dealflow
envelope $200M

← Targets

Speare Memorial Hospital

Plymouth, Grafton County, NH · CCN 301311
Licensed to Speare Memorial Hospital

Composite
37.8
rank score
Distress
44
FY2024
Fit
45
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin -10% to -5%
  • 60-90 days cash on hand
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$73.9M
Operating margin -8.3%
Total margin 2.1%
Days cash on hand 72
Current ratio 2.28
Occupancy39%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 25 $64.9M $14.0M -3.0% 17.3% 240 1.75 48% 1,004 18
2022 25 $71.5M $-1.2M -3.1% -1.6% 184 1.86 56% 1,180 26
2023 25 $72.5M $3.1M -6.1% 3.9% 108 2.20 50% 1,120 29
2024 25 $73.9M $1.7M -8.3% 2.1% 72 2.28 39% 812 44

Owners

OwnerRole%SinceType
Craig Williams corporate officer 2026-06
Craig Williams corporate director 2026-06
Craig Williams w-2 managing employee 2026-06
Dolores Hopper corporate director 2022-10
Donna Driscoll corporate director 2024-11
Elizabeth Kleiner corporate director 2016-10
Eric Shamansky corporate director 2023-09
John Moulton corporate director 2024-11
Joseph Caristi corporate officer 2024-02
Joseph Caristi corporate director 2024-02
Joseph Caristi w-2 managing employee 2024-02
Joseph Caristi operational/managerial control 2024-02
Joseph Ebner corporate director 2008-01
Julie Bernier corporate director 2018-10
Ken Evans corporate director 2024-11
Kevin Young corporate director 2014-09
Margaret Turner corporate director 2014-09
Patrick Miller corporate director 2014-09
Steven Camerino corporate director 2019-10
Susan Scrimshaw corporate director 2021-10
Walter Johnson corporate director 2018-10

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.

Who has been buying in NH

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2021-05-01 Concord Hospital-Franklin Lrghealthcare Concord Hospital - Franklin 25