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Nonprofiteer
← ALICE PECK DAY MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by ALICE PECK DAY MEMORIAL HOSPITAL.

Totals

Total revenue
$119,116,119
Total expenses
$104,219,629
Contributions and grants received
$5,927,093
Grants paid
$14,870
Program service revenue
$111,212,803
Investment income
$1,217,048
Other revenue
$759,175
Total assets, end of year
$146,289,517
Total liabilities, end of year
$62,353,909
Net assets or fund balances, end of year
$83,935,608
Program services expenses (Part IX)
$92,633,128
Management and general expenses
$11,393,890
Fundraising expenses
$192,611
Program service expenses (Part III)
$92,633,128

Program services were 88.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $1,513,477

  • 1f · All other contributions, gifts and grants

    $4,413,616

  • 1g · Noncash contributions included above

    $4,000,150

  • 2a · Program service revenue: Patient Services

    total $95,978,797 · related or exempt $95,978,797

  • 2b · Program service revenue: Nutritional Services

    total $174,677 · related or exempt $174,677

  • 2c · Program service revenue: PHARMACY SALES

    total $2,757,941 · related or exempt $2,757,941

  • 2d · Program service revenue: MEDICAID DSH PAYMENT

    total $12,301,388 · related or exempt $12,301,388

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,206,724 · unrelated business $42,817 · excluded $1,163,907

  • 6a · Gross rents

    real property $121,246

  • 6c · Rental income or loss

    real property $121,246 · personal property $0

  • 6d · Net rental income or loss

    total $121,246 · excluded $121,246

  • 7a · Gross sales of assets other than inventory

    securities $2,554 · other assets $7,770

  • 7c · Gain or loss

    securities $2,554 · other assets $7,770

  • 7d · Net gain or loss

    total $10,324 · excluded $10,324

  • 11a · Other revenue: PURCHASE REBATES AND DISCOUNTS

    total $412,561 · related or exempt $412,561

  • 11b · Other revenue: MISCELLANEOUS

    total $225,368 · related or exempt $225,368

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $637,929

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $14,870 · program services $14,870

  • 5 · Compensation of officers, directors and key employees

    total $2,214,974 · program services $588,771 · management and general $1,598,686 · fundraising $27,517

  • 7 · Other salaries and wages

    total $51,057,088 · program services $48,971,427 · management and general $1,955,908 · fundraising $129,753

  • 8 · Pension plan contributions

    total $2,718,482 · program services $2,607,433 · management and general $104,140 · fundraising $6,909

  • 9 · Other employee benefits

    total $8,567,024 · program services $8,217,064 · management and general $328,188 · fundraising $21,772

  • 10 · Payroll taxes

    total $2,620,754 · program services $2,513,697 · management and general $100,397 · fundraising $6,660

  • 11b · Fees: legal

    total $4,485 · program services $4,485

  • 11c · Fees: accounting

    total $11,475 · program services $11,475

  • 11g · Fees: other

    total $7,713,107 · program services $2,630,765 · management and general $5,082,342 · fundraising $0

  • 12 · Advertising and promotion

    total $41,967 · program services $39,537 · management and general $2,430

  • 13 · Office expenses

    total $221,601 · program services $169,325 · management and general $52,276

  • 14 · Information technology

    total $116,669 · program services $25,123 · management and general $91,546

  • 16 · Occupancy

    total $1,772,463 · program services $1,655,686 · management and general $116,777

  • 17 · Travel

    total $130,747 · program services $102,439 · management and general $28,308

  • 19 · Conferences, conventions and meetings

    total $11,336 · program services $10,292 · management and general $1,044

  • 20 · Interest

    total $779,086 · program services $331,359 · management and general $447,727

  • 22 · Depreciation, depletion and amortization

    total $3,419,551 · program services $2,826,431 · management and general $593,120

  • 23 · Insurance

    total $681,251 · program services $557,152 · management and general $124,099

  • 24a · Other expenses: Drugs/medical supplies

    total $14,685,168 · program services $14,685,168

  • 24b · Other expenses: Medicaid Enhancement Tax

    total $4,364,021 · program services $4,364,021

  • 24c · Other expenses: Repairs/maintenance

    total $2,219,863 · program services $1,875,744 · management and general $344,119

  • 24d · Other expenses: All other expenses

    total $557,933 · program services $337,355 · management and general $220,578

  • 24e · All other expenses

    total $295,714 · program services $93,509 · management and general $202,205 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $34,977,939 · end of year $47,496,758

  • 2 · Savings and temporary cash investments

    beginning of year $5,772,155 · end of year $6,658,732

  • 4 · Accounts receivable

    beginning of year $10,892,710 · end of year $9,307,270

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $9,254,233 · end of year $366,466

  • 8 · Inventories for sale or use

    beginning of year $432,490 · end of year $481,519

  • 9 · Prepaid expenses and deferred charges

    beginning of year $477,128 · end of year $520,262

  • 10a · Land, buildings and equipment: cost or other basis

    $72,116,533

  • 10b · Land, buildings and equipment: accumulated depreciation

    $44,470,586

  • 10c · Land, buildings and equipment, net

    beginning of year $27,724,059 · end of year $27,645,947

  • 12 · Investments: other securities

    beginning of year $15,720,716 · end of year $23,109,959

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $5,131,433 · end of year $5,131,433

  • 15 · Other assets

    beginning of year $16,261,727 · end of year $25,571,171

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,463,873 · end of year $11,349,405

  • 20 · Tax-exempt bond liabilities

    beginning of year $22,860,000 · end of year $21,967,110

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $30,130,315 · end of year $29,037,394

  • 27 · Net assets without donor restrictions

    beginning of year $63,708,222 · end of year $81,304,753

  • 28 · Net assets with donor restrictions

    beginning of year $2,482,180 · end of year $2,630,855

Mission and programs · 2023

Mission

To improve the health and wellbeing of our community.

  • 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. 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, sleep health, and emergency services. In 2023, Alice Peck Day Memorial Hospital was listed as the #3 hospital in New Hampshire by Newsweek; received top marks from Becker's Hospital Review as one of the best hospitals for nurse communication, physician communication, and staff responsiveness; and was named by U.S. News & World Report to its 2023-2024 Best Hospitals as a High Performing hospital for Hip Replacement. 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. APD employed 43 providers in FY24, of which 19 were primary care, 3 were in pediatrics, and 21 were providers in other specialties. During FY24, APD had a total of 997 patient discharges consisting of 6,535 patient days. We also had 12,091 emergency department visits in FY24, open 24 hours a day, 7 days a week.

    Expenses $92,633,128 · Grants $14,870 · Revenue $111,850,732

As filed on the 2023 return.

Listed in Part VII

  • Charles J Wheelan PhD MPA

    Trustee / Vice Chair

    Total calculated
    $0
    Hours/week
    0.5
  • Clayton R Adams MBA

    Trustee / Treasurer

    Total calculated
    $0
    Hours/week
    2
  • Jennifer Sage Schiffman MPH

    Trustee / Secretary

    Total calculated
    $0
    Hours/week
    0.5
  • Laura Greer MD

    Trustee/Medical Staff President/ExOfficio

    Total calculated
    $277,768
    From this org
    $267,075
    From related orgs
    $0
    Other
    $10,693
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $132,246
    Bonus
    $134,829
    Other
    $0
    Deferred
    $5,420
    Nontaxable benefits
    $5,273
    Filer's total
    $277,768
  • Marisa D Devlin

    Trustee/Chair

    Total calculated
    $0
    Hours/week
    2
  • Michael T Lynch MD MBA

    Chief Medical Officer

    Total calculated
    $413,639
    From this org
    $369,318
    From related orgs
    $0
    Other
    $44,321
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $307,368
    Bonus
    $34,320
    Other
    $27,630
    Deferred
    $6,600
    Nontaxable benefits
    $37,721
    Filer's total
    $413,639
  • Susan Mooney MD Ms Facog

    TRUSTEE/PRESIDENT/CEO APDMH

    Total calculated
    $506,944
    From this org
    $457,080
    From related orgs
    $0
    Other
    $49,864
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $334,097
    Bonus
    $96,463
    Other
    $26,520
    Deferred
    $6,600
    Nontaxable benefits
    $43,264
    Filer's total
    $506,944
  • Anna Adachi-Mejia PhD

    Trustee

    Total calculated
    $0
    Hours/week
    0.5
  • Chelsea Cassady

    Trustee

    Total calculated
    $0
    Hours/week
    0.5
  • Christopher L Hubble MD

    Trustee (as of 1/1/24)

    Total calculated
    $468,965
    From this org
    $0
    From related orgs
    $405,376
    Other
    $63,589
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,440 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $1,936 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $43,789 related
    Filer's total
    $0 + $468,965 related
  • Courtney Tanner

    Trustee ( As of 1/1/24)

    Total calculated
    $149,514
    From this org
    $0
    From related orgs
    $134,996
    Other
    $14,518
    Hours/week
    0.5 + 40 related
  • Cybele M Merrick MA MS

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • David F Duncan

    Trustee

    Total calculated
    $386,388
    From this org
    $0
    From related orgs
    $339,812
    Other
    $46,576
    Hours/week
    0.5 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $303,767 related
    Bonus
    $0 + $30,980 related
    Other
    $0 + $5,065 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $26,776 related
    Filer's total
    $0 + $386,388 related
  • Gerard Duprat JR MD FRCP

    Trustee

    Total calculated
    $0
    Hours/week
    0.5
  • Greg W Lange MS

    Trustee

    Total calculated
    $0
    Hours/week
    2
  • Jenny H Barba MBA MHSA

    Trustee

    Total calculated
    $0
    Hours/week
    0.5
  • Laura Gillespie AB MS

    Trustee/ex-officio (as of 1/1/24)

    Total calculated
    $0
  • Patrick F Jordan III MBA

    Trustee

    Total calculated
    $1,051,138
    From this org
    $0
    From related orgs
    $979,872
    Other
    $71,266
    Hours/week
    0.5 + 42.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $777,017 related
    Bonus
    $0 + $140,000 related
    Other
    $0 + $62,855 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $39,676 related
    Filer's total
    $0 + $1,051,138 related
  • Sara L Kobylenski MSW

    Trustee (through 12/31/23)

    Total calculated
    $0
    Hours/week
    0.5 + 2 related
  • Scott W Rodi MD MPH

    Trustee

    Total calculated
    $612,420
    From this org
    $0
    From related orgs
    $536,030
    Other
    $76,390
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $468,521 related
    Bonus
    $0 + $20,080 related
    Other
    $0 + $47,429 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $44,800 related
    Filer's total
    $0 + $612,420 related
  • Sloan Mayor AIA

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Maryann R Caron

    Executive Director MSC (as of 1/1/24)

    Total calculated
    $176,879
    From this org
    $172,146
    From related orgs
    $0
    Other
    $4,733
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,545
    Bonus
    $1,000
    Other
    $6,601
    Deferred
    $2,598
    Nontaxable benefits
    $2,135
    Filer's total
    $176,879
  • Todd Roberts

    VP Finance

    Total calculated
    $237,152
    From this org
    $191,327
    From related orgs
    $0
    Other
    $45,825
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $166,265
    Bonus
    $18,100
    Other
    $6,962
    Deferred
    $4,121
    Nontaxable benefits
    $41,704
    Filer's total
    $237,152
  • Dale C Vidal MD Ms

    Executive Director MSC (through 12/31/23)

    Total calculated
    $558,368
    From this org
    $508,814
    From related orgs
    $0
    Other
    $49,554
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $477,536
    Bonus
    $0
    Other
    $31,278
    Deferred
    $6,600
    Nontaxable benefits
    $42,954
    Filer's total
    $558,368
  • JEAN Ten HAKEN MSN RN CENP

    CNO/COO

    Total calculated
    $270,900
    From this org
    $264,443
    From related orgs
    $0
    Other
    $6,457
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $239,699
    Bonus
    $23,970
    Other
    $774
    Deferred
    $5,273
    Nontaxable benefits
    $1,184
    Filer's total
    $270,900
  • Deborah Glazer MD

    Family Medicine Physician

    Total calculated
    $312,894
    From this org
    $288,105
    From related orgs
    $0
    Other
    $24,789
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,063
    Bonus
    $84,659
    Other
    $27,383
    Deferred
    $5,813
    Nontaxable benefits
    $18,976
    Filer's total
    $312,894
  • Diane Riley MD Caqsh

    Ortho Surgeon Hand Specialist

    Total calculated
    $485,429
    From this org
    $441,935
    From related orgs
    $0
    Other
    $43,494
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $440,181
    Bonus
    $0
    Other
    $1,754
    Deferred
    $6,600
    Nontaxable benefits
    $36,894
    Filer's total
    $485,429
  • Ivan Tomek MD

    General Orthopedic Surgeon

    Total calculated
    $609,212
    From this org
    $562,617
    From related orgs
    $0
    Other
    $46,595
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $520,008
    Bonus
    $19,045
    Other
    $23,564
    Deferred
    $5,159
    Nontaxable benefits
    $41,436
    Filer's total
    $609,212
  • John S Houde MD

    Physician

    Total calculated
    $492,976
    From this org
    $441,101
    From related orgs
    $0
    Other
    $51,875
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $439,913
    Bonus
    $0
    Other
    $1,188
    Deferred
    $6,600
    Nontaxable benefits
    $45,275
    Filer's total
    $492,976
  • Sari Galanes

    Physician

    Total calculated
    $344,397
    From this org
    $322,032
    From related orgs
    $0
    Other
    $22,365
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,790
    Bonus
    $137,887
    Other
    $1,355
    Deferred
    $6,600
    Nontaxable benefits
    $15,765
    Filer's total
    $344,397
  • Brenda L Blair

    Former VP & COO

    Total calculated
    $411,306
    From this org
    $0
    From related orgs
    $350,844
    Other
    $60,462
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,150 related
    Bonus
    $0 + $16,800 related
    Other
    $0 + $6,894 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $28,872 related
    Filer's total
    $0 + $411,306 related
  • George T Blike MD Mhcds

    Trustee (through 6/30/2023)

    Total calculated
    $113,878
    From this org
    $0
    From related orgs
    $106,407
    Other
    $7,471
    Hours/week
    0.5 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $106,407 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,449 related
    Nontaxable benefits
    $0 + $22 related
    Filer's total
    $0 + $113,878 related
  • Tina E Naimie CPA MSA MHCDS

    Trustee (through 12/31/2023)

    Total calculated
    $184,407
    From this org
    $0
    From related orgs
    $170,345
    Other
    $14,062
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $162,328 related
    Bonus
    $0
    Other
    $0 + $8,017 related
    Deferred
    $0 + $12,182 related
    Nontaxable benefits
    $0 + $1,880 related
    Filer's total
    $0 + $184,407 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 7 Non-fixed payments
Certain Alice Peck Day Memorial Hospital employees listed on Schedule J were paid a bonus in lieu of a 2% cost of living raise for calendar 2023. Instead, management awarded a 2% bonus calculated on base pay.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202501339349306230

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