2020-11-12T09:05:37-06:00 2019-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2019-01-01 161678092 Little Rivers Health Care Inc LITT 8022224637 PO Box 338 Bradford VT 05033 Gail Auclair Chief Executive Officer 8022224637 2020-11-09 1 Melissa Magoon CPA P01712842 6036697337 2020-11-06 69.49.157.66 2020-11-09 13:34:05 ES P 98B0765DE24833D2D2C68263306E27B9DACD599F 824F5ECBA331AD829B06E5B89B87A04E1DCD6EE9 2019 2021-01-29 14:40:06Z Gail Auclair PO Box 338 Bradford VT 05033 6968561 0 X littlerivers.org X 2006 VT Our mission is to provide respectful, comprehensive primary health care for all residents in our region regardless of their ability to pay for them. We offer quality health care services to everyone. In the spirit of community,we reach out to and welcome those who need health services but have insufficient means to access them. We commit ourselves to continuallyreduce the burden of illness, injury and disability, and to improve the health and function of the people in our region. 9 9 92 11 0 0 2365412 2050187 4031021 4916859 0 265 0 1250 6396433 6968561 0 0 0 0 4756821 5269768 0 0 0 1450542 1776664 6207363 7046432 189070 -77871 3845279 3732206 1001712 966510 2843567 2765696 X Our mission is to provide respectful, comprehensive primary health care for all residents in our region regardless of their ability to pay for them. We offer quality health care services to everyone. In the spirit of community,we reach out to and welcome those who need health services but have insufficient means to access them. We commit ourselves to continuallyreduce the burden of illness, injury and disability, and to improve the health and function of the people in our region. 0 0 5549199 4916859 The primary purpose of the Association is to provide quality based family health and medical services to residents of Bradford, Vermont and its surrounding communities without regard to the ability of a patient to pay for these services. 5549199 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 92 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Gail Auclair 8022224637 146 Mill Street Bradford VT 05033 William Campbell Chairperson 1.00 X X 0 0 0 Scott Labun Vice Chair 1.00 X X 0 0 0 Carol Freeman Secretary 1.00 X X 0 0 0 Timothy Ross Treasurer 1.00 X X 0 0 0 Margaret Burmeister Board Member 1.00 X 0 0 0 Brynn Cole Board Member 1.00 X 0 0 0 Matthew Kinsley Board Member 1.00 X 0 0 0 Dale Gephart Board Member 1.00 X 0 0 0 Pam Smith Board Member 1.00 X 0 0 0 Carrie Bogie Past Board Member 1.00 X 0 0 0 Monique Priestly Past Board Member 1.00 X 0 0 0 Gail Auclair CEO 40.00 X 121692 0 13026 Susan Monica Past CFO 40.00 X 88546 0 6983 Randy Gibson CFO 40.00 X 3678 0 0 Simone Lessac-Chenen Physician 40.00 X 146913 0 33039 Stephen Genereaux Physician 33.00 X 123307 0 29213 Fay Homan Physician 33.00 X 108267 0 36367 Jessie Reynolds Physician 33.00 X 158650 0 27598 Maureen Boardman Nurse Practioner 40.00 X 110502 0 5532 861555 0 151758 6 0 1 0 Kingdom Construction 227 Citizens Rd Newport VT 05855 General Contractor 254240 BerryDunn 100 Middle Street Portland ME 04101 Consulting 142601 2 2026587 23600 2050187 Office Of Physicians 621110 4916859 4916859 4916859 265 265 1250 0 1250 1250 1250 6968561 4916859 0 1515 233925 233925 4019250 3350968 668282 109299 92066 17233 568641 460430 108211 338653 268078 70575 28922 28922 419836 295491 124345 13171 13171 28405 22485 5920 233602 184919 48683 180607 142969 37638 16884 13365 3519 43800 43800 30724 24321 6403 171239 135553 35686 35966 28471 7495 Program Supplies 365135 365135 Other Expenses 91249 72233 19016 Printing & Publications 61666 48815 12851 Equipment Rental/Repair 21124 16722 4402 34334 27178 7156 7046432 5549199 1497233 0 X 8725 805584 527459 142656 158539 325605 405365 56284 50124 3491443 970453 2457849 2520990 57301 61004 3845279 3732206 422324 434396 579388 532114 1001712 966510 X 2843567 2765696 2843567 2765696 3845279 3732206 -77871 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 155100 155100 2713933 514969 2198964 622410 455484 166926 2520990 X 6968561 0 6968561 0 6968561 7046432 0 7046432 0 7046432 Part X, Line 2: The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. X X 1 0 0 0 0 0 0 0 0 Simone Lessac-Chenen Physician 146913 0 0 0 0 0 8966 0 24073 0 179952 0 0 0 Stephen Genereaux Physician 123307 0 0 0 0 0 6500 0 22713 0 152520 0 0 0 Jessie Reynolds Physician 158650 0 0 0 0 0 19000 0 8598 0 186248 0 0 0 Part I, Line 4a Susan Monica, past CFO, received severance of $25,161. Form 990, Part VI, Section B, line 11b Currently reviewed by CEO and CFO prior to submission and subsequently made available for Board review. Form 990, Part VI, Section B, line 12c Each director, officer and committee member with board delegated powers signs an annual statement which affirms receipt of the conflict of interest policy and agreement to comply with the terms. Form 990, Part VI, Section B, line 15 Based on salary data from Bi-State Primary Care Association, Joseph B. Ariola's CEO & Provider Salary Surveys as an outside contractor and Vermont Labor Report. Our Human Resources Director collects data from other local health care employers and NACHC surveys to determine local salary ranges. Form 990, Part VI, Section C, line 19 We include a summary of our financial statements in our annual report. Our governing documents, conflict of interest policy and detailed financial statements are available upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Little Rivers Health Care, Inc. PO Box 338 Bradford, NH 05033 EIN: 16-1678092 Little Rivers Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Schedule A, Part I, Line 3: The Organization is exempt under section 170(b)(1)(a)(iii), as a hospital. The Organization operates three federally qualified health centers in Vermont. None of these centers are registered with the state of Vermont as a hospital. Accordingly no Schedule H is attached.