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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