Alice Peck Day Memorial Hospital

What it reported doing in 2023

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.

Financial Efficiency

• Mission deployment rate: 77%; rating input score 77
• Program expense ratio: 88.9%; rating input score 89
• Fundraising efficiency: $30.77 raised per $1 spent on fundraising; rating input score 67; 67th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 24th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
• Foreign activity oversight: Limited
• Grant itemization coverage: 47.1%; rating input score 47; 10th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100
• Public monitoring controls: Limited
• Public policy transparency: Limited
• Public financial transparency: Limited
• Impact reporting controls: Limited
• Public relationship transparency: Limited

Accountability

• Independent voting board: 60%; rating input score 60; 16th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
• Public governance controls: Limited
• Zakat policy transparency: Limited

Sustainability

• Operating margin: 12.5%; rating input score 80; 80th percentile among comparable filings
• Operating reserve ratio: 1.4; rating input score 52; 52nd percentile among comparable filings
• Liabilities to assets ratio: 0.43; rating input score 44; 44th percentile among comparable filings
• Officer compensation ratio: 4.8%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 4.9% per year; rating input score 100; 41st percentile among comparable filings
• Revenue growth: 6.3% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 11.3% per year; rating input score 100; 76th percentile among comparable filings