report - androscoggin valley hospital · are extremely satisfied with what this new plant provides...
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< Do You Have a Persistent Cough? (page 7)
NORTHCARE’S
TO THE COMMUNITY
2013REPORT
SUM
MER
201
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After a long, cold winter, it is nice to enjoy some warmer weather. Speaking of warmth, we are pleased to have our newly constructed biomass facility operable. This state-of-the-art feature allows us to burn locally supplied wood chips, in lieu of oil, at a projected cost savings of approximately $300,000 per year.
We have a number of back-up fuel options on hand, but are extremely satisfied with what this new plant provides our patients, employees, visitors and volunteers.
Two other exciting recent developments at Androscoggin Valley Hospital involve collaboration with Memorial Hospital of North Conway, a MaineHealth member. This past spring, Memorial began providing a new Wound Care Clinic in Berlin. Appointments are available Tuesdays in the lower level of the AVH Professional Center. In addition, two nurse practitioners from their facility began seeing patients in a new diabetes clinic located in the 2-North area of AVH. Patti Duprey had previously seen diabetic patients at our hospital, but due to family commitments, she is no longer travelling to Berlin. We thank her for the great service she provided.
Great things are happening here at AVH, and we thank you for being an exciting part of our growth. If you haven’t visited us lately, stop by today!
Yours in good health,Russ KeeneAVH CEO
Better and More Affordable Options
F R O M T H E C E O
Published by McMurry/TMG, LLC. © 2014. All rights reserved. No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not take the place of—the recommendations of your healthcare provider. Consult your physician before making major changes in your lifestyle or healthcare regimen. McMurry/TMG makes no endorsements or warranties regarding any of the products and services included in this publication or its articles. Staff and hospital photographs taken by Paul Charest, Morning Lane Photography, Normand Labonville, Normand Photography & Weddings, or Donna Godin and James Patry of AVH.
AVH Welcomes Dr. David Poplawski, Urologist
AVH Surgical Associates, the specialty physician practice of Androscoggin Valley Hospital, is pleased to welcome David Poplawski, MD, FACS, Urologist, to its staff of physicians. A Vermont native, Dr. Poplawski was most recently employed at York Hospital, York, Maine.
A University of Vermont College of Medicine graduate, Dr. Poplawski is Board Certified by the American Board of Urology. He is also a member of the American Urology Association, Practice Managers Network and the Faculty of American College of Surgeons.
Dr. Poplawski’s clinical interests include minimally invasive treatment of prostate disease, female urology, prostate cancer —diagnosis and treatment counseling and GreenLight Laser Surgery for prostate disease. He has performed more than 500 GreenLight Laser Prostatectomies. Patients are welcome both at the AVH Professional
Center in Berlin, and at Upper Connecticut Valley Hospital, Colebrook.
“I am pleased to welcome Dr. Poplawski to AVH Surgical Associates,” said Keith Shute, MD, MMM, Chief Medical Officer, Senior Vice President, Androscoggin Valley Hospital. “Along with Dr. Morice Dennery, Dr. Poplawski provides excellent urological care close to home for patient convenience.”
“I welcome the opportunity to treat residents of the Androscoggin Valley, and look forward to working with the highly capable staff at AVH Surgical Associates,” Dr. Poplawski said.
For more information or an appointment with Dr. Poplawski in Berlin, call (603) 752-2300. For an appointment in Colebrook, call (603) 237-8652.
David Poplawski, MD
Our New Diabetes CenterOffers Enhanced Care Close to Home
The ADA-certified Diabetes and Endocrinology Center at Memorial Hospital now provides a full team of professionals at Androscoggin Valley Hospital to help patients with any kind of diabetes—Type I, Type II, or Gestational.
Resources in Berlin include:$ A Registered Dietitian $ Two Nurse Practitioners$ Registered Nurses $ Diabetes Classes$ Diabetes Support Group
Find out how you can benefit from the experience and breadth of resources now available at our new Diabetes Center by calling 603-326-5779 or visiting www.avhnh.org.Cara Kilroy,
MSN, ANP-BC
Loretta Grimm,MS, FNP-C, CDE, BC-ADM
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NorthCare Balance Sheet
ASSETS2013 ACTUAL
DEC. 20132012 ACTUAL
DEC. 2012
CURRENT ASSETS:
Cash and cash equivalents $6,940,230 $7,455,830
Patient accounts receivable, net $7,130,536 $5,705,512
Other accounts receivable $135,561 $54,637
Meaningful use receivable $365,345 $1,592,592
Supplies $360,558 $340,616
Prepaid expenses and other current assets $2,637,405 $2,445,524
Total Current Assets $17,569,635 $17,594,711
Assets limited as to use, excluding current portion $24,093,445 $22,561,470
Property and equipment, net $15,196,018 $14,244,800
OTHER ASSETS:
Deferred compensation $3,037,882 $2,222,660
Total Other Assets $3,037,882 $2,222,660
TOTAL ASSETS $59,896,980 $56,623,641
LIABILITIES AND NET ASSETS2013 ACTUAL
DEC. 20132012 ACTUAL
DEC. 2012
CURRENT LIABILITIES:
Accounts payable and accrued expenses $3,257,698 $3,557,883
Accrued salaries and related amounts $2,373,012 $2,437,531
Estimated third-party payor settlements $10,130,122 $8,072,113
Current portion of long-term debt $1,320,025 $1,275,079
Total Current Liabilities $17,080,857 $15,342,606
Long-term debt, excluding current portion $12,117,788 $13,428,450
Pension liability $7,439,021 $8,975,509
Deferred compensation $3,037,882 $2,222,660
Total Liabilities $39,675,548 $39,969,225
NET ASSETS:
Unrestricted $20,177,670 $16,610,654
Permanently restricted $43,762 $43,762
Total Liabilities and Net Assets $59,896,980 $56,623,641
ANDROSCOGGIN VALLEY HOSPITAL is a rural,
nonprofit Critical Access Hospital. A subsidiary
of NorthCare, it offers a broad range of inpatient
and outpatient services to meet the majority of
needs of the Upper Androscoggin Valley area
and surrounding communities.
The hospital’s mission is to take a leadership
role in helping to ensure the healthcare
needs of the community are met. AVH offers
a comprehensive network of health services
delivered by highly qualified practitioners.
Nearly every major specialty is represented by
the 100 practitioners on the AVH Medical and
Allied Health Professionals staffs. Our mission is
guided by a sincere, compassionate and ethical
concern for those served and a desire to adapt to
the community’s changing healthcare needs.
Androscoggin Valley Hospital Utilization Statistics
ANNUAL REPORT DATA 2013 2012
Admissions, acute 1,104 1,054
Births 122 109
Patient days, acute 3,572 3,587
Average length of stay, acute days 3.24 3.40
Surgical patients 1,743 1,720
Emergency department visits 7,846 9,032
Outpatient visits 52,495 55,256
Laboratory tests 293,927 299,543
Cardiology procedures 4,134 4,266
Radiology procedures 19,170 19,089
Occupational therapy treatments 4,396 4,753
Physical therapy treatments 24,050 20,157
Home health service visits 4,503 9,099
Long-term care days (swing) 2,052 1,915
Full-time equivalent employees 334 356
facts and figures
REVENUEEXPENSES
4% Maintenance and utilities
4% Depreciation
10% Medical supplies
12% Purchased services
14% General and administrative
56% Salaries and benefits
6% Other operating income
8% Net revenue ASA (AVH Surgical Associates) patients
86% Net revenue AVH patients
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10-14 YEARSBachand, Michele Bailey, Erika Belanger, CecileBertin-Roy, Karen Boivin, Lisa Charron, Kimberly Chauvette, Lynn Chevarie, Renee Derosier, Lisa Eastman, Derek Fournier, Susan Gagnon, Denise Gillespie, Robert Jr. Girard, Monique Gray, Heidi Grondin, Lucie Guay, Leona Guay, Nancy Jameson, Donna Johnson, Suzanne Jolly, PeterLandry, JaniceLanglois, AnneMorin, SusanMorris, John Nadeau, Claudette O’Neil, Lisa Patel, Dipika Patry, Lee Ann Pinette, Therese Poirier, Robin Ramsey, Karen Ramsey, Maureen Reardon, Amanda Riff, Linda Ruediger, Arthur Stephenson, Aaron Sullivan, Delphine Supry, Karen Therrien, Debra Vallee, Clare Valliere, Pamela Vashaw, Heather
15-19 YEARSAlonzo, April Baker, Gary Balon, Roberta Bardeen, Marjolaine Bernier, Alison Berthiaume, Tammy Bisson, Ann Blais, Daniel Blanchette, Claire Brooks, Deborah Burlock, Linda Cloutier, Wanda Corrigan, A. Louise Cropley, Tracy Delisle, Rachel Dorval, KarinEllis, E. Barbra Fox, Clare Galligan, Edward Gordon, Nancy Gorham, Diane Halle, Tricia Holmes, Doreen Houle, Michelle Keene, Edwina Keene, Russell Lessard, Susan Mercier, Johanne Neil, Bruce O’Sullivan, Darlene Paradis, Diane Peabody, Karen Riendeau, Janet Rousseau, Jessica Roy, Ginette Ryder, Cynthia Therrien, Dennis
20-24 YEARSBailey, Lori Bergeron, Deborah Blais, Darlene Bonney, Roxanne Bouchard, Renee
Carter, Suzanne Cloutier, Marie-Paule Colbath, John Couture, Wayne Dumoulin, Nancy Godin, Donna Horne, Donna LaPlante, Lisa Leclerc, Joyce Leclerc, Kathie Lessard, Louise Leveille, Rachel Montelin, James Morin, Dorothy O’Sullivan, Ann Pelchat, Pamela Perkins, Suzanne Shute, Keith Smith, Karen Therriault, Sr. Monique Tupick, Linda Turmel, Laura Wiley, Heather
25-29 YEARSAlonzo, Teresa Beaulac, Lise Boudreau, Lori Delisle, Denis Doncaster, Rebecca
Douin, MaryLou Ferland, Susan Flint, Karen Gagnon, Janine Garneau, Suzanne Halle, Melissa Hallgren, Bernadette Halvorson, Joan Host, Line Johnson, Elise Kernan, Donald Lary, MaryAnn Lemoine, Jeanne Nason, Vicky Rasmussen, Elaine Riley, Mitzi Sheets, Diane
30-34 YEARSAccardi, Lise Alonzo, Deborah Annis, Darla Baillargeon, Ruth Barnes, Theresa Blanchette, Debra Charest, Sylvia Conway, Barrie Duchesne, Philip Dumoulin, Lorraine Gilbert, Janine
Glenney, Patricia Horne, Diane Roy, Gaye Tanguay, Sandra Valliere, Kathleen Wentworth, Donna
35-39 YEARSArsenault, Linda Blais, Michele Chase, Howard Desmond, Dennis Dupuis, Lana Fortier, Theresa Gagnon, Debra Laperle, Linda Laroche, Anne Lessard, Gregory Lowe, Colette St. Onge, Janet Thomas, Doreen Wedge, Karen
40-44 YEARSLacroix, Suzanne McDowell, John Morneau, Claudette Schofield, Steven Tanguay, Elizabeth
Long-Service Employees 2013# Our employees help make this hospital what it has been for more than a century and what it is today. They truly live our mission and carry out our values each day, providing high-quality patient care and ancillary services. Every year, AVH recognizes and thanks its employees with 10 years or more of service at a recognition banquet. Those employees having a five-year anniversary receive a certificate, service pin and service luncheon. All recognized employees are given a special gift of appreciation.
staff recognition
From left, Linda Arsenault, Claudette Morneau and Donna Godin are a few of our long-service employees.
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2013 Active Volunteers and Auxilians# Androscoggin Valley Hospital recognizes the vital service that volunteers provide day in and day out to help make healthcare operations run smoothly. Every year, a celebration to honor and thank all of the dedicated volunteers is held. Each volunteer receives a certificate with a special gift. Some volunteers are recognized for their numerous years of volunteer service.
Noella BartoliJeannine BirchAline and Henry BoucherFrank and Sally BruniJudy CarrollPamela CoutureShirlene CoutureJean and Ron CroteauFred Devoid Rolanda DuchesneRon Fini Kathy FrenettePete and Jackie GagneRita GagneRon Godin Nancy HachezHenry and Yvette HachezBeth Isaacson-Dupont
Jeannette FortierSandra JensenWarren JohnsonLauna KeenanPauline KochaniecGeorge LabrecqueArline LacroixNorman and Lorraine LacroixChristina LavigneJean LemieuxTheresa LessardCarmen LeveilleLori LosierButch and Karen LovenGeorgette McCosh Charlene ThompsonLucille Mainguy Rosabelle Tifft
Jean Malick Sally TourangeauJoan Merrill Virginia VachonCynthia Miller Alex VanLeuvenLinda Morris Carlene WilmerJeannette Morrissette Brad and Sue WymanAnne MortonBecky MulaireLucille NolanIrene OlesonLucille ParadisJames PatryRochelle PayeurNancy Pickford
Edna PlanteAnnemarie PlattLouise PoulinKen ProulxCarolyn RiffPatricia RileyPauline RobinsonPriscilla RoyJean ScolereRalph and Maryneth ShevlinFred and Julie SmithTheresa SmithLinda ThayerBill ThomasCharlene Thompson
special support
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Committed to bringing the highest quality surgical care to the North Country.Non Profit OrgUS Postage
PAIDWhite River Jct, VT
Permit # 86
59 Page Hill Road, Berlin, NH 03570
giving back
GENERAL DONATIONS
Coulombe Real Estate
Mr. Philp McCarron
Dr. and Mrs. Keith M. Shute
MEMORIAL DONATIONS
Mr. Dominic P. Alonzo
Mr. and Mrs. Maurice Laroche
Mr. James Patry
Mrs. Carmen R. Anctil
Mrs. Carolyn Urban
Mr. Armand T. Arguin
Mr. James A. Patry
Mr. Joseph A. Birt
Mr. James Patry
Mr. Kevin M. Bisson
Theriault Family
Mr. Julien G. “Jules” Croteau
Mr. and Mrs. Maurice Laroche
Mr. Richard G. “Rick” Cusson
Mr. and Mrs. Robert Calamari
Mr. and Mrs. Norman Cusson
Mr. James Patry
Mr. Henry Dion
Mr. and Mrs. William L. Demers
Mrs. Florence Dooan
Mr. and Mrs. O’Brien R. Murphy
Mr. Paul R. Dumont
Mr. James Patry
Mr. Raymond A. Guerin
Mr. and Mrs. Maurice Laroche
Mrs. Della Ann Hanson
Northway Bank
Mr. Leo B. Martin
Mr. and Mrs. James A. Boyd
Mr. and Mrs. Robert Chevarie
Families of Denise Lamontagne
and Mona Pinette
Kellog Inc.
Les Danseurs de Mardi Soir (The
Dancers of Tuesday Night)
Mrs. Francoise Martin
Mrs. Beverly A. Moffett
Karen Bertin-Roy, Suzanne
Carter, and Sylvia Charest (AVH
Medication Administration)
Ms. AnnMarie S. Nolan
Mr. and Mrs. Maurice Laroche
Mr. James Patry
Ms. Rita F. Pelletier
Ms. Louise L. Boutin
Mr. and Mrs. Albert G. Brodeur
Mr. and Mrs. Paul Croteau
Mr. and Mrs. Normand Lettre
Mrs. Lucille Norton
Mr. and Mrs. Thomas Tumielewicz
Mrs. Theresa M. Poulin
Family of Theresa M. Poulin
Mrs. Ann F. Vashaw
Mrs. Deborah Alonzo
Mr. and Mrs. Daniel G. Blais
Mr. and Mrs. Joseph Carpinetti
Concord High School Faculty
and Staff
Mr. and Mrs. Joseph P. Connole
and Michael
Ms. Carol Couture
Ms. Barbara A. Demers
Mr. and Mrs. Frederick L. Devoid
Mr. and Mrs. Russell Douglass
Ms. Joan M. Fales
The Gilcoine’s
Mr. and Mrs. Paul AJ Godin
Ms. Cecile Guerin
Mr. and Mrs. Henry Hachez
Ms. Sandra Jensen
Ms. Linda L. Jewett
Ms. Rita J. Lambert
Mr. and Mrs. Roland J. Lambert
Mr. and Mrs. Dennis Laperle
Mr. and Mrs. Lionel P. LeBlanc
Mr. and Mrs. Ronald Legere
Mr. and Mrs. Robert A. Loven
Luby Association
Ms. Jari G. McNamee
Mrs. Lillian Morris
Mr. and Mrs. Paul R. Morris
Mr. and Mrs. Jerry R. Nault and
Karen Sullivan
Mr. and Mrs. Louis Parent
Mr. James Patry
Ms. Patricia A. Peavey
Mr. and Mrs. Roland R. Pelchat
Mr. and Mrs. Norman Roberge
Mr. and Mrs. Steven Rothenberg
Mr. and Mrs. Steven R. Roy
Ms. Deborah E. Scoggins
Mr. and Mrs. Tom Trudell
Mr. and Mrs. Michael R. Valliere
Mr. and Mrs. Greg P. Vaughn
Mr. and Mrs. Maurice Wheeler
White Mountains Community
College Coworkers
Mr. and Mrs. David S. Woodward
Mr. Eugene A. Vien
Mr. and Mrs. William M. Arnold
Mr. and Mrs. William L. Demers
Gorham Firefighters Assoc.
Mrs. Jacquelyn Noyes
Ms. Anita Valliere
Mrs. Dorothy J. Watson
Mr. and Mrs. Maurice Laroche
2013 DONATIONS
# Androscoggin Valley Hospital received the following generous contributions in memory of family members and friends. Unrestricted funds from the Living Memorial Program are used to help purchase patient care equipment to benefit patients. If they wish, donors may designate their donation for a specific department or service of the hospital. All memorial names (listed below in green print) and donor names can be viewed in the Living Memorial Program book, located between the first and second-floor lobbies of the Hospital. To make a contribution to the Living Memorial Program, please call (603) 326-5607.
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E very cough is annoying, but it does not always have to
be a cause for alarm. When we’re sick, it is a natural reflex to cough. That is how the body expels bacteria from the lungs and clears irritants from the airway. Coughs can even linger for weeks after a cold or respiratory infection.
A chronic cough—one that lasts for eight weeks or more—is different. It should be treated as a serious condition that requires a visit to the doctor.
Chronic coughs can have many causes. Some of the most common reasons are smoking, asthma and gastroesophageal reflux disease (GERD), a condition in which acid from the
stomach backs up into the throat.
Upper airway cough syndrome is an umbrella term that describes conditions that inflame the upper airways to cause a cough. Sinus infections and allergies that cause the mucus to drip into the throat are examples.
Other conditions that can cause chronic cough include COPD, a disease that prevents enough air from flowing in and out of the lungs, and chronic bronchitis.
A chronic cough can cause fatigue—because of the energy it takes to cough and related sleeplessness— and may cause headaches, chest pain and sweating. Doctors
typically aim to diagnose and treat the cause, rather than the cough itself. Tests may include a chest or sinus X-ray, lung-function tests and a mucus analysis. A doctor will also try to determine if an allergen or pollutant is causing the irritation.
The benefits of quitting smoking begin almost the second you put down your last cigarette. Twelve hours after quitting, carbon monoxide levels in the blood drop to normal. Within three months,
circulation and lung function improve.
A year from the last cigarette, a smoker’s cough will generally recede, and the risk of coronary heart disease is half that of a continuing smoker. At the five- and
10-year marks, the risk for certain cancers drops to half that of a current smoker.
Quitting does not have to be done alone. Your doctor can help you develop a personal-ized plan.
A Persistent Cough?
When you should seek care.
For an appointment in Berlin with Dr. Peggy Simon, Pulmonologist, AVH Surgical Associates, call (603) 752-2300. For an appointment in Lancaster, call (603) 788-5391. For an appointment in Colebrook, call (603) 237-8652.
SEE OUR PULMONOLOGIST
Peggy Simon, MD
Quit Smoking This Year
AVH Can Help For smoking cessation program information, call (603) 326-5847.
top care
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59 Page Hill Road
Berlin, NH 03570
avhnh.org
(603) 752-2200
Nonprofit OrgU.S. Postage
P A I DAVHA
VH
COMPONENT CONTRIBUTION RECOGNITION
Shrub $50Listed in
Contributions Binder
Brick Paver (4”x8”)
$100
Engraved and Listed in Contributions
Binder
Granite Paver (1’x1’)
$500 Engraved
Granite Paver (1’x2’)
$1,000 Engraved
Granite Paver (2’x2’)* $2,000
Engraved; *Limited quantity.
Please ask.
Tree $1,000Etched Brass
Plate on Granite Post
Lamppost** $5,000
Etched Brass Plate; **Includes a complementary
1’x1’ granite paver.
# An item in the AVH Impressions of Care Walkway makes a
great tribute or way to honor a friend or loved one. Such items
also make great gifts for birthdays, weddings, anniversaries,
graduations or other special events. If interested, please
complete the information at left and send, along with a
check made payable to “AVH Auxiliary,” to Androscoggin
Valley Hospital, 59 Page Hill Road, Berlin, NH 03570.
Name:
Title:
Business Name:
Mailing Address:
City/State/Zip:
Phone:
E-mail:
Please place a check mark next to your donation. Shrub: Please print the donor name to be listed in the
Contributions Binder on a separate piece of paper. Brick Paver: 3 lines (16 characters per line) Granite Paver (1’x1’): 6 lines (13 characters per line)
or 3 lines with a small logo or large logo Granite Paver (1’x2’): 6 lines (26 characters per line)
or 3 lines with a small logo or large logo Tree: 5 lines (18 characters per line) Lamppost: 5 lines (18 characters per line)
Please include a separate piece of paper with your inscription printed exactly as you would like it to appear. A space or comma would be considered a character.
AVH Impressions of Care Walkway