2022-05-12T13:02:51-05:00 2021-06-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2020-07-01 020222791 Alice Peck Day Memorial Hospital ALIC 6034483121 10 Alice Peck Day Drive Lebanon NH 03766 Susan E Mooney President & CEO 2022-05-12 true Susan E Mooney 999009999 KIM SCIFRES P01316095 5023263996 2020 2022-09-23 18:48:47Z Susan E Mooney MD MS 10 Alice Peck Day Drive Lebanon NH 03766 84355521 false X www.alicepeckday.org X 1943 NH To improve the health and wellbeing of our community. 18 10 671 72 -5318 0 617929 837236 65607874 83066859 95641 54742 6760160 396684 73081604 84355521 109193 282974 0 0 43787912 47708967 0 0 206842 27435157 29192857 71332262 77184798 1749342 7170723 106122575 121000117 75713869 80902041 30408706 40098076 To improve the health and wellbeing of our community false false 71898854 282974 83285518 Alice Peck Day Memorial Hospital is a community-based critical access hospital operating in Lebanon, NH. The Hospital began as a small cottage hospital in 1932. From its humble beginnings, Alice Peck Day has continually demonstrated its commitment to provide patient-focused health care services which improve the quality of life within its community and promote wellness for all. Alice Peck Day Memorial Hospital is a charitable health care organization which is dedicated to serving its community. This commitment includes granting credit to patients, substantially all of whom are local residents. The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than the established rates. Collections are not pursued for amounts determined to qualify as charity care. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy, the established costs of the services and supplies provided, and equivalent service statistics. For the fiscal year ended June 30, 2021, charity care at a cost of $505,912 was provided to eligible patients. Estimated costs incurred in excess of payment for inpatient and outpatient services for Medicaid patients in fiscal year ended June 30, 2021 were $2,360,578. In addition to the charity care services described above, the Hospital provided a number of other services for which little or no payment was received. These included: the Upper Valley Smiles dental program of free oral health education, screenings, and preventive treatment offered to low-income children in ten local elementary schools; Elder Friends, a program matching volunteers one-on-one with isolated, home-bound seniors; Lebanon Lunch Friends, which provides free lunches to eligible local children who no longer have access to free or reduced-price meals at school during the summer; the Tobacco 21 initiative, which involved forming a community coalition to consider supporting a City of Lebanon ordinance that restricts tobacco and e-cigarette sales to individuals 21 years and older; the creation of a public access trail from one of the Hospital parking lots to the Mascoma River Greenway, and Community Care News, a web-based initiative focused on providing helpful tips to improve health and wellbeing during the pandemic. As a local hospital, Alice Peck Day works closely with community organizations to address community needs. Organizations that were beneficiaries of hospital staff time, meeting space, cash and/or materials included: Alcoholics Anonymous, American Red Cross, Good Neighbor Health Clinic, Headrest, Lebanon Chamber of Commerce, Lebanon Department of Recreation, Ottauquechee School, Upper Valley Business Alliance, Upper Valley Medtech Collaborative, and Upper Valley Public Health Council. In certain instances, assistance was provided to the community for which no value can be placed. Alice Peck Day Memorial Hospital considers caring for our community a special responsibility that we are honored to fulfill. 71898854 true true false true false false false false true true true false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true X 109 0 true 671 true true true false false false false false false false false false false false X 18 10 false false false false true true true true true false false true true true true true true true true false NH X Todd Roberts 6034483121 10 Alice Peck Day Drive Lebanon NH 03766 Brett C Peltzer Trustee, Treasurer (Until 12/20) 2.0 0 X X 0 0 0 Clayton R Adams Trustee, Treasurer (As of 1/21) 2.0 0 X X 0 0 0 Greg W Lange Trustee, Chair 2.0 0 X X 0 0 0 Jennifer Sage Schiffman Trustee, Secty (As of 1/21) 0.5 0 X X 0 0 0 Marisa D Devlin Trustee, Vice Chair 2.0 0 X X 0 0 0 Michael F Long Trustee, Secretary (Until 12/20) 2.0 0 X X 0 0 0 SUSAN MOONEY MD MS FACOG TRUSTEE/PRESIDENT/CEO APD 38.0 2.0 X X 393822 0 28906 Brenan Riehl Trustee 0.5 0 X 0 0 0 Charles J Wheelan Trustee 0.5 0 X 0 0 0 Cybele M Merrick Trustee (As Of 1/21) 0.5 0 X 0 0 0 GEORGE T BLIKE MD Trustee 0.5 31.0 X 0 400007 50140 John L Scherding Trustee 0.5 2.0 X 0 0 0 JOHN P HOUDE MD TRUSTEE (Until 12/20) 40.0 0 X 540550 0 28931 Kyle Fisher Trustee 0.5 0.5 X 0 0 0 Marva Williams-Lowe Trustee (As of 1/21) / Sr. Director 0.5 40.0 X 0 201249 56003 Mary M Oseid MHCDS Trustee 0.5 41.0 X 0 353987 60511 Patrick F Jordan III MBA Trustee 0.5 56.5 X 0 756581 59599 Phillip Collins MD Ex-Officio/Pres Med Staff 40.0 0 X 216873 0 33450 Sara L Kobylenski Trustee 0.5 2.0 X 0 0 0 SCOTT W RODI MD Trustee 0.5 40.0 X 0 433389 62317 Tina E Naimie CPA Trustee 1.0 41.0 X 0 300108 24224 TODD ROBERTS VP Finance 38.0 2.0 X 160076 0 27068 DALE C VIDAL MD MS Executive Director MSC 40.0 0 X 534594 0 28259 JEAN TEN HAKEN MSN RN CENP CNO/COO 40.0 0 X 238526 0 10926 BRIAN LOMBARDO MD PHYSICIAN 40.0 0 X 243706 0 27973 DEBORAH GLAZER MD PHYSICIAN 40.0 0 X 259918 0 11637 DIANE RILEY MD CAQSH Ortho Surgeon Hand Specialist 40.0 0 X 459414 0 22760 ERIN MCNEELY MD PHYSICIAN 40.0 0 X 109005 0 14211 IVAN TOMEK MD General Orthopedic Surgeon 40.0 0 X 584836 0 25805 Brenda L Blair Former VP & COO 0.0 0.0 X 0 258395 47755 Kathryn M Vargo MD Former Officer 30.0 0 X 127300 0 27314 3868620 2703716 647789 57 true true false Upper Valley Neurology 106 Hanover Street Lebanon NH 03766 Physician Services 3261842 Conifer Revenue Cycle Solutions LLC PO Box 655025 Dallas TX 75265 Revenue Management Services 3074283 AMERICAN HEALTHCARE SERVICES ASSN PO Box 670529 Dallas TX 75267 Staffing Services 1946293 ENGELBERTH CONSTRUCTION 150 Water Tower Circle Colchester VT 05446 Construction Contracting 1889083 AVANT HEALTHCARE PROFESSIONALS LLC 1211 Semoran Blvd Suite 227 asselberry FL 32707 Healthcare Staffing 1348525 16 393080 444156 837236 Patient Services 622110 82257275 82257275 Nutritional Services 722210 117619 117619 PHARMACY SALES 446100 691965 691965 0 0 0 0 83066859 46812 -5318 52130 178025 178025 0 178025 178025 7930 7930 0 7930 7930 PURCHASE REBATES AND DISCOUNTS 900099 124170 124170 MISCELLANEOUS 900099 94489 94489 0 0 0 0 218659 84355521 83285518 -5318 238085 282974 282974 2452621 1085531 1344004 23086 87888 87888 38430425 36508905 1806229 115291 623641 592459 29311 1871 4384119 4164913 206054 13152 1730273 1643759 81323 5191 10227 10227 5836005 5544205 274292 17508 53356 53356 1037526 192980 841433 3113 544398 517178 25587 1633 1757700 1669815 82612 5273 37756 35868 1775 113 875011 831260 41126 2625 3366663 3198330 158233 10100 338169 321260 15894 1015 Drugs/medical supplies 9971080 9971080 New Hampshire MET 3074616 3074616 Repairs/maintenance 1633171 1551512 76759 4900 STAFF DUES , LICENSES AND EDUCATION 241211 229151 11337 723 415968 395170 19550 1248 77184798 71898854 5079102 206842 15725480 27581575 10425917 14679299 120009 8642305 7216851 0 0 0 0 10749298 10269754 444769 443112 441331 401629 60033236 37409882 38378887 22623354 13069164 15717379 0 5216933 5131433 2908482 16935731 106122575 121000117 6815774 12181097 11854938 76941 25160000 24425000 0 0 11660 0 31871497 44219003 75713869 80902041 X 29463607 38969853 945099 1128223 30408706 40098076 106122575 121000117 7170723 2518647 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 12373 false false true 5000 17373 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Alice Peck Day Memorial Hospital is a member of various organizations related to its exempt mission, including the American Hospital Association and the New Hampshire Hospital Association. The portion of dues to these organizations associated with lobbying costs is reported in Part II-B as Other Activities. The hospital also belongs to the 10 Mile Critical Access Hospital (CAH) coalition which engaged strategic health resources (SHR) for purposes of furthering lobbying efforts with regards to attempt to eliminate CAH status. The CEO participates in periodic telephone calls with this group in attempts to keep the issue of rural healthcare and the key role that CAHs play in rural healthcare in front of the various legislative delegations. 97000 97000 97000 97000 219295 122295 97000 33539 185756 219295 31051 2488 33539 0.0 1.0 0.0 false true true 4600000 4600000 20842759 12328408 8514351 212775 212775 0 32565682 23805552 8760130 1812020 1063147 748873 22623354 INVESTMENT IN POOLED FUNDS 15717379 F 15717379 DUE FROM AFFILIATES 729752 RIGHT OF USE ASSETS 16104030 BOND ISSUANCE COSTS 101949 16935731 Medical liabilities and payables 27005925 Estimated third-party payor settlements Accrued constructions costs for building under development Due to affiliates 783757 RIGHT OF USE LIABILITIES 16429321 44219003 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 225 true X true true false true true 503927 503927 0.0068 10149686 7816974 2332712 0.0314 0 0.0 0 0 10653613 7816974 2836639 0.0382 79228 0 79228 0.0011 8000 8000 0.0001 3676817 2602835 1073982 0.0145 0 0.0 9 308241 308241 0.0042 9 0 4072286 2602835 1469451 0.0198 9 0 14725899 10419809 4306090 0.0580 5434 5434 0.0001 5947 5947 0.0001 0 0.0 0 0.0 780 780 0.0000 9626 9626 0.0001 0 0.0 0 0.0 0 0.0 0 0 21787 0 21787 0.0003 true 35505419 21663919 13841500 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 18 true true true true X https://www.alicepeckday.org/sites/default/files/2021-11/FY19_DH_APD_VNH_Community_Health_Needs_Asse X https://www.doj.nh.gov/charitable-trusts/documents/050-dhh-community-needs.pdf X true 19 true https://www.alicepeckday.org/sites/default/files/2021-11/FY19_DH_APD_VNH_Community_Health_Needs_Asse false true X 225.0 300.0 X X X X X X true true X X X true X www.alicepeckday.org/pa X www.alicepeckday.org/patients/financial_services X www.alicepeckday.org/patients/financial_services 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 5 Facility , 1 Facility , 1 - Alice Peck Day Memorial Hospital. With a shared Hospital Service Area, Alice Peck Day Memorial Hospital collaborated with Dartmouth-Hitchcock in conducting the fiscal year 2019 Community Health Needs Assessment. Technical expertise was provided by the New Hampshire Community Health Institute, the NH affiliate of JSI, a nation-wide public health management consulting and research organization. Methods employed in the assessment included surveys of community residents made available online and paper surveys placed in numerous locations throughout the region (completed by 2,100 individuals), a direct email survey of key stakeholders and community leaders representing multiple community sectors; a set of community discussion groups; compilation of results from assessment activities focused specifically on behavioral health needs and gaps; and a review of available 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 data gathered in the FY2019 CHNA is part of a continual process for considering progress and emerging community needs informed by dialogue with community members, leaders, and experience. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Alice Peck Day Memorial Hospital. ALICE PECK DAY MEMORIAL HOSPITAL PARTNERED WITH MARY HITCHCOCK MEMORIAL HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. APDMH ALSO PARTNERED WITH NEIGHBORING HOSPITALS AND ORGANIZATIONS INCLUDING DARTMOUTH HITCHCOCK MEDICAL CENTER, NEW LONDON HOSPITAL,VALLEY REGIONAL HOSPITAL, MOUNT ASCUTNEY HOSPITAL AND VISITING NURSE & HOSPICE OF VT and NH. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Alice Peck Day Memorial Hospital. Technical assistance for the Hospital's 2018 CHNA was provided by the New Hampshire Community Health Institute Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ALICE PECK DAY MEMORIAL HOSITAL. Alice Peck Day Memorial Hospital's (APDMH) Community Health Implementation Plan, approved by the governing board in November of 2019, is a three-year document that provides a detailed set of strategies for addressing our region's top health needs. Based on the most recent Community Health Needs Assessment (CHNA), affordable health care and health insurance were the top needs identified. APDMH offers affordable care to our under- and uninsured patients through our Financial Assistance programs, in addition to offering Marketplace Health Insurance counseling during Open Enrollment and Medicaid enrollment assistance. We also provide in-kind donation of space to the Good Neighbor Health Clinic, the Upper Valley's free medical clinic. Additional top health needs include: mental health, substance misuse and addiction, child abuse or neglect, cost of prescription drugs, availability of primary care services, domestic violence, and senior health care services. We work in partnership with local and state organizations and agencies to address these concerns. We offer mental health services through our Behavioral Health Specialist; participate in the region's Integrated Delivery Network to enhance behavioral health capacity, and created an Emergency Department Rapid Referral Program through partnership with West Central Behavioral Health. In the Clinic, we provide Medication Assisted Treatment to patients with substance use disorders, and in the community we led an advocacy initiative aimed at increasing the minimum age to 21 for tobacco sales in Lebanon, NH. We participate in a regional initiative called "Strong Families, Strong Starts" to help strengthen child development and address childhood trauma. We provide vouchers for emergency prescription assistance and one-on-one help applying for prescription assistance programs offered through drug companies. In our clinics, we screen for child abuse and domestic violence and refer patients for treatment. Lastly, we offer our Senior Care Team's home-based primary care program for the elderly in the local community; provide the Elder Friends program, which matches those referred by the Senior Care team with a volunteer for companionship; and host an educational/networking forum focused on the elderly called Elder Forum. These initiatives and ongoing efforts continue to address several of the most pressing community needs as identified in our community needs assessment. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Alice Peck Day Mememorial Hospital:. APDMH HAS A SEPARATE UNINSURED DISCOUNT POLICY THAT OUTLINES HOW THE DISCOUNT IS CALCULATED ANNUALLY AND IS APPLIED PRIOR TO BILLING ANY UNINSURED PATIENT. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS POLICY IS REFERENCED IN THE FINANCIAL ASSISTANCE POLICY. 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 BROCHURE 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 APDMH USES THE FPG GUIDELINES IN DETERMINING THE INITIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED. IN ADDITION, APDMH ALLOWS FOR CATASTROPHIC ASSISTANCE CONSIDERATION BASED ON A CALCULATION OF 10% OF TWO YEARS INCOME PLUS 10% OF AMOUNT OVER SHELTERED ASSETS. IF THE PROJECTED OR CURRENT SELF-PAY BALANCE IS GREATER THAN THIS CALCULATION, THE SELF-PAY BALANCE IS REDUCED TO THE SUM OF 10% OF TWO YEARS INCOME PLUS 10% OF ASSETS. EACH HOUSEHOLD IS ALLOWED CERTAIN SHELTERED ASSETS WHICH ARE NOT USED WHEN CALCULATING HOUSEHOLD INCOME OR ASSETS SAVINGS IS SHELTERED UP TO 100% OF FPL BASED ON FAMILY SIZE, EQUITY IN PRIMARY RESIDENCE UP TO $200,000 UP TO 55 AND $250,000 FOR AGED 55 AND OLDER, AND A RETIREMENT SHELTER OF UP TO $100,000 IN RETIREMENT ASSETS AS LONG AS IT IS EMPLOYER BASED CONTRIBUTIONS IF WORKING OR IRA IF SELF-EMPLOYED. IF A PATIENT IS RETIRED, PRIOR RETIREMENT ACCOUNTS WOULD BE INCLUDED AS A SHELTERED ASSET. Schedule H, Part I, Line 7 SUBSIDIZED HEALTH SERVICE COSTS APDMH has several hospital clinical services and hospital-owned physician practices. Per instructions for IRS Form 990, Schedule H, Worksheet 6, organizations may include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss) in the completing of Schedule H. Therefore, the Hospital has included the following hospital clinical services and hospital-owned physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices: a. Women's Care b. Occupational Health c. Sleep Lab The above-listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e. aggregate loss or subsidy from the Hospital) of approximately $1.07 million. In addition, the community benefit does not take into account bad debts, charity care, or contractual adjustments. Thus, this community benefit of approximately $1.07 million is a conservative figure that reconciles to the community benefit information reported on IRS Form 990, Schedule H, Part I, Line 7g, Column e. 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. In partnership with the Upper Valley Trails Alliance, APD paved an access trail to the Mascoma River Greenway across from the Homestead Building to increase accessibility and allow wheelchair use. 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 8 EXTENT ANY SHORTFALL FROM LINE 7 Form 990, Schedule H instructions and guidance contain a template (Worksheet 2) that may be used to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part III, Line 8 was Schedule H, Worksheet B, Line 2 & 6, Medicare Allowable Costs and Payments Related to Subsidized Health Services. The Hospital utilized the Medicare cost report for estimated cost and payment for these services. The Hospital believes that its hospital clinical services, hospital-owned physician practices, emergency room and inpatient psychiatric units listed above should all be considered community benefits. These services, facilities, and programs provide a benefit to community members, and are both offered and subsidized by the Hospital. Medicare shortfall is reported to the State of New Hampshire in the Community Benefits Report, under Section 4, Unreimbursed Costs, Government-Sponsored Health Care. In prior years, the State of New Hampshire used MET dollars to service the general fund of the State. However, recently the State has used these dollars to directly fund medical and other related budgetary goals. As a result of this change in the State's appropriation of these funds, the net MET/DSH impact is considered a healthcare-related expenditure by the Hospital. Schedule H, Part V, Section B, Line 16 WEBPAGE LOCATION 16a-c Financial Assistance Policy, Financial Assistance Policy Application, and Plain Language Summary can be found at: https://www.alicepeckday.org/patients/financial_services Schedule H, Part III, Line 3 FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGY THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. ALTHOUGH A PORTION OF BAD DEBT EXPENSE MAY BE RELATED TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 2921100 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology FOR FINANCIAL STATEMENT PURPOSES, THE HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote APDMH FILES A CONSOLIDATED AUDITED FINANCIAL STATEMENT WITH DARTMOUTH-HITCHCOCK HEALTH AND ITS SUBSIDIARIES. APDMH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR FINANCIAL ASSISTANCE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. BECAUSE MHMH DOES NOT ANTICIPATE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. APDMH GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS. MOST ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. FOR FINANCIAL STATEMENT PURPOSES, DARTMOUTH HITCHCOCK HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Our bad debts 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. Alice Peck Day is committed to helping our patients obtain quality healthcare, regardless of ability to pay. Our financial assistance programs encourage and enable our patients to make healthcare decisions free of financial barriers. We educate ourpatients about our programs and provide assistance prior to their receiving services, at registration for services, and during our billing process to ensure that any and all patients in need of assistance are provided with the help they qualify for under APDMH programs. Brochures and signs are placed in high traffic areas such as the ER and registration. Our staff is trained to identify patients during registration, provide information, and offer assistance in completing the necessary forms. During our billing process, calls are made to patients with outstanding balances. APDMH staff work with patients to identify problems they are facing in dealing with outstanding balances. Patients are notified again of the many types of financial assistance available for which they may qualify. Programs are explained and assistance is offered, if needed, in completing the applications. Due to this multi-level approach and staff that is trained to identify clients who may need financial assistance, very few qualifying patients reach the point of bad debt. Our collection policies and procedures, in conjunction with our small size, allow our organization to place great emphasis on helping all patients who may be in need to apply for, and obtain, the appropriate level of financial assistance. Schedule H, Part V, Section B, Line 16a FAP website - Alice Peck Day Memorial Hospital: Line 16a URL: www.alicepeckday.org/pa; Schedule H, Part V, Section B, Line 16b FAP Application website - Alice Peck Day Memorial Hospital: Line 16b URL: www.alicepeckday.org/patients/financial_services; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Alice Peck Day Memorial Hospital: Line 16c URL: www.alicepeckday.org/patients/financial_services; 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 healthrelated 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. 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 2016 American Community Survey, the population of the APDMH Service Area is slightly older on average than the New Hampshire and Vermont populations. 17.5% of the service area is over age 65, compared with 15.8% in New Hampshire and 17% in Vermont. Income and poverty: 11.5% of children in the hospital service area live at or below 100% FPL, with 25.7% living below 200% FPL. Education: A higher proportion of the hospital service area (94.4%) have earned at least a high school diploma or equivalent compared to New Hampshire (92.6%) and Vermont (91.9%) overall. Language: The percent of the hospital service area, ages 5 or higher, who report speaking English "less than very well" is 0.8%, compared with a statewide rate of 1.5% in New Hampshire and 0.7% in Vermont. Schedule H, Part VI, Line 5 Promotion of community health APDMH promotes physical activity, addresses food insecurity, and provides dental care in order to promote the health of the community. APDMH continues to offer its FitScripts program to patients. The FitScripts program aims to get patients exercising more and leading healthier lifestyles. FitScripts allows our primary care providers to write referrals for their patients age 16 or older, who are living with one or more chronic conditions, and for whom the cost of a gym membership has been a barrier. APDMH partnered with the Carter Community Building Association (CCBA) in Lebanon, New Hampshire, and the Upper Valley Aquatic Center (UVAC) in White River Junction, Vermont, to offer this program. APDMH pays for the gym memberships and other associated costs. There is no cost to our patients. This program was temporarily paused at the start of the pandemic due to UVAC and CCBA closures, but the program has resumed under each facilities' revised operating procedures. APDMH also provides financial support, administrative coordination, and volunteer recruitment services to the Lebanon component of the Take a Bite Out of Hunger program, which provides free meals during the summer months to children living in subsided housing locations. APDMH's Community Health Department is well known in the region for Upper Valley Smiles, a unique school-based oral health program for low-income elementary school children enrolled in ten schools across the Upper Valley. The APDMH dental team visits each school annually, providing classroom oral health education, dental screenings, fluoride varnish, sealants, decay-stopping fluoride treatments, and interim therapeutic restorations, all at no cost to parents. During Fiscal Year 2021, the Upper Valley Smiles program was temporarily suspended. The risk of coronavirus transmission prevented us from being able to safely access the schools and provide services during the COVID 19 pandemic. 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 2021 MHMH HAD 396 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 true FOUNDATION FOR HEALTHY COMMUNITIES 125 AIRPORT ROAD CONCORD NH 03301 020275078 501(C)(3) 153885 BOOK SUBSTANCE ABUSE SUPPORT NH HOSPITAL ASSOCIATION 125 AIRPORT DRIVE CONCORD NH 03301 026012527 501(C)(6) 121289 BOOK SUBSTANCE ABUSE SUPPORT HARTFORD COMMUNITY COALITION PO BOX 4343 WHITE RIVER JUNCTION VT 05001 824272638 501(C)(3) 7000 BOOK SUMMER MEALS PROGRAM 2 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. APD provides support for selected community organizations that address needs identified in the Community Health Needs Assessment and are part of APD's Community Health Improvement plan. The annual amount to be contributed by APD to organizations is approved annually through the annual budget process. APD receives and reviews each year the organization's published annual reports and also maintains informal contacts throughout the year to monitor the organization's operations and services. X X X X true true false false false false false true false Brenda L Blair Former VP & COO 0 256954 0 0 0 1441 0 19513 0 28242 0 306150 0 0 SUSAN MOONEY MD MS FACOG TRUSTEE/PRESIDENT/CEO APD 336548 0 0 0 57274 0 0 0 28906 0 422728 0 0 0 GEORGE T BLIKE MD Trustee 0 344982 0 0 0 55025 0 27315 0 22825 0 450147 0 0 Patrick F Jordan III MBA Trustee 0 707368 0 0 0 49213 0 21615 0 37984 0 816180 0 0 Tina E Naimie CPA Trustee 0 291637 0 0 0 8471 0 21615 0 2609 0 324332 0 0 Mary M Oseid MHCDS Trustee 0 327113 0 0 0 26874 0 27315 0 33196 0 414498 0 0 SCOTT W RODI MD Trustee 0 414984 0 0 0 18405 0 27315 0 35002 0 495706 0 0 JOHN P HOUDE MD TRUSTEE (Until 12/20) 539776 0 0 0 774 0 0 0 28931 0 569481 0 0 0 Marva Williams-Lowe Trustee (As of 1/21) / Sr. Director 0 200841 0 408 0 0 0 18471 0 37532 0 257252 0 0 Phillip Collins MD Ex-Officio/Pres Med Staff 213423 0 3450 0 0 0 0 0 33450 0 250323 0 0 0 Kathryn M Vargo MD Former Officer 102870 0 0 0 24430 0 0 0 27314 0 154614 0 0 0 TODD ROBERTS VP Finance 160076 0 0 0 0 0 0 0 27068 0 187144 0 0 0 DALE C VIDAL MD MS Executive Director MSC 506430 0 0 0 28164 0 0 0 28259 0 562853 0 0 0 JEAN TEN HAKEN MSN RN CENP CNO/COO 237752 0 0 0 774 0 0 0 10926 0 249452 0 0 0 IVAN TOMEK MD General Orthopedic Surgeon 547422 0 17500 0 19914 0 0 0 25805 0 610641 0 0 0 DIANE RILEY MD CAQSH Ortho Surgeon Hand Specialist 458640 0 0 0 774 0 0 0 22760 0 482174 0 0 0 DEBORAH GLAZER MD PHYSICIAN 200468 0 0 0 59450 0 0 0 11637 0 271555 0 0 0 BRIAN LOMBARDO MD PHYSICIAN 204926 0 0 0 38780 0 0 0 27973 0 271679 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment KATHRN VARGO RECEIVED $14,180 SEVERANCE IN CALENDAR 2020.IT IS INCLUDED IN THE AMOUNT REPORTED IN SCHEDULE J PART II COLUMN B(iii). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Dartmouth Hitchcock Clinic (DHC) and Mary Hitchcock Memorial Hospital (MHMH) sponsor a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC and MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen to new participants in 1998. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization. THE FOLLOWING INDIVIDUALS HAVE A SPLIT DOLLAR LIFE PLAN ARRANGEMENT:MARY OSEID $61,914. Schedule J, Part I, Line 7 Non-fixed payments Dr. Philip Collins, President of Medical Staff received a bonus of $3,450. Each year, the senior leadership team at Alice Peck Day Memorial Hospital considers compensation for salaried providers who are not eligible for incentive-based compensation. In 2021, the team decided to award a lump sum award representing 2% of Dr. Collins annual pay in lieu of a 2% increase to his base pay in alignment with the 2% raise that staff received. Schedule J, Part II Form 990, Part VII Section A Former Officer Compensation Brenda Blair, Mary Hitchcock Memorial Hospital's VP Total Rewards, and former APD Memorial Hospital's VP and Chief Medical Officer transitioned from APDMH to MHMH in May 2019. Because Blair was reported as an Officer on APD's 990 in fiscal year 2019, and in accordance with IRS instructions, Blair's earnings from MHMH are reported on Form 990 Part VII, and Schedule J, Part II. Schedule J, Part II Form 990 Part VII Section A, Former Officer Compensation Kathryn Vargo, APD Staff Physician served as Medical Staff President in fiscal 2019 and was reported as an officer on the fiscal 2019 Form 990. Vargo stepped down as Medical Staff President and continued to serve APD as Staff Physician in fiscal 2021. Because Vargo was reported as an officer on the filing organization's 2019 Forms 990, and in accordance with IRS Instructions for Form 990, Vargo's 2020 calendar year compensation has been reported on this year's Form 990 Part VII, and Schedule J Part II. A NH Health and Education Facilities Authority 020279866 000000000 2018-08-15 25865000 Refund bond issued 11/30/2010 false false false A 1440000 25865000 289249 25575751 2018 true false true true A false true true true false 0.0 0.0 0.0 false false true A false true false false true false false false true A true Form 990, Part V, Line 1a NUMBER OF EMPLOYEES FOR ADMINISTRATIVE PURPOSES, ALICE PECK DAY MEMORIAL HOSPITAL MANAGES ALICE PECK DAY LIFE CENTER, INC.'S PAYROLL PROCESSING AND REPORTING. INCLUDED IN THE NUMBER OF EMPLOYEES REPORTED ARE 148 APD LIFECARE EMPLOYEES. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee of the Board consists of all board officers, all of whom are members of the board. 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 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 organization; * 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 ON 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. 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 analysis 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. 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, Line 1a, Column (D) CHIEF EXECUTIVE Dr. Susan E. Mooney is a practicing physician in addition to being the chief executive officer. The majority of her time is spent in executive matters while a minor amount of time spent as a physician. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; 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 Country 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 HITCHCOCK HEALTH CONNECT ONE MEDICAL CENTER DRIVE LEBANON NH 03756 800908979 TELEHEALTH DE NA C Corporation 0 0 false true false true true false false false false false true false true true false true true true false true ALICE PECK DAY LIFECARE CENTER A 36956 FMV ALICE PECK DAY LIFECARE CENTER D 278630 FMV ALICE PECK DAY LIFECARE CENTER Q 5255199 FMV