCATED IN WINDSOR COUNTY AND TWO IN ORANGE COUNTY. WHERE AVAILABLE, DATA ARE ALSO REPORTED FOR THE WHITE RIVER JUNCTION HEALTH DISTRICT, WHICH INCLUDES ALL SEVEN VERMONT MUNICIPALITIES IN THE DH-APDMH SERVICE AREA ALONG WITH 15 ADDITIONAL VERMONT MUNICIPALITIES.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - ALICE PECK DAY MEMORIAL HOSPITAL. AN ASSESSMENT OF COMMUNITY HEALTH NEEDS WAS COMPLETED BY DARTMOUTH HITCHCOCK MEDICAL CENTER, ALICE PECK DAY MEMORIAL HOSPITAL, AND DARTMOUTH HEALTH HOME CARE IN PARTNERSHIP WITH MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, NEW LONDON HOSPITAL, CHESHIRE MEDICAL CENTER, AND VALLEY REGIONAL HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - ALICE PECK DAY MEMORIAL HOSPITAL. TECHNICAL ASSISTANCE FOR THE HOSPITAL'S 2025 CHNA WAS PROVIDED BY THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - ALICE PECK DAY MEMORIAL HOSPITAL. ALICE PECK DAY MEMORIAL HOSPITAL'S (APDMH) FISCAL YEAR 2025 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), APPROVED BY THE BOARD OF TRUSTEES JUNE 2025, IS A THREE-YEAR DOCUMENT THAT PROVIDES A DETAILED SET OF STRATEGIES FOR ADDRESSING OUR REGION'S TOP HEALTH AND SOCIAL NEEDS. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADDRESSED THE FOLLOWING SEVEN IDENTIFIED PRIORITY HEALTH NEEDS AND ISSUES: 1. AVAILABILITY OF PRIMARY CARE AND MEDICAL SUBSPECIALTY SERVICES 2. AVAILABILITY AND AFFORDABILITY OF DENTAL CARE SERVICES FOR ADULTS 3. AVAILABILITY OF MENTAL HEALTH SERVICES 4. SERVICES FOR OLDER ADULTS INCLUDING OPPORTUNITIES FOR SOCIAL INTERACTION AND SUPPORTS FOR AGING IN PLACE 5. COST OF HEALTH CARE SERVICES INCLUDING MEDICATIONS, AFFORDABILITY OF HEALTH INSURANCE 6. HEALTH AND HUMAN SERVICE WORKFORCE SHORTAGES AND CHALLENGES NAVIGATING THE HEALTH CARE SYSTEM 7. SOCIAL DRIVERS OF HEALTH AND WELL-BEING SUCH AS AFFORDABLE ACCESS TO TRANSPORTATION, HOUSING, HEALTHY FOODS AND AFFORDABLE CHILD CARE IN ALIGNMENT WITH THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WE ARE ADDRESSING ACCESS TO PRIMARY AND SPECIALTY CARE THROUGH EXPANDED COMMUNITY-BASED SERVICES AND COORDINATED CARE MODELS. IN 2025, AN URGENT CARE CENTER WAS ESTABLISHED TO INCREASE ACCESS TO LOW-COST, NON-EMERGENCY CARE AND REDUCE EMERGENCY AND PRIMARY CARE UTILIZATION. WE WILL STRENGTHEN COLLABORATION WITH COMMUNITY NURSE PROGRAMS AND CONTINUE MOBILE INTEGRATED HEALTH SERVICES TO EXPAND CARE OUTSIDE THE HOSPITAL. COMMUNITY SCREENINGS, HEALTH FAIRS, AND PREVENTION PROGRAMMING WILL SUPPORT EARLY RISK IDENTIFICATION, IMPROVE HEALTH LITERACY, AND CONNECT INDIVIDUALS TO CARE. WE ARE ADVANCING VALUE-BASED AND COLLABORATIVE CARE MODELS TO IMPROVE SPECIALTY ACCESS, CHRONIC DISEASE MANAGEMENT, AND OUTCOMES. WE ARE EXPANDING ORAL HEALTH ACCESS THROUGH THE UPPER VALLEY SMILES SCHOOL-BASED PROGRAM AND REGIONAL PARTNERSHIPS, INCLUDING MOBILE MEDICAID DENTAL SERVICES. PREVENTIVE CARE SUCH AS FLUORIDE VARNISH AND SILVER DIAMINE FLUORIDE WILL BE INTEGRATED INTO CLINICAL SETTINGS. WE WILL ALSO EXPAND VIRTUAL MEDICAID DENTAL INTAKE, INCLUDING MAT PATIENTS, TO IMPROVE ACCESS, REDUCE STIGMA, AND SUPPORT RECOVERY. THESE EFFORTS IMPROVE PREVENTION, EARLY INTERVENTION, AND AFFORDABILITY OF DENTAL CARE. TO ADDRESS BEHAVIORAL HEALTH NEEDS, WE ARE EXPANDING INTEGRATED SCREENING AND TREATMENT FOR MENTAL HEALTH AND SUBSTANCE USE IN PRIMARY CARE, WITH TIMELY REFERRAL AND ON-SITE SUPPORT. WORKFORCE BEHAVIORAL HEALTH SUPPORTS WILL CONTINUE, WITH EVALUATION OF TRAUMA-INFORMED PROGRAMS FOR HIGH-RISK GROUPS. COLLABORATION WITH SCHOOLS AND COMMUNITY PARTNERS WILL EXPAND TO PEDIATRIC AND VULNERABLE POPULATION ACCESS. WE ARE ALSO INCREASING ACCESS TO MEDICATION-ASSISTED TREATMENT, NALOXONE DISTRIBUTION, AND PREVENTION PROGRAMS TO SUPPORT EARLY INTERVENTION AND IMPROVED COORDINATION OF CARE. FOR OLDER ADULTS, WE ARE STRENGTHENING COORDINATION WITH COMMUNITY PARTNERS TO SUPPORT AGING IN PLACE. SERVICES INCLUDE HOME-BASED PRIMARY CARE, EMERGENCY DEPARTMENT FOLLOW-UP, AND CAREGIVER SUPPORT. VOLUNTEER AND ENGAGEMENT PROGRAMS SUCH AS ELDER FRIENDS WILL REDUCE ISOLATION AND INCREASE SOCIAL CONNECTION. WE WILL ALSO SUPPORT AGING-FOCUSED EDUCATION AND COLLABORATION TO IMPROVE CARE MODELS AND OUTCOMES. EVERY PATIENT AT APDMH IS SCREENED ANNUALLY FOR SOCIAL DETERMINANTS OF HEALTH, INCLUDING SUBSTANCE USE (PREVENTION, TREATMENT, AND RECOVERY), ACCESS TO DENTAL CARE, AND SOCIOECONOMIC FACTORS SUCH AS HOUSING, WAGES, AND CHILDCARE. PATIENTS WITH IDENTIFIED NEEDS ARE REFERRED TO SOCIAL WORK SERVICES. WE SCREEN ALL PRIMARY CARE PATIENTS AGES 0- 18 YEARS OF AGE FOR FOOD INSECURITY DURING ANNUAL WELLNESS VISIT, AND ALL EMERGENCY ROOM PATIENTS 70 YEARS AND OLDER. FOR PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND REQUEST SUPPORT, WE OFFER NONPERISHABLE FOOD BAGS, APD ALICE CAFE MEAL CARDS, FARMERS MARKET VOUCHERS AND AUTOMATED EDH (APD ELECTRONIC MEDICAL RECORD) REFERRAL TO WOMEN, INFANTS AND CHILDREN (WIC) IN CERTAIN PATIENT POPULATIONS. WE REVIEW AND CONTINUOUSLY IMPROVE APD'S IN-PATIENT AND OUTPATIENT ALICE CAFE MENU WITH AFFORDABLE AND HEALTHIER FOOD CHOICES. APD WILL CONTINUE TO MAKE ALICE CAFE AVAILABLE TO COMMUNITY RESIDENTS. APDMH PARTNERS WITH THE HARTFORD COMMUNITY COALITION TO PROVIDE A FREE SUMMER LUNCH PROGRAM FOR CHILDREN IN LOW-INCOME HOUSING IN LEBANON, NH AND HARTFORD, VT, WORK WITH LISTEN COMMUNITY SERVICES, PROVIDE POP UP HEALTH CLINICS (HOSTED BY DHMC/COMMUNITY NURSES) AND CITY OF LEBANON SEASONAL WINTER SHELTER, AND COLLABORATE WITH UPPER VALLEY HAVEN AND WILLING HANDS IN CLOSE COLLABORATION WITH DH SYSTEM. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), APDMH IDENTIFIED SEVERAL SIGNIFICANT COMMUNITY HEALTH NEEDS THAT IT DOES NOT INTEND TO ADDRESS THROUGH THE DEVELOPMENT OF NEW PROGRAMS DURING THE IMPLEMENTATION STRATEGY PERIOD. THIS DETERMINATION WAS MADE AFTER CONSIDERING THE ORGANIZATION'S MISSION, EXPERTISE, AVAILABLE RESOURCES, AND THE CAPACITY OF OTHER COMMUNITY ORGANIZATIONS. SPECIFICALLY, THE ORGANIZATION DOES NOT PLAN TO DEVELOP NEW INITIATIVES IN THE FOLLOWING AREAS: * CHILDCARE: DUE TO RESOURCE CONSTRAINTS, THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE THE CAPACITY TO DEVELOP AND SUSTAIN NEW CHILDCARE PROGRAMMING AT THIS TIME. * HOUSING AND TRANSPORTATION: WHILE THESE ARE RECOGNIZED AS IMPORTANT SOCIAL DETERMINANTS OF HEALTH, THE ORGANIZATION DOES NOT POSSESS THE SPECIALIZED EXPERTISE OR INFRASTRUCTURE NECESSARY TO EFFECTIVELY ADDRESS THESE NEEDS THROUGH DIRECT PROGRAMMING. * WORKFORCE SHORTAGES AND TRAINING/DEVELOPMENT PROGRAMS: THE ORGANIZATION HAS DETERMINED THAT OTHER COMMUNITY ORGANIZATIONS, EDUCATIONAL INSTITUTIONS, AND WORKFORCE DEVELOPMENT AGENCIES ARE BETTER POSITIONED TO LEAD EFFORTS IN THESE AREAS. ACCORDINGLY, THE ORGANIZATION WILL CONTINUE TO FOCUS ITS RESOURCES ON INITIATIVES THAT ALIGN MORE CLOSELY WITH ITS HEALTHCARE MISSION AND CORE COMPETENCIES. APDMH REMAINS COMMITTED TO ADDRESSING IDENTIFIED COMMUNITY HEALTH NEEDS THROUGH PROGRAMS AND SERVICES THAT ARE CONSISTENT WITH ITS CHARITABLE MISSION, STRATEGIC PRIORITIES, AND AVAILABLE RESOURCES, WHILE COLLABORATING WITH COMMUNITY PARTNERS WHERE APPROPRIATE TO SUPPORT BROADER COMMUNITY HEALTH IMPROVEMENT EFFORTS.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1	FACILITY , 1 - ALICE PECK DAY MEMORIAL HOSPITAL. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON APDH'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. APDMH PROVIDES THE PLAIN LANGUAGE SUMMARY TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. APDMH CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, APDMH POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITIES INCLUDING ADMISSION OFFICES, PUBLIC AREA BOARDS THROUGHOUT THE FACILITIES, THE EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE POLICY BROCHURES IN PATIENT AREAS. APDMH SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, APDMH CHECKS ALL STATE AND FEDERAL PROGRAMS TO SEE IF INDIVIDUALS ARE ELIGIBLE FOR ASSISTANCE. PATIENTS ARE ALSO SCREENED TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE AND THE APPLICATION IS PROVIDED AND/OR COMPLETED AT THIS TIME.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NEUROSURGERY SERVICES AT APD (NSAPD)
106 HANOVER STREET	LEBANON	NH	03766	NEUROSURGERY PHYSICIAN CLINIC
RAM CENTER FOR COMMUNITY CARE
5 ALICE PECK DAY DRIVE	LEBANON	NH	03766	PRIMARY CARE PHYSICIAN CLINIC
APD ORTHOPAEDIC CLINIC
9 ALICE PECK DAY DRIVE	LEBANON	NH	03766	ORTHOPAEDIC PHYSICIAN CLINIC
WOMEN'S CARE CENTER
9 ALICE PECK DAY DRIVE	LEBANON	NH	03766	OB/GYN PHYSICIAN CLINIC
GENERAL SURGERY CLINIC
9 ALICE PECK DAY DRIVE	LEBANON	NH	03766	GENERAL SURGERY CLINIC
PAIN MANAGEMENT CLINIC
9 ALICE PECK DAY DRIVE	LEBANON	NH	03766	PAIN MANAGEMENT CLINIC
OCCUPATIONAL HEALTH SERVICES
9 ALICE PECK DAY DRIVE	LEBANON	NH	03766	OCCUPATIONAL HEALTH PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C OTHER FACTORS USED IN DETERMINING ELIGIBILITY OTHER THAN FPG	IN ADDITION TO FALLING WITHIN CERTAIN FPG PARAMETERS, A PATIENT MUST ALSO SATISFY OTHER ELIGIBILITY CRITERIA TO QUALIFY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE PATIENT MUST BE A RESIDENT OF NEW HAMPSHIRE OR VERMONT, OR A NON-RESIDENT WHO RECEIVES EMERGENCY TREATMENT AT A DARTMOUTH HEALTH ("DH") FACILITY. THE PATIENT MUST ALSO BE UNINSURED OR UNDERINSURED, INELIGIBLE FOR BENEFITS THROUGH A GOVERNMENT HEALTH CARE PROGRAM, AND UNABLE TO PAY FOR CARE AS DESCRIBED IN THE CREDIT AND COLLECTIONS POLICY, BASED ON A DETERMINATION OF FINANCIAL NEED UNDER THIS POLICY. IN ADDITION, THE PATIENT MUST HAVE A GROSS FAMILY INCOME AT OR BELOW 600% OF FPG AND HAVE AGGREGATE BALANCES OWED FOR SERVICES PROVIDED AT DH THAT EXCEED 20% OF ONE YEAR'S FAMILY INCOME, INCLUDING SAVINGS. FOR PURPOSES OF THIS DETERMINATION, SAVINGS (WHICH INCLUDE SAVINGS ACCOUNTS, ALIMONY, AND CERTIFICATE(S) OF DEPOSIT) ARE SHELTERED UP TO 400% OF FPG. WHEN ELIGIBLE, THE PATIENT MUST ALSO DEMONSTRATE COMPLIANCE WITH THE REQUIREMENTS TO APPLY FOR QUALIFIED HEALTH PLAN COVERAGE IN THE NEW HAMPSHIRE OR VERMONT HEALTHCARE EXCHANGE PROGRAM. EXCEPTIONS TO THIS REQUIREMENT MAY BE APPROVED BY SENIOR LEADERSHIP FOR GOOD CAUSE ON A CASE-BY-CASE BASIS. "GOOD CAUSE" WILL DEPEND ON FACTS AND CIRCUMSTANCES AND MAY INCLUDE THOSE THAT MISSED THE OPEN ENROLLMENT PERIOD AND DO NOT FALL INTO A LIFE CHANGING EVENT CATEGORY OUTSIDE OF OPEN ENROLLMENT, ALONG WITH THOSE FOR WHOM THE FINANCIAL BURDEN WILL BE GREATER FOR THE PATIENT TO ENROLL IN A QUALIFIED HEALTH PLAN THAN NOT TO DO SO. IN CATASTROPHIC SITUATIONS INVOLVING EITHER UNINSURED OR INSURED PATIENTS, IF THE TOTAL AMOUNT OWED FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES RENDERED EXCEEDS 20% OF THE PATIENT'S HOUSEHOLD INCOME, THEN THE AMOUNT OWED SHALL BE REDUCED SO THAT IT IS EQUAL TO 20% OF THE PATIENT'S HOUSEHOLD'S INCOME.
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES	THERE WERE NO AMOUNTS REPORTED ON LINE 7G.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES FOR LINES 7A AND 7B. LINES 7E AND 7I ARE BASED ON ACTUAL COSTS.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	ALICE PECK DAY MEMORIAL HOSPITAL ACTIVELY SUPPORTS RURAL HEALTH, ECONOMIC DEVELOPMENT, TRANSPORTATION, AND OUTDOOR RECREATION. STAFF MEMBERS PROVIDE LEADERSHIP PARTICIPATION IN THE UPPER VALLEY BUSINESS ALLIANCE, THE FOUNDATION FOR HEALTHY COMMUNITIES, THE RURAL HEALTH COALITION, THE ADVOCACY TASK FORCE, AND THE NEAH. APDMH SPONSORS ADVANCE TRANSIT, A NOT-FOR-PROFIT CHARITABLE ORGANIZATION PROVIDING FREE TRANSIT IN VERMONT AND NEW HAMPSHIRE WITH THE GOAL OF REDUCING TRAFFIC CONGESTION. APD ALSO WORKS TO BE PROACTIVE CONCERNING DISASTER READINESS. STAFF HAVE PARTICIPATED IN ONSITE TRAINING FOR DISASTER PREPAREDNESS AS WELL AS OFF-SITE TRAINING WITH OTHER REGIONAL HOSPITALS. COLLABORATIVE EFFORTS INCLUDE ALL HAZARD REGIONAL TRAINING, EMERGENCY RESPONSE TRAINING, AND A REGIONAL MASS CASUALTY RESPONSE PROGRAM TO HELP FACILITATE COOPERATIVE EFFORTS IF SUCH NEEDS ARISE.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	AS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	BAD DEBT IS NOT TREATED AS AN EXPENSE DUE TO ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606). AS A RESULT, AN AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS UNABLE TO BE REASONABLY ESTIMATED.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	APDMH IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF THE ADOPTION OF ASC 606, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. THEREFORE, THERE IS NO SEPARATE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE COSTING METHODOLOGY WAS COMPLETED ACCORDING TO GUIDANCE PROVIDED BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT BECAUSE MEDICARE REIMBURSEMENT DOES NOT FULLY COVER THE COST OF PROVIDING MEDICALLY NECESSARY SERVICES TO MEDICARE BENEFICIARIES. THE ORGANIZATION PROVIDES THESE SERVICES IN FURTHERANCE OF ITS CHARITABLE MISSION, REGARDLESS OF THE LEVEL OF REIMBURSEMENT RECEIVED, ENSURING CONTINUED ACCESS TO CARE FOR THE MEDICARE POPULATION.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	THE CREDIT AND COLLECTION POLICY APPLIES TO ALL PATIENT ACCOUNTS IN A CONSISTENT MANNER. THE POLICY SPECIFICALLY INDICATES THAT, AFTER A SECOND STATEMENT IS SENT WITH NO PAYMENT RECEIVED, A PATIENT ACCOUNTS REPRESENTATIVE WILL CONTACT THE PATIENT BY PHONE TO DETERMINE IF A FINANCIAL ASSISTANCE APPLICATION OR PAYMENT PLAN IS APPROPRIATE. THIS IS COMPLETED TO AVOID FURTHER ESCALATION OF PAST DUE ACCOUNT(S) IF THE PATIENT MAY QUALIFY FOR FULL OR PARTIAL RELIEF UNDER THE CHARITY CARE POLICY. IF THE APPLICATION IS SUCCESSFUL, THEN THE QUALIFYING BALANCE OR BALANCES ARE CLASSIFIED AS CHARITY CARE AND NO LONGER PURSUED FOR COLLECTIONS. ONCE A PATIENT BALANCE IS CLASSIFIED AS CHARITY CARE, IT IS NOT SUBJECT TO COLLECTION ACTIVITIES.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- ALICE PECK DAY MEMORIAL HOSPITAL: LINE 16A URL: HTTPS://WWW.ALICEPECKDAY.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- ALICE PECK DAY MEMORIAL HOSPITAL: LINE 16B URL: HTTPS://WWW.ALICEPECKDAY.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- ALICE PECK DAY MEMORIAL HOSPITAL: LINE 16C URL: HTTPS://WWW.ALICEPECKDAY.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	EVERY THREE YEARS, APDMH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WE PARTNER WITH DARTMOUTH-HITCHCOCK HEALTH MEMBER ORGANIZATIONS AND OTHER HEALTHCARE INSTITUTIONS TO IDENTIFY TOP COMMUNITY HEALTH NEEDS IN OUR REGION. THE ASSESSMENT INCLUDES A COMMUNITY SURVEY, DISCUSSION GROUPS, CONVERSATIONS WITH KEY STAKEHOLDERS, ANALYSIS OF POPULATION DEMOGRAPHICS, AND HEALTH STATUS INDICATORS. ALL INFORMATION-COLLECTION ACTIVITIES AND ANALYSES SOUGHT TO FOCUS ASSESSMENT ACTIVITIES ON VULNERABLE AND DISPROPORTIONATELY-SERVED POPULATIONS IN THE REGION INCLUDING POPULATIONS THAT COULD EXPERIENCE LIMITED ACCESS TO HEALTH-RELATED SERVICES OR RESOURCES DUE TO INCOME, AGE, DISABILITY, AND SOCIAL OR PHYSICAL ISOLATION. ENHANCED EFFORTS WERE MADE TO UNDERSTAND THE NEEDS OF THESE POPULATIONS THROUGH TARGETED SURVEYS AND COMMUNITY CONVERSATIONS INCLUDING FACILITATED SURVEYS AND DISCUSSIONS AT COMMUNITY SUPPERS, A REGIONAL FREE CLINIC, HOMELESS PROGRAMS, AND OTHER COMMUNITY SETTINGS SERVING ECONOMICALLY-VULNERABLE RESIDENTS. THE CHNA ALLOWS APDMH TO STRATEGICALLY ALLOCATE RESOURCES TO BEST MEET COMMUNITY NEEDS AND IMPROVE COMMUNITY HEALTH.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	ALICE PECK DAY BELIEVES THAT QUALITY HEALTH CARE SHOULD BE AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY. OUR FINANCIAL ASSISTANCE PROGRAMS AND STAFF ARE DEDICATED TO HELPING PEOPLE OBTAIN THE CARE THEY NEED. WE REACH OUT TO OUR PATIENTS IN MANY DIFFERENT WAYS TO ENSURE THAT THEY ARE AWARE THAT HELP IS AVAILABLE AND TO HELP GUIDE THEM THROUGH THE PROCESS. BROCHURES AND SIGNAGE ARE POSTED IN HIGH TRAFFIC AREAS SUCH AS THE EMERGENCY ROOM, REGISTRATION, AND THE LOBBY. REGISTRATION STAFF ARE TRAINED TO IDENTIFY PATIENTS WHO MAY BE IN NEED OF FINANCIAL ASSISTANCE. ONCE IDENTIFIED, STAFF NOTIFY THE PATIENT THAT APDMH HAS VARIOUS FORMS OF FINANCIAL ASSISTANCE AND EXPLAIN THAT ASSISTANCE IS AVAILABLE FOR ANYONE WHO MIGHT REQUIRE HELP OR GUIDANCE IN COMPLETING ANY NECESSARY PAPERWORK. IN ADDITION TO THE ABOVE, OUR BILLING STAFF ARE TRAINED TO HELP IDENTIFY AND OFFER ASSISTANCE TO ANYONE WHO MIGHT REQUIRE FINANCIAL ASSISTANCE. PATIENTS WITH OUTSTANDING CLAIMS ARE CONTACTED BY OUR CREDIT COORDINATOR WHO WORKS WITH THEM TO CLEAR UP BALANCES THROUGH THE VARIETY OF PROGRAMS WE OFFER. ASSISTANCE IS ALSO PROVIDED IN APPLYING FOR FEDERAL/STATE PROGRAMS TO THOSE WHO QUALIFY. SPECIALLY TRAINED STAFF GUIDE APPLICANTS THROUGH THE PROCESS TO ENSURE FORMS ARE FILLED OUT CORRECTLY, ALL REQUIRED DOCUMENTATION IS ATTACHED, AND THE APPLICANTS UNDERSTAND WHAT THEY CAN EXPECT TO HAPPEN ALONG THE WAY. INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY (FAP), INCLUDING A PLAIN LANGUAGE SUMMARY, APPLICATION, AND BILLING AND COLLECTION POLICIES, IS MADE WIDELY AVAILABLE TO PATIENTS AND THE PUBLIC THROUGH THE HOSPITAL'S WEBSITE, PATIENT CARE AND REGISTRATION AREAS, AND OTHER PUBLIC LOCATIONS. THESE MATERIALS ARE AVAILABLE IN THE PRIMARY LANGUAGES SPOKEN WITHIN THE COMMUNITIES SERVED, AND QUALIFIED INTERPRETER AND TRANSLATION SERVICES ARE PROVIDED AT NO COST TO ENSURE MEANINGFUL ACCESS FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY AND THOSE WHO REQUIRE COMMUNICATION ASSISTANCE. UPON RECEIPT OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THE APDMH TEAM STRIVES TO REVIEW THE APPLICATION AND PROVIDE WRITTEN NOTIFICATION OF ITS DETERMINATION WITHIN 30 DAYS. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE WRITTEN CONFIRMATION OF THEIR ELIGIBILITY AND THE ASSISTANCE AWARDED.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	ALICE PECK DAY MEMORIAL HOSPITAL IS PART OF THE LEBANON HEALTH CARE SERVICE AREA. THE LEBANON SERVICE AREA COMPRISES CITIES AND TOWNS IN NEW HAMPSHIRE AND VERMONT. APDMH'S SERVICE AREA IN NH COMPRISES 15 TOWNS IN ADDITION TO THE CITY OF LEBANON, INCLUDING CANAAN, CORNISH, CROYDON, DORCHESTER, ENFIELD, GRAFTON, GRANTHAM, HANOVER, LYME, NEWPORT, ORANGE, ORFORD, PIERMONT, PLAINFIELD, AND WARREN. VERMONT TOWNS INCLUDE EAST THETFORD, FAIRLEE, HARTFORD, HARTLAND, NORTH HARTLAND, NORTH THETFORD, NORWICH, POST MILLS, QUECHEE, SHARON, SOUTH STRAFFORD, STRAFFORD, THETFORD, THETFORD CENTER, VERSHIRE, WEST VERSHIRE, WEST FAIRLEE, WEST HARTFORD, WHITE RIVER JUNCTION AND WOODSTOCK. DEMOGRAPHICS: AGE: ACCORDING TO THE 2020 UNITED STATES CENSUS BUREAU, THE POPULATION OF THE APDMH SERVICE AREA IS 69,612. IT IS SLIGHTLY OLDER ON AVERAGE THAN THE NEW HAMPSHIRE AND VERMONT POPULATIONS. 20% OF THE SERVICE AREA IS OVER THE AGE OF 65, COMPARED TO STATEWIDE PERCENTAGES OF 17.5% IN NEW HAMPSHIRE AND 18.8% IN VERMONT. INCOME AND POVERTY: 7.3% OF HOUSEHOLDS IN THE HOSPITAL SERVICE AREA HAVE INCOMES UNDER THE 100% POVERTY LEVEL. THERE IS A SIGNIFICANT RANGE OF MEDIAN HOUSEHOLD INCOME BETWEEN COMMUNITIES RANGING FROM $52,128 TO $137,344. EDUCATION: A HIGHER PROPORTION OF THE HOSPITAL SERVICE AREA (94.7%) HAVE EARNED AT LEAST A HIGH SCHOOL DIPLOMA OR EQUIVALENT COMPARED TO NEW HAMPSHIRE (93.1%) AND VERMONT (92.7%) OVERALL. LANGUAGE: THE PERCENT OF THE HOSPITAL SERVICE AREA, AGES 5 OR HIGHER, WHO REPORT SPEAKING ENGLISH "LESS THAN VERY WELL" IS 0.9%, COMPARED WITH A STATEWIDE RATE OF 1.4% IN NEW HAMPSHIRE AND 0.8% IN VERMONT. HEALTH INSURANCE COVERAGE: 4.9% OF THE TOTAL SERVICE AREA POPULATION DOES NOT HAVE HEALTH INSURANCE. THE STATEWIDE PERCENTAGE FOR NEW HAMPSHIRE IS 5.9% AND FOR VERMONT IT IS 4.0%.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	MORE THAN HALF OF APDMH'S BOARD OF TRUSTEES ARE INDEPENDENT OF APD AND THE DARTMOUTH HEALTH SYSTEM AND RESIDE WITHIN THE ORGANIZATION'S COMMUNITY SERVICE AREA, ENSURING LOCAL REPRESENTATION AND OVERSIGHT IN ADVANCING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. APDMH EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS EMPLOYED BY DARTMOUTH HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, AND DARTMOUTH COLLEGE WHO ALSO HOLD FACULTY APPOINTMENTS AT THE GEISEL SCHOOL OF MEDICINE, PROMOTING ACCESS TO HIGHLY QUALIFIED PROVIDERS AND SUPPORTING EXCELLENCE IN PATIENT CARE. APDMH REINVESTS AVAILABLE SURPLUS FUNDS TO ADVANCE ITS CHARITABLE MISSION BY IMPROVING FACILITIES, ACQUIRING ADVANCED MEDICAL EQUIPMENT AND TECHNOLOGY, SUPPORTING MEDICAL STAFF EDUCATION AND PROFESSIONAL TRAINING, AND CONTINUOUSLY ENHANCING PROGRAMS AND SERVICES TO MEET THE EVOLVING HEALTH NEEDS OF THE COMMUNITY. APDMH ALSO INVESTS IN COMMUNITY PARTNERSHIPS BY PROVIDING FINANCIAL SUPPORT, ADMINISTRATIVE COORDINATION, AND VOLUNTEER RECRUITMENT FOR THE LEBANON COMPONENT OF THE TAKE A BITE OUT OF HUNGER PROGRAM, WHICH PROVIDES FREE SUMMER MEALS TO CHILDREN LIVING IN SUBSIDIZED HOUSING. IN ADDITION, APDMH FUNDS WELLNESS INITIATIVES THROUGH PARTNERSHIPS WITH THE CARTER COMMUNITY BUILDING ASSOCIATION (CCBA) AND THE UPPER VALLEY AQUATIC CENTER (UVAC), COVERING MEMBERSHIP AND PROGRAM COSTS TO PROVIDE ELIGIBLE PARTICIPANTS WITH ACCESS TO PHYSICAL ACTIVITY AND PREVENTIVE HEALTH RESOURCES AT NO COST. APDMH PROMOTES COMMUNITY HEALTH THROUGH INNOVATIVE OUTREACH AND PREVENTIVE CARE PROGRAMS, INCLUDING UPPER VALLEY SMILES, A SCHOOL-BASED ORAL HEALTH INITIATIVE SERVING LOW-INCOME ELEMENTARY SCHOOL CHILDREN ACROSS TEN UPPER VALLEY SCHOOLS. EACH YEAR, APDMH'S DENTAL TEAM PROVIDES ORAL HEALTH EDUCATION, SCREENINGS, FLUORIDE VARNISH, SEALANTS, DECAY-PREVENTION TREATMENTS, AND INTERIM THERAPEUTIC RESTORATIONS AT NO COST TO FAMILIES. THESE EFFORTS ARE FURTHER SUPPORTED BY THE IN-KIND CONTRIBUTIONS OF MEDICAL STAFF TIME, EXPERTISE, AND PROFESSIONAL SERVICES, REFLECTING APDMH'S ONGOING COMMITMENT TO IMPROVING HEALTH OUTCOMES AND ADDRESSING IDENTIFIED COMMUNITY HEALTH NEEDS THROUGH COLLABORATION, PREVENTION, AND ACCESS TO CARE. THE ORGANIZATION BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT BECAUSE MEDICARE REIMBURSEMENT DOES NOT FULLY COVER THE COST OF PROVIDING MEDICALLY NECESSARY SERVICES TO MEDICARE BENEFICIARIES. THE ORGANIZATION PROVIDES THESE SERVICES IN FURTHERANCE OF ITS CHARITABLE MISSION, REGARDLESS OF THE LEVEL OF REIMBURSEMENT RECEIVED, ENSURING CONTINUED ACCESS TO CARE FOR THE MEDICARE POPULATION.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	ALICE PECK DAY MEMORIAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN LEBANON, NH. APDMH IS A MEMBER OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM (D-HH) WHICH INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, AND OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE. MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) IN LEBANON IS NEW HAMPSHIRE'S LARGEST HOSPITAL. IN FISCAL YEAR 2025 MHMH HAD 461 LICENSED INPATIENT BEDS. THE DARTMOUTH-HITCHCOCK CLINIC (DHC) IS A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH A NETWORK OF PROVIDERS ACROSS NEW HAMPSHIRE AND VERMONT. WHILE DHC'S MAIN OFFICES ARE LOCATED IN LEBANON, THE CLINIC ALSO HAS MULTI-SPECIALTY PRACTICES IN MANCHESTER, NASHUA, CONCORD, AND KEENE, NH AREAS AS WELL AS BENNINGTON, VT. IN ADDITION, THE CLINIC PROVIDES PRIMARY CARE IN RURAL COMMUNITIES IN VERMONT AND NORTHERN NEW HAMPSHIRE. THE HOSPITAL AND CLINIC OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING AND MANAGEMENT AND SHARE IDENTICAL MISSIONS. THE MEDICAL SCHOOL, WHICH WORKS CLOSELY WITH THE HOSPITAL AND CLINIC, IS FOCUSED ON MEDICAL EDUCATION AND RESEARCH.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NH

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NH HEALTH AND EDUCATION FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	64461XMG7	CUSIPNum
Bond Issued	2025-05-28	BondIssuedDt
Issue Price	$21,631,889	IssuePriceAmt
Purpose	SEE STATEMENT	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$21,631,889	TotalProceedsAmt
Issuance Costs From Proceeds	$154,536	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$21,477,353	OtherSpentProceedsAmt
Substantial Completion	2025	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (A) BOND A (2025 BOND ISSUE)	ISSUER NAME IS NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY
SCHEDULE K, PART I BOND A (2025 BOND ISSUE)	THE PROCEEDS OF THIS BOND ISSUE BENEFITED THE FOLLOWING SUBSIDIARIES OF DARTMOUTH-HITCHCOCK OBLIGATED GROUP - DARTMOUTH-HITCHCOCK HEALTH (EIN: 26-4812335), ALICE PECK DAY MEMORIAL HOSPITAL (EIN: 02-0222791), MARY HITCHCOCK MEMORIAL HOSPITAL (EIN: 02-0222140), CHESHIRE MEDICAL CENTER (EIN: 02-0354549), VALLEY REGIONAL HOSPITAL, INC. (EIN: 02-0222118), AND DARTMOUTH-HITCHCOCK CLINIC (EIN: 22-2519596). THE PORTION OF THE ISSUE THAT HAS BEEN LOANED TO EACH SUBSIDIARY IS BEING REPORTED ON THAT SUBSIDIARY MEMBER'S SCHEDULE K.
SCHEDULE K, PART I, COLUMN (F) BOND A (2025 BOND ISSUE)	THIS FORM 990 SCHEDULE K REPRESENTS ONLY THE PORTION OF THE BOND ISSUE THAT IS ALLOCABLE TO ALICE PECK DAY MEMORIAL HOSPITAL. THE PROCEEDS OF THIS PORTION OF THE ISSUE WILL BE USED TO REFUND THE DHOG ISSUE 2018C DATED 8/15/2018 AND PAY A PORTION OF COST OF ISSUANCE.
SCHEDULE K, PART II, LINE 11 BOND A (2025 BOND ISSUE)	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE NO LONGER IN ESCROW.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUED)	FOUNDED IN 1932 AND A MEMBER OF THE DARTMOUTH HEALTH SYSTEM SINCE 2016, APD'S AREAS OF CLINICAL EXCELLENCE INCLUDE SURGICAL SERVICES, PRIMARY CARE, GERIATRIC CARE, AND EMERGENCY SERVICES. IN FY2025, ALICE PECK DAY MEMORIAL HOSPITAL (APD) WAS RECOGNIZED AS AN AGE-FRIENDLY HEALTH SYSTEM BY AN INITIATIVE OF THE JOHN A. HARTFORD FOUNDATION AND THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. OUR HOSPITAL WAS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION FOR EXCELLENCE IN STROKE AND HEART DISEASE CARE, AND WAS NAMED BY U.S. NEWS & WORLD REPORT TO ITS 2024-2025 BEST HOSPITALS AS A HIGH PERFORMING HOSPITAL FOR HIP REPLACEMENT. APD BECAME THE FIRST CRITICAL ACCESS HOSPITAL IN THE U.S. TO EARN LEVEL 1 GERIATRIC ED ACCREDITATION, AND OUR EMERGENCY DEPARTMENT RECEIVED PRESS GANEY GUARDIANS OF EXCELLENCE RECOGNITION. OUR NURSE RESIDENCY PROGRAM BECAME THE FIRST IN NEW HAMPSHIRE TO RECEIVE PRACTICE TRANSITION ACCREDITATION PROGRAM NATIONAL ACCREDITATION. APD IS A GUIDE PARTICIPANT (GUIDING AN IMPROVED DEMENTIA EXPERIENCE), AN INITIATIVE OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. APD'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. OUR VISION IS TO BUILD A HEALTHIER COMMUNITY, ONE CONNECTION AT A TIME. OUR VALUES INCLUDE KINDNESS, COMMUNITY, SERVICE, AND PARTNERSHIP. FOR THE PERIOD OF 7/1/25 - 9/30/2025: APD EMPLOYED 49 PROVIDERS, OF WHICH 28 WERE PRIMARY CARE, 2 PEDIATRIC, AND 19 WERE PROVIDERS IN OTHER SPECIALTIES. APD HAD A TOTAL OF 621 PATIENT DISCHARGES CONSISTING OF 1,942 PATIENT DAYS. WE ALSO HAD 3,942 EMERGENCY DEPARTMENT VISITS. APD IS OPEN 24 HOURS A DAY AND 7 DAYS A WEEK.
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE	THE EXECUTIVE COMMITTEE OF THE BOARD CONSISTS OF ALL BOARD OFFICERS. THE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD, SUBJECT TO THE POWERS RESERVED TO THE MEMBER AND ANY LIMITATIONS IMPOSED BY THE BOARD.
FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	SUSAN MOONEY AND CLAYTON ADAMS - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	THE MEMBERSHIP OF THE CORPORATION SHALL CONSIST OF DARTMOUTH-HITCHCOCK HEALTH (D-HH) AS THE SOLE MEMBER.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	THE MEMBER WILL RETAIN THE RESERVED POWER TO APPOINT WITHOUT LIMITATION ONE-THIRD OF THE TRUSTEES (WHICH APPOINTEES, BEFORE FINAL APPOINTMENT BY MEMBER, WILL BE DISCUSSED WITH THE BOARD CHAIR AND OTHER TRUSTEES SELECTED BY THE CHAIR FOR THEIR INPUT). THE D-H/D-HH CEO OR DESIGNEE WILL SERVE ON THE BOARD EX OFFICIO, WITH FULL VOTING RIGHTS, AND WILL COUNT TOWARD THE ONE-THIRD MEMBERSHIP APPOINTED BY MEMBER.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF ALICE PECK DAY MEMORIAL HOSPITAL. D-HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO: * INITIATE AND/OR APPROVE OR DISAPPROVE ALL MATERIAL GOVERNANCE, PROGRAMMATIC AND FINANCIAL DECISIONS OF THE APD BOARD OF TRUSTEES; * APPOINT WITHOUT LIMITATION ONE-THIRD OF THE APD BOARD OF TRUSTEE MEMBERS; * RATIFY THE TWO-THIRDS MEMBERSHIP OF THE APD BOARD OF TRUSTEES MEMBERS WHICH APD BOARD OF TRUSTEES HAS THE RIGHT TO NOMINATE; * REMOVE BY A VOTE OF TWO-THIRDS ANY APD TRUSTEE; * APPROVE BORROWINGS AND DISPOSITIONS OF MATERIAL ASSETS; * APPROVE ANY KEY STRATEGIC RELATIONSHIPS BETWEEN APD AND OTHER ORGANIZATIONS; * INITIATE AND APPROVE ALL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS; * APPROVE ALL POLICIES RELATING TO ACADEMIC AND RESEARCH PROGRAMS AND AFFILIATIONS; * ALLOCATE THE NON-DONOR RESTRICTED ASSETS AND RESOURCES OF APD AND D-HH AS APPROPRIATE TO SERVE THE OVERALL BEST INTEREST OF THE D-HH SYSTEM; * EXCEPT AS LIMITED BY THE AFFILIATION AGREEMENTS, TO APPOINT, EVALUATE THE PERFORMANCE OF, AND TERMINATE THE APD CEO; * APPROVE ANY PROPOSED AMENDMENT OR REPEAL OF THE ARTICLES OF AGREEMENT OR BYLAWS; * APPROVE THE DISSOLUTION OR LIQUIDATION OF APD, FOLLOWING SUCH APPROVAL BY THE APD BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	PRIOR TO FILING, THE COMPLETED FORM 990 IS MADE AVAILABLE TO THE FINANCE COMMITTEE ON A SECURE WEBSITE. THE CHAIR OF THE FINANCE COMMITTEE ADVISES THE FINANCE COMMITTEE MEMBERS TO REVIEW THE FORM 990 FOR CONTENT AND RAISE ANY ISSUES WITH BOARD LEADERSHIP OR MANAGEMENT. THE CHAIR OF THE FINANCE COMMITTEE THEN ADVISES THE CHAIR OF THE BOARD AND THE FULL BOARD THAT FORM 990 IS AVAILABLE FOR THEIR REVIEW TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY THE FULL BOARD. ALL QUESTIONS AND CONCERNS ARE ADDRESSED BY THE CHIEF EXECUTIVE OFFICER AND ARE INCORPORATED INTO THE FORM 990 AS DEEMED APPROPRIATE. MANAGEMENT FILES THE FINAL FORM 990 WITH THE INTERNAL REVENUE SERVICE AS REQUIRED AFTER THE ABOVE REVIEW IS CONCLUDED.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	ALICE PECK DAY HOSPITAL IS A MEMBER OF THE DARTMOUTH HITCHCOCK HEALTH (D-HH) COMPLIANCE ADVISORY GROUP WHICH PROVIDES OVERSIGHT FOR AUDIT AND COMPLIANCE MATTERS RELATED TO THE D-HH SYSTEM. D-HH COMPLIANCE AND AUDIT SERVICES REQUIRES ANNUAL DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST AND CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS OR OTHERWISE PERCEIVED CONFLICTS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION-MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE HUMAN RESOURCES COMMITTEE OF THE ALICE PECK DAY MEMORIAL HOSPITAL BOARD OF TRUSTEES IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER/PRESIDENT. THE CHIEF ADMINISTRATIVE OFFICER OR HER DESIGNEE PROVIDES COMPENSATION DATA OF COMPARABLE ORGANIZATIONS WITH APPROXIMATELY THE SAME SIZE STAFF AND SPENDING IN A LOCATION OF SIMILAR SIZE. THE COMMITTEE DETERMINES THE APPROPRIATE COMPENSATION AND APPROVES AN AMOUNT THAT IS THEN COMMUNICATED TO HUMAN RESOURCES FOR ADJUSTMENT. DARTMOUTH-HITCHCOCK HEALTH REVIEWS THE COMPENSATION OF THE CEO/PRESIDENT IN ADDITION TO THE PROCESS DESCRIBED ABOVE. A REVIEW WAS LAST COMPLETED IN FY25.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	THE CEO/PRESIDENT IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE OF SENIOR MANAGEMENT STAFF. THE INFORMATION IS BROUGHT TO THE HUMAN RESOURCE COMMITTEE OF THE BOARD OF TRUSTEES ALONG WITH A RECOMMENDATION FOR THE SALARY OF EACH INDIVIDUAL. THE COMPENSATION IS DETERMINED THROUGH A VARIETY OF ANALYSES OF SALARY DATA AND PERFORMANCE. INDIVIDUAL SALARY INCREASES ARE THEN BASED ON OVERALL PERFORMANCE, WITHIN BUDGETED INCREASES FOR THE ORGANIZATION. THE HUMAN RESOURCES COMMITTEE APPROVES THE BASE COMPENSATION AND SALARY INCREASE AMOUNT. A REVIEW WAS LAST COMPLETED IN FY25.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A COMPENSATION PAID BY THE FILING OR A RELATED ORGANIZATION	THIS FORM 990 FILING IS FOR THE SHORT TAX YEAR BEGINNING JULY 1, 2025 AND ENDING SEPTEMBER 30, 2025. PURSUANT TO THE IRS INSTRUCTIONS TO FORM 990, COLUMNS (D), (E), AND (F) OF PART VII SECTION A SHOULD BE BLANK FOR A SHORT-YEAR RETURN THAT IS NOT A FINAL RETURN AND IN WHICH THERE IS NO CALENDAR YEAR THAT ENDS WITH OR WITHIN THE SHORT YEAR. THEREFORE, ALTHOUGH THE ORGANIZATION REPORTS INDIVIDUALS ON ITS FORM 990 PART VII SECTION A WHO RECEIVE COMPENSATION FROM THE FILING ORGANIZATION AND/OR FROM RELATED ORGANIZATIONS, COMPENSATION AMOUNTS REPORTED ON PART VII SECTION A OF THIS SHORT YEAR FORM 990 ARE ZERO IN ACCORDANCE WITH THE IRS INSTRUCTIONS.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET ASSETS TRANSFERRED OR RELEASED FROM RESTRICTION - 716723; TOTAL - 716723;
SHORT PERIOD FORM 990 ACCOUNTING PERIOD CHANGE	REVENUE PROCEDURE 85-58 RULES APPLY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALICE PECK DAY LIFECARE CENTER INC
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020479094	INDEPENDENT & ASSISTED LIVING	NH	501(C)(3)	10	APD MEMORIAL HOSPITAL	Yes (true)
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORGANIZATION	NH	501(C)(3)	7	NA	false
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(C)(3)	10	D-HH	false
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(C)(3)	3	D-HH	false
THE NEW LONDON HOSPITAL ASSOCIATION INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(C)(3)	3	D-HH	false
WINDSOR HOSPITAL CORPORATION
289 COUNTY ROAD	WINDSOR	VT	05089	030183721	HOSPITAL	VT	501(C)(3)	3	D-HH	false
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(C)(3)	3	D-HH	false
VALLEY REGIONAL HEALTHCARE INC
243 ELM STREET	CLAREMONT	NH	03743	020397338	SUPPORTING ORGANIZATION	NH	501(C)(3)	TYPE II	D-HH	false
DARTMOUTH HEALTH HOME CARE INC
88 PROSPECT STREET	WHITE RIVER JUNCTION	VT	05001	036006494	HOME HEALTH AND HOSPICE SERVICES	VT	501(C)(3)	10	D-HH	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALICE PECK DAY LIFECARE CENTER INC
Q	$559,415	BOOK
ALICE PECK DAY LIFECARE CENTER INC
O	$1,268,247	BOOK
ALICE PECK DAY LIFECARE CENTER INC
R	$2,009,851	BOOK
ALICE PECK DAY LIFECARE CENTER INC
D	$59,467	BOOK
ALICE PECK DAY LIFECARE CENTER INC
A	$31,875	BOOK