North Country Healthcare

What North Country Healthcare does

North Country Healthcare (NCH) is a non-profit integrated healthcare system headquartered in Whitefield, New Hampshire, formed in 2016 through the affiliation of three critical access hospitals — Androscoggin Valley Hospital (Berlin), Upper Connecticut Valley Hospital (Colebrook, 16 beds), and Weeks Medical Center (Lancaster, 25 beds) — together with the North Country Home Health & Hospice Agency (Littleton). It serves as the largest employer in New Hampshire's North Country region with 501–1,000 employees and 157 listed providers, delivering emergency, inpatient, outpatient, surgical, rehabilitation, behavioral health, and hospice services across Coös and Grafton Counties with spillover into Vermont and Maine.

The operating model is built on a Critical Access Hospital platform augmented by telehealth. NCH runs a Digital Health Most Wired IT infrastructure (five consecutive years of recognition) including CPOE, electronic health records, a PACS-integrated digital radiology layer, and an ADP-powered patient portal upgraded in 2026. Advanced imaging (wide-bore MRI, 3D mammography, PET/CT) and ScottCare VersaCare cardiac telemetry support specialty service lines. The most differentiated technology component is the multi-modal Dartmouth Health telehealth integration — TeleICU, TeleEmergency, TeleNeurology, TelePsychiatry, TeleICN, and TelePharmacy — which effectively extends specialist coverage into rural sites without on-site recruitment. Specialty clinical services are further extended through Concord Hospital Cardiovascular Institute (cardiology) and Dartmouth-Hitchcock Norris Cotton Cancer Center (12 monthly oncology clinics, on-site PET/CT).

NCH generates revenue from patient care services billed to Medicare, Medicaid, and commercial insurers across acute, emergency, outpatient, diagnostics, rehabilitation, hospice, and home health lines, supplemented by retail pharmacy (two locations), occupational health contracts with local employers, and philanthropy. The Clinically Integrated Network LLC with Coös County Family Health Services (an FQHC) is the structural vehicle for population-health contracting. Recent operational stress is evident: a 2026 announcement to outsource revenue cycle management triggered layoffs and proposed New Hampshire Senate Bill 664 to freeze executive compensation, and a Charitable Trusts Unit review identified governance deficiencies around the Weeks Medical Center affiliate president removal process.

Name

North Country Healthcare

Legal name

North Country Healthcare

Website

https://northcountryhealth.org

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

501–1,000 employees

Short description

North Country Healthcare is a non-profit integrated healthcare system operating three critical access hospitals and a home health/hospice agency across New Hampshire's Coös and Grafton Counties, plus parts of Vermont and Maine, serving as the largest employer in the North Country region.

Ownership category

akta.pro rank

Product category

Rural Hospital and Health Services

NAICS

General Medical and Surgical Hospitals (6221), Ambulatory Health Care Services (621), Nursing Care Facilities (Skilled Nursing Facilities) (623110), Offices of Physicians (62111)

SIC

Services-Hospitals (8060), 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

Community & Regional General Hospitals (HLAFAAAB), Skilled Home Health (Medicare-Certified) Agencies (HLAFAEAA), Safety-Net & Public Hospitals (HLAFAAAD)

Keywords

• Rural healthcare services
• Critical access hospitals
• Home health hospice
• Telehealth services
• Integrated healthcare network

Headquarters

HQ city

Whitefield

HQ country

United States

HQ region

North America

Offices9 records

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. Patient Care Services: Revenue generated from providing medical services to patients across acute care, emergency care, outpatient services, diagnostics, rehabilitation, hospice and home health. Services billed to Medicare, Medicaid, and commercial insurance.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

North Country Healthcare is a non-profit integrated healthcare system operating three Critical Access Hospitals (Androscoggin Valley Hospital, Upper Connecticut Valley Hospital, and Weeks Medical Center) and North Country Home Health & Hospice Agency in rural northern New Hampshire. The organization delivers comprehensive acute, emergency, primary, specialty, and home-based care supported by Dartmouth Health telehealth partnerships, retail pharmacy, and community health programs.

Product overview

North Country Healthcare is a non-profit healthcare system serving New Hampshire's Coos and Grafton Counties, formed in 2016 through hospital affiliations. The organization operates as a platform of three Critical Access Hospitals (Androscoggin Valley Hospital in Berlin, Upper Connecticut Valley Hospital in Colebrook, and Weeks Medical Center in Lancaster) plus the North Country Home Health & Hospice Agency. The system delivers integrated patient care through over 40 clinical service departments spanning emergency, inpatient, outpatient, surgical, rehabilitation, and specialty services. Key telehealth services include TeleICU partnerships with Dartmouth Health for critical care monitoring, The Doorway at NCH for substance use treatment, and specialty partnerships with Concord Hospital Cardiovascular Institute and Dartmouth-Hitchcock Norris Cotton Cancer Center. Additional services include retail pharmacy, sleep medicine, diabetes education, lifestyle medicine, rehabilitation therapy, and a patient portal. The organization also operates the Northwoods Center for Continuing Education as an AHA training center.

Differentiator

Problem solved

Functional benefit

Products and services

• Androscoggin Valley Hospital A critical access hospital in Berlin, NH offering inpatient, outpatient, emergency, surgical, imaging, and specialty physician services including the Valley Birthplace for labor and delivery.
• Upper Connecticut Valley Hospital A 16-bed critical access hospital in Colebrook, NH serving 20 communities in New Hampshire, Vermont, and Maine, offering emergency, surgical, cardiac rehabilitation, imaging, and outpatient rehabilitation services.
• Weeks Medical Center A 25-bed critical access hospital in Lancaster, NH offering medical, surgical, intensive care, cardiac and physical rehabilitation, oncology, emergency care, laboratory, and radiology services.
• North Country Home Health & Hospice Agency Medicare-certified non-profit agency offering home care, palliative care, and hospice services to Coos and Grafton Counties with 24/7 clinical teams on call.
• TeleICU Services Virtual monitoring technology partnering with Dartmouth Health intensivists and critical care nurses to provide real-time care, monitoring and clinical consults for critically ill patients locally.
• The Doorway at NCH Part of statewide NH Doorway program providing single-point entry for substance use disorder treatment including opioid use disorder, with walk-in services, screening, care planning, and recovery monitoring.
• NCH Pharmacy Retail pharmacy services at Colebrook and Lancaster locations for prescription filling and over-the-counter medications.
• Center for Sleep Medicine State-of-the-art sleep disorder evaluation and treatment facilities at AVH and Weeks Medical Center locations offering polysomnography and CPAP/BiPAP therapy.
• Diabetes Self-Management & Education Program ADA-recognized diabetes education program at Upper Connecticut Valley Hospital meeting National Standards for excellence in diabetes education.
• Audiology Services Hearing evaluations, hearing aids, custom earplugs, and VNG testing for dizziness/balance disorders at AVH Surgical Associates and Upper Connecticut Valley Hospital.
• Care Management Services Coordinated outpatient care including Chronic Care Management, Remote Patient Monitoring, Transitional Care Management, Annual Wellness Visits, and Social Determinants of Health assistance.
• Lifestyle Medicine Medical specialty using therapeutic lifestyle interventions to treat chronic conditions including cardiovascular disease, type 2 diabetes, and obesity through nutrition, physical activity, sleep, and stress management.
• Rehabilitation Services (PT/OT/SLP) Physical therapy, occupational therapy, and speech-language pathology services across multiple NCH locations including aquatic therapy, cardiac rehab, lymphedema management, and ergonomic assessments.
• NCH Patient Portal Online patient portal for accessing health records, scheduling, and communication with healthcare providers.
• Inpatient Services Round-the-clock inpatient care including nursing, medication management, diagnostic testing, therapies, nutrition services, and discharge planning with Dartmouth Health telehealth partnerships.
• Northwoods Center for Continuing Education American Heart Association affiliated training center offering ACLS, PALS, BLS courses, RN development, and medical simulation training for area healthcare providers.

Quantifiable outcome

• Charity care provided by each hospital affiliate has increased annually since the affiliation
• +2 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature6 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• Coös County Family Health ServicescoreStrategic or Co-development PartnerCollaborative partnership with a Federally Qualified Health Clinic (FQHC) in Berlin and Colebrook. Together they have formed a Limited Liability Corporation (LLC) to develop a Clinically Integrated Network for all hospitals and providers in the North Country to address population health and improve health indicators for all residents of the North Country.
• Concord Hospital Health System - Cardiovascular InstitutecoreStrategic or Co-development PartnerAVH, UCVH and WMC collaborate with the 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, then return home for cardiac rehabilitation and follow-up appointments.
• Dartmouth-Hitchcock Norris Cotton Cancer CentercoreStrategic or Co-development PartnerWeeks Medical Center enjoys a strong partnership with Dartmouth-Hitchcock's Norris Cotton Cancer Center, one of the leading cancer treatment centers in the country. Two Oncologists/Hematologists from Dartmouth-Hitchcock offer 12 regular clinics a month at Weeks for diagnosis, treatment and prognosis of cancer as well as disorders of the blood.
• Dartmouth HealthcoreTechnology or IntegrationDartmouth Health TeleICU (intensive care unit) services allow around-the-clock patient monitoring enabling NCH to care for critically ill patients locally. Also provides TeleEmergency, TeleNeurology, TelePsychiatry, TeleICN (intensive care nursery), and TelePharmacy services using high-quality interactive audiovisual technology.
• Granite State Gastroenterology and Bedford GastroenterologyminorStrategic or Co-development PartnerAVH partners with Granite State Gastroenterology and Bedford Gastroenterology who treat patients in Berlin for gastroenterology services including colonoscopy, upper endoscopy, and treatment of IBS.
• American Heart Association (AHA)coreStrategic or Co-development PartnerNorthwoods Center for Continuing Education is an American Heart Association (AHA) Affiliated Cardiac Life Support Training Center serving educational and training needs of area hospitals, EMS services, and other healthcare institutions in northern New Hampshire and Vermont.
• New Hampshire Listens at Carsey School of Public Policy, University of New HampshireminorStrategic or Co-development PartnerNCH partnered with NH Listens at the Carsey School of Public Policy at the University of New Hampshire for structured public dialogue and balanced facilitation of Community Conversations across the North Country.
• Southern NH Radiology ConsultantscoreTechnology or IntegrationRadiology images from NCH hospitals are read by trained radiologists from Southern NH Radiology Consultants, providing diagnostic imaging interpretation services.

Scale indicators10 records

Recent moves1 record

Expansion highlights6 records

Others

• HCA Healthcare: Large for-profit hospital operator with rural and community hospital exposure; relevant for benchmarking reimbursement and operational practices, though NCH is non-profit and not a direct competitor.
• National Rural Health Association: Industry association that advocates for rural providers including critical access hospitals; useful context for NCH's regulatory environment and reimbursement frameworks.

Direct peers

• MaineHealth: Non-profit integrated rural health system serving northern New England with multiple critical access and community hospitals, comparable in mission, scale, and rural network model to NCH.
• Tanner Health System: Non-profit rural community health system in the Southeast operating multiple hospital sites and physician practices; comparable in scale, service breadth, and rural market dynamics.
• Avera Health: Large non-profit rural health system operating critical access hospitals across the Upper Midwest with extensive telehealth services, directly comparable to NCH's rural integrated network and telehealth-led specialty strategy.
• Cottage Health: Non-profit community-based health system serving a rural/semi-rural California region; similar scale, multi-site model, and reliance on community support and partnerships for specialty access.

Broad incumbents

• CommonSpirit Health: One of the largest US non-profit health systems operating rural and critical access hospitals across multiple states; provides a comparable non-profit operating model at a much larger scale.
• Trinity Health: National non-profit Catholic health system with a significant rural hospital footprint; comparable non-profit operating model and exposure to Medicare/Medicaid payer mix.
• Dartmouth Health: Regional academic medical center and NCH's primary telehealth/oncology partner; operates a broader portfolio including an academic hospital and is a structural counterparty rather than direct competitor.
• Concord Hospital Health System: Regional non-profit system partnering with NCH on cardiology services; larger scale and broader geographic reach make it an adjacent incumbent rather than a direct rural competitor.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/ncountryhealth
• Facebookfacebook.com/NorthCountryHealth
• LinkedInlinkedin.com/company/north-country-healthcare

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries5 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 North Country Healthcare