Civic Intelligence

Speare Memorial Hospital

EIN 02-0226774 • 501(c)3 • Plymouth, NH

Pub. 78 Eligible

Profile

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.

16 Hospital RoadPlymouth, NH 03264

www.spearehospital.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

52nd percentile

0.26x

Higher debt load relative to assets than 52% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

45th percentile

0.28x

Higher debt load relative to revenue than 45% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

37th percentile

0.8%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

75th percentile

$590,343

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

39th percentile

3.0%

Faster asset growth than 39% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

44th percentile

6.2%

Faster revenue growth than 44% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Assets

Up

$91,674,134

Up $2,694,964 (+3.0%) from 2024

Liabilities

Up

$23,765,419

Up $398,214 (+1.7%) from 2024

Net Assets

Up

$67,908,715

Up $2,296,750 (+3.5%) from 2024

Revenue

Up

$85,362,123

Up $4,951,996 (+6.2%) from 2024

Expenses

Up

$84,642,125

Up $4,479,784 (+5.6%) from 2024

Net Income

Up

$719,998

Up $472,212 (+191%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $55,545,738Liabilities 2010: $24,116,856Net Assets 2010: $31,428,8822010Assets 2011: $59,183,953Liabilities 2011: $25,075,585Net Assets 2011: $34,108,3682011Assets 2012: $65,430,916Liabilities 2012: $27,993,419Net Assets 2012: $37,437,4972012Assets 2013: $75,507,185Liabilities 2013: $31,554,594Net Assets 2013: $43,952,5912013Assets 2014: $78,560,598Liabilities 2014: $31,785,630Net Assets 2014: $46,774,9682014Assets 2015: $75,972,110Liabilities 2015: $37,961,670Net Assets 2015: $38,010,4402015Assets 2016: $77,205,893Liabilities 2016: $36,862,200Net Assets 2016: $40,343,6932016Assets 2017: $79,039,689Liabilities 2017: $36,028,588Net Assets 2017: $43,011,1012017Assets 2018: $72,660,085Liabilities 2018: $28,558,910Net Assets 2018: $44,101,1752018Assets 2019: $78,874,073Liabilities 2019: $31,933,131Net Assets 2019: $46,940,9422019Assets 2020: $83,889,184Liabilities 2020: $36,373,458Net Assets 2020: $47,515,7262020Assets 2021: $103,298,307Liabilities 2021: $41,526,924Net Assets 2021: $61,771,3832021Assets 2022: $97,794,161Liabilities 2022: $36,981,420Net Assets 2022: $60,812,7412022Assets 2023: $91,200,273Liabilities 2023: $27,342,761Net Assets 2023: $63,857,5122023Assets 2024: $88,979,170Liabilities 2024: $23,367,205Net Assets 2024: $65,611,9652024Assets 2025: $91,674,134Liabilities 2025: $23,765,419Net Assets 2025: $67,908,7152025

Highlighted filing

2025

Assets$91,674,134
Liabilities$23,765,419
Net Assets$67,908,715

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $47,929,3602010Expenses 2011: $50,141,5412011Expenses 2012: $53,485,7152012Revenue 2013: $59,865,690Expenses 2013: $52,775,619Net Income 2013: $7,090,0712013Revenue 2014: $59,601,463Expenses 2014: $58,288,954Net Income 2014: $1,312,5092014Revenue 2015: $45,298,386Expenses 2015: $53,487,214Net Income 2015: -$8,188,8282015Revenue 2016: $56,960,804Expenses 2016: $53,624,920Net Income 2016: $3,335,8842016Revenue 2017: $55,157,137Expenses 2017: $53,130,380Net Income 2017: $2,026,7572017Revenue 2018: $62,256,667Expenses 2018: $61,163,778Net Income 2018: $1,092,8892018Revenue 2019: $66,035,203Expenses 2019: $64,413,767Net Income 2019: $1,621,4362019Revenue 2020: $67,136,959Expenses 2020: $65,938,223Net Income 2020: $1,198,7362020Revenue 2021: $78,325,414Expenses 2021: $67,247,699Net Income 2021: $11,077,7152021Revenue 2022: $79,329,039Expenses 2022: $74,203,845Net Income 2022: $5,125,1942022Revenue 2023: $78,762,729Expenses 2023: $77,186,933Net Income 2023: $1,575,7962023Revenue 2024: $80,410,127Expenses 2024: $80,162,341Net Income 2024: $247,7862024Revenue 2025: $85,362,123Expenses 2025: $84,642,125Net Income 2025: $719,9982025

Highlighted filing

2025

Revenue$85,362,123
Expenses$84,642,125
Net Income$719,998

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$91.7$23.8$67.9$85.4$84.6$0.72
2024Detailed filing. Detailed filing data is available for this year.$89.0$23.4$65.6$80.4$80.2$0.25
2023Detailed filing. Detailed filing data is available for this year.$91.2$27.3$63.9$78.8$77.2$1.58
2022Detailed filing. Detailed filing data is available for this year.$97.8$37.0$60.8$79.3$74.2$5.13
2021Detailed filing. Detailed filing data is available for this year.$103$41.5$61.8$78.3$67.2$11.1
2020Detailed filing. Detailed filing data is available for this year.$83.9$36.4$47.5$67.1$65.9$1.20
2019Detailed filing. Detailed filing data is available for this year.$78.9$31.9$46.9$66.0$64.4$1.62
2018Detailed filing. Detailed filing data is available for this year.$72.7$28.6$44.1$62.3$61.2$1.09
2017Detailed filing. Detailed filing data is available for this year.$79.0$36.0$43.0$55.2$53.1$2.03
2016Detailed filing. Detailed filing data is available for this year.$77.2$36.9$40.3$57.0$53.6$3.34
2015Detailed filing. Detailed filing data is available for this year.$76.0$38.0$38.0$45.3$53.5$8.19
2014Detailed filing. Detailed filing data is available for this year.$78.6$31.8$46.8$59.6$58.3$1.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$75.5$31.6$44.0$59.9$52.8$7.09
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$65.4$28.0$37.4$53.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$59.2$25.1$34.1$50.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$55.5$24.1$31.4$47.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Apr 6, 2026
Return Version
2024v5.5
Gross Receipts
$85,688,046
Mission and Program Overview

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.

We are a patient and family-centered hospital committed to kindness and collaboration,. Our mission is to work together to serve the needs of our patients and community. We envision a community who works together to achieve optimal health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$36,541,886$38,791,772▲ $2,249,886
Land, Buildings, and Equipment, Net$15,312,076$15,583,754▲ $271,678
Accounts Receivable$9,881,226$13,479,193▲ $3,597,967
Other Notes and Loans Receivable, Net$7,670,226$7,680,186▲ $9,960
Savings and Temporary Cash Investments$8,460,385$4,696,377▼ $3,764,008
Inventories for Sale or Use$1,621,772$1,677,698▲ $55,926
Prepaid Expenses and Deferred Charges$1,026,359$1,124,849▲ $98,490
Intangible Assets$838,502$531,500▼ $307,002
Investments Other Securities$5,000$5,000→ $0
Cash and Non-Interest-Bearing Accounts$2,442$2,691▲ $249
Total Assets$88,979,170$91,674,134▲ $2,694,964
Other Assets Total$7,619,296$8,101,114▲ $481,818
Liabilities
Accounts Payable and Accrued Expenses$7,968,761$10,576,223▲ $2,607,462
Tax Exempt Bond Liabilities$10,285,931$9,656,440▼ $629,491
Other Liabilities$5,112,513$3,532,756▼ $1,579,757
Total Liabilities$23,367,205$23,765,419▲ $398,214
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$64,716,982$67,049,139▲ $2,332,157
Net Assets With Donor Restrictions$894,983$859,576▼ $35,407
Total Net Assets Fund Balance$65,611,965$67,908,715▲ $2,296,750
Total Liabilities and Net Assets / Fund Balance$88,979,170$91,674,134▲ $2,694,964

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,240,899$19,998,161$26,239,060
Buildings$6,992,468$18,945,697$25,938,165
Other Land Buildings$1,495,357$1,247,913$2,743,270
Land$855,030-$855,030
Other Assets Org$181,724--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$213,461-▲ $2,895-$216,356
2023$210,160-▲ $3,301-$213,461
2022$272,633-▼ $62,473-$210,160
2021$272,591-▲ $42-$272,633
2020$272,584-▲ $7-$272,591
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Paul MuscoPhysicianFT$443,553$146,790$590,343
Andrew SeefeldPhysicianFT$459,507$79,816$539,323
Michelle McEwenPresident/CEOFT$346,871$133,652$480,523
James KorenPhysicianFT$345,761$101,907$447,668
Joanie PeterPhysicianFT$378,081$64,261$442,342
Elizabeth DisneyPhysicianFT$319,948$104,867$424,815
Joseph Ebner MDCMOFT$319,534$88,532$408,066
Meaghan SmithCNOFT$190,230$60,470$250,700
Joseph CaristiCFOFT$175,678$41,755$217,433
Daniel ShermanCSOFT$163,863$52,613$216,476

Board Members and Trustees

NameTitle
Steven CamerinoBoard Chair
Kevin YoungPast Board Chair
Patrick MillerBoard Vice Chair
Dolores HopperBoard Member
Donna DriscollBoard Member
Elizabeth KleinerBoard Member
John MoultonBoard Member
Ken EvansBoard Member
Margaret TurnerBoard Member
Susan ScrimshawBoard Member
Lisa BakerPast Board Member
Nancy PuglisiPast Board Member
Robert MaloneyPast Board Member
Thomas MyrickPast Board Member
Julie BernierSecretary
Walter JohnsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
American Healthcare Staffing AssociationNursing and Tech Contract LaborPO Box 1928, Edmond, OK 73083$3,657,431
Medical Information TechnologyEHR SystemPO Box 74569, Chicago, IL 60696$1,520,038
National Partners in Healthcare LLCAnesthesia Contract LaborPO Box 650823, Dallas, TX 95265$967,793
Concord OrthopaedicsOrtho Provider Contract Labor264 Pleasant Street, Concord, NH 03301$900,900
Alliance Healthcare Services IncContracted Imaging18201 Von Karman Avenue Suite 600, Irvine, CA 92612$787,513
Revenue and Support

Revenue Composition

Contributions and Grants
$912,036
Program Service Revenue
$82,481,530
Investment Income
$1,945,457
Other Revenue
$23,100
All Other Contributions
$858,436
Change in Net Assets
$719,998
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$48,850,351
Other Expenses$35,704,979
Total Fundraising Expense$113,952
Grants and Similar Amounts Paid$86,795
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$37,493,255$382,437$90,405$37,966,097
Fees for Services Other$10,589,968$345,535$4,631$10,940,134
Other Employee Benefits$4,800,828$60,483-$4,861,311
Depreciation Depletion$3,488,653$105,803-$3,594,456
Information Technology$2,475,873$126,528-$2,602,401
Payroll Taxes$2,305,256$117,809$5,959$2,429,024
Occupancy$2,087,894$106,701-$2,194,595
Pension Plan Contributions$1,988,372$32,349-$2,020,721
Current Officers, Directors, Trustees, and Key Employees-$1,573,198-$1,573,198
Insurance$1,127,781$57,635-$1,185,416
Office Expenses$1,073,634$53,118$1,749$1,128,501
Interest$297,628$9,069-$306,697
Other Expenses$263,663$13,474$11,208$277,137
Travel$122,276$6,249-$128,525
Advertising$121,319$6,200-$127,519
Fees for Services Accounting$110,598$5,652-$116,250
Fees for Service Investment Mgmnt Fees-$115,784-$115,784
Fees for Services Legal$85,083$4,348-$89,431
Grants to Domestic Orgs$84,595--$84,595
Grants to Domestic Individuals$2,200--$2,200
Total Functional Expenses$80,956,545$3,571,628$113,952$84,642,125
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Lakes Region Mental Health CenterLaconia, NH501(c)(3)To support mental health services in Speare's service area$14,375
Transport CentralPlymouth, NH501(c)(3)Provide mileage reimbursement for Transport Central volunteer drivers$12,875
Grafton County Senior Citizens CouncilLebanon, NH501(c)(3)To provide healthcare transportation for older adults and adults with disabilities in Speares service area$10,000
New Hampshire Catholic CharitiesManchester, NH501(c)(3)To aid in the prevention of cruelty to children or animals.$8,438
ArchwaysTilton, NH501(c)(3)Interim funding to cover a portion of the cost for a recovery coach focused on serving the Plymouth community.$6,688
Responders Together NHBristol, NH501(c)(3)Funding is for two trainings per year, through the International Critical Incident Stress Foundation group, for 25 to 35 responders to become certified peer supporters.$6,563
Communities for Alcohol and Drug Free YouthPlymouth, NH501(c)(3)Program expenses for Newfound middle school Thriving in the Middle School program; speakers for annual Shout Out to Parents event; youth leadership programs; and Pemi-Baker teacher in-service programs$5,750
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$22,496
Fundraising Gross Income$7,854
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$61,454$7,854$775$7,079
Total Events$61,454$7,854$22,496$-14,642
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-Party Payor Settlements$4,867,000
Deferred Compensation$678,924
Operating Lease Liabilities$172,188
Investment in Subsidiary - Boulder Point$-2,185,356

Bond Issues

BondIssuerIssuedIssue PricePurpose
ANew Hampshire Health And Education Facilities Authority2022-05-26$11,683,764To pay off and provide advanced refunding for 2012 Bond

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$11,683,764$11,683,764$1,919,887-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The Association consists of all persons who are members at the time of the adoption of the bylaws and other persons who may be elected.

Form 990, Part VI, Section A, line 7A

A candidate for membership may be elected by a majority vote of members present at any annual or special meeting of the Association provided that a quorum is present. Alternatively, a candidate for membership may be elected by a two-thirds vote of the Board of Directors present at any regular or special meeting of the Board provided that a quorum is present.

Form 990, Part VI, Section A, line 7B

The Association members reserve the right to approve changes to the Organization's By-Laws.

Form 990, Part VI, Section B, line 11B

The Form 990 is provided to and reviewed with the Board of Directors, annually, prior to submitting.

Form 990, Part VI, Section B, line 12C

Speare Memorial Hospital has a set of procedures to follow to avoid the possibility that those in positions of authority over the Organization may receive an inappropriate benefit. Any possible conflict of interest on the part of any member of the Board, Officer or Employee of the Organization, shall be disclosed in writing to the Board and made a matter of record through an annual procedure and also when the interest involves a specific issue before the Board.

Form 990, Part VI, Section B, line 15

Executive compensation, along with the compensation of all of our employees, is tied to survey results that we receive on an annual basis. We participate in a Northern New England Healthcare survey along with 60 other hospitals in our region, which involves sending them our current compensation rates and salary ranges. Once the data is compiled, we receive a comprehensive report that allows us adjust our salary ranges if indicated by the market data. The Board of Directors Compensation Committee is also involved in CEO and other executive compensation decisions.

Form 990, Part VI, Section C, line 19

The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Speare Memorial Hospital
EIN
02-0226774
Phone
6035361120
Address
16 Hospital Road, Plymouth, NH 03264

Signing Officer

Name
Joseph Caristi
Title
Chief Financial Officer
Phone
6035361120
Signed
2026-04-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michelle McEwen
Formed
1899
Legal Domicile
Nh
Voting Board Members
12
Independent Board Members
11
Employees
614
Volunteers
18

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
2211 Congress St, Portland, ME 04102
Preparer
Melissa Magoon CPA
Phone
2077752387
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Other Fees: Program service expenses 6,741,328. Management and general expenses 339,880. Fundraising expenses 4,631. Total expenses 7,085,839. Contract Nursing & Technicians: Program service expenses 3,848,640. Management and general expenses 5,655. Fundraising expenses 0. Total expenses 3,854,295.

Form 990, Part X, Line 10: Land, Buildings, and Equipment

Section 1.263(a)-3(n) Election: Speare Memorial Hospital 16 Hospital Road Plymouth, NH 03264 EIN 02-0226774 Speare Memorial Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).

Form 990, Part XI, line 9:

Change in Beneficial Interest in Perpetual Trusts 5,393.

Financial Statement Notes

Part III, Line 4:

The Hospital's artwork is intended to provide artistic pleasure and a calming appearance for patients of the Hospital to enjoy during their stay.

Part V, Line 4:

The intended use of the endowment fund is to provide long term operational support for the mission of the Organization.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Speare 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.
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