Littleton Regional Healthcare

Overview

Mission

To provide quality, compassionate and accessible healthcare in a manner that brings value to all.

What it reported doing in 2023

Littleton Hospital Association provides health care services on an in/outpatient basis to the general public, including charity care, community education, and various other health programs and services. Littleton Hospital Association offers a full spectrum of services, including acute primary and selected secondary care; 24-hour emergency services; preventative diagnostic, therapeutic, and rehabilitative services on an outpatient and inpatient basis; continuity of care from preventive programs to coordination with home health services. Littleton Hospital Association provides these services without regard to race, religion, age, sex, income, creed, national origin, or disability. Littleton Hospital Association maintains a sufficient number and mix of medical staff who are competent, dedicated and community based, supporting them with the technologically up to date equipment and facility needed to provide these services competitively. Littleton Hospital Association creates a healthy, satisfying work environment for physicians, nurses and other employees, with a commitment to support the continuing educational needs of its professional staff, including the physicians, nurses and allied health personnel.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The nonprofit carried out 100% of its reported program work directly.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
020222152
IRS 990 coverage
2009–2023
Website reviewed
Jul 2026
Forms available
Form 990 2023, Form 990-T 2022
Headquarters
Littleton, NH, US
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals

Official website

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The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 64
  • Accountability: 77
  • Sustainability: 16
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.7%; rating input score 76
  • Program expense ratio: 67.3%; rating input score 67
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited
  • Public monitoring controls: 0 of 8 controls in place; rating input score 0
  • Public policy transparency: 1 of 7 controls in place; rating input score 14
  • Public financial transparency: 0 of 5 controls in place; rating input score 0
  • Impact reporting controls: 0 of 7 controls in place; rating input score 0
  • Public relationship transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 70.6%; rating input score 71; 22nd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
  • Public governance controls: 1 of 4 controls in place; rating input score 25
  • Zakat policy transparency: Limited

Sustainability

  • Operating margin: -11.9%; rating input score 7; 7th percentile among comparable filings
  • Operating reserve ratio: 0.79; rating input score 31; 31st percentile among comparable filings
  • Liabilities to assets ratio: 0.67; rating input score 24; 24th percentile among comparable filings
  • Officer compensation ratio: 6.5%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 3.5% per year; rating input score 100; 29th percentile among comparable filings
  • Revenue growth: 3.8% per year; rating input score 100; 33rd percentile among comparable filings
  • Asset growth: 2.8% per year; rating input score 100; 20th percentile among comparable filings

Details

  • What they do: 2 operating locations identified
  • Where the money goes: 75.7% of revenue deployed · 67.3% of spending went to programs
  • Governance: 12 of 17 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $88M in reported program spending
  • Leadership: top reported pay $1.1M · 28 people listed · 3 of 6 pay-setting controls reported
  • Consistency: 39 of 39 current checks pass
  • Schedules: 11 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 14 annual filings from 2009 to 2023
  • Money network: 15 filed money-flow records
  • Related organizations: 1 filed related-organization link