Androscoggin Valley Hospital

What Androscoggin Valley Hospital does

Androscoggin Valley Hospital (AVH) is a non-profit Critical Access Hospital founded in 1905 and headquartered in Berlin, New Hampshire, operating as one of three hospitals within the North Country Healthcare (NCH) network alongside Upper Connecticut Valley Hospital and Weeks Medical Center. The hospital delivers a comprehensive portfolio of acute, outpatient, emergency, surgical, diagnostic, rehabilitative, and specialty care services to rural communities across Coös County and surrounding areas in northern New Hampshire, supported by 75 providers across multiple specialty and location sites.

AVH's underlying technology stack includes a Dartmouth Health-partnered telehealth suite (TeleICU, TeleEmergency, TeleNeurology, TelePsychiatry, TeleICN, TelePharmacy), ACR-accredited diagnostic imaging with 3D Digital Breast Tomosynthesis, ScottCare VersaCare cardiac telemetry, Avance Carestation anesthesia delivery systems, a patient portal (myavh.avhnh.org), and standard EHR infrastructure. The hospital also operates specialty practices including AVH Surgical Associates, the Concord Hospital Cardiovascular Institute at NCH, Valley Birthplace (maternity), Center for Sleep Medicine, New England Weight Management Institute, The Doorway (substance use disorder), and a Healogics-affiliated Wound Healing Center with hyperbaric oxygen therapy.

The hospital generates revenue through patient services billed to Medicare, Medicaid, commercial insurance, and self-pay, across inpatient, outpatient, swing bed/skilled nursing (Medicare covers up to 100 swing days; self-pay rate $937/day), home health and hospice (via North Country Home Health & Hospice Agency), and specialty clinic services. Financial assistance programs and NH Health Access Network participation extend access to uninsured and underinsured patients. Distribution occurs through the main Berlin campus, multi-town specialty practice locations, telehealth partnerships, and home health visits, with community engagement via NCH Listens sessions conducted in partnership with the UNH Carsey School of Public Policy.

Name

Androscoggin Valley Hospital

Legal name

Androscoggin Valley Hospital

Website

https://avhnh.org

Company type

Private

Founded year

1905

Operating status

Operating

Headcount range

101–250 employees

Short description

Androscoggin Valley Hospital is a non-profit Critical Access Hospital in Berlin, New Hampshire, part of the North Country Healthcare network, providing acute, outpatient, emergency, surgical, specialty, and telehealth services to rural northern New Hampshire communities across 75 providers and multiple regional locations.

Ownership category

akta.pro rank

Product category

Rural Hospital Services

NAICS

General Medical and Surgical Hospitals (6221), Nursing Care Facilities (Skilled Nursing Facilities) (6231), Offices of Physicians (62111), Ambulatory Health Care Services (621)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industries

Skilled Nursing Facilities (SNF) (HLAFAFAB), Palliative Care Clinics & Outpatient Programs (HLADAHAF), Hospital-Owned Physician Networks & Medical Groups (HLAFAAAL)

Keywords

• Critical access hospital services
• Rural healthcare delivery
• Emergency and acute care
• Outpatient specialty services
• Telehealth specialty care

Headquarters

HQ city

Berlin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Supply Chain, Marketing or Sales

Revenue model

1. Healthcare Services Revenue: Acute care hospital services, outpatient services, emergency care, diagnostic imaging, laboratory services, surgical services, rehabilitation, and specialty care. Revenue generated from patient services billed to Medicare, Medicaid, commercial insurance, and self-pay patients.
2. Swing Bed/Skilled Nursing Services: Medicare covers up to 100 swing days, Medicaid covers medically necessary swing services. Self-pay rate is $937 per day.
3. Financial Assistance Programs: Hospital offers financial assistance and participates in NH Health Access Network for uninsured/underinsured patients.
4. Home Health and Hospice Services: Medicare-certified home health and hospice services through North Country Home Health & Hospice Agency.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

Androscoggin Valley Hospital is a non-profit Critical Access Hospital providing a full continuum of acute, emergency, surgical, maternity, outpatient specialty, diagnostic imaging, rehabilitation, home health, hospice, and primary care services to rural communities in northern New Hampshire. As a member of the North Country Healthcare system, it delivers care through a 24/7 emergency department, multi-specialty surgical practice, specialty clinics in cardiology, sleep medicine, women's health, wound care, and behavioral health, supported by telehealth partnerships with Dartmouth Health and in-network specialty collaborations with Concord Hospital and Catholic Medical Center.

Product overview

Androscoggin Valley Hospital is a critical access hospital offering a comprehensive portfolio of healthcare services organized as specialty practices and clinical departments. The hospital's specialty practices include AVH Surgical Associates (multi-specialty surgical care), Center for Sleep Medicine, Concord Hospital Cardiovascular Institute at NCH, New England Weight Management Institute, The Doorway (substance use disorder services), and Valley Birthplace (maternity care). Clinical departments span the full continuum of care including Emergency Care, Imaging Services (ACR-accredited in mammography, CT, MRI, ultrasound), Laboratory/Pathology (CAP-certified), Inpatient Services with TeleICU (Dartmouth Health partnership), Rehabilitation Services (PT/OT/SLP with aquatic therapy), and Wound Care with Hyperbaric Oxygen Therapy. The hospital also provides home health, hospice, and palliative care through North Country Home Health & Hospice Agency. Additional services include 24/7 emergency care, cardiac care, diabetes education (ADA-recognized), occupational health, and primary care through affiliated Coos County Family Health Services.

Differentiator

Problem solved

Functional benefit

Products and services

• AVH Surgical Associates Comprehensive multi-specialty surgical practice providing skilled surgical and medical services for a wide range of diseases and conditions for patients in northern New Hampshire.
• Emergency Care 24/7 state-of-the-art emergency medical care available 365 days a year for residents of and visitors to the North Country region.
• Inpatient Services Round-the-clock inpatient hospital care featuring nursing services, diagnostic testing, therapies, room service dining, Dartmouth Health TeleICU services, and ScottCare telemetry monitoring.
• Imaging Services Complete diagnostic imaging including mammography (3D Digital Breast Tomosynthesis), CT, MRI, ultrasound, nuclear medicine, radiography, and bone densitometry, accredited by the American College of Radiology in mammography, CT, MRI, and ultrasound.
• Laboratory/Pathology Comprehensive inpatient and outpatient laboratory services certified by the College of American Pathologists with rapid and accurate results delivery.
• Valley Birthplace at AVH Family-centered maternity care featuring private labor/delivery suites with amenities, offering childbirth education, labor/delivery, breastfeeding support, and the TeamBirth care model for women and families in northern New Hampshire.
• The Doorway at Androscoggin Valley Hospital Statewide initiative providing single points of entry for individuals seeking help for substance use disorders, including opioid use disorder, with 24/7 access via 2-1-1.
• Concord Hospital Cardiovascular Institute at North Country Healthcare Comprehensive cardiology care including cardiac testing services, cardiopulmonary rehabilitation, and non-invasive cardiology diagnostics such as EKG, echocardiography, stress testing, and Holter monitoring.
• Center for Sleep Medicine State-of-the-art facility offering evaluation and treatment of the full range of sleep disorders including insomnia, sleep apnea, snoring, narcolepsy, and restless leg syndrome.
• New England Weight Management Institute at AVH Weight management services offered in collaboration with Catholic Medical Center, providing obesity treatment and bariatric care to patients in northern New Hampshire.
• Wound Care & Healing Wound healing center with hyperbaric oxygen therapy (HBOT) for treating non-healing wounds, part of the Healogics network of hospitals and professionals committed to advancing wound healing.
• Home Health, Hospice and Palliative Care Medicare-certified home health, hospice, and palliative care services provided through North Country Home Health & Hospice Agency, including skilled nursing, therapy, and social services delivered in patients' homes.
• Cardiac Care Cardiology services including consulting cardiology care, cardiac testing, and rehabilitation services provided by the cardiology team at AVH.
• Anesthesiology Anesthesia services providing general to regional anesthesia, continuous epidurals, pain management including lumbar epidural steroid injections, and pre-operative consultations using Avance Carestation technology.
• General Surgery Surgical services for abdominal organs including breast surgery, scopes, colon cancer screenings, hernia repairs, and laser aesthetics.
• Orthopaedics Musculoskeletal system treatment including arthritis, arthroscopy, fracture care, sports injuries, and total joint replacements using latest non-invasive diagnostics.
• Neurology Treatment of neurologic conditions including headaches/migraines, multiple sclerosis, stroke, seizures, Parkinson's disease, peripheral neuropathy, and dementia.
• OB/GYN Complete gynecological and obstetrical care including contraceptive management, infertility services, cancer screening, menopause care, and labor/delivery at Valley Birthplace.
• Audiology Hearing evaluations, hearing aids, custom earplugs, and VNG (videonystagmography) testing for dizziness and balance disorders.
• Ear, Nose, Throat / Allergy Diagnosis and medical/surgical treatment of conditions of the ear, nose, throat, mouth, sinuses, salivary glands, face and neck.
• Ophthalmology Diagnosis, treatment, and surgery of eye diseases including cataract surgery, glaucoma treatment, retinal procedures, and routine eye exams.
• Urology Treatment of prostate cancer, kidney stones, enlarged prostates, erectile dysfunction, incontinence, and UTIs with laparoscopic and endoscopic surgeries.
• Gastroenterology Colonoscopy, upper endoscopy, IBS treatment, IBD expertise, esophageal motility evaluation, and PEG tube placement services.
• Pulmonary Care Respiratory system treatment for asthma, COPD, chronic cough, pulmonary hypertension, and pulmonary nodule evaluation with PFT and methacholine challenge testing.
• Pain Management BOTOX for migraines, corticosteroid injections, epidural steroid injections, nerve blocks, radiofrequency lesioning, and medical marijuana prescriptions.
• Sleep Medicine Polysomnography, CPAP/BiPAP therapy, ASV treatment, and clinical diagnostic services for sleep disorders with board-certified sleep specialist review.
• Rehabilitation Services (PT/OT/SLP) Physical therapy, occupational therapy, and speech-language pathology services including aquatic therapy, ergonomics, functional capacity evaluations, and school-based PT.
• Primary Care/Family Medicine First contact and continuing care for undiagnosed symptoms, health promotion, disease prevention, health screenings, and chronic disease management.
• Pediatrics Comprehensive pediatric care for infants, children, and adolescents provided through Coos County Family Health Services.
• Diabetes Care & Education Diabetes education and lifestyle management programs recognized by the American Diabetes Association, providing medical services and patient empowerment for diabetes management.
• Infusion Services IV hydration, antibiotic therapy, IV push medications, injections, immunizations, and coordination of PICC/Midline insertions at Berlin, Colebrook, and Lancaster locations.
• Nutrition Services Registered dietitian services for designing healthy eating plans including counseling for elevated lipids, eating disorders, food allergies, hypertension, and weight management.
• Occupational Health Services Workplace health services including drug and alcohol testing, DOT physicals, ergonomic assessments, wellness programs, and CPR/First Aid training for local employers.
• TeleICU Services Virtual monitoring technology connecting local care teams with Dartmouth Health TeleICU specialists for around-the-clock critical care support.
• Skilled Nursing Facility Swing bed/skilled nursing care providing multidisciplinary care including hospitalists, therapists, and social workers for post-acute recovery. Self-pay rate is $937 per day.
• Financial Services Financial assistance programs, payment plans, cost estimates, and insurance coverage guidance including NH Health Access Network participation for uninsured and underinsured patients.
• Alcohol & Drug Consortium Services Alcohol and drug consortium services offered by AVH to address substance use in the community.

Quantifiable outcome

• CMS 5-star rating for cleanliness and staff responsiveness
• +2 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• Coos County Family Health ServicescoreStrategic or Co-development Partner · 1 January 2019Partnership formalized through the creation of the Great Northwoods Community Foundation in 2019. Collaboration leverages federal funding and shared resources to improve access to healthcare services in rural North Country communities, including transportation and social determinants of health support.
• Great Northwoods Community FoundationcoreStrategic or Co-development Partner · 1 January 2019Created in 2019 to formalize partnership between Coos County Family Health and Androscoggin Valley Hospital for healthcare access improvement in rural communities.
• Concord Hospital Cardiovascular InstitutecoreStrategic or Co-development PartnerAVH, UCVH and WMC collaborate with Concord Hospital Health System's Cardiovascular Institute to provide patients a wide range of comprehensive cardiology care in the North Country. Patients can be seen locally before interventional procedures and return home for Cardiac Rehabilitation.
• Dartmouth HealthcoreTechnology or IntegrationTelehealth partnership providing TeleICU, TeleEmergency, TeleNeurology, TelePsychiatry, TeleICN (intensive care nursery), and TelePharmacy services. Uses high-speed, secure and encrypted lines for real-time care, support, monitoring and clinical consults.
• Catholic Medical Center - New England Weight Management InstituteminorStrategic or Co-development PartnerAVH collaborates with the New England Weight Management Institute at Catholic Medical Center to provide patients with weight management services as an outreach clinic.
• Granite State Gastroenterology and Bedford GastroenterologyminorStrategic or Co-development PartnerPartnership with gastroenterology practices that treat patients at AVH in Berlin location.
• NH Health Access NetworkminorStrategic or Co-development PartnerStatewide program that AVH participates in as part of financial assistance options for uninsured/underinsured patients.
• NH Listens (Carsey School of Public Policy, University of New Hampshire)minorStrategic or Co-development PartnerCommunity listening sessions held in partnership with NH Listens for community engagement and organizational planning input.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Littleton Regional Healthcare: Community hospital in Littleton, NH (adjacent to AVH's North Country catchment) providing acute care, emergency, surgical, OB, and outpatient services. Comparable as a rural NH hospital with similar service mix and geographic proximity to AVH.
• Weeks Medical Center: Third NCH-affiliate hospital in Lancaster, NH; provides critical access-level and outpatient services in a similar rural White Mountains catchment. Operates under the same North Country Healthcare governance, IT, and specialty contracting structure as AVH.
• Speare Memorial Hospital: Critical Access Hospital in Plymouth, NH offering inpatient, emergency, surgical, OB, and outpatient services in a rural central-NH catchment. Comparable in scope (including OB/maternity), CAH reimbursement model, and rural community footprint.
• New London Hospital: Critical Access Hospital in New London, NH affiliated with Dartmouth Health. Directly comparable as a rural NH CAH leveraging Dartmouth telehealth/specialty partnerships — a model that mirrors AVH's own telehealth integration with Dartmouth Health.
• Upper Connecticut Valley Hospital: Sister Critical Access Hospital within the North Country Healthcare network serving Colebrook and northern Coos County, NH. Most directly comparable as a peer NCH affiliate with similar CAH economics, telehealth integration, and rural service profile.
• Memorial Hospital (North Conway): Critical Access Hospital in North Conway, NH serving the Mount Washington Valley with emergency, inpatient, outpatient, and specialty services. Directly comparable as a rural NH CAH with similar seasonal population dynamics and service-line breadth.
• Alice Peck Day Memorial Hospital: Critical Access Hospital in Lebanon, NH affiliated with Dartmouth Health. Comparable as a small NH CAH with a similar community-hospital profile, surgical and outpatient service mix, and reliance on telehealth/specialty partnerships with Dartmouth.
• Huggins Hospital: Critical Access Hospital in Wolfeboro, NH providing acute, emergency, outpatient, and specialty services to the eastern Lakes Region. Closely comparable as a New Hampshire CAH with a similar service portfolio and community-hospital mission.
• Cottage Hospital: Critical Access Hospital in Woodsville, NH serving a similar rural Grafton County catchment. Comparable as a New Hampshire CAH offering emergency, inpatient, outpatient, and swing-bed services with similar payer mix and reimbursement dynamics.

Broad incumbents

• Concord Hospital: Larger regional acute care system in Concord, NH whose Cardiovascular Institute partners with AVH (and the broader NCH network) to deliver cardiology services locally. Comparable as the upstream specialty partner that AVH relies on for cardiac care, and as a broader New Hampshire healthcare incumbent.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCrE4uGk0D3j3kMGYh9hUNvw
• Facebookfacebook.com/AndroscogginValleyHospital
• Pinterestpinterest.com/avhnh

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles19 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Androscoggin Valley Hospital