In 2010, LRH added a new 63,000 square foot medical office building with an unfinished upper level (for future growth) to house additional physician practices. In 2012, LRH expanded its surgical suite to increase the number of operating rooms to four, and greatly increase the number of prep and recovery areas. Also, Diagnostic Imaging added a new fixed Magnetic Resonance Imaging machine (MRI) this year. LRH turned the switch on to its new Biomass Plant on January 1, 2014. In just one year, LRH saved close to $400,000 in fuel with the conversion of heating with wood chips processed at the biomass plant.
Over time, primary care physician and specialist offices filled the space in the medical office building suites. In 2016, LRH completed the upper level of the medical office building to house North Country Women's Health, General Surgery, and Alpine Clinic. The newly renovated Sauter Birthing Suite, a state of the art family-centered birthing unit, opened its doors to residents of Northern New Hampshire and Vermont in 2016, as well.