LITTLE RIVERS HEALTH CARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: LITTLE RIVERS HEALTH CARE INC (EIN 16-1678092)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-09-05
IRS object ID: 202542489349300449
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-09-05T15:43:09-05:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010523282	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Berry Dunn McNeil & Parker LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Elm Street 4th Floor	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161678092	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Little Rivers Health Care Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LITT	BusinessNameControlTxt
Phone	8022224637	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8 4628 Main Street	AddressLine1Txt
City	Newbury	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05051	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Andrew Barter	PersonNm
Person Title	Chief Executive Officer	PersonTitleTxt
Phone	8022224637	PhoneNum
Signature	2025-09-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melissa Magoon CPA	PreparerPersonNm
PTIN	P01712842	PTIN
Phone	6036697337	PhoneNum
Preparation	2025-09-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Andrew Barter	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8 4628 Main Street	AddressLine1Txt
City	Newbury	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05051	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$12,211,836	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.littlerivers.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2006	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	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 continually reduce the burden of illness, injury and disability, and to improve the health and function of the people in our region.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	108	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,776,086	PYContributionsGrantsAmt
CY Contributions Grants	$2,274,215	CYContributionsGrantsAmt
PY Program Service Revenue	$8,173,822	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,933,371	CYProgramServiceRevenueAmt
PY Investment Income	$47	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$17,800	PYOtherRevenueAmt
CY Other Revenue	$4,250	CYOtherRevenueAmt
PY Total Revenue	$10,967,755	PYTotalRevenueAmt
CY Total Revenue	$12,211,836	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,788,833	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,765,936	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,379,031	PYOtherExpensesAmt
CY Other Expenses	$3,712,730	CYOtherExpensesAmt
PY Total Expenses	$11,167,864	PYTotalExpensesAmt
CY Total Expenses	$12,478,666	CYTotalExpensesAmt
PY Revenues Less Expenses	-$200,109	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$266,830	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,597,769	TotalAssetsBOYAmt
Total Assets EOY	$5,657,048	TotalAssetsEOYAmt
Total Liabilities BOY	$3,137,637	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,463,746	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,460,132	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,193,302	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 continually reduce the burden of illness, injury and disability, and to improve the health and function of the people in our region.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$10,441,539	ExpenseAmt
Revenue	$9,933,371	RevenueAmt
Desc	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.	Desc
Total Program Service Expenses	$10,441,539	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	21	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	108	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Thomas Pitts	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8022223000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8 4628 Main Street	AddressLine1Txt
City	Newbury	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05051	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Margaret Burmeister
Board Chair	1.00	Yes (X)	Yes (X)	$0	$0	$0
Carole Taylor
Board Vice Chair	1.00	Yes (X)	Yes (X)	$0	$0	$0
Kelsey Root-Winchester
Board Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Elizabeth Davis
Board Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
William Campbell
Board Member	1.00	Yes (X)		$0	$0	$0
Susan Gaelic
Board Member	1.00	Yes (X)		$0	$0	$0
Susan Gordon
Board Member	1.00	Yes (X)		$0	$0	$0
Matthew Knisely
Board Member	1.00	Yes (X)		$0	$0	$0
Bernice Mills
Board Member	1.00	Yes (X)		$0	$0	$0
Stacey Pratt
Board Member	1.00	Yes (X)		$0	$0	$0
Debi Ruggles
Board Member	1.00	Yes (X)		$0	$0	$0
Darren Sherburne
Board Member	1.00	Yes (X)		$0	$0	$0
Jill Skochdpole
Board Member	1.00	Yes (X)		$0	$0	$0
Victoria Dickenson
Past Board Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Andrew Barter
Chief Executive Officer	41.40		Yes (X)	$141,375	$0	$23,156
Celeste Pitts
Chief Financial Officer-Interim	2.70		Yes (X)	$17,625	$0	$0
Thomas Pitts
Chief Financial Officer-Interim	10.30		Yes (X)	$71,438	$0	$0
Simone Lessac-Chenen
Chief Medical Officer	40.00			$195,920	$0	$46,751	Yes (X)
Stephen Genereaux
Physician	35.20			$158,508	$0	$41,553	Yes (X)
Patricia Pratt
Physician	35.40			$162,183	$0	$6,263	Yes (X)
Carey Brodzinski
Psychiatric Nurse Practitioner	38.50			$152,357	$0	$7,291	Yes (X)
Grace Kozik
Phych NP	39.10			$123,918	$0	$16,965	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,023,324	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$141,979	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	11	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Aquity Solutions
PO Box 536470	Pittsburg	PA	15263	Clinical Documentation Services	$293,787
Scott and Partners Architecture
7 Carmichael St Suite 102	Essex Junction	VT	05452	Architectural Services	$281,067
eClinical Works
Two Technology Drive	Westborough	MA	01581	EMR Service and Support	$202,582
Dominion Tech Computer Services
186 Allen Brook Lane	Williston	VT	05494	IT Services and Support	$105,635

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,975,445	GovernmentGrantsAmt
All Other Contributions	$298,770	AllOtherContributionsAmt
Total Contributions	$2,274,215	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$9,898,493	$9,898,493
Other Operating Revenue	621110	$34,878	$34,878

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,933,371	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,250	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,250	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,250	TotalRevenueColumnAmt
Exclusion	$4,250	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,211,836	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,933,371	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,250	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$253,594	TotalAmt
Management And General	$253,594	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,848,782	TotalAmt
Program Services	$5,822,399	ProgramServicesAmt
Management And General	$1,026,383	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$177,305	TotalAmt
Program Services	$148,308	ProgramServicesAmt
Management And General	$28,997	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,048,095	TotalAmt
Program Services	$862,361	ProgramServicesAmt
Management And General	$185,734	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$438,160	TotalAmt
Program Services	$354,677	ProgramServicesAmt
Management And General	$83,483	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,648	TotalAmt
Program Services	$1,334	ProgramServicesAmt
Management And General	$314	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$87,829	TotalAmt
Program Services	$71,095	ProgramServicesAmt
Management And General	$16,734	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,017,806	TotalAmt
Program Services	$903,068	ProgramServicesAmt
Management And General	$114,738	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,925	TotalAmt
Program Services	$16,938	ProgramServicesAmt
Management And General	$3,987	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$198,344	TotalAmt
Program Services	$160,554	ProgramServicesAmt
Management And General	$37,790	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$536,806	TotalAmt
Program Services	$434,528	ProgramServicesAmt
Management And General	$102,278	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$192,221	TotalAmt
Program Services	$155,597	ProgramServicesAmt
Management And General	$36,624	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,770	TotalAmt
Program Services	$16,003	ProgramServicesAmt
Management And General	$3,767	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,382	TotalAmt
Program Services	$73,162	ProgramServicesAmt
Management And General	$17,220	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$122,920	TotalAmt
Program Services	$99,500	ProgramServicesAmt
Management And General	$23,420	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$312,092	TotalAmt
Program Services	$252,629	ProgramServicesAmt
Management And General	$59,463	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$49,894	TotalAmt
Program Services	$40,388	ProgramServicesAmt
Management And General	$9,506	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Program Supplies	$888,397	$888,397
Miscellaneous Expenses	$161,646	$130,847	$30,799
Equipment Rental & Repa	$12,050	$9,754	$2,296

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,478,666	TotalAmt
Program Services	$10,441,539	ProgramServicesAmt
Management And General	$2,037,127	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,166	BOYAmt
EOY	$2,294	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$406,136	BOYAmt
EOY	$231,830	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$109,882	BOYAmt
EOY	$81,081	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$516,610	BOYAmt
EOY	$665,782	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,596	BOYAmt
EOY	$64,926	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,571,284	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,960,149	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,524,379	BOYAmt
EOY	$4,611,135	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,597,769	BOYAmt
EOY	$5,657,048	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$872,638	BOYAmt
EOY	$1,340,675	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$92,286	BOYAmt
EOY	$75,873	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,022,713	BOYAmt
EOY	$1,947,198	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$150,000	BOYAmt
EOY	$100,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,137,637	BOYAmt
EOY	$3,463,746	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,006,541	BOYAmt
EOY	$1,568,558	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$453,591	BOYAmt
EOY	$624,744	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,460,132	BOYAmt
EOY	$2,193,302	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,597,769	BOYAmt
EOY	$5,657,048	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$266,830	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I, Line 3:	FormAndLineReferenceDesc
Explanation	The Organization is exempt under section 170(b)(1)(a)(iii), as a hospital. The Organization operates four 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.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$339,118	OtherCostOrOtherBasisAmt
Book Value	$339,118	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,756,041	OtherCostOrOtherBasisAmt
Depreciation	$1,360,479	DepreciationAmt
Book Value	$3,395,562	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$858,135	OtherCostOrOtherBasisAmt
Depreciation	$599,670	DepreciationAmt
Book Value	$258,465	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$617,990	OtherCostOrOtherBasisAmt
Book Value	$617,990	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,611,135	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$12,211,836	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$12,211,836	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$12,211,836	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$12,478,666	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$12,478,666	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$12,478,666	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Simone Lessac-Chenen
Chief Medical Officer	$195,920	$0	$0	$0	$0	$0	$9,304	$0	$37,447	$0	$242,671	$0	$0	$0
Stephen Genereaux
Physician	$158,508	$0	$0	$0	$0	$0	$7,300	$0	$34,253	$0	$200,061	$0	$0	$0
Patricia Pratt
Physician	$162,183	$0	$0	$0	$0	$0	$5,953	$0	$310	$0	$168,446	$0	$0	$0
Andrew Barter
Chief Executive Officer	$141,375	$0	$0	$0	$0	$0	$5,911	$0	$17,245	$0	$164,531	$0	$0	$0
Carey Brodzinski
Psychiatric Nurse Practitioner	$152,357	$0	$0	$0	$0	$0	$6,980	$0	$311	$0	$159,648	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Celeste Pitts
Family Member to Thomas Pitts, Officer	$17,625	Employment	0
Thomas Pitts
Family Member to Celeste Pitts, Officer	$71,438	Employment	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Celeste Pitts and Thomas Pitts have a family relationship.
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, ZurickDavis employment agency consultation, the National Association of Community Health Center's Annual Salary Survey, and 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 8, 4628 Main Street, Newbury, VT 05051 EIN: 16-1678092 Little Rivers Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).