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NORTHCARE’S

TO THE COMMUNITY

2012REPORT

SUM

ME

R 2

013

Joan Merrill was recently named AVH Volunteer of the Year. See page 5 for a list of volunteers.

Androscoggin Valley Hospital in Berlin was recently named one of the iVantage HealthStrong™ Top 100 Critical Access Hospitals (CAHs) in the United States.

AVH is proud of the efforts of our physicians and staff who have contributed to our hospital achieving this designation. This noteworthy accomplishment is a testament to the patient-first care exhibited by our employees. There are more than 1,330 Critical Access Hospitals across the country.

The iVantage HealthStrong™ Top 100 Critical Access Hospitals, including AVH, scored best among critical access hospitals on the iVantage Health Analytics’ Hospital Strength Index™.

AVH also achieved such recognition in 2012. The Hospital Strength Index is the first-ever comprehensive rating of CAHs and the results recognize the Top 100 Critical Access Hospitals that provide a “safety-net “to communities across rural America—measuring them across 56 different performance metrics, including quality, outcomes, patient perspective, affordability and efficiency. More information can be found at www.iVantageHealth.com/HSI.

Yours in good health,Russ KeeneChief Executive Officer

AVH Named Top Critical Access Hospital

F R O M T H E C E O

Published by McMurry/TMG, LLC. © 2013. 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.

Valley Birthplace Earns High MarkThe Valley Birthplace at AVH recently learned that practices they implemented resulted in a breastfeeding initiation rate higher than the average of other New Hampshire healthcare facilities. The AVH rate of 84.8 percent was nearly 5 percent higher than the state average.

Valley Birthplace staff nurses Anne Laroche and Karin Dorval, along with Dr. Brian Beals, Coos County Family Health Services, have been attending the NH’s Ten Steps to Successful Breastfeeding: Step by (baby) Steps. This is a collaborative effort among Granite State hospitals to help promote and maintain breastfeeding. In addition to this attendance, education has been initiated to Medical Assistants of the Obstetrics office of AVH Surgical Associates. This helps provide breastfeeding

information during the patient’s prenatal period. Physicians are also being provided information to help promote breastfeeding.

It has been well documented that women are more likely to breastfeed their babies if their doctors discuss the topic with them in the office. AVH Women’s Services staff received instruction regarding the importance of skin-to-skin contact for all newborns, especially in the first hours after birth. They have also learned about the importance of “rooming in,” where mother can best recognize infant feeding cues.

For more information or a tour of the Valley Birthplace, please call (603) 326-5885. For prenatal care through the OB/GYN department of AVH Surgical Associates, please call (603) 752-2300.

88 combined physician years of Emergency Department experience

Nearly 325 combined nursing years of Emergency Department experience

Thousands of emergency patients every year

100% composite scores for treating Acute Myocardial Infarction (Heart Attack)*

59 Page Hill RoadBerlin, NH 03570(603) 752-2200

From left to right, Donald Kernan, MD, Emergency DepartmentMedical Director; Norman Kossayda, MD, FACEP; Robert Wise, DO; Arthur Ruediger, DO

100+ Years of Emergency Experience. Minutes Away.

www.avhnh.org

*2012 (most recent statistics available), Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

The second-annual AVH Auxiliary Leading the Way 5k was held May 4 at the AVH Professional Center. The first three runners to finish, and their respective times were: Christine Landry, 24:51; Heather Holt, 24:52; Michael Smith, 26:44.

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NorthCare Balance Sheet

ASSETS2012 ACTUAL

DEC. 20122011 ACTUAL

DEC. 2011

CURRENT ASSETS:

Cash and cash equivalents $7,455,830 $10,089,911

Assets limited as to use 0 $103,069

Patient accounts receivable, net (2012–$5,869,323; 2011–$6,456,899)

$5,705,512 $6,340,168

Other accounts receivable $54,637 $43,230

Meaningful use receivable $1,592,592 0

Supplies $340,616 $312,863

Prepaid expenses and other current assets $2,445,524 $2,443,582

Total Current Assets $17,594,711 $19,332,923

Assets limited as to use, excluding current portion $22,561,470 $21,145,191

Property and equipment, net $14,244,800 $14,936,016

OTHER ASSETS:

Deferred compensation $2,222,660 $1,675,104

Total Other Assets $2,222,660 $1,675,104

TOTAL ASSETS $56,623,641 $57,089,234

LIABILITIES AND NET ASSETS2012 ACTUAL

DEC. 20122011 ACTUAL

DEC. 2010

CURRENT LIABILITIES:

Accounts payable and accrued expenses $3,557,883 $3,973,743

Accrued salaries and related amounts $2,437,531 $2,391,154

Estimated third-party payor settlements $8,072,113 $7,668,614

Current portion of long-term debt $1,275,079 $938,393

Total Current Liabilities $15,342,606 $14,971,904

Long-term debt, excluding current portion $13,428,450 $13,183,337

Pension liability $8,975,509 $8,207,972

Deferred compensation $2,222,660 $1,675,104

Interest rate swap 0 $2,338,470

Total Liabilities $39,969,225 $40,376,787

NET ASSETS:

Unrestricted $16,610,654 $16,668,685

Permanently restricted $43,762 $43,762

Total Liabilities and Net Assets $56,623,641 $57,089,234

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 2012 2011

Admissions, acute 1,054 1,219

Births 109 137

Patient days, acute 3,587 4,015

Average length of stay, acute days 3.40 3.29

Surgical patients 1,720 1,832

Emergency department visits 9,032 8,888

Outpatient visits 55,256 57,744

Laboratory tests 299,543 319,542

Cardiology procedures 4,266 4,838

Radiology procedures 19,089 20,510

Occupational therapy treatments 4,753 4,952

Physical therapy treatments 20,157 20,537

Home health service visits 9,099 9,122

Long-term care days (swing) 1,915 1,927

Full-time equivalent employees 356 366

facts and figures

REVENUEEXPENSES

4% Maintenance and utilities

4% Depreciation

8% Medical supplies

13% Purchased services

13% General and administrative

58% Salaries and benefits 4+4+8+13+13+58 1+10+89 1% Other operating income

10% Net revenue ASA (AVH Surgical Associates) patients

89% Net revenue AVH patients

3

10-14 YEARSAdams, Karen Bailey, Erika Baker, Gary Belanger, Cecile Bernier, Alison Davis Bertin-Roy, Karen Boivin, Lisa Cairns, Cynthia Charron, Kimberly Chauvette, LynnChevarie, Renee Corrigan, A. Louise Derosier, Lisa Devost, Cecile Ellis, E. Barbra Fournier, Susan Gagnon, Denise Gillespie, Robert Jr. Gray, Heidi Grondin, Lucie Guay, Leona Guay, Nancy Halle, Tricia Holmes, Doreen Johnson, Suzanne Langlois, Anne Morin, Susan Morris, John Nadeau, Claudette O’Neil, Kelly O’Neil, Lisa Patry, Lee Ann Pinette, Therese Poirier, Robin Ramsey, Karen Ramsey, Maureen Reardon, Amanda Riff, Linda Ruediger, Arthur Skaradosky, Mary Sullivan, Delphine Supry, Karen Therrien, Debra Vashaw, Heather

15-19 YEARSAlonzo, April Balon, Roberta

Bardeen, Marjolaine Berthiaume, Tammy Bisson, Ann Blais, Daniel Blanchette, Claire Bouchard, Renee Brooks, Deborah Burlock, Linda Cloutier, Wanda Cropley, Tracy Delisle, Rachel Dorval, Karin Dumoulin, Nancy Fox, Clare Galligan, Edward Gordon, Nancy Gorham, Diane Horne, Donna Houle, Michelle Keene, Edwina Keene, Russell Leclerc, Kathie Lessard, Susan Mercier, Johanne Neil, Bruce O’Sullivan, Darlene Paradis, Diane Peabody, Karen Riendeau, Janet Rousseau, Jessica Roy, Ginette Ryder, Cynthia Shute, Keith Therriault, Sr. Monique Therrien, Dennis Wiley, Heather

20-24 YEARSAnderson, Patricia Bailey, Lori Beaulac, Lise Bergeron, Deborah Bisson, Rachel Blais, Darlene Bonney, Roxanne Carter, Suzanne Cloutier, Marie-Paule Colbath, John Cormier, Joan

Couture, Wayne Delisle, Denis Demers, Lucie Ferland, Susan Flint, Karen Godin, Donna LaPlante, Lisa Lary, MaryAnn Leclerc, Joyce Lemoine, Jeanne Lessard, Louise Leveille, Rachel L’Heureux, Joan Montelin, James Morin, Ann Morin, Dorothy O’Sullivan, Ann Pelchat, Pamela Perkins, Suzanne Roy, Carol Sheets, Diane Smith, Karen Tupick, Linda Turmel, Laura

25-29 YEARSAlonzo, Teresa Boutin, Jeannette Brown, Suzanne Doncaster, Rebecca

Douin, MaryLou Duchesne, Philip Gagnon, Janine Garneau, Suzanne Halle, Melissa Hallgren, Bernadette Halvorson, Joan Host, Line Johnson, Elise Kernan, Donald King, Cynthia Nason, Vicky Rasmussen, Elaine Riley, Mitzi Sloane-Boudreau, Lori

30-34 YEARSAccardi, Lise Alonzo, Deborah Annis, Darla Baillargeon, Ruth Barnes, Theresa Blais, Michele Blanchette, Debra Charest, Sylvia Conway, Barrie Desmond, Dennis Dumoulin, Lorraine Fortier, Theresa Gilbert, Janine

Glenney, Patricia Horne, Diane Roy, Gaye Tanguay, Sandra Valliere, Kathleen Wentworth, Donna

35-39 YEARSArsenault, Linda Chase, Howard Coulombe, Louise Dupuis, Lana Gagnon, Debra Laperle, Linda Laroche, Anne Lessard, Gregory Lowe, Colette McDowell, John St. Onge, Janet Shevlin, Suzanne Thomas, Doreen Wedge, Karen

40-44 YEARSCouture, Pamela Lacroix, Suzanne Morneau, Claudette Schofield, Steven Tanguay, Elizabeth

Long-Service Employees 2012# 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

Nurse of the Year award winners Mia Roberge, Coos County Family Health Services, and Louise Coulombe, AVH Home Health and Hospice, flank Clare Vallee, AVH Vice President of Nursing Services. The nurses were nominated by members of the public.

4

2012 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 are recognized for their numerous years of volunteer service and one is awarded the prestigious Volunteer of the Year award.

This year, Joan Merrill was named Volunteer of the Year. She began as a transport volunteer in 2009 and continues in this role today. She has completed the Hospice Volunteer Training Program. She also participates in the Focused Visitors Program, serves as Chairperson for the AVH Auxiliary/Eli Isaacson Memorial Family Health Library, volunteers at blood drives and assists with special projects. Our valued volunteers are listed below:

Bartoli, NoellaBirch, JeannineBernsten, BobBoucher, AlineBoucher, HenryBruni, FrankBruni, SallyCarroll, JudyCarter, AnneChristina, BarbaraCouture, PamelaCouture, ShirleneCroteau, JeanCroteau, RonCroteau, SueDoyle, Corinne

Fini, RonFortier, JeannetteGagne, JackieGagne, JeannetteGagne, RitaGagne, Roland “Pete”Hachez, HenryHachez, NancyHachez, YvetteIsaacson-Dupont, BethJensen, SandraJohnson, WarrenKeenan, LaunaLabrecque, GeorgeLacroix, ArlineLacroix, Norman

Lacroix, LorraineLavigne, ChristinaLemieux, JeanLessard, TheresaLeveille, CarmenLosier, LoriLoven, ButchLoven, KarenMaynor, MelanieMainguy, LucilleMcCosh, GeorgetteMerrill, JoanMiller, CyndeeMoreau, ElizabethMorris, LindaMorrissette, Jeannette

Morrissette, PhyllisMulaire, BeckyNeil, MikeNolan, LucilleParadis, LucillePatry, JamesPayeur, RochellePickford, NancyPlante, EdnaPlatt, AnnemariePoulin, CecilePoulin, LouiseRiff, CarolynRiley, PatriciaRobinson, PaulineRoy, Priscilla

Shevlin, RalphSmith, FredSmith, JulieSmith, TheresaThunderwolf, StormyTheberge, RobertTibbetts, PaulineTifft, RosabelleTourangeau, SallyThompson, CharleneVachon, VirginiaVanLeuven, AlexWilmer, CarleneWyman, BradWyman, Susan

special support

5

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

As part of our continuing commitment to deliver

the highest quality health care in the North Country,

AVH continues to innovate and expand to provide

easier access to the most experienced, clinically

advanced surgical care, right here close to home.

AVH SURGICAL ASSOCIATES

n Audiology and Hearing Aids 326.5700n Cardiology (at NEHI*) 326.5847 n Center for Sleep Medicine 326.5848n Ear, Nose and Throat / Allergy 326.5700n Imaging Services 326.5720 n Neurology 326.5990

Located at Androscoggin Valley Hospital59 Page Hill Road, Berlin, NH 03570

n General Surgery 752.7750n Obstetrics/Gynecology 752.2300n Orthopaedic Surgery and Sports Medicine 752.7750n Pain Management 752.2300n Urology 752.2300

Located at the AVH Professional Center7 Page Hill Road, Berlin, NH 03570 For more information, visit avhnh.org

Howard S. Mudd IIICRNA Nurse Anesthetist

James M. O’Day, AuD Audiologist

Richard G. Kardell DO, FAOCOEar, Nose and Throat Surgeon and Allergist

Karen C. LovettCFNP, CNMEar, Nose and Throat /Allergy

Christopher U. GlenneyMD, FACSGeneral Surgeon

Nancy L. Burleson, MD FACOGOB/GYN

Stephen A. Kull, MDFACOGOB/GYN

Diane M. Demers CRNA Nurse Anesthetist

Crizeldo Cariaso, MDNeurologist

Joseph P. DellaValla, MD FACPSleep Medicine

Morice P. Dennery, MD Urologist

Elizabeth M. Gaary, MDRadiologist

Stephanie Allen Lilly, MDFACSGeneral Surgeon

J. Rodger Wood, MDAnesthesiologist

Andri G. Olafsson, MDGeneral Surgeon

Krzysztof Z. Plociennik MD, FACOGOB/GYN

Harry C. Stearns III, MDFAAOSOrthopaedic Surgeon

* Daniel van Buren, MDCardiologist

Glenn W. Dunnington, MDUrologist

Richard J. Lorenz, PA-COrthopaedics

Delphine Glorieux-SullivanMD, FRCS(C)Orthopaedic Surgeon

Cara J. Penney, PA-CNeurology

Stanley W. Whitaker, MDRadiologist

As part of our ongoing commitment to deliver the highest quality healthcare in the North Country, AVH continues to innovate and expand to provide easier access to the most experienced, clinically advanced surgical care, right here close to home.

AVH SURGICAL ASSOCIATES- Audiology and Hearing Aids (603) 326-5700- Cardiology (at NEHI*) (603) 326-5847- Center for Sleep Medicine (603) 326-5848- Ear, Nose and Throat/Allergy (603) 326-5700- Imaging Services (603) 326-5720- Neurology (603) 326-5990- Pulmonology (603) 326-5770Located at Androscoggin Valley Hospital59 Page Hill Road, Berlin, NH 03570

- General Surgery (603) 752-7750- Obstetrics/Gynecology (603) 752-2300- Orthopaedic Surgery and Sports Medicine (603) 752-7750- Pain Management (603) 752-2300- Urology (603) 752-2300Located at the AVH Professional Center7 Page Hill Road, Berlin, NH 03570For more information, visit avhnh.org

Committed to bringing the HIGHEST QUALITY SURGICAL CARE

to the North Country

top care

6


Nancy L. Burleson, MDFACOGOB/GYN

Crizeldo G. Cariaso, MDNeurologist

Joseph P. DellaValla, MDFACPSleep Medicine

Diane M. Demers,CRNANurse Anesthetist

Morice P. Dennery, MDUrologist



Christopher U. Glenney,MD, FACSGeneral Surgeon

Delphine Glorieux- Sullivan, MD, FRCS(C)Orthopaedic Surgeon

George Hunter, MD Radiologist



Karen C. Lovett, CFNP, CNMEar, Nose and Throat /Allergy

Howard S. Mudd III,CRNANurse Anesthetist

James M. O’Day, AuDAudiologist



Krzysztof Z. PlociennikMD, FACOGOB/GYN


Daniel van Buren, MDCardiologist





































































Thomas W. Rock, MD, FAAOS, Orthopaedic Surgeon

Richard G. Kardell, DOFAOCOEar, Nose and ThroatSurgeon and Allergist

Peggy M. Simon, MDPulmonologist

7

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 complimentary

1’x1’ granite paver.

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# 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 right and send, along with a

check made payable to “AVH Auxiliary” to Androscoggin

Valley Hospital, 59 Page Hill Road, Berlin, NH 03570.

valley birthplace earns high mark€¦ · of our physicians and staff who have contributed to our...

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