Jobs & Economy in St. Johnsbury

St. Johnsbury's economy runs on a real combination of its regional-hub role, a substantial local hospital employer, and a historic manufacturer that remains active at a reduced scale.

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A real, current hospital anchor

Northeastern Vermont Regional Hospital (NVRH), a 75-bed critical-access hospital, is one of St. Johnsbury's largest employers and is undergoing an active $5.5 million expansion project targeted for 2027 completion.

A real, historic manufacturer, still operating

The Fairbanks Scale Company remains a real, current, active manufacturer in St. Johnsbury (~175 employees) -- dramatically smaller than its historic ~1,000-worker peak, but a genuine, ongoing local employer.

A regional service-hub role

St. Johnsbury functions as the Northeast Kingdom's commercial and services center for the broader, more rural Caledonia, Essex, and Orleans County region.

Key takeaways

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Last reviewed: 2026-08-28. Independent research; not financial, tax, or legal advice -- confirm current figures with a local professional before making a decision.