Velarion Records

Critical access hospital · Plymouth, New Hampshire · 25 beds · CMS certification number 301311

Speare Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 19, 2025. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$78.8M
$78,756,884 · G-3 line 3
Operating expenses
$84.5M
$84,452,385 · G-3 line 4
Result from patient care
−$5.7M
−$5,695,501 · G-3 line 5
Margin on patient care
−7.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $34.0M in its first year on file (2006) to $78.8M in 2025.
  • Its result from patient care: −$4.4M (2023), −$6.1M (2024), −$5.7M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.5% of its inpatient days and Medicare for 32.1%.

Every statement is drawn from figures on this page; nothing is estimated.

Twenty years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2006
settled with audit
$34.0M
$32.8M
2007
reopened
$32.9M
$32.5M
2008
settled
$39.2M
$39.2M
2009
settled
$41.9M
$39.3M
2010
reopened
$46.0M
$46.9M
2011
reopened
$45.3M
$45.3M
2012
settled
$49.6M
$47.7M
2013
settled with audit
$50.4M
$45.8M
2014
settled
$49.0M
$50.5M
2015
settled
$42.5M
$53.2M
2016
settled
$50.9M
$53.3M
2017
settled
$51.1M
$52.9M
2018
settled
$57.9M
$60.9M
2019
reopened
$61.5M
$64.0M
2020
settled
$57.4M
$65.6M
2021
settled
$64.9M
$66.8M
2022
as submitted
$71.5M
$73.7M
2023
as submitted
$72.5M
$77.0M
2024
as submitted
$73.9M
$80.0M
2025
as submitted
$78.8M
$84.5M

Beside its peers

Critical access hospitals in New Hampshire with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Speare Memorial Hospital25$78,756,884$84,452,385−7.2%
Cottage Hospital, Woodsville25$38,107,048$44,055,987−15.6%
Littleton Regional Healthcare, Littleton25$112,534,882$132,750,970−18.0%
Mainehealth Memorial Hospital, North Conway25$132,586,530$127,016,4014.2%
New London Hospital, New London25$101,980,676$97,887,9354.0%
Hartzler Health, Lancaster25$74,941,640$88,886,074−18.6%

Patients and payers

Discharges
870
S-3 line 14, col 15
Inpatient days
3,078
S-3 line 14, col 8
Beds in use, on an average day
8.5
days ÷ days in year
Occupancy
33.7%
days ÷ bed days
Medicare share of days
32.1%
S-3 cols 6 ÷ 8
Medicaid share of days
0.5%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Speare Memorial Hospital (employer identification number 020226774) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$7,040,611IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$265,376IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$6,338,376IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$6,603,752IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$436,859IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0912IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202401349349302180. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by Speare Memorial Hospital (employer identification number 020226774) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Andrew Seefeld MDPhysicianHighest-compensated employee$465,519$0$77,751
Bruce WiggettChairTrustee/director, Officer$0$0$0
Dolores HopperDirectorTrustee/director$0$0$0
Elizabeth KleinerDirectorTrustee/director$0$0$0
Jeanie ForresterPast DirectorTrustee/director$0$0$0
Jonathan BeachPhysicianHighest-compensated employee$390,866$0$71,182
Joseph Ebner MDCMOKey employee$315,727$0$59,980
Julie BernierSecretaryTrustee/director, Officer$0$0$0
Kevin Young MDVice ChairTrustee/director, Officer$0$0$0
Lisa BakerDirector/PhysicianTrustee/director$122,816$0$36,426
Margaret TurnerDirectorTrustee/director$0$0$0
Michelle McEwenCEOTrustee/director, Officer$388,684$0$59,899
Nancy PierceInterim CFOOfficer$108,279$0$25,252
Nancy PuglisiDirectorTrustee/director$0$0$0
Patrick MillerDirectorTrustee/director$0$0$0
Paul Musco MDPhysicianHighest-compensated employee$533,583$0$67,923
Ralph BroadwaterPhysicianHighest-compensated employee$379,601$0$63,799
Robert MaloneyTreasurerTrustee/director, Officer$0$0$0
Sandra JonesPast DirectorTrustee/director$0$0$0
Savan PatelPhysicianHighest-compensated employee$395,596$0$32,397
Steven CamerinoDirectorTrustee/director$0$0$0
Susan ScrimshawDirectorTrustee/director$0$0$0
Thomas MyrickDirectorTrustee/director$0$0$0
Travis BoucherPast CFOOfficer$209,073$0$55,517
Walter JohnsonDirectorTrustee/director$0$0$0

E-file object id 202401349349302180. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 301311. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 19, 2025.