Androscoggin Valley Hospital

Androscoggin Valley Hospital (AVH), located at 59 Page Hill Road in Berlin, NH, provides high-quality, patient-centered care with compassion and empathy. As a critical access hospital, AVH offers a wide range of inpatient and outpatient services, including medical/surgical care, intensive care, and specialized birthing services at the Valley Birthplace. Our specialty physician practice, AVH Surgical Associates, along with comprehensive diagnostic imaging, on-site laboratories, and rehabilitation services, ensures we meet the diverse healthcare needs of our community. We are dedicated to providing the best healthcare experience for every patient, every day, through a conscientious and caring workforce. AVH also features numerous surgical suites to accommodate a wide range of surgical offerings.

Identifiers

Hospital Name Androscoggin Valley Hospital
Facility ID 301310

Location

Address 59 PAGE HILL ROAD
City/Town Berlin
State NH
ZIP Code 3570
County/Parish COOS

Health System

Health System North Country Healthcare
Health System Website Domain northcountryhealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 3
Health System Total Beds 66
Health System Hospital Locations New Hampshire

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Androscoggin Valley Hospital Inc
Emergency Services Yes

Michael Peterson, FACHE

President and CEO

Michael Peterson joined AVH in 2015 as President. In addition to leading the hospital Senior Team, he serves on all AVH Board Committees. Mike has a Bachelor of Science in Public Administration from the University of Maine at Orono, as well as a Master of Science in Business from Husson College. He has served as a healthcare executive in community or Critical Access Hospitals for over two decades.

Keith Shute, MD, MMM, FAAFP

Chief Medical Officer/Senior Vice President, Androscoggin Valley Hospital

NA

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 25

Staffing & Personnel

FTE Employees on Payroll 308.02
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2160
Inpatient Days (Title XIX) 257
Total Inpatient Days 4355
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 373
Discharges (Title XIX) 137
Total Discharges 898

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1568
Inpatient Days (Title XIX; Adults & Peds) 257
Total Inpatient Days (Adults & Peds) 3084
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 373
Discharges (Title XIX; Adults & Peds) 137
Total Discharges (Adults & Peds) 898

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 69%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 108

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 23.1
Readmission Score Hospital Return Days for Pneumonia Patients -15
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.4
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.1
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $404
Bad Debt Expense $1,825
Uncompensated Care Cost $1,443
Total Uncompensated Care $1,443

Operating Expenses ($ thousands)

Total Salaries $28,690
Overhead Expenses (Non-Salary) $45,625
Depreciation Expense $3,330
Total Operating Costs $59,280

Charges ($ thousands)

Inpatient Charges $17,458
Outpatient Charges $75,288
Total Patient Charges $92,746

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $11,389
Short-Term Investments
Notes Receivable
Accounts Receivable $5,943
Allowance for Doubtful Accounts
Inventory $1,006
Prepaid Expenses $410
Other Current Assets
Total Current Assets $20,881

Balance Sheet – Fixed Assets ($ thousands)

Land Value $198
Land Improvements Value $2,321
Building Value $19,113
Leasehold Improvements
Fixed Equipment Value $19,906
Major Movable Equipment $21,936
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $22,280

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $7,500
Total Other Assets $30,869
Total Assets $74,030

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,938
Salaries & Wages Payable $2,505
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $937
Total Current Liabilities $7,233

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $3,380
Unsecured Loans
Other Long-Term Liabilities $27,226
Total Long-Term Liabilities $30,606
Total Liabilities $37,839

Balance Sheet – Equity ($ thousands)

General Fund Balance $36,192
Total Fund Balances $36,192
Total Liabilities & Equity $74,030

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $18,435
Outpatient Revenue $83,599
Total Patient Revenue $102,034
Contractual Allowances & Discounts $29,371
Net Patient Revenue $72,663
Total Operating Expenses $74,315
Net Service Income $-1,651
Other Income $330
Total Income $-1,321
Other Expenses $704
Net Income $-2,025

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $10,414
Medicaid Charges $15,696
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No