ALICE PECK DAY MEMORIAL HOSPITAL
10 Alice Peck Day Drive, Lebanon, NH 03766 www.alicepeckday.org

Total Revenue
$73,081,604
Total Expenses
$71,332,262
Net Assets
$30,408,706

Organizations Filed Purposes: To improve the health and wellbeing of our community

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, 2020, charity care at a cost of $399,882 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, 2020 were $2,150,499. 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.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
Ivan Tomek MdGeneral Orthopedic Surgeon40$563,705
Dale C Vidal Md MsExecutive Director MSC40$527,075
John P Houde MdTRUSTEE/EX-OFFICIO/SURGEON40$520,397
Diane Riley Md CaqshOrtho Surgeon Hand Specialist40$442,413
Susan Mooney Md Ms FacogTRUSTEE/PRESIDENT/CEO APD52$407,198
Erin Mcneely MdPHYSICIAN40$274,705
Deborah Glazer MdPHYSICIAN40$272,750
Christopher FallonInterim CFO (end 12/19)45$268,679
Brian Lombardo MdPHYSICIAN40$266,186
Jean Ten Haken Msn Rn CenpCNO/COO40$230,130
Todd RobertsVP Finance (as of 1/20)48$134,764
Brenda L BlairFormer VP & COO30$130,969
Kathryn M Vargo MdFormer Officer30$106,703
Tina E Naimie CpaTrustee1$0
Scott W Rodi MdTrustee0.5$0
Sara L KobylenskiTrustee0.5$0
Rebecca W HolcombeTrustee (end 1/20)0.5$0
Patrick F Jordan Iii MbaTrustee0.5$0
Mary M Oseid MhcdsTrustee1$0
Kyle FisherTrustee (as of 1/20)0.5$0
John L ScherdingTrustee0.5$0
Jennifer Sage SchiffmanTrustee0.5$0
George T Blike MdTrustee0.5$0
Clayton R AdamsTrustee0.5$0
Charles J WheelanTrustee0.5$0
Brenan RiehlTrustee2$0
Anne D MacewanTrustee (end 12/19)0.5$0
Michael F LongTrustee, Secretary2$0
Marisa D DevlinTrustee, Vice Chair2$0
Greg W LangeTrustee, Chair2$0
Brett C PeltzerTrustee, Treasurer2$0

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/202131329349302673_public.xml