Cheshire Health Foundation

Nonprofit profile at a glance

EIN
020202220
IRS 990 coverage
2009–2025
Forms available
Form 990 2025, Form 990-T 2025
Location
Keene, NH, USA
Phone
6033545400
Rating
94
Verdict
STRONG
Rating confidence
Standard
Sector
Single Organization Support

Official website

Reported finances

Revenue
$2,660,157
Expenses
$2,950,476
Assets
$66,781,403
Liabilities
$28,721,338

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

17 people listed

Executive titles in this filing

  • JOSEPH L PERRAS MD (TRUSTEE/CEO/PRESIDENT EX-OFFICIO)

People named in this filing

  • CEIL GOFF (TRUSTEE/TREASURER)
  • JANE LARMON (TRUSTEE/VICE CHAIR)
  • JOSEPH L PERRAS MD (TRUSTEE/CEO/PRESIDENT EX-OFFICIO)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Cheshire health foundation cultivates and stewards charitable support to advance the health and wellness mission of cheshire medical center. The cheshire health foundation provides management of board-designated, special-purpose, building, and endowment funds.

What it reported doing in 2025

Cheshire health foundation raises funds to support the health and wellness mission of cheshire medical center. For fiscal year 2025, medical center senior leaders and trustees collaborated with foundation trustees to determine strategic needs for the year. The support of the purchase of a second linear accelerator for radiation oncology services in cheshire's local dartmouth cancer center was selected as the strategic funding priority for the fy 2025 annual fund. The total cost of the linear accelerator will exceed $2 million dollars, and $520,432 was raised through the annual fund and fundraising events. The foundation also received gifts and pledges from donors towards their $42 million capital campaign which was still in the "silent phase." (continued on schedule o)

Operating model

Revenue model
Donor-supported. 98% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 99% of its reported program spending out as grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and liabilities are high compared with assets.

Rating breakdown

  • Financial Efficiency: 100
  • Transparency & Controls: 96
  • Accountability: 92
  • Sustainability: 45
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 99.9%; rating input score 100
  • Fundraising efficiency: $810.68 raised per $1 spent on fundraising; rating input score 97; 97th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.1%; rating input score 94; 23rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 75th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 85.7%; rating input score 86; 19th percentile among comparable filings
  • Governance controls: 7 of 7 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -10.9%; rating input score 9; 9th percentile among comparable filings
  • Total-asset coverage ratio: 22.63; rating input score 96; 96th percentile among comparable filings
  • Liabilities to assets ratio: 0.43; rating input score 19; 19th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 90; 90th percentile among comparable filings

Growth

  • Program expense growth: 10.6% per year; rating input score 100; 63rd percentile among comparable filings
  • Revenue growth: 14.4% per year; rating input score 100; 78th percentile among comparable filings
  • Asset growth: 4.9% per year; rating input score 100; 32nd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 99.9% of spending went to programs
  • Governance: 12 of 14 board members independent · 7 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $2.9M in reported program spending
  • Leadership: top reported pay $0 · 17 people listed
  • Consistency: 25 of 25 current checks pass
  • Schedules: 8 filed schedules · includes major donors and grants
  • Filing history: 16 filing years from 2009 to 2025
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 9/100.
  • High — Sustainability: Liabilities to assets ratio scored 19/100.