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New Hampshire · Nonprofit

CHESHIRE MEDICAL CENTER

CHESHIRE MEDICAL CENTER (New Hampshire) receives grants from 13 organizations whose IRS filings report $1,623,468 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($506,500). 7 of them have funded it in more than one year.

Revenue FY2025
$84M
Funders on record
13
Grants received
$1.6M
Net assets
$93M
7/13 repeat funderspeak grant-dependency 0%
01What it does

What Cheshire Medical Center does

Mission

The mission of Cheshire Medical Center is to deliver compassionate and exceptional care to all we serve.

As stated on its FY2025 Form 990.

Program

  1. Cheshire Medical Center (cheshire) is a community hospital located in keene, new hampshire. Cheshire is a not-for-profit organization, as described in section 501(c)(3) of the internal revenue code (the code) and is exempt from federal income taxes on related income pursuant to section 501(a) of the code. The hospital is a member of the dartmouth health system ("dh"), a not-for-profit tax-exempt corporation with a principal place of business at one medical center drive, lebanon, new hampshire. Consistent with the dh vision and strategy to create a sustainable health system, cheshire and dh share a common commitment to improving population health, value-based care, and creating new payment models for the benefit of the citizens of new hampshire and vermont. Cheshire provides a broad range of patient services and health-related community services, consistent with its role as a community hospital. These include a full range of services in both acute and critical medicine, surgery, and rehabilitation. During fy25, cheshire provided 228,060 provider visits and had 3,769 hospital admissions and discharges. The emergency department was open to the public 24 hours per day, 7 days per week…

    $320,681,048 spentof which $111,263 as grants$332,319,008 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $320,681,048.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($205M) Expenses 100 ($207M) Net assets 100 ($63M)2018 Revenue 103 ($210M) Expenses 104 ($216M) Net assets 108 ($68M)2019 Revenue 111 ($228M) Expenses 105 ($218M) Net assets 114 ($72M)2020 Revenue 110 ($226M) Expenses 116 ($240M) Net assets 93 ($58M)2021 Revenue 121 ($247M) Expenses 116 ($241M) Net assets 127 ($80M)2022 Revenue 129 ($265M) Expenses 131 ($271M) Net assets 115 ($72M)2023 Revenue 129 ($264M) Expenses 139 ($288M) Net assets 84 ($53M)2024 Revenue 150 ($308M) Expenses 151 ($313M) Net assets 120 ($76M)2025 Revenue 41 ($84M) Expenses 42 ($86M) Net assets 147 ($93M)
'17'18'19'20'21'22'23'24'25
Revenue (41)Expenses (42)Net assets (147)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $129M to $185M (+44%).

$127M
$125M
$129M
$185M
$168M
$152M
$147M
$162M
$161M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 0% · 2018 0% · 2019 0% · 2020 0% · 2021 1% · 2022 6% · 2023 2% · 2024 1% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

4% of CHESHIRE MEDICAL CENTER’s revenue is contributions — about as donation-reliant as the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 7 of the last 9 reported years ran a deficit.

−$2.1M
’17
−$5.7M
’18
$9.7M
’19
−$14M
’20
$6.6M
’21
−$6.2M
’22
−$24M
’23
−$4.7M
’24
−$2.1M
’25
1.9
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Joseph L Perras MD

Trustee/CEO/president ex-officio

Board chair

Mark Gavin

Trustee / chair

As listed on its FY2025 Form 990.

2017201820242025
Listed35333219
Joined·+7·+6
No longer listed·9·19
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 1 funder to 7 funders, grant income rose $3k → $397k.

4 of 13 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 47% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $23M from 4 payers (the payer shares this organization's board, largest Cheshire Health Foundation). These are real filings, and they are not money CHESHIRE MEDICAL CENTER raised.

From the IRS filings of CHESHIRE MEDICAL CENTER’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

CHESHIRE MEDICAL CENTER leans on a few funders — its largest provides 31% of grant income and the top three 68%; half comes from just 2 funders.

the vertical line marks half of all grant income — 2 funders to its left

95% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund CHESHIRE MEDICAL CENTER.

31%
largest funder
68%
top three
~5
effective funders

Largest funder’s share by year: 2017 100% · 2018 74% · 2019 100% · 2020 32% · 2021 71% · 2022 67% · 2023 32% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

50% of CHESHIRE MEDICAL CENTER's funders are still giving 3 years after their first grant; 54% give in more than one year at all.

first grant+1y+2y+3y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

61% of CHESHIRE MEDICAL CENTER's grant income comes from New Hampshire funders.

NH
NY
MA
OH
CT

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
New Hampshire out of state home

Funder states come from each funder’s own filing. $765k arriving through sponsors registered in 4 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

CHESHIRE MEDICAL CENTER is better cushioned than half of the 2,843 health nonprofits its size.

Operating margin−2% · below the median
Months of reserve1.9mo · above the median
Revenue growth (annualized)−11% · bottom quartile

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding CHESHIRE MEDICAL CENTER receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $1.7M on record — $1.6M federal, $48k state.

Federal$1.6M
grants $1.6Mcontracts $0
17
18
19
22
Top agencies
  • Department of Health and Human Services$1.6M
State$48k
11
12
14
15
16
21
23
Top programs
  • Workers Comp - Medical$37k
  • Child Care Subsidy Employ/Trai$10k
  • Child Care Subsidy Family Supp$823
  • Womens Health Client Services$179
  • Other Contr and 3rd Pty Serv$22

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like CHESHIRE MEDICAL CENTER

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In New Hampshire

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

91% of spending goes to programs.

Program 91%Management 9%Fundraising 0%

Governance

16
board members
56%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 1 state

NH

Part of a family of 14 related entities

  • Cheshire Health Foundation · exempt
  • Cheshire Health Services · exempt
  • Dartmouth-Hitchcock Clinic · exempt
  • Dartmouth-Hitchcock Health · exempt
  • Mary Hitchcock Memorial Hospital · exempt

Screen this organization

A dated, signed PDF of the compliance screen for CHESHIRE MEDICAL CENTER: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds CHESHIRE MEDICAL CENTER?
CHESHIRE MEDICAL CENTER (New Hampshire) receives grants from 13 organizations whose IRS filings report $1,623,468 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($506,500). 7 of them have funded it in more than one year.
How many funders does CHESHIRE MEDICAL CENTER have?
IRS filings report 13 organizations giving $1,623,468 in grants to CHESHIRE MEDICAL CENTER, 7 of which have funded it in more than one year.
Who is the largest funder of CHESHIRE MEDICAL CENTER?
FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $506,500 in grants. The full list of funders is on this page.
How can an organization like CHESHIRE MEDICAL CENTER find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in New Hampshire. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 13 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing