23 locations registered under this record — data as of November 5, 2026
Critical access hospital · BERLIN, NH
ANDROSCOGGIN VALLEY HOSPITAL , Inc.
Taking partYesLast certifiedAugust 11, 2026
- 23Registered locations
- 1Associated locations
- 46Contract pharmacies
- 19With no end date
- September 29, 2010In 340B since
Where this record sits: among the 13 Critical access hospitals in New Hampshire, the median open contract-pharmacy count is 19; this record’s open count ranks 7.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended September 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $149,427,639 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $62,334,364 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $87,093,275 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $88,433,986 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$1,340,711 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $1,281,934 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $668,673 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $4,871,528 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $2,541,052 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $3,209,725 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.5216 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 301310 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by ANDROSCOGGIN VALLEY HOSPITAL INC (employer identification number 020280367) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,518,862 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $426,201 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $2,092,661 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $2,518,862 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $0 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0298 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202412289349302611. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by ANDROSCOGGIN VALLEY HOSPITAL INC (employer identification number 020280367) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALTA CHASE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| ARTHUR RUEDIGER | EMERGENCY MEDICINE PRACTITIONER | Highest-compensated employee | $398,424 | $0 | $13,123 |
| BRIANNE TEABOLDT | MEDICAL STAFF PRESIDENT | Trustee/director | $0 | $0 | $0 |
| DANIEL VAN BUREN | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DONNA GOODRICH | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| JAVIER CARDENAS | DIRECTOR | Trustee/director | $469,471 | $0 | $37,186 |
| JAY POULIN | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| JESSICA FOSTER-HEBERT | DIRECTOR/NCHHHA DIR. CLIN SERV | Trustee/director | $0 | $113,558 | $22,301 |
| KEITH SHUTE MD | CHIEF MEDICAL OFFICER | Key employee | $501,124 | $0 | $34,023 |
| KRZYSZTOF PLOCIENNIK | MD PROVIDER | Highest-compensated employee | $509,769 | $0 | $37,991 |
| LYNN BEEDE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MAHLON BRADLEY | ORTHOPEDIC SURGEON | Highest-compensated employee | $618,141 | $0 | $10,949 |
| MARTHA LAFLAMME | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| MATTHEW STREETER | SYSTEM CFO | Officer | $0 | $300,812 | $10,917 |
| MICHAEL PETERSON | PRESIDENT | Officer | $406,469 | $0 | $6,555 |
| RICHARD KARDELL | ED PHYSICIAN | Highest-compensated employee | $472,990 | $0 | $11,862 |
| SARAH VERNEY FRECHETTE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| STEPHEN KRAUNZ | EMERGENCY MEDICINE PRACTITIONER | Highest-compensated employee | $432,825 | $0 | $2,565 |
| THOMAS MCCUE | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| THOMAS MEE | SYSTEM CEO | Officer | $0 | $681,354 | $28,979 |
| TYLER WHITE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
E-file object id 202412289349302611. The IRS archive it was read from.
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 50thpercentile of 10 hospitals in NH, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 45thpercentile of 11 hospitals in NH, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 30thpercentile of 10 hospitals in NH, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 45thpercentile of 11 hospitals in NH, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 11 hospitals in NH, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 73rdpercentile of 11 hospitals in NH, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in New Hampshire beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- September 29, 2010
- Certification date
- August 11, 2026
- Record last edited
- August 11, 2026
Identifiers
- 340B ID
- CAH301310-00
- Entity type as filed
- CAH
- CMS certification number
- 301310
- Rural
- Yes
59 PAGE HILL ROAD, BERLIN NH 03570
Locations registered under this record
Browse all of them as a list →
Associated locations
| ANDROSCOGGIN VALLEY HOSPITAL , Inc. | 59 PAGE HILL ROAD | BERLIN NH 03570 |
Pharmacy contracts
No end date filed19
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | October 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | October 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | October 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | October 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | October 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | October 1, 2021 | no end date filed |
| NORTH COUNTRY HEALTHCARE PHARMACY | COLEBROOK, NH | July 26, 2022 | no end date filed |
| NORTH COUNTRY HEALTHCARE PHARMACY | LANCASTER, NH | July 1, 2026 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | October 1, 2017 | no end date filed |
| WAL-MART PHARMACY 10-2634 | GORHAM, NH | September 27, 2012 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | October 1, 2017 | no end date filed |
| WALGREEN EASTERN CO., INC. | LANCASTER, NH | January 31, 2018 | no end date filed |
| WALGREEN EASTERN CO., INC. | COLEBROOK, NH | January 31, 2018 | no end date filed |
| WALGREEN EASTERN CO., INC. | NORTH CONWAY, NH | October 1, 2021 | no end date filed |
| WALGREEN EASTERN CO., INC. | BERLIN, NH | January 31, 2018 | no end date filed |
| WALGREEN EASTERN CO., INC. | BETHEL, ME | October 1, 2021 | no end date filed |
| Walgreens Central Fill #21400 | Mansfield, MA | April 1, 2023 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | April 1, 2023 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | January 1, 2024 | no end date filed |
An end date is filed27
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ACARIAHEALTH PHARMACY #11, INC | HOUSTON, TX | July 26, 2022 | September 30, 2023 |
| ACARIAHEALTH PHARMACY #12, INC. | HAWTHORNE, NY | July 26, 2022 | September 30, 2023 |
| CVS CAREMARK | WILKES BARRE, PA | April 1, 2023 | February 14, 2025 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | April 1, 2023 | February 14, 2025 |
| CVS MANCHESTER NH, L.L.C. | NORTH CONWAY, NH | April 1, 2023 | February 14, 2025 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | July 1, 2018 | April 21, 2021 |
| FOUNDATION CARE LLC | CHESTERFIELD, MO | July 26, 2022 | September 30, 2023 |
| MAXI DRUG NORTH, INC. | BERLIN, NH | January 1, 2013 | January 25, 2018 |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | October 1, 2021 | September 15, 2025 |
| OPTUM PHARMACY 700, LLC | PINE BROOK, NJ | October 1, 2021 | September 15, 2025 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | October 1, 2021 | September 15, 2025 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | July 26, 2022 | September 15, 2025 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | October 1, 2021 | September 15, 2025 |
| OPTUMRX | OVERLAND PARK, KS | July 26, 2022 | September 15, 2025 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | July 1, 2018 | April 21, 2021 |
| RITE AID OF NEW HAMPSHIRE, INC. | COLEBROOK, NH | January 1, 2013 | January 25, 2018 |
| RITE AID OF NEW HAMPSHIRE, INC. | LANCASTER, NH | January 1, 2013 | January 25, 2018 |
| WAL-MART PHARMACY 10-2140 | NORTH CONWAY, NH | October 1, 2021 | November 13, 2023 |
| WAL-MART PHARMACY 10-2681 | LITTLETON, NH | October 1, 2021 | November 13, 2023 |
| WALGREEN EASTERN CO., INC. | NORTH CONWAY, NH | July 1, 2018 | April 21, 2021 |
| WALGREEN EASTERN CO., INC. | LITTLETON, NH | July 1, 2018 | April 21, 2021 |
| WALGREENS MAIL SERVICE, LLC | TEMPE, AZ | July 1, 2018 | April 21, 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | July 1, 2018 | April 21, 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | July 1, 2018 | April 21, 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | July 1, 2018 | April 21, 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | July 1, 2018 | April 21, 2021 |
| WALGREENS.COM, INC. | CHANDLER, AZ | July 1, 2018 | April 21, 2021 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_144619.xlsx, stamped by its publisher November 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_144619.xlsx, read November 5, 2026.
The full report for ANDROSCOGGIN VALLEY HOSPITAL , Inc.
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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