New Hampshire · Nonprofit
Speare Memorial Hospital
Speare Memorial Hospital (New Hampshire) receives grants from 22 organizations whose IRS filings report $3,976,182 to it, the largest being CHARLES FOUNDATION INC ($1,887,000). 18 of them have funded it in more than one year.
- Revenue FY2025
- $85M
- Funders on record
- 22
- Grants received
- $4.0M
- Net assets
- $68M
What Speare Memorial Hospital does
Mission
To maintain a hospital and other such institutions within the state of New Hampshire, with facilities that include medical services to provide for the diagnosis and treatment of patients that may require inpatient, outpatient, emergency care and other pursuits designed to promote the general health of the community. SMH does not discriminate relative to race, religion or national origin, or ability to pay. SMH will ensure that all patients receive the same level of care through quality assessment monitoring and improvement activities. Speare's formal mission statement is to work together to serve the needs of our patients and community, and a vision of a community where all can achieve optimal health.
As stated on its FY2025 Form 990.
Program
Speare Memorial Hospital is a nonprofit 25-bed acute-care critical access hospital that provides inpatient and outpatient services to the residents and visitors of the surrounding Central New Hampshire communities that includes those who are uninsured, underinsured, Medicaid/Medicare dependents, and rural, low-income families. Services include emergency medicine (24 hours/ 7-days per week), intensive care, labor and delivery, rehabilitation (physical therapy, occupational therapy, cardiac, pulmonary, medical fitness), advanced imaging (3D mammography, MRI, bone density, CT, nuclear medicine, ultrasound), infusion therapy, nutrition, and essential wellness and prevention programs. SMH owns six practices staffed with physicians and mid-level professionals providing primary care, surgery (in-office, outpatient, and inpatient), obstetrics and gynecology, pediatrics, orthopedics, and ophthalmology services. In fiscal year 2025, SMH provided the following services: 13,278 emergency room visits, 2,224 surgical services, 33,816 physical and occupational therapy treatments, 155,692 laboratory tests, 28,767 radiology exams, and 3,474 oncology services.
$80,956,545 spentof which $86,795 as grants$82,481,530 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $80,956,545.
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.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $84M to $103M (+23%).
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.
Government-grant reliance: 2020 7% · 2021 9% · 2022 1% · 2023 2%. Grants only. Government contracts and fees sit inside program revenue.
1% of Speare Memorial Hospital’s revenue is contributions — about as donation-reliant as the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
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
Michelle McEwen
President/CEO
Board chair
Steven Camerino
Board Chair
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 4 funders to 15 funders, grant income rose $355k → $462k.
4 of 22 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 2% 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 Speare Memorial Hospital’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
Speare Memorial Hospital leans on a few funders — its largest provides 47% of grant income and the top three 79%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
Largest funder’s share by year: 2017 87% · 2018 82% · 2019 77% · 2020 56% · 2021 47% · 2022 44% · 2023 43% — 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
81% of Speare Memorial Hospital's funders are still giving 3 years after their first grant; 82% give in more than one year at all.
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
Speare Memorial Hospital draws 88% of its grant income from funders outside New Hampshire, across 8 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $90k 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.
Against its field
Speare Memorial Hospital's funding base is broadening — from 4 funders to 15 as grant income climbed.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding Speare Memorial Hospital receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $376k on record — $149k federal, $227k state.
- Department of Health and Human Services$149k
- MA$226k
- VT$2k
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 Speare Memorial 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
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
96% of spending goes to programs.
Governance
Footprint & structure
Files a return copy in 1 state
Part of a family of 3 related entities
- Speare Memorial At Boulder Point · exempt
- Speare Health Network LLC · corp_trust
- Speare Health Ventures Inc · corp_trust
Screen this organization
A dated, signed PDF of the compliance screen for Speare Memorial 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.
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 Speare Memorial Hospital?
- Speare Memorial Hospital (New Hampshire) receives grants from 22 organizations whose IRS filings report $3,976,182 to it, the largest being CHARLES FOUNDATION INC ($1,887,000). 18 of them have funded it in more than one year.
- How many funders does Speare Memorial Hospital have?
- IRS filings report 22 organizations giving $3,976,182 in grants to Speare Memorial Hospital, 18 of which have funded it in more than one year.
- Who is the largest funder of Speare Memorial Hospital?
- CHARLES FOUNDATION INC is the largest funder on record, with $1,887,000 in grants. The full list of funders is on this page.
- How can an organization like Speare Memorial 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 22 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