2026-08-20T11:08:30+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2025-07-01 020222791 ALICE PECK DAY MEMORIAL HOSPITAL ALIC 6034483121 10 ALICE PECK DAY DRIVE LEBANON NH 03766 MICHAEL T LYNCH MD MBA PRESIDENT & CEO 6033080099 2026-08-20 true RACHEL SPURLOCK P01316095 5023263996 2026-08-20 2025 2025-03-06 01:10:19Z MICHAEL T LYNCH MD MBA 10 ALICE PECK DAY DRIVE LEBANON NH 03766 27986957 false X WWW.ALICEPECKDAY.ORG X 1943 NH TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. 18 11 0 10 0 0 1121807 98741 113682992 27539003 1152974 85907 1336057 263306 117293830 27986957 23468 881 0 64731625 17710032 0 28345 38965560 9527035 103720653 27237948 13573177 749009 156709167 163364447 56806696 60577059 99902471 102787388 TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. false false 24099357 881 27784558 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) 24099357 true true false true false false false false false true true true false true true false false true false false false false false false false false true true false false false true false false false false false false false false false false false false false false false true true true false false true 0 0 0 true true false false false false false false false false false false false X 18 11 true false false false true true true true true false false false true true true true true true true true false false NH X TAMERA K SANDERS 6033080099 10 ALICE PECK DAY DRIVE LEBANON NH 03766 CHARLES J WHEELAN PHD MPA TRUSTEE / VICE CHAIR 0.5 0 X X 0 0 0 CLAYTON R ADAMS MBA TRUSTEE / TREASURER 2.0 0 X X 0 0 0 GERARD DUPRAT JR MD FRCP TRUSTEE /SECRETARY 0.5 0 X X 0 0 0 LAURA GREER MD TRUSTEE/MEDICAL STAFF PRESIDENT/EXOFFICIO 40.0 0 X X 0 0 0 MARISA D DEVLIN TRUSTEE/CHAIR 2.0 0 X X 0 0 0 MICHAEL T LYNCH MD MBA CHIEF MEDICAL OFFICER 40.0 0 X X 0 0 0 SUSAN MOONEY MD MS FACOG TRUSTEE/PRESIDENT/CEO APDMH 38.0 2.0 X X 0 0 0 AIMEE M CLAIBORNE TRUSTEE 0.5 40.5 X 0 0 0 ANNA ADACHI-MEJIA PHD TRUSTEE 0.5 0 X 0 0 0 CHRISTOPHER L HUBBLE MD TRUSTEE 0.5 40.0 X 0 0 0 COURTNEY TANNER TRUSTEE 0.5 40.0 X 0 0 0 CYBELE M MERRICK MA MS TRUSTEE 0.5 0.5 X 0 0 0 DAVID F DUNCAN TRUSTEE 0.5 40.5 X 0 0 0 HARRIETT SLOANE MAYOR AIA TRUSTEE 0.5 0.5 X 0 0 0 JENNIFER SAGE SCHIFFMAN MPH TRUSTEE 0.5 0 X 0 0 0 JENNY H BARBA MBA MHSA TRUSTEE 0.5 0 X 0 0 0 LAURA GILLESPIE AB MS TRUSTEE/EX-OFFICIO 0.5 1.0 X 0 0 0 MICHELE PERKINS TRUSTEE 0.5 0 X 0 0 0 SCOTT W RODI MD MPH TRUSTEE 0.5 40.0 X 0 0 0 MARYANN R CARON EXECUTIVE DIRECTOR MSC 40.0 0 X 0 0 0 TAMERA K SANDERS CFO 40.0 0.5 X 0 0 0 0 0 0 0 false false false 0 53591 45150 98741 PATIENT SERVICES 622110 25898533 25898533 NUTRITIONAL SERVICES 722210 54558 54558 PHARMACY SALES 446100 985912 985912 MEDICAID DSH PAYMENT 622110 600000 600000 0 0 0 0 27539003 85907 85907 17751 17751 0 17751 17751 0 0 0 PURCHASE REBATES AND DISCOUNTS 622110 244579 244579 MISCELLANEOUS 622110 976 976 0 0 0 0 245555 27986957 27784558 0 103658 881 881 14267559 13718463 526261 22835 613091 589496 22614 981 2076004 1996107 76574 3323 753378 724384 27788 1206 902 902 2026972 734428 1292544 0 866 866 39852 27671 12181 16636 1544 15092 527659 527659 32694 28872 3822 2673 2673 311266 75825 235441 972094 850023 122071 125536 114108 11428 DRUGS/MEDICAL SUPPLIES 3534764 3534764 MEDICAID ENHANCEMENT TAX 1190218 1190218 REPAIRS/MAINTENANCE 570515 476189 94326 ACADEMIC, TEACHING, & MISC SUPPORT 88095 28195 59900 86293 4614 81679 0 27237948 24099357 3110246 28345 10778906 10521945 115551 1399389 9723654 11515838 0 0 0 0 3142542 3084431 464247 448536 665281 276780 84449849 48428495 33343414 36021354 68322194 69794314 3217491 3411770 5131433 5131433 21804454 21758657 156709167 163364447 9353732 11339888 22795076 22786578 0 0 24657888 26450593 56806696 60577059 X 92898407 94769716 7004064 8017672 99902471 102787388 156709167 163364447 X 749009 1419185 716723 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4098 4098 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 1174402 292445 2276 1464571 523781 659194 8573 1174402 114708 409073 523781 110368 4340 114708 133591 23223 110368 1.0 0.0 0.0 false true true 4600000 4600000 39220624 16124771 23095853 245273 245273 0 38253301 30579810 7673491 2130651 1478641 652010 36021354 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENT IN POOLED FUNDS 69794314 F 69794314 DUE FROM AFFILIATES 793957 RIGHT OF USE ASSETS 12948863 BOND ISSUANCE COSTS OTHER ASSETS INVESTMENT IN AFFILIATES 8015837 21758657 FEDERAL INCOME TAXES MEDICAL LIABILITIES AND PAYABLES 12411536 DUE TO AFFILIATES 255326 RIGHT OF USE LIABILITIES 13783731 26450593 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE ORGANIZATION USES THE INCOME FROM ITS ENDOWMENT FUNDS IN SUPPORT OF ITS OPERATIONS. true true X true X 250 true X true true false true true 147256 147256 0.00541 3421598 2350937 1070661 0.03931 0 0.0 0 0 3568854 2350937 1217917 0.04471 73201 579 72622 0.00267 0 0.0 0 0.0 0 0.0 820 820 0.00003 0 0 74021 579 73442 0.00270 0 0 3642875 2351516 1291359 0.04741 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 3534 3534 0.00013 0 0.0 0 0.0 0 0 3534 0 3534 0.00013 true 0 0 6943150 7422043 -478893 X true true 1 1 ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 WWW.ALICEPECKDAY.ORG 00016 X X X X PHYSICIAN CLINICS ALICE PECK DAY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 25 true true true true X https://www.alicepeckday.org/community-reports X true 25 true https://www.alicepeckday.org/community-reports false true X 250.0 400.0 X X X X X true true X X X true X https://www.alicepeckday.org/patients/billing-financial-assistance X https://www.alicepeckday.org/patients/billing-financial-assistance X https://www.alicepeckday.org/patients/billing-financial-assistance X X X X X X X true X false X X X X true X false false 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. 7 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 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 A NH HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 64461XMG7 2025-05-28 21631889 SEE STATEMENT false false false A 21631889 154536 21477353 2025 true false false true A false true true true false false 0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true 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. 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. 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 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 true false false true false false false false false true false true true false true true true true true ALICE PECK DAY LIFECARE CENTER INC Q 559415 BOOK ALICE PECK DAY LIFECARE CENTER INC O 1268247 BOOK ALICE PECK DAY LIFECARE CENTER INC R 2009851 BOOK ALICE PECK DAY LIFECARE CENTER INC D 59467 BOOK ALICE PECK DAY LIFECARE CENTER INC A 31875 BOOK