Coos County Family Health Services

What Coos County Family Health Services does

Coös County Family Health Services (CCFHS) is a private, nonprofit Federally Qualified Health Center (FQHC) headquartered in Berlin, New Hampshire, operating seven clinic locations across Coös County (Berlin, Gorham, Colebrook) to deliver primary, preventive, dental, behavioral health, podiatry, women's health, and medication-assisted treatment services to medically underserved North Country residents. Core operations span medical, dental, and behavioral care under a Patient-Centered Medical Home (PCMH) model recognized at the highest level by the NCQA, supported by an Athena Health electronic health record system and a separate patient portal integrated across service lines.

The business is funded through a hybrid FQHC revenue model: fee-for-service billing across insurance, Medicare, and Medicaid; a sliding-fee-scale program that allows care regardless of ability to pay (renewed annually); nearly $3 million annually in free or reduced-cost pharmaceuticals routed through pharmaceutical assistance programs; donations and grants; and federal FQHC funding with Federal Tort Claims Act (FTCA) malpractice coverage. Pricing is segmented across a four-tier dental sliding fee (Level A: $30 through Level D: $65) and a household-income-based medical sliding fee scale, excluding co-pays, physicals, and orthotics. Service distribution is direct-to-consumer via clinics, telehealth (video partnership with Dartmouth-Hitchcock Medical Center), walk-in care at Healthcare Express in Gorham, home visits for prenatal and post-partum care, and medical social work addressing social determinants.

CCFHS is governed by a consumer-majority Board of Directors typical of FQHCs and led by CEO Ken Gordon. Strategic positioning emphasizes integrated care, social-risk addressing (CHQR badges for social risk factors and health disparities), and pipeline development through the ACGME-accredited White Mountains Family Medicine Residency Program launching July 2027 with four resident positions per year. Key commercial anchors include partnerships with Androscoggin Valley Hospital, North Country Healthcare, Dartmouth-Hitchcock, Weeks Medical Center, and Littleton Regional Healthcare. The organization also supports a 24/7 RESPONSE crisis hotline for domestic violence and sexual assault survivors across Coös and Grafton Counties.

Name

Coos County Family Health Services

Legal name

Coös County Family Health Services

Website

https://coosfamilyhealth.org

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

101–250 employees

Short description

Coös County Family Health Services is a nonprofit Federally Qualified Health Center operating seven clinics across rural northern New Hampshire, delivering primary, dental, behavioral, and specialty care to medically underserved residents on a sliding-fee-scale model.

Ownership category

akta.pro rank

Product category

Community Health Center Services

NAICS

Individual and Family Services (6241)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Rural Health Clinics (RHCs) (HLAFAGAL)

Keywords

• Federally qualified health center
• Primary care services
• Rural community healthcare
• Behavioral health services
• Sliding fee scale clinic

Headquarters

HQ city

Berlin

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Fee-for-Service Healthcare Services: Traditional fee-for-service revenue from medical, dental, and behavioral health services billed to insurance, Medicare, and Medicaid. The organization accepts most major insurances and offers sliding fee scale for uninsured and under-insured patients.
2. Pharmaceutical Program: The organization provides nearly $3 million in free or reduced-cost pharmaceuticals each year, supported by various pharmaceutical assistance programs and eligibility-based distribution.
3. Donations and Community Giving: The organization accepts charitable donations through various programs including annual appeals, restricted gifts, capital improvements, and memorial or honorarium gifts to support operations and patient care.
4. Federal FQHC Funding: As a Federally Qualified Health Center, CCFHS receives federal funding and operates under FTCA (Federal Tort Claims Act) coverage, enabling provision of care to underserved populations.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

CCFHS is a Federally Qualified Health Center delivering comprehensive primary, preventive, and behavioral healthcare services to medically underserved rural communities in northern New Hampshire. Core offerings include primary care, pediatrics, women's health, dental, behavioral health, podiatry, MAT recovery services, telehealth specialty consultations, walk-in urgent care, and diabetes care, supported by pharmacy assistance, sliding fee scale financial aid, and transportation services.

Product overview

Coos County Family Health Services is a Federally Qualified Health Center (FQHC) providing comprehensive primary and preventive healthcare services to northern New Hampshire through multiple clinic locations. The organization operates a multi-site, multi-service model centered around Patient-Centered Medical Home principles, offering Primary Care, Pediatrics, Prenatal Care, Family Planning, Dental, Podiatry, Women's Health, Behavioral Health, MAT Recovery Services, Telehealth, Healthcare Express (walk-in care), and Diabetes Care. The portfolio includes patient-facing digital services (Athena Health Patient Portal, Telehealth video conferencing with Dartmouth-Hitchcock Medical Center) and support programs (Pharmacy Assistance, Transportation, Financial Assistance/Sliding Fee Scale, Care Coordination). An ACGME-accredited Family Medicine Residency Program launched in 2027 through the White Mountains Medical Education Consortium trains physicians for rural practice. The organization provides nearly $3 million annually in pharmaceutical assistance and operates under NCQA PCMH recognition.

Differentiator

Problem solved

Functional benefit

Brands

• Coös County Family Dental: Dental and oral health services division of Coös County Family Health Services operating in Berlin and Colebrook, NH.

Products and services

• Primary Care Comprehensive primary care services for individuals and families in North Country New Hampshire, serving as the core entry point for CCFHS patients.
• Pediatrics
• Prenatal Care
• Family Planning
• Dental Services (Coos County Family Dental) Comprehensive oral health services including X-rays, fillings, extractions, evaluations, dental hygiene, sealants, fluoride treatment, and a sliding fee discount program, operating at Berlin and Colebrook locations.
• Podiatry
• Women's Health (Breast and Cervical Cancer Program)
• Behavioral Health
• Medical Social Work
• MAT Recovery Services
• Telehealth Services
• Healthcare Express
• Diabetes Care
• Athena Health Patient Portal
• Family Medicine Residency Program ACGME-accredited three-year residency training program focused on rural family medicine, offered through White Mountains Medical Education Consortium partnership with North Country Healthcare, with four resident positions available annually.
• Care Coordination / Patient-Centered Medical Home
• Pharmacy Program
• Transportation Services
• Financial Assistance / Sliding Fee Scale
• RESPONSE Program (Domestic Violence and Sexual Assault)

Quantifiable outcome

• Nearly $3 million in free or reduced-cost pharmaceuticals provided annually to patients

Named customers7 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Partnerships

Twelve partnerships are on record, tiered core, major and minor.

• Androscoggin Valley HospitalcoreStrategic or Co-development Partner · 1 January 2019Partnership formalized through the Great Northwoods Community Foundation in 2019. Collaboration leveraging federal funding and shared resources to improve access to healthcare services in rural North Country communities, including transportation and social determinants of health support.
• North Country HealthcarecoreStrategic or Co-development PartnerCollaborative partnership for ACGME-accredited Family Medicine Residency Program forming the White Mountains Medical Education Consortium. North Country Healthcare is a regional healthcare system including critical access hospitals, home health, hospice, and palliative care services.
• Dartmouth-Hitchcock Medical CentercoreTechnology or IntegrationTelehealth partnership providing specialty care services via private video conferencing. Services include Pediatric Neurology, Pulmonology, Urology, Developmental/Behavioral, Gastroenterology, Nephrology, and Adult Endocrinology/Nephrology at Pleasant Street and Gorham locations.
• Weeks Medical CentercoreStrategic or Co-development PartnerPrimary hospital partner for residency program. 25-bed critical access hospital in Lancaster serving northern New Hampshire and northeastern Vermont since 1913/1947. Residents complete inpatient family medicine training at this site.
• Littleton Regional HealthcaremajorStrategic or Co-development PartnerCritical access hospital serving Coös and Grafton Counties. Clinical training site for Obstetrics within residency program, providing hands-on experience in prenatal care, labor and delivery, and postpartum management.
• Children's Hospital of MichiganmajorStrategic or Co-development Partner226-bed academic children's hospital in Detroit providing comprehensive inpatient pediatric rotation for residency program. Residents gain exposure to acute and complex pediatric conditions. Housing and travel accommodations provided.
• University of New EnglandminorStrategic or Co-development PartnerEducational partner for residency program providing academic support and collaboration for medical education.
• Dartmouth HealthminorStrategic or Co-development PartnerAcademic medical center partner for residency program collaboration and medical education.
• New Hampshire Office of Rural Health and Primary CareminorStrategic or Co-development PartnerState agency partner supporting residency program and rural healthcare training initiatives.
• North Country Home Health and Hospice AgencymajorStrategic or Co-development PartnerMember of North Country Healthcare serving 51 communities across Coös and Grafton Counties since 1970. Training site for Home Health, Hospice, and Palliative Care rotations within residency program.
• Coos County Nursing HomemajorStrategic or Co-development PartnerCounty-operated nursing facility in Berlin providing long-term care, short-term rehabilitation, and skilled nursing services. Core clinical site for Long-Term Care and Geriatrics rotations during PGY-1 and PGY-2.
• Tri-County CAP TransitminorOthersTransit services operating in Coös, Carroll, and Northern Grafton Counties that provides scheduled rides to CCFHS appointments and stops at all clinic locations.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Oak Street Health (CVS Health): Value-based primary care provider focused on Medicare-eligible seniors, now part of CVS Health. Broader-scale incumbent operating in the same value-based, elderly-primary-care category that CCFHS serves, though in urban/suburban markets.

Direct peers

• Northern Counties Health Care: Federally Qualified Health Center serving Vermont's Northeast Kingdom with primary care, dental, behavioral health, and home health services. Directly comparable rural FQHC model serving a geographically adjacent service area.
• Mid-State Health Center: Federally Qualified Health Center with locations in Plymouth and Bristol, NH offering primary care, dental, behavioral health, and pharmacy services. Comparable FQHC model and rural New Hampshire service geography.
• Greater Seacoast Community Health: Federally Qualified Health Center serving New Hampshire's seacoast and surrounding communities with primary care, behavioral health, dental, and substance use treatment. Comparable FQHC structure and integrated service delivery model.
• Indian Stream Health Center: Federally Qualified Health Center based in Colebrook, NH — overlapping CCFHS's Colebrook service area. Provides primary care, behavioral health, and dental services to rural North Country residents under the same FQHC model.
• Community Health Centers of Burlington: Federally Qualified Health Center in Burlington, VT providing primary care, dental, behavioral health, and pharmacy services to underserved populations. Comparable FQHC service mix and rural Northern New England mission.
• Manchester Community Health Center: Federally Qualified Health Center in Manchester, NH offering comprehensive primary care, pediatrics, behavioral health, and dental services. Comparable FQHC structure, although in a more urban New Hampshire setting.
• Penobscot Community Health Care: Federally Qualified Health Center in Bangor, ME providing primary care, dental, behavioral health, and pharmacy services across multiple locations. Comparable comprehensive FQHC service portfolio and Northern New England footprint.
• White Mountain Community Health Center: Community health center in Plymouth, NH providing primary care, behavioral health, and reproductive health services to rural residents. Operates with a similar community-governance and sliding-fee-scale model as CCFHS.
• Ammonoosuc Community Health Services: Federally Qualified Health Center serving rural northern New Hampshire with multiple clinic locations offering primary care, behavioral health, and dental services. Highly comparable to CCFHS in mission, FQHC designation, and rural North Country service area.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/p/Coos-County-Family-Health-Services-100063992894234
• LinkedInlinkedin.com/company/cooscountyfamilyhealthservices

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries1 record

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 Coos County Family Health Services