Speare Memorial Hospital
Speare Memorial Hospital reported $85.4 million in revenue and $84.6 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $95.65 went to program services, $4.22 to management and general costs and $0.13 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 96.6% of the total. The highest compensation it reported for one person was $590,343 (Physician). 73 people received more than $100,000 in reportable compensation. Revenue rose 27% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $85MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $85MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 95.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 4.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.1% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.12 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 1.1% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 96.6% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $590,343 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.70% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 73 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 9.6 | 6.6 |
| Independent voting board members Part VI 1a–1b | 11 of 12 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseSpeare 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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Physician Highest compensated employee, 40.00 hrs/week | $515,466 | $0 | $74,877 | $590,343 |
| Physician Highest compensated employee, 40.00 hrs/week | $459,757 | $0 | $79,566 | $539,323 |
| President/CEO Director/trustee, officer, 40.00 hrs/week | $416,013 | $0 | $64,510 | $480,523 |
| Physician Highest compensated employee, 40.00 hrs/week | $382,250 | $0 | $65,418 | $447,668 |
| Physician Highest compensated employee, 40.00 hrs/week | $378,081 | $0 | $64,261 | $442,342 |
| Physician Highest compensated employee, 40.00 hrs/week | $381,545 | $0 | $43,270 | $424,815 |
| CMO Officer, 40.00 hrs/week | $358,534 | $0 | $49,532 | $408,066 |
| CNO Officer, 40.00 hrs/week | $197,484 | $0 | $53,216 | $250,700 |
73 people received more than $100,000 in reportable compensation from Speare Memorial Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.6M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b12 · 11 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5614
- Volunteers Part I, line 618
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| American Healthcare Staffing Association Nursing and Tech Contract Labor | $3,657,431 |
| Medical Information Technology EHR System | $1,520,038 |
| National Partners in Healthcare LLC Anesthesia Contract Labor | $967,793 |
| Concord Orthopaedics Ortho Provider Contract Labor | $900,900 |
| Alliance Healthcare Services Inc Contracted Imaging | $787,513 |
Individuals listed as contractors are left out. 27 contractors were paid more than $100,000 in all.
Private foundation grants it received
12 private foundations reported grants to Speare Memorial Hospital totaling $379K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Speare Memorial Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Speare Memorial Hospital, you can publish a response that is linked from this page.
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Of every $100 Speare Memorial Hospital spent in FY2025, $95.65 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in New Hampshire
Questions people ask
How much of Speare Memorial Hospital's spending goes to programs?
In the fiscal year ending June 30, 2025, Speare Memorial Hospital reported that 95.6% of its $84.6 million in expenses went to program services, 4.2% to management and general and 0.1% to fundraising (Form 990, Part IX).
How much does Speare Memorial Hospital pay its top executive?
The largest total compensation Speare Memorial Hospital reported for one person in the fiscal year ending June 30, 2025 was $590,343, for the role of Physician (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Speare Memorial Hospital get its money?
Of $85.4 million in revenue in the fiscal year ending June 30, 2025, 1.1% came from contributions and grants and 96.6% from program service revenue (Form 990, Part VIII).
Is Speare Memorial Hospital a registered charity?
The IRS lists EIN 02-0226774 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202641009349300344 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541299349302444 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401349349302180 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311259349302316 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211339349306246 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101279349302400 · read the filing
All filings for EIN 02-0226774: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.