2024-05-13T12:45:28+00:00 2023-06-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2022-07-01 020479094 Alice Peck Day Lifecare Center Inc ALIC 6034483121 10 Alice Peck Day Drive Lebanon NH 03766 Susan E Mooney CEO 2024-05-13 true Todd Roberts 999009999 Kim Scifres P01316095 5023263996 2022 2023-04-26 12:10:37Z Susan E Mooney 10 Alice Peck Day Drive Lebanon NH 03766 10392382 false X www.apdlifecare.org X 1996 NH The mission of APD Lifecare Center is to improve the health and well-being of our community 13 11 0 13 0 0 72983 21472 10429892 10356578 4131 14332 115 0 10507121 10392382 19250 5500 0 0 0 0 10351182 10658478 10370432 10663978 136689 -271596 29116866 27711583 33095105 31736990 -3978239 -4025407 The mission of APD Lifecare Center is to improve the health and well-being of our community false false 10036636 5500 10356578 Alice Peck Day Lifecare Center, Inc. is a non-profit independent and assisted-living retirement community providing a superior environment and corresponding services for its residents. 10036636 true true false false false false false false false true false false false true false false true false false false false false false false false false false true true false false false false false false false false false false false false false true false false false true X 5 0 true 0 false false false false false false false false false false false false X 13 11 false false false false true true true true true false false true true true true true true false false false NH X Todd Roberts 6034483121 10 Alice Peck Day Drive Lebanon NH 03766 Dana L Michalovic Trustee / Secretary & Treasurer 2.0 0 X X 0 0 0 Laura Gillespie AB MS Trustee / Vice Chair 0.5 0 X X 0 0 0 Peter Drew Trustee/Interim Exec Director (Through 7/15/22) 40.0 0 X X 0 144200 0 Sara L Kobylenski MSW Trustee / Chair 2.0 0.5 X X 0 0 0 SUSAN MOONEY MD MS FACOG TRUSTEE/PRESIDENT/CEO APDMH 2.0 38.0 X X 0 431970 45382 Carl Cassel Trustee (as of 1/1/23) 0.5 0 X 0 0 0 David F Duncan Trustee (as of 1/1/23) 0.5 40.5 X 0 309143 45557 Happy Griffiths Trustee 0.5 0 X 0 0 0 Jim Adler Trustee 0.5 0 X 0 0 0 Kathryn McDonnell MSW Trustee 0.5 0 X 0 0 0 Kyle Fisher MBA Trustee (through 8/31/22) 0.5 0.5 X 0 0 0 Linda WILLiams Trustee 0.5 0 X 0 0 0 Mary Harrington Trustee (through 12/31/22) 0.5 0 X 0 0 0 Megan Henry Trustee (as of 1/1/23) 0.5 0 X 0 0 0 Sloane Mayor AIA Trustee 0.5 0.5 X 0 0 0 Stephen R Silver Trustee 0.5 0 X 0 0 0 TODD ROBERTS VP Finance APDMH 2.0 38.0 X 0 188301 44384 PETER GLENSHAW Former Officer 0.0 40.0 X 0 185029 6826 0 1258643 142149 0 true true false 0 21472 21472 Resident Services 623000 9669733 9669733 Earned entrance fees 623000 653011 653011 Dining/other services 722514 33834 33834 0 0 0 0 10356578 14332 14332 0 0 0 0 0 0 0 0 0 10392382 10356578 0 14332 X 5500 5500 6962 6962 5603956 5091135 512821 0 115092 103435 11657 76329 68598 7731 1113225 1090293 22932 6425 5822 603 32724 29652 3072 303126 296882 6244 1838131 1800266 37865 127386 124757 2629 FOOD/KITCHEN SUPPLIES 644075 644075 REPAIRS AND MAINTENANCE 696088 681749 14339 RESIDENT ACTIVITIES 57700 57700 RECRUITMENT 1421 1288 133 35838 35484 354 0 10663978 10036636 627342 0 1621958 959553 8160070 8708808 43800 20791 0 0 0 0 55389 48535 39618595 22907439 17678693 16711156 0 0 1554031 1036020 2925 226720 29116866 27711583 757553 898464 19057935 18884130 0 0 13279617 11954396 33095105 31736990 X -4282304 -4304137 304065 278730 -3978239 -4025407 29116866 27711583 -271596 224428 0 X true X true X true false X 524793 56490 57271 72983 21472 733009 9093442 9429702 9898691 10430007 10356578 49208420 0 0 0 9618235 9486192 9955962 10502990 10378050 49941429 0 0 0 6000 0 6000 424366 0 0 0 0 424366 424366 0 0 6000 0 430366 49511063 94495 6473 2405 4131 14332 121836 0 94495 6473 2405 4131 14332 121836 0 0 0 0 0 0 0 9712730 9492665 9958367 10507121 10392382 50063265 0.9890 0.9803 0 0.0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1681786 1681786 32627412 18538157 14089255 5309397 4369282 940115 16711156 Resident deposits 2700163 Due to affiliates Notes Payable to Alice Peck Day Memorial Hospital 9254233 Other Liabilities 11954396 true Resident Subsidy Assistance 2 5500 BOOK Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Assistance is given to residents of the assisted living facility against amounts owed. false false false false false false false false false SUSAN MOONEY MD MS FACOG TRUSTEE/PRESIDENT/CEO APDMH 0 334143 0 75101 0 22726 0 6100 0 39282 0 477352 0 0 David F Duncan Trustee (as of 1/1/23) 0 304108 0 0 0 5035 0 18300 0 27257 0 354700 0 0 PETER GLENSHAW Former Officer 0 170747 0 13153 0 1129 0 3699 0 3127 0 191855 0 0 TODD ROBERTS VP Finance APDMH 0 168186 0 13153 0 6962 0 4022 0 40362 0 232685 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation EMPLOYEES OF APD LIFECARE ARE PAID BY ALICE PECK DAY MEMORIAL HOSPITAL, A RELATED ORGANIZATION. Form 990, Part V, Line 2a EMPLOYEE SERVICES AGREEMENT On March 1, 2016 Allice Peck Day Memorial Hospital (APDMH) and Alice Peck Day Lifecare (APD Lifecare) entered into two employee services agreements: an Administrative Services Agreement, and an Employee Lease Program. According to the Administrative Services Agreement, APDMH employees provide a variety of administrative services to APD Lifecare. According to the Employee Lease Program, licensed professional services including skilled nurses are employed by APDMH and leased to APD Lifecare. In both cases, APDMH is responsible for all wages, employment taxes, workers compensation and fringe benefits. APDMH bills APD Lifecare according to an agreed upon schedule of fees. Form 990, Part VI, Line 15 Compensation process for the top management official and other officers The Human Resources Committee of the Alice Peck Day Memorial Hospital Board of Trustees is responsible for determining the compensation of the Executive Director. 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, the sole corporate member of Alice Peck Day Memorial Hospital, reviews the compensation of the Executive Director in addition to the process described above. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee of the Board consists of all Board Officers and the APD Memorial Hospital President and CEO, all of whom are voting members of the Board. The Committee has the power to transact all regular business requiring action of the Board 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 Alice Peck Day Memorial Hospital, an affiliate of Dartmouth-Hitchcock Health (D-HH) is the sole member of the corporation. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Governance Committee of Alice Peck Day Memorial Hospital (the Member) shall submit its list of nominations to the Organization's Board Chair no later than 30-days before the Member's annual meeting. The Board Chair of Alice Peck Day Lifecare must approve or disapprove the list within ten days. Any disapproved nomination will be replaced by another nomination by the Member's Governance Committee. The Board of Trustees of the Member will approve the slate of Member-nominated Trustees. The residence councils of the respective residential facilities shall submit a slate of three nominees to the Governance Committee of the Member who shall then nominate one Resident Trustee from each facility. Any vacancies of the Board of Trustees shall be filled by the Member upon nomination of the Member's Governance Committee as noted above. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Alice Peck Day Memorial Hospital (the Member) will retain the following reserved powers over the Organization, which, will be exercised by the Member's Board of Trustees, subject to the reserved powers of Dartmouth-Hitchcock Health (D-HH) which is the sole corporate Member of Alice Peck Day Memorial Hospital. 1.) To initiate and/or approve or disapprove all material governance decisions of the Organization's Board of Trustees; 2.) To appoint the Organization's Board of Trustees up to fifteen members, as nominated by the Member's Governance Committee; 3.) To remove, by a vote of two-thirds of the Member's Board of Trustees, any of the Organization's trustees if the Member determines that such removal is warranted and after prior consultation with the Organization's Chair; 4.) To approve of borrowings and dispositions of material assets of the Organization and to initiate the refinancing and restructuring of existing indebtedness; 5.) To approve any key strategic relationships between the Organization and another organization; 6.) To initiate and/or approve all operating and capital budgets; 7. ) To allocate non-donor restricted assets and resources of the Organization as deemed appropriate and after consultation with the Organization's Board of Trustees; 8.) To approve any proposed amendments or repeal of the Organization's Articles of Agreement or Bylaws; and, 9.) To approve the dissolution or liquidation of the Organization. Form 990, Part VI, Line 11b Review of form 990 by governing body Management provides a notice that the completed Form 990 is available to the Finance Committee prior to filing. Management advises the Finance Committee that the completed Form 990 is available on a secure website that requires an assigned user name and password. The Chair of the Finance Committee advises the Financial Committee members to review the Form 990 for content and raise any issues with Board Leadership or Management. The Chair of the Finance Committee advises the Chair of the Board and the full Board that the Form 990 is available for review. That notice is in advance of the filing deadline to enable a detailed and conscientious review by the 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 APD Lifecare has a multi-faceted conflict of interest policy. Members of the Board of Trustees complete conflict of interest questionnaires on an annual basis and any new members complete the questionnaire upon joining the Board. As part of our ongoing monitoring process, our Executive Assistant reviews all Board questionnaires and disclosures to identify any potential conflicts before they arise. In addition, our Executive Assistant attends all Board meetings to ensure that if any conflicts arise, they are handled appropriately. If such conflicts arise, the Organization complies with the New Hampshire and federal requirements for disclosures of such events. The Organization is committed to conducting its business in a manner that is both ethical and legal. As part of this commitment, a standard of conduct form is required of all employees of the organization. This is reviewed with all employees upon hire and on an annual basis thereafter. The standard of conduct covers conflict of interest and other vital matters to ensure all business activity is conducted in a manner that is consistent with the highest standards of honesty, integrity, and fairness. 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 IX, Line 11g Other Fees Contracted Employees - Total Expense: 5462029, Program Service Expense: 4949208, Management and General Expenses: 512821, Fundraising Expenses: ; Temporary Staff - Total Expense: 141927, Program Service Expense: 141927, Management and General Expenses: , Fundraising Expenses: ; Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(c)(3) 3 D-HH false Dartmouth-Hitchcock Health One Medical Center Drive Lebanon NH 03756 264812335 Parent Organization NH 501(c)(3) 7 NA false false false false false true false false false false true false true false true true false true false