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New Hampshire · Nonprofit

Littleton Hospital Association

Littleton Hospital Association (New Hampshire) receives grants from 9 organizations whose IRS filings report $1,239,490 to it, the largest being Foundation for Healthy Communities ($941,010). 5 of them have funded it in more than one year.

Revenue FY2025
$146M
Funders on record
9
Grants received
$1.2M
Net assets
$37M
5/9 repeat funderspeak grant-dependency 0%
01What it does

What Littleton Hospital Association does

Mission

To provide quality, compassionate, and accessible healthcare in a manner that brings value to all.

As stated on its FY2025 Form 990.

Program

  1. Littleton Hospital Association provides health care services on an in/outpatient basis to the general public, including charity care, community education, and various other health programs and services. Littleton Hospital Association offers a full spectrum of services, including acute primary and selected secondary care; 24-hour emergency services; preventative diagnostic, therapeutic, and rehabilitative services on an outpatient and inpatient basis; continuity of care from preventive programs to coordination with home health services. Littleton Hospital Association provides these services without regard to race, religion, age, sex, income, creed, national origin, or disability. Littleton Hospital Association maintains a sufficient number and mix of medical staff who are competent, dedicated and community based, supporting them with the technologically up to date equipment and facility needed to provide these services competitively. Littleton Hospital Association creates a healthy, satisfying work environment for physicians, nurses and other employees, with a commitment to support the continuing educational needs of its professional staff, including the physicians, nurses and…

    $96,981,396 spent$141,098,187 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $96,981,396.

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 ($86M) Expenses 100 ($85M) Net assets 100 ($55M)2018 Revenue 106 ($91M) Expenses 105 ($89M) Net assets 110 ($61M)2019 Revenue 112 ($96M) Expenses 117 ($100M) Net assets 95 ($52M)2020 Revenue 117 ($100M) Expenses 120 ($102M) Net assets 92 ($51M)2021 Revenue 126 ($108M) Expenses 117 ($99M) Net assets 121 ($66M)2022 Revenue 129 ($111M) Expenses 128 ($109M) Net assets 106 ($58M)2023 Revenue 139 ($120M) Expenses 139 ($118M) Net assets 112 ($62M)2024 Revenue 136 ($117M) Expenses 154 ($131M) Net assets 62 ($34M)2025 Revenue 170 ($146M) Expenses 168 ($143M) Net assets 67 ($37M)
'17'18'19'20'21'22'23'24'25
Revenue (170)Expenses (168)Net assets (67)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 2021 to 2022, from $136M to $115M (−15%).

$102M
$107M
$101M
$118M
$136M
$115M
$123M
$103M
$98M
'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: 2020 6% · 2021 9% · 2022 2% · 2023 6% · 2024 0% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

1% of Littleton Hospital Association’s revenue is contributions — more donation-reliant than the typical peer (1% for the typical peer).

This organization
Typical peer · 2,214 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 9 reported years ran a deficit.

$834k
’17
$2.2M
’18
−$3.2M
’19
−$1.6M
’20
$8.7M
’21
$2.2M
’22
$1.9M
’23
−$14M
’24
$2.7M
’25
0.1
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

Robert Nutter

President & CEO

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2017 and FY2018, and between the FY2019 and FY2020 filings.

'17'18'19'20'21'22'23'24'25
Listed292627282826262829
Joined·+6+5+7+6+2+4+5+3
No longer listed·94664432
03Who funds it

Who funds it, year by year

2020 → 2023: the base broadened from 3 funders to 5 funders, grant income rose $47k → $294k.

3 of 9 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 1% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of Littleton Hospital Association’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

Littleton Hospital Association leans on a few funders — its largest provides 76% of grant income and the top three 96%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

79% 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 Littleton Hospital Association.

76%
largest funder
96%
top three
~2
effective funders

Largest funder’s share by year: 2020 88% · 2021 100% · 2022 99% · 2023 95% — growing more concentrated.

“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

60% of Littleton Hospital Association's funders are still giving 1 year after their first grant; 56% give in more than one year at all.

first grant+1y

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

79% of Littleton Hospital Association's grant income comes from New Hampshire funders.

NH
NY
PA
FL

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

’20
’22
’23
New Hampshire out of state home

Funder states come from each funder’s own filing. $17k arriving through sponsors registered in 3 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

Littleton Hospital Association's funding base is broadening — from 3 funders to 5 as grant income climbed.

Operating margin2% · below the median
Months of reserve0.1mo · below the median
Revenue growth (annualized)7% · below the median

this organization peer median middle 50% of peers· 1,256 health nonprofits over $100M, FY2025

Government funding Littleton Hospital Association receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $682k on record — $610k federal, $73k state.

Federal$610k
grants $610kcontracts $0
21
24
25
Top agencies
  • Department of Health and Human Services$610k
State$73k
17
18
19
20
21
22
23
24
25
Top programs
  • (RR) BENEFIT PROGRAMS$73k
  • (JJ) OPERATIONAL SERVICES$230

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 Littleton Hospital Association

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

68% of spending goes to programs.

Program 68%Management 32%Fundraising 0%

Governance

15
board members
73%
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

Screen this organization

A dated, signed PDF of the compliance screen for Littleton Hospital Association: 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.

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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 Littleton Hospital Association?
Littleton Hospital Association (New Hampshire) receives grants from 9 organizations whose IRS filings report $1,239,490 to it, the largest being Foundation for Healthy Communities ($941,010). 5 of them have funded it in more than one year.
How many funders does Littleton Hospital Association have?
IRS filings report 9 organizations giving $1,239,490 in grants to Littleton Hospital Association, 5 of which have funded it in more than one year.
Who is the largest funder of Littleton Hospital Association?
Foundation for Healthy Communities is the largest funder on record, with $941,010 in grants. The full list of funders is on this page.
How can an organization like Littleton Hospital Association 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 9 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 22, 2026. What this page cannot tell you · view filing