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Richford Health Center Inc

EIN 03-0215982 · Richford, VT

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthStrong93 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

TO PROMOTE, PRESERVE AND RESTORE THE HEALTH OF PERSONS RESIDING IN NORTHWESTERN VERMONT.

Income
$28.5 million
Spending
$26.7 million
Spent on programs
85%
Reserves
10.6 months of spending
Largest source of income
fees for its services, 67%
Employees
294
Volunteers
15
Highest pay
$274,703, physician

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Strong: 93 out of 100.

  • Reserves

    28 of 35

    Spendable reserves would cover 10.6 months of spending.

  • Debt

    20 of 20

    It owes 10% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 6% of income.

  • Income trend

    15 of 15

    Income rose 4% on the year before.

  • Spending floor

    15 of 15

    85% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100.

  • Independent board

    25 of 25

    13 of 13 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (5)
  1. $12.2 million spent. NOTCH'S LARGEST PROGRAM SERVICES, AS MEASURED BY TOTAL EXPENSES INCURRED, ARE COMPREHENSIVE HEALTH SERVICES DELIVERED TO MORE THAN 21,000 PATIENTS OF ALL AGES. OUR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVES THE GENERAL POPULATION OF 15 TOWNS IN VERMONT'S FRANKLIN AND GRAND ISLE COUNTIES AT FACILITIES SITUATED IN ALBURG, ENOSBURG, FAIRFAX, GEORGIA, RICHFORD, SWANTON AND ST. ALBANS. NOTCH OFFERS PRIMARY MEDICAL, BEHAVIORAL, AND SUPPORT SERVICES AT ALL LOCATIONS AND DENTAL SERVICES IN RICHFORD AND SWANTON. MEDICATION ASSISTED TREATMENT (MAT) SERVICES ARE DELIVERED AT ALL NOTCH MEDICAL OFFICES EXCEPT ALBURG HEALTH CENTER. EITHER THROUGH DIRECT PROVISION OR ARRANGEMENT, NOTCH ENSURES ITS USERS ACCESS TO ALL SERVICES REQUIRED UNDER THE FEDERAL 330 (E) PROGRAM, REGARDLESS OF ABILITY TO PAY. OUR HEALTH CARE TEAM WORKS FROM AN INTEGRATED HEALTH MODEL FOR MEDICAL AND BEHAVIORAL HEALTH SERVICES. NOTCH MEDICAL PROVIDERS WORK COLLABORATIVELY WITH BEHAVIORAL PROVIDERS TO DELIVER OPTIMUM CARE. INTEGRATED HEALTH SERVICES ARE DESIGNED TO MEET THE NEEDS OF THE ENTIRE FAMILY AND ADDRESS THE WHOLE PERSON. THESE SERVICES INCLUDE: PHYSICAL EXAMINATIONS, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, ACUTE CARE, LABORATORY SERVICES, CARE COORDINATION, REFERRALS, BIRTH CONTROL, DOT PHYSICALS, COUNSELING, GOAL SETTING TO IMPROVE PERSONAL HEALTH, SYMPTOMS MANAGEMENT OF ANXIETY AND DEPRESSION, IDENTIFICATION OF MENTAL HEALTH BARRIERS TO MEET HEALTH CARE GOALS, AND MAT SERVICES. NOTCH'S LARGEST PROGRAM SERVICES, AS MEASURED BY TOTAL EXPENSES INCURRED, ARE COMPREHENSIVE HEALTH SERVICES DELIVERED TO MORE THAN 21,000 PATIENTS OF ALL AGES. OUR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVES THE GENERAL POPULATION OF 15 TOWNS IN VERMONT'S FRANKLIN AND GRAND ISLE COUNTIES AT FACILITIES SITUATED IN ALBURG, ENOSBURG, FAIRFAX, GEORGIA, RICHFORD, SWANTON AND ST. ALBANS. NOTCH OFFERS PRIMARY MEDICAL, BEHAVIORAL, AND SUPPORT SERVICES AT ALL LOCATIONS AND DENTAL SERVICES IN RICHFORD AND SWANTON. MEDICATION ASSISTED TREATMENT (MAT) SERVICES ARE DELIVERED AT ALL NOTCH MEDICAL OFFICES EXCEPT ALBURG HEALTH CENTER. EITHER THROUGH DIRECT PROVISION OR ARRANGEMENT, NOTCH ENSURES ITS USERS ACCESS TO ALL SERVICES REQUIRED UNDER THE FEDERAL 330 (E) PROGRAM, REGARDLESS OF ABILITY TO PAY. OUR HEALTH CARE TEAM WORKS FROM AN INTEGRATED HEALTH MODEL FOR MEDICAL AND BEHAVIORAL HEALTH SERVICES. NOTCH MEDICAL PROVIDERS WORK COLLABORATIVELY WITH BEHAVIORAL PROVIDERS TO DELIVER OPTIMUM CARE. INTEGRATED HEALTH SERVICES ARE DESIGNED TO MEET THE NEEDS OF THE ENTIRE FAMILY AND ADDRESS THE WHOLE PERSON. THESE SERVICES INCLUDE: PHYSICAL EXAMINATIONS, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, ACUTE CARE, LABORATORY SERVICES, CARE COORDINATION, REFERRALS, BIRTH CONTROL, DOT PHYSICALS, COUNSELING, GOAL SETTING TO IMPROVE PERSONAL HEALTH, SYMPTOMS MANAGEMENT OF ANXIETY AND DEPRESSION, IDENTIFICATION OF MENTAL HEALTH BARRIERS TO MEET HEALTH CARE GOALS, AND MAT SERVICES.
  2. $4.2 million spent. DENTAL - NOTCH PROVIDES GENERAL DENTAL SERVICES TO PEOPLE OF ALL AGES. PREVENTIVE TREATMENT AND PRIMARY DENTAL CARE SERVICES INCLUDE: CLEANINGS, EXAMS, X-RAYS, FLUORIDE APPLICATIONS, SEALANTS, FILLINGS (AMALGAM AND COMPOSITE), ROOT CANALS, EXTRACTIONS, DENTURES AND CROWNS.
  3. $5.2 million spent. PHARMACY - THE ORGANIZATION OWNS AND OPERATES FOUR PHARMACIES THAT ARE OPEN TO THE GENERAL PUBLIC IN RICHFORD, SWANTON, FAIRFAX & ST. ALBANS AND IS PART OWNER OF A MAIL ORDER PHARMACY BASED IN CHITTENDEN COUNTY THAT SERVES FQHC PATIENTS EXCLUSIVELY. NOTCH ALSO CONTRACTS WITH MULTIPLE INDEPENDENT PHARMACIES ACROSS FRANKLIN COUNTY TO DISPENSE MEDICATIONS TO OUR FQHC PATIENTS PURCHASED THROUGH THE US FEDERAL GOVERNMENT 340B DRUG PRICING PROGRAM. MEDICATION PACKAGING IS OFFERED AT OUR PHARMACY IN RICHFORD AND AT THE MAIL ORDER PHARMACY. A SLIDING FEE DISCOUNT PROGRAM IS AVAILABLE TO ELIGIBLE NOTCH PATIENTS AT ALL OWNED PHARMACIES.
  4. $1.0 million spent. OTHER INCOME INCLUDING MANAGEMENT SERVICE FEES AND COMMUNITY BENEFIT PROGRAMS INCLUDING OPERATION OF GROCERY STORE FOR THE BENEFIT OF THE COMMUNITY AS NOTCH IS LOCATED IN A FOOD DESERT.
  5. OTHER INCOME INCLUDING MANAGEMENT SERVICE FEES AND COMMUNITY BENEFIT PROGRAMS INCLUDING OPERATION OF GROCERY STORE FOR THE BENEFIT OF THE COMMUNITY AS NOTCH IS LOCATED IN A FOOD DESERT.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since July 1994.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.