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New Hampshire · Nonprofit

Monadnock Community Hospital

Monadnock Community Hospital (New Hampshire) receives grants from 20 organizations whose IRS filings report $1,483,752 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($396,890). 14 of them have funded it in more than one year.

Revenue FY2025
$137M
Funders on record
20
Grants received
$1.5M
Net assets
$157M
14/20 repeat funderspeak grant-dependency 0%
01What it does

What Monadnock Community Hospital does

Mission

Monadnock Community Hospital is committed to improving the health and well-being of our community. We will elevate the health of our community by providing accessible, high quality and value based care.

As stated on its FY2025 Form 990.

Program

  1. The primary purpose of Monadnock Community Hospital (MCH) is to ensure access to quality health care for patients in our community, regardless of their ability to pay. The following is a summary of the services MCH provides in an effort to fulfill its mission, together with key program statistics for fiscal year 2025.Inpatient Services - Includes: adult stays, maternity/births, and swing bed nursing. During the fiscal year, the Hospital admitted 1,079 patients and recorded 3,102 patient days. Emergency Services - MCH offers health services 24 hours per day, 7 days per week. Responsible for the immediate treatment of any medical or surgical emergency; for initiating life saving procedures in all types of emergency situations; and for providing emergency and initial evaluations and treatment for other conditions including minor illnesses and injuries, and sub-acute medical problems. During the year, there were 13,676 visits to the ER. Physician Practices - Family health services, programs, and education are integral components of healthcare at MCH. Inpatient and outpatient primary care includes: medical, surgical, psychological and specialist services, provided by physicians and…

    $116,716,358 spentof which $45,308 as grants$130,075,971 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $116,716,358.

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 ($89M) Expenses 100 ($87M) Net assets 100 ($69M)2018 Revenue 115 ($102M) Expenses 108 ($94M) Net assets 113 ($78M)2019 Revenue 109 ($97M) Expenses 112 ($97M) Net assets 117 ($80M)2020 Revenue 116 ($103M) Expenses 106 ($92M) Net assets 127 ($87M)2021 Revenue 114 ($101M) Expenses 104 ($91M) Net assets 164 ($113M)2022 Revenue 119 ($105M) Expenses 114 ($99M) Net assets 149 ($103M)2023 Revenue 129 ($114M) Expenses 123 ($107M) Net assets 174 ($119M)2024 Revenue 144 ($128M) Expenses 141 ($122M) Net assets 213 ($146M)2025 Revenue 155 ($137M) Expenses 151 ($132M) Net assets 228 ($157M)
'17'18'19'20'21'22'23'24'25
Revenue (155)Expenses (151)Net assets (228)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 $137M to $166M (+21%).

$122M
$130M
$137M
$166M
$176M
$164M
$178M
$203M
$205M
'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% · 2020 7% · 2021 4% · 2022 1% · 2023 2%. Grants only. Government contracts and fees sit inside program revenue.

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

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$1.7M
’17
$8.2M
’18
−$615k
’19
$11M
’20
$10M
’21
$6.4M
’22
$7.1M
’23
$5.8M
’24
$5.4M
’25
1.3
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

Cynthia McGuire

Chief Executive Officer

Board chair

Paul Faber

Chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed293030262624262627
Joined·+4+2+3+3+2+4+5+4
No longer listed·32734253
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 5 funders to 11 funders, grant income rose $106k → $107k.

4 of 20 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 36% 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 Monadnock Community Hospital’s funders (the co-funder graph). Top 19 of 20 funders by total. 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

Monadnock Community Hospital has a broad base — no single funder exceeds 27% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

70% 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 Monadnock Community Hospital.

27%
largest funder
58%
top three
~7
effective funders

Largest funder’s share by year: 2017 47% · 2018 50% · 2019 47% · 2020 36% · 2021 38% · 2022 66% · 2023 41% — 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

54% of Monadnock Community Hospital's funders are still giving 3 years after their first grant; 70% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

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

51% of Monadnock Community Hospital's grant income comes from New Hampshire funders.

NH
NY
MA
RI
DE
FL

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. $534k 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

Monadnock Community Hospital runs a healthier operating margin than half of the 1,241 health nonprofits its size.

Operating margin4% · above the median
Months of reserve1.3mo · above the median
Revenue growth (annualized)6% · below the median

this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025

Government funding Monadnock Community Hospital receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $163k on record.

State$163k
11
15
16
17
18
19
20
21
22
23
24
25
By state
  • MA$161k
  • VT$1k

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 Monadnock Community Hospital

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

89% of spending goes to programs.

Program 89%Management 11%Fundraising 1%

Governance

19
board members
89%
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 2 related entities

  • Monadnock Health Services - INACTIVE · exempt
  • NH Value Care ACO LLC · partnership

Screen this organization

A dated, signed PDF of the compliance screen for Monadnock Community Hospital: 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 Monadnock Community Hospital?
Monadnock Community Hospital (New Hampshire) receives grants from 20 organizations whose IRS filings report $1,483,752 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($396,890). 14 of them have funded it in more than one year.
How many funders does Monadnock Community Hospital have?
IRS filings report 20 organizations giving $1,483,752 in grants to Monadnock Community Hospital, 14 of which have funded it in more than one year.
Who is the largest funder of Monadnock Community Hospital?
FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $396,890 in grants. The full list of funders is on this page.
How can an organization like Monadnock Community Hospital 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 20 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