Ammonoosuc Community Health Services

What Ammonoosuc Community Health Services does

Ammonoosuc Community Health Services (ACHS) is a non-profit Federally Qualified Community Health Center (FQHC) established in 1975 and headquartered in Littleton, New Hampshire. The organization delivers integrated primary care, behavioral health, vision care, substance use disorder treatment, nutrition and wellness services, and patient support services to over 10,000 patients across more than 26 towns in Grafton and Coos counties. Following the October 2025 closure of its Franconia clinic, ACHS operates four physical sites in Littleton, Warren, Whitefield, and Woodsville, supported by a patient portal, online bill pay, and telehealth capabilities.

ACHS is governed by a Board of Directors with a majority of patient members, a structural requirement of FQHC status that ensures community oversight. The organization holds Federal Tort Claims Act deemed status, HRSA Health Center Quality Leader Bronze, NCQA Patient-Centered Medical Home recognition, and other federal quality designations. Revenue is generated through patient service fees on a sliding-fee scale, Medicaid and Medicare reimbursement, HRSA federal grants, and community donations as a 501(c)(3) entity. Services are provided regardless of insurance status or ability to pay; the population served skews to low-income, uninsured, elderly, and rural Northern New Hampshire residents.

The operating model is fundamentally a community-governed, clinically integrated safety-net provider rather than a technology or platform business. ACHS has no disclosed AI/ML capabilities, no proprietary technology beyond standard EHR and patient portal tools, and no external funding, M&A, or venture-backed growth activity. The organization is currently under financial pressure from Medicaid funding cuts, evidenced by the $500,000 projected shortfall that forced the Franconia closure and the displacement of approximately 1,400 patients.

Name

Ammonoosuc Community Health Services

Legal name

Ammonoosuc Community Health Services, Inc.

Website

https://ammonoosuc.org

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

101–250 employees

Short description

Ammonoosuc Community Health Services is a non-profit Federally Qualified Health Center serving over 10,000 patients across 26+ towns in Northern New Hampshire with integrated medical, behavioral health, vision, substance use, and nutrition services on a sliding-fee basis.

Ownership category

akta.pro rank

Product category

Community Health Services (Primary Care)

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Rural Health Clinics (RHCs) (HLAFAGAL)

Keywords

• Community health center
• Primary care services
• Behavioral health services
• Federally qualified health center
• Rural healthcare

Headquarters

HQ city

Littleton

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: ACHS generates revenue through patient service fees, with a sliding-fee payment scale ensuring healthcare remains accessible regardless of insurance status or ability to pay. As a Federally Qualified Health Center (FQHC), ACHS receives HHS funding and participates in Medicaid programs, though recent Medicaid cuts have created significant budget shortfalls. The organization also relies on community donations as a 501-c non-profit.

Pricing tiers

Distribution channels1 record

Marketing channels4 records

Core offering

ACHS is a non-profit Federally Qualified Community Health Center providing integrated primary medical care, behavioral health, vision care, nutrition and wellness, substance use disorder treatment, and patient support services. It operates multiple clinic sites across Grafton and Coos counties in Northern New Hampshire and serves over 10,000 patients regardless of insurance status through a sliding-fee payment scale.

Product overview

Ammonoosuc Community Health Services (ACHS) is a non-profit Federally Qualified Community Health Center (FQHC) established in 1975, operating as a single unified healthcare delivery organization rather than a platform-plus-modules architecture. The organization provides integrated healthcare services through its main service lines: Medical Services (primary care across all ages), Behavioral Health Services (including school-based care), Vision Care, Nutrition & Wellness, Substance Use Disorder Treatment, and Patient Support Services. The organization operates four physical locations in Northern New Hampshire (Littleton, Warren, Woodsville, Whitefield) and previously operated a Franconia location that closed in October 2025. Services are supported by a sliding fee payment program for uninsured and underinsured patients, and digital tools including a patient portal and online bill pay. The organization serves over 10,000 patients across 26 towns in Grafton and Coos counties.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Services Patient-centered primary care services for all ages, covering Men's Health, Women's Health, Pediatrics, and Senior Care, delivered by experienced providers. Intended for individuals and families across Northern New Hampshire seeking ongoing primary care.
• Behavioral Health Services Mental health services including counseling, stress management, and school-based care for children. Intended for patients seeking mental health support, addiction recovery support, and stress management in a community setting.
• Vision Care Eye care services delivered in conjunction with area eye doctors, including eye exams and glasses provided at affordable pricing. Intended for community members seeking accessible vision care.
• Patient Support Services Assistance services including patient navigators, chronic care management, and early childhood community health workers helping patients navigate financial, legal, social, and healthcare challenges. Intended for patients needing help accessing and coordinating care.
• Nutrition & Wellness Health and wellness programs to help patients meet healthcare goals and manage chronic conditions such as Diabetes and Hypertension. Intended for patients managing chronic conditions and working toward personal health goals.
• Substance Use Disorder Treatment Medical Assisted Therapy, outreach, counseling, and treatment services for substance use disorders. Intended for patients with substance use disorders and their families seeking recovery support.
• Food As Medicine Program addressing nutrition and food security as part of patient care. Intended for patients facing food insecurity or needing nutrition support to manage health.
• Sliding Fee Payment Program Sliding-fee payment scale ensuring healthcare remains accessible regardless of insurance status or ability to pay, with financial assistance based on income and family size. Intended for uninsured and underinsured patients.
• Patient Portal Online portal for patients to access their health records, schedule appointments, and communicate with providers. Intended for ACHS patients managing their care online.
• Online Bill Pay Online bill payment system for ACHS patients. Intended for patients paying healthcare bills online.

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core and minor.

• Health Resources & Services Administration (HRSA)coreOthersAs an FQHC, ACHS receives HHS funding through HRSA and maintains deemed status with respect to health-related claims including medical malpractice coverage.
• Warren-Wentworth Food PantryminorStrategic or Co-development PartnerACHS serves as the fiscal agent for the Warren-Wentworth Food Pantry, supporting local food security initiatives in the community.

Scale indicators7 records

Recent moves6 records

Expansion highlights8 records

Direct peers

• White Mountain Community Health Center: Community health center serving the White Mountains region of New Hampshire with primary care and behavioral services. Comparable to ACHS as a similarly positioned safety-net provider in the same geographic region.
• Coos County Family Health Services: Federally Qualified Health Center serving northern New Hampshire communities with primary care, behavioral health, and support services. Closest geographic and operational peer to ACHS given shared rural New Hampshire footprint and FQHC service model.
• Indian Stream Health Center: Federally Qualified Health Center in Colebrook, NH serving the rural Upper Connecticut Valley region. Peer to ACHS as an FQHC with comparable rural footprint and sliding-fee care model in Northern New Hampshire.
• Community Health Center, Inc. Large multi-state Federally Qualified Health Center providing integrated primary care, behavioral health, and dental services across hundreds of sites. Peer to ACHS as a comparably structured FQHC demonstrating the scalable community-health-center operating model.
• Mid-State Health Center: FQHC based in Plymouth, New Hampshire providing integrated medical, behavioral health, and dental services across multiple sites. Directly comparable to ACHS as a similarly sized New Hampshire FQHC serving rural populations.
• Penobscot Community Health Center: Federally Qualified Health Center based in Bangor, Maine providing comprehensive primary care, behavioral health, and support services. Peer to ACHS as a comparably structured multi-site FQHC serving a rural Northern New England population.

Broad incumbents

• Concord Hospital: Regional acute care health system in central New Hampshire with affiliated primary care and behavioral health services. Comparable as a broader incumbent that competes for primary care patients and referral relationships in the state.
• Dartmouth Health: Large regional academic health system anchored by Dartmouth-Hitchcock Medical Center serving New Hampshire and Vermont. Comparable as the dominant regional health system whose tertiary services and referral relationships directly intersect with ACHS's primary care footprint.
• MaineHealth: Integrated not-for-profit health system serving Maine and adjacent New Hampshire communities through hospitals and primary care practices. Comparable as a regional incumbent providing primary and specialty services in rural Northern New England markets overlapping ACHS's catchment.

Regional players

• Littleton Regional Healthcare: Critical access hospital system headquartered in Littleton, NH serving the same communities as ACHS. Comparable as the primary regional hospital partner/competitor for referrals, specialty care, and inpatient services in Grafton County.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UC9tthMFiYCkoqE8j9F-JdLQ/featured
• Facebookfacebook.com/ammonoosuc
• Xx.com/ACHS_NH
• LinkedInlinkedin.com/company/ammonoosuc-community-health-services-inc.

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 Ammonoosuc Community Health Services