Leadership

Michael Peterson, FACHE

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. Mike is a Fellow of the American College of Healthcare Executives and is a TPS Lean-trained facilitator. He has twice been recognized by New Hampshire Business Review as one of the Top 200 Most Influential Business Leaders in New Hampshire, and was the 2022 recipient of the American Hospital Association “Grassroots Champion” award for the State of New Hampshire. He was also named one of sixty-seven “Critical Access Hospital CEOs to Know” nationally in 2023 by Becker’s Hospital Review.

Michael Peterson, FACHE

Mike's interests include golf, skiing, hiking, mountain biking, travel, and spending time with his family. He is the current President of the Board of the ACHE of Northern New England Chapter, and serves as Treasurer/Secretary of the Board of the New Hampshire Hospital Association. Mike also serves on multiple community-based charitable Boards, including the Great Northwoods Community Foundation, the Bethel Area Chamber of Commerce, and the North Country Health Consortium. He’s an active Rotarian, and enjoys volunteering for Rise Against Hunger.

Tiffany Haynes, MSN, RN

Most recently the President and CEO of North Country Home Health & Hospice Agency (NCHHHA), Tiffany Haynes joined NCHHHA in 2017 as the Director of Hospice. She obtained her Hospice and Palliative Care certification in 2018 and formed a grass roots Palliative Care program at NCHHHA in 2019. In 2020 she was promoted to CEO and President of the Agency. Tiffany has her Bachelor's of Science Degree in Nursing from Saint Anselm College, as well as her Master's of Science in Nursing with a concentration in Health Care Systems Leadership from Norwich University. Tiffany serves on the Board of the Home Care, Hospice & Palliative Care Alliance of New Hampshire as well as the Rural Healthcare Network and the North Country Health Consortium.

Tiffany Haynes, MSN, RN

Tiffany is a lifelong resident of the North Country and currently lives in Lisbon. She is the proud Mom of three kids and a chocolate lab, Moose. Tiffany enjoys cooking, photography, traveling, and camping at the lake with her friends and family.

Suzanne Landry, CPCO, MBA

Sue joined AVH in 1990 and is the NCH Corporate Compliance and Privacy Officer. She is an active member of the New Hampshire Health Information Management Association and the New Hampshire Association of Medical Staff Services. Sue completed the Lean in Healthcare Program in 2015, earned her Certified Professional Compliance Officer (CPCO) training in 2016, has a Bachelor of Science in Business - Healthcare Management, and a Master of Business Administration - Healthcare Management.

Suzanne Landry, CPCO, MBA

A resident of Milan, Sue enjoys bird watching, antiquing, gardening, listening to audiobooks, and is a member of the NH Audubon. She serves as the Secretary/Treasurer of the NH Health Information Management Association.

James Patry, FACHE, MBA, MS

James Patry joined Androscoggin Valley Hospital (AVH) in July 2008 as Public Relations and Marketing Director. His role expanded to that of Senior Director of Patient Experience and Marketing in April 2016, at which time he became a member of the hospital's Senior Management Team. In December 2018, James was named System Director of Marketing, for North Country Healthcare, and was promoted to Vice President in October 2022. He obtained his Bachelor of Arts in Electronic Media Production from the S.I. Newhouse School of Public Communications at Syracuse University, where James also earned a Master of Science in Communication Management. He holds a Master of Business Administration from Plymouth State University and completed a Philanthropy Certificate Program from Indiana University. In 2022, James completed the Executive Program of the American College of Healthcare Executives, from which he earned Fellowship on November 1, 2023.

James Patry, FACHE, MBA, MS

James is an active Rotarian with White Mountain Rotary Club of Berlin and Gorham, NH. He is also a Board member of Coös Economic Development Corporation and the Music for Healing and Transition Program. He is a past Board Member of the New England Society for Healthcare Communications and St. Kieran Community Center for the Arts. When not working or volunteering, he enjoys listening to and performing music; golf; cheering on the sports teams of his beloved Syracuse University; and studying genealogy. James is also a proud Godfather of a great-niece and great-nephew.

Tonya St. Cyr

Tonya St. Cyr is a seasoned Human Resources professional with many years of experience in driving organizational success through effective team dynamics. As a SHRM-CP certified expert, she is recognized for her ability to create cohesive teams that foster collaboration and innovation. Throughout her career, Tonya has successfully implemented numerous system processes and procedures that have resulted in increased efficiencies and significant cost savings. Her expertise spans talent management, employee engagement, and conflict resolution, enabling her to create inclusive environments where all employees can thrive. Tonya holds a Master’s degree from Southern New Hampshire University and is dedicated to continuous professional development within the Human Resources field.

Tonya St. Cyr

Outside of work, Tonya enjoys camping, spending time with her family, baking, and reflecting her commitment to work-life balance and holistic well-being.

Angie Schierer

Angie Schierer, President of Ambulatory Services joined the NCH family in 2025.  She holds a BSN, MHA, and Doctorate in Business Administration.  Angie has over 30 years in healthcare with 20+ in rural health administration. Angie serves as adjunct professor to both ACE and Midway University to drive her passion for helping grow new leaders in the healthcare arena. 

Angie Schierer

Angie and her husband, Craig, have five children and currently ten grandchildren with more on the way.  In her spare time, she and her husband enjoy the outdoor life of fishing, hunting, motorcycle and snowmobile riding. 

Keith Shute, MD, MMM, FAAFP

Dr. Shute joined the AVH Medical Staff in the winter of 1994. He has been a member of the senior management team since 2000, and has served as the Senior VP and Chief Medical Officer since late 2013. In addition, Dr. Shute continues to see patients two days each week at Coos County Family Health Services and provide frequent pediatric on-call services. Dr. Shute obtained his Bachelor of Arts in chemistry and psychology from Ohio Wesleyan University, a Master of Technical and Scientific Communication from Miami University in Ohio, his M.D. from the Robert Larner College of Medicine at The University of Vermont, and a Master of Medical Management from the H. John Heinz III School of Public Policy and Management at Carnegie Mellon University. He completed his family practice residency and a faculty development fellowship at Lancaster General Hospital in Pennsylvania prior to joining AVH. Dr. Shute is certified by the American Board of Family Practice and is a Fellow, as well. He is a member of numerous professional associations. Dr. Shute is an active participant in many NCH teams and a champion of quality and patient safety. He was involved in healthcare with the state, serving on the NH Hospital Association Board of Trustees from 2014-2020 and formerly (2011-18) serving as a trustee of the Foundation for Healthy Communities. Finally, Dr. Shute has served as a peer reviewer for Family Practice Management, a professional journal, for more than a decade.

Keith Shute, MD, MMM, FAAFP

Raised in a small town in southern NH, Dr. Shute is now a resident of Shelburne. He is blessed to enjoy every day with his wife, Brenda. Together, they appreciate time with family and friends, humor, attending concerts, sporting events, and extensive travel. He is an avid Red Sox and Celtics fan. Dr. Shute is the proud father of three adult daughters. He is also a long-time supporter of the United Way and other local charities.

Matthew Streeter, MBA, FACHE, FHFMA

Matthew Streeter has been a member of the AVH Senior Management Team since 2021. He serves as Chief Financial Officer of North Country Healthcare. Matt has a Bachelor of Arts. Degree in Psychology from the University of Wisconsin, Milwaukee, and a Masters of Business Administration from Lakeland University. He has 14 years of healthcare leadership experience, and 25 years of leadership experience, overall. He serves as a Fellow of the American College of Healthcare Executives, as well as the Healthcare Financial Management Association.

Matthew Streeter, MBA, FACHE, FHFMA

Originally from Eastern Wisconsin, Matt, and his husband are now residing in the North Country of NH. Matt enjoys cooking, camping, home brewing, and travel. He is the Past-President of the Wisconsin Chapter of the Healthcare Financial Management Association, and has served on the Council on Finance and Payment, as well as the Council on Rural Health for the Wisconsin Hospital Association. Matt was also featured on the cover of the October 2020 edition of HFM, the magazine of the Healthcare Financial Management Association.