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· Public charity

Bi-State Primary Care Association Inc

Advance access to comprehensive primary care services for all, with special emphasis on those most in need in Vermont and New Hampshire.

$1.6M
Granted FY2025still arriving
10
Grants FY2025still arriving
2
States reached
$452k
Largest
01What you fund
01100% classified

What you funded, over time

Every grant placed by its stated purpose and the recipient’s mission, by year — across FY20172025.

Health$10.0MFood & Nutrition$629kHousing & Shelter$390kEmployment$347k
02FY2025 · 10 grants

Where the money goes

Your grants by size, and where they go.

By grant size · FY2025

  • $10k–50k3 grants · $120k
  • $50k–250k5 grants · $729k
  • $250k+2 grants · $785k
$163,242
Median grant
2
States reached
$5.2M
Total assets
Largest grants
RecipientAmount
Mid-State Health Center$451,551
Lamprey Health Care$333,370
Amoskeag Health$224,098
White Mountain Community Health Center$169,661
Coos County Family Health Services$163,242
Harbor Homes$101,534
Lamoille Health Partners$70,933
Little Rivers Health Care$42,717
Northern Tier Center for HealthRichford Health Center$40,000
Greater Seacoast Community Health$37,154
02The need
03

Do your dollars go where the need is?

Each grant placed by the hardship in its grantee’s ZIP, then read against the area’s typical level.

show:

Dollar for dollar, your grants (FY17–25) land where the poverty rate runs at 9%, against an area that typically sits at 7%. 69% of your dollars go to grantees based in above-average-need neighborhoods. Most of your grants land in higher-need ZIPs.

area typical 7%Northern Tier Center for Health: $117k → 9%Lamoille Health Partners: $71k → 9%Little Rivers Health Care: $107k → 10%Lamprey Health Care: $388k → 5%Amoskeag Health: $585k → 7%HealthFirst Family Care Center: $377k → 7%Greater Seacoast Community Health: $147k → 9%White Mountain Community Health Center: $288k → 9%Ammonoosuc Community Health Services: $275k → 10%Coos County Family Health Services: $334k → 13%Northern Tier Center for HealthRichford Health Center: $103k → 9%Little Rivers Health Care: $65k → 10%Lamprey Health Care: $333k → 5%Amoskeag Health: $348k → 7%HealthFirst Family Care Center: $166k → 7%Greater Seacoast Community Health: $70k → 9%White Mountain Community Health Center: $236k → 9%Ammonoosuc Community Health Services: $102k → 10%Coos County Family Health Services: $214k → 13%Northern Tier Center for Health: $79k → 9%Lamprey Health Care: $210k → 5%Amoskeag Health: $224k → 7%White Mountain Community Health Center: $170k → 9%Ammonoosuc Community Health Services: $75k → 10%Coos County Family Health Services: $163k → 13%Lamprey Health Care: $174k → 5%Amoskeag Health: $190k → 7%White Mountain Community Health Center: $88k → 9%Coos County Family Health Services: $139k → 13%Lamprey Health Care: $131k → 5%Amoskeag Health: $106k → 7%Mid-State Health Center: $769k → 10%Coos County Family Health Services: $79k → 13%University of Vermont Department of Community Development Grants & Contract: $126k → 10%Lamprey Health Care: $90k → 5%Mid-State Health Center: $590k → 10%University of Vermont Department of Community Development Grants & Contract: $121k → 10%Mid-State Health Center: $452k → 10%University of Vermont Department of Community Development Grants & Contract: $107k → 10%Mid-State Health Center: $275k → 10%University of Vermont Department of Community Development Grants & Contract: $104k → 10%Mid-State Health Center: $148k → 10%University of Vermont Department of Community Development Grants & Contract: $87k → 10%Harbor Homes: $195k → 7%Mid-State Health Center: $93k → 10%Harbor Homes: $102k → 7%Harbor Homes: $86k → 7%Harbor Homes: $67k → 7%0%20%40%50%more need →
grant to an above-average-need area below average· circle size = grant amount

Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty linein the grantee’s ZIP, averaged from the tracts in that ZIP; grantee ZIP can differ from where services are delivered.

US grants placed by each grantee’s ZIP, which can differ from where services are actually delivered. Need from public data — U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA — shown as context about the area, never attributed to your giving.

04

Where the work is directed

The same grants, placed two ways — where each recipient sits, and where its stated purpose earmarks the money.

About 6% of Bi-State Primary Care Association Inc’s grant dollars are earmarked, by their stated purpose, for a different county than the recipient’s own address — money that lands at a nonprofit in one place but is meant to do its work in another. Read by recipient address, 100% of the giving stays in NH; read by stated purpose it is 91% — less of the work is directed home than the recipients' locations suggest.

Bi-State Primary Care Association Inclessmore of its giving
Placed by recipient address · 9.3% directed abroad (not shown)

Recipient view: each grant at its grantee’s ZIP, mapped to a county. Directed view: each grant at the county its stated purpose names, falling back to the recipient’s county when the purpose names no place; US grants only. A county shows only if it carries the top 95% of that view’s dollars. Purposes are read from the foundation’s own 990 grant descriptions.

03Your edge
repeat funding

Who you back again

Which organizations you funded more than once, and which you funded a single time. Each grantee is matched to its own filings.

99%of every dollar goes to organizations you’ve funded before.
$11M · 20 repeat orgs$129k to everyone else

And the relationships you keep tend to grow: grantees you re-up on have seen median revenue of +73% since the first grant, against +5% for the ones you funded once.

20 repeat relationships — 10 still active in FY2025, 10 since wound down.

How the two cohorts compare

Re-uppedFunded once

Organizations

20
8

Total granted

$11M
$129k

Median revenue growth · since first grant

+73%
+5%

Still filing today

95%
88%

New vs renewed · share of each year

In FY2025, 100% of grant dollars renewed an existing relationship; $0 went to new ones.

50%100%’17’18’19’20’21’22’23’24’25
RenewedFirst-time

Where new relationships form · theme of each grantee’s first grant

’17’18’19’20’21’22’23’24’25
HealthHousing & ShelterCrime & LegalFood & NutritionArts & CultureOther

First-time = a grantee’s first year in your filing window; renewed = funded in an earlier year too. As a portfolio matures the renewed share naturally climbs — once funded, an org stays “renewable” — so the signal is the years that buck it (a new-grantee intake wave). The earliest year is left-censored: relationships that predate the data read as “new.” Theme is the grantee’s IRS cause.

Backed again, and grew

  • MH
    MID-STATE HEALTH CENTER
    6× · 2019–2025 · $2.3M · revenue +143%
  • AH
    Amoskeag Health
    9× · 2017–2025 · $1.6M · revenue +50%
  • LH
    Lamprey Health Care Inc
    6× · 2020–2025 · $1.3M · revenue +34%

Funded once

  • FT
    FIVE TOWN HEALTH ALLIANCE INC
    one grant, 2021 · $18k · revenue -5%
  • NW
    NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC
    one grant, 2021 · $18k · revenue -26%
  • CH
    COMMUNITY HEALTH CENTERS OF BURLINGTON INC
    one grant, 2021 · $18k · revenue +5%

Repeat = funded in two or more distinct years; growth and survival are read from each grantee’s own subsequent IRS filings.

04Your field

The map has a center of gravity: the average direction from the rest of the sector toward the organizations the foundation funds — the shape of its giving. Scoring every nonprofit along that direction surfaces the ones that look most like the portfolio. These are the closest matchesthat aren’t grantees — a resemblance in what they say they do, not a recommendation.

1
Sacopee Valley Health Center

To provide accessible, comprehensive healthcare tailored to meet the needs of each individual and the community we serve.

Health
2
Bi-State Primary Care Association Inc

Advance access to comprehensive primary care services for all, with special emphasis on those most in need in Vermont and New Hampshire.

Health
3
Central Vermont Home Health & Hospice Inc

Provide comprehensive, high quality home health and hospice care to all Central Vermonters, regardless of their ability to pay. In addition, the agency promotes the general welfare of the citizens of Central Vermont with health promotion…

Human Services
4
Northeastern Vermont Regional Corp

To achieve openness, inclusiveness, and public participation through strategic planning and decision making in identifying ways to better meet the healthcare needs of the community.

Health
5
Gifford Health Care Inc

The mission of Gifford Health Care, Inc. and its subsidiaries is to enhance the health and well-being of our communities by providing excellent patient-centered care including senior living services.

Health
6
Lamoille Home Health Agency Inc

To support health, independence & dignity through quality care in the home.

7
Houlton Regional Hospital

Houlton Regional Hospital's purpose is to provide safe, compassionate, quality, cost effective care to communities we serve. We are dedicated to improving the health status of those we support through education, treatment and…

Health
8
Nehalem Bay Health Center & Pharmacy

Delivering compassionate team-based health care and wellness education to improve the lives of ALL in our community.

Health
9
Brattleboro Memorial Hospital

Brattleboro Memorial Hospital will provide community-based quality health services delivered with compassion and respect.

Health
10
Southern New Hampshire Health System Inc

Southern New Hampshire Health is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve.

Health
11
Whittier Street Health Center Committee Inc

To serve as a center of excellence that provides high quality, and accessible health care and social services that achieve health equity, social justice, and the economic well-being of our diverse patient populations.

Health
12
HealthReach Community Health Centers

To provide high quality, affordable, patient-centered healthcare in the medically underserved communities of Central and Western Maine.

Health

For reference, the grantee most central to the portfolio’s shape is Battenkill Valley Health Center Inc and the most unlike its peers is Hunger Free Vermont Inc. Resemblance is measured on each organization’s own IRS 990 mission text; it reflects how work is described, not its quality or impact.

For each theme you fund, this compares how the sector’s money is shifting with how your own giving is shifting.

← shrinkinggrowing →↓ leaning in → pulling backsteadyFraternal Service Organizat…Legal Services & AdvocacyCommunity Arts & Performanc…Affordable Housing Developm…Land and Wildlife Conservat…
the sector your giving your giving is ahead of the sector the sector’s ahead of you· dot size = how much the theme matters to each side
Ordered by the change in your giving — leaning in on top, pulling back at the bottom. The bar between the two dots is how out of step you are with the sector. Hover any row for detail.

Sector change and giving change are each shown relative to their own range, growing (right) or shrinking (left); both normalized, so inflation isn’t mistaken for growth.

Your grantees are a median of 33 years old; the field is 20. You back the established end — and your money leans older still.

THE FIELDby orgYOUR GRANTEESby number17%0%<5yr12%0%5–10yr20%8%10–20yr20%50%20–35yr14%39%35–55yr17%4%55yr+
THE FIELDby orgYOUR MONEYby value17%0%<5yr12%0%5–10yr20%0%10–20yr20%61%20–35yr14%38%35–55yr17%0%55yr+

The field is 17% startups (under 5 years old) — 0% of your grantees by number, and just 0% of your money.

Closures · last 5 years

The orgs you fund almost never close 0.0% lost their exemption, against 8% of the field you don’t fund.

orgs you fund
0.0%0/28
the rest of the field
8%
904/10,659

Age = years since IRS exemption (a founding proxy). “Closed” = auto-revocation for 3 years of non-filing — a floor on closure, not proof, and bigger established orgs lapse least. Association, not causation.

05the grantee network

27 grantees tracked through their own filings, 2017–2025.

Each one resolved to its own IRS returns and tracked year by year — your grant beside their revenue from every source. Association, dated; never a causal claim.

Counted here: distinct organizations you funded across 20172025, not grant rows in a single year — so this will not match the grant count on the cover. 27 of the 28 grantees resolved in that span have returns of their own we could reconcile; the rest are funded organizations whose filings we could not track year by year.

0
Load-bearing (≥25% of a budget)
5
Early backer (in before they grew)
26/27
Grantees still filing
21/27
Grew since you first funded

Where your money sits — by cause, then by grantee

MID-STATE HEALTH CENTER — $2,326,009 · HealthMID-STATE HEALTH CENTERAmoskeag Health — $1,557,823 · HealthAmoskeag HealthLamprey Health Care Inc — $1,326,621 · HealthLamprey Health Care IncCoos County Family Health Services Inc — $966,481 · HealthCoos County Family Health Services IncWhite Mountain Community Health Center — $871,833 · HealthWhite Mountain Community Health CenterHealthFirst Family Care Center Inc — $631,516 · HealthHealthFirst Family Care Center IncAmmonoosuc Community Health Services Inc — $491,606 · HealthGreater Seacoast Community Health — $422,371 · HealthLittle Rivers Health Care Inc — $348,443 · Health+12 more — $717,212 · Health+12 moreUNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE — $585,820 · OtherUNIVERSITY…RICHFORD HEALTH CENTER INC — $447,557 · OtherRICHFORD H…+1 more — $7,764 · OtherHarbor Homes Inc — $598,306 · Housing & ShelterHUNGER FREE VERMONT INC — $25,000 · Crime & LegalVERMONT FOODBANK — $23,153 · Food & NutritionNORTHEAST ORGANIC FARMING ASSOCIATION OF VERMONT — $12,652 · Arts & Culture
Health$9,659,915Other$1,041,141Housing & Shelter$598,306Crime & Legal$25,000Food & Nutrition$23,153Arts & Culture$12,652

Each org by its size and your share of it — top-left is where you’re load-bearing

25%50%75%100%$10M$100Mgrantee revenue →↑ your share of their budgetMID-STATE HEALTH CENTER — $2,326,009 over 6y, 3.5% of budgetAmoskeag Health — $1,557,823 over 9y, 2.5% of budgetLamprey Health Care Inc — $1,326,621 over 6y, 1.6% of budgetCoos County Family Health Services Inc — $966,481 over 6y, 1.5% of budgetWhite Mountain Community Health Center — $871,833 over 7y, 12% of budgetHealthFirst Family Care Center Inc — $631,516 over 4y, 3.6% of budgetHarbor Homes Inc — $598,306 over 9y, 0.5% of budgetAmmonoosuc Community Health Services Inc — $491,606 over 4y, 2.6% of budgetRICHFORD HEALTH CENTER INC — $447,557 over 7y, 0.6% of budgetGreater Seacoast Community Health — $422,371 over 7y, 0.7% of budgetLittle Rivers Health Care Inc — $348,443 over 7y, 1.1% of budgetCommunity Health Services of Addison Cty Inc — $288,460 over 5y, 17% of budgetLamoille Health Partners Inc — $165,632 over 4y, 0.2% of budgetSpringfield Medical Care Systems Inc — $70,153 over 2y, 0.2% of budgetCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION — $58,127 over 2y, 0.1% of budgetHUNGER FREE VERMONT INC — $25,000 over 2y, 0.8% of budgetVERMONT FOODBANK — $23,153 over 3y, 0.0% of budgetFIVE TOWN HEALTH ALLIANCE INC — $18,182 over 1y, 0.3% of budgetNORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC — $18,182 over 1y, 0.1% of budgetCOMMUNITY HEALTH CENTERS OF BURLINGTON INC — $18,182 over 1y, 0.1% of budgetBattenkill Valley Health Center Inc — $18,182 over 1y, 0.4% of budgetNorthern Counties Health Care Inc — $18,181 over 1y, 0.1% of budgetGifford Medical Center Inc — $18,181 over 1y, 0.0% of budgetBEHAVIORAL HEALTH NETWORK OF VT INC — $13,819 over 2y, 0.6% of budgetNORTHEAST ORGANIC FARMING ASSOCIATION OF VERMONT — $12,652 over 2y, 0.2% of budgetMary Hitchcock Memorial Hospital — $11,931 over 1y, 0.0% of budget
Go grantee by grantee — a decade per org, and how each moved after you funded them

A decade per grantee — revenue shaded, your grants as bars, all rows on one timeline.

The grantmakers whose grantees overlap with yours far more than size alone predicts. Each orbits closer the stronger the alignment; the arcs between them show where they also fund each other. Here it reads as a tightly interlocked camp — most of these funders back each other's grantees too.

Northeast Delta Dental FoundationNH34.7× affinity14 shared granteesties to 11 of 11Hover any node to trace its alignments.Compare side by side →

Open a dossier: Northeast Delta Dental Foundation · New Hampshire Charitable Foundation · The Vermont Community Foundation · Endowment For Health Inc · Granite United Way · Jsi Research & Training Institute Inc · American Academy of Pediatrics-Vt Chapter · Fidelity Foundation · New England Telehealth Consortium · New Hampshire Children's Health Foundation · Mary Hitchcock Memorial Hospital · Vermont Foodbank

Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. A research starting point: overlap is association, not proof of shared intent.

Government reliance of your grantees

Every dot is one organization Bi-State Primary Care Association Inc funds. Left–right is the share of its income from government; up–down is the share from you. Bigger dots raise more. Filter to federal, a single department, or state — and drag the year to watch it move.

2024
202122232425
no gov · 10%1%4%8%15%your share of their income ↑0%25%50%75%100%share of the org’s income from governmentmedian 16%
  • Battenkill Valley Health Center Inc33% of income from government
  • Northeast Organic Farming Association of Vermont31% of income from government
  • Hunger Free Vermont Inc24% of income from government
  • Richford Health Center Inc19% of income from government
  • Lamoille Health Partners Inc19% of income from government
  • Community Health Centers of Burlington Inc17% of income from government
  • Springfield Medical Care Systems Inc16% of income from government
  • Five Town Health Alliance Inc16% of income from government
  • Little Rivers Health Care Inc15% of income from government
  • Northern Counties Health Care Inc14% of income from government
  • Vermont Foodbank13% of income from government
  • Behavioral Health Network of Vt Inc8% of income from government
  • Community Health Centers of the Rutland Region5% of income from government
  • Gifford Medical Center Inc0% of income from government
no gov moneyreceives it· size = income
1get no government money at all
2report government grants on their 990 we could not trace to a source (not plotted)
0rely on government for over half their income
typical government reliance, FY2025

Government income is each org’s traced federal awards (USASpending — grants and contracts) plus state payments (open checkbooks) as a share of its total revenue (IRS Form 990); the self-reported government-grant line (990 line 1e) is carried for cross-check: a grantee that reports government grants we could not trace to a source is left off the chart rather than shown as receiving none. An association, not a claim that your grant caused the public funding. Coverage is precision-first — a floor, not a census; state records exist for 9 states, so a grantee outside them shows no state figure (dimmed) rather than a false zero. Federal award amounts are obligations, which can span years, so a single-year share is indicative. 990 filings lag 12–24 months.

On method. Every financial figure here is read directly from IRS e-file XML — your own 990/990-PF and the multi-year returns of the 28 grantees we resolved across every year we hold, several hundred filings in all (a different count from the grant rows on the cover, which are one fiscal year)— each linked to its source. Grantee achievements and outcomes are each organization’s own program-service reporting (Form 990, Part III); we read these as association with sustained funding — the foundation is one of several forces — suppress low-confidence name matches rather than guess, and say so where a figure rests on a single grant or filing. Not everything on this page is a filed figure, and the difference matters. Filed is what you reported on your return. Official is another government record about an organization, such as a federal award or a charity register, joined by name where no shared identifier exists. Resolved is an identity we worked out where the filing named a recipient without an EIN, kept only above a measured confidence threshold. Computed is arithmetic over those, like themes, portfolio clusters and co-funder strength. Context is a statistic about a place rather than about an organization, which is what the need overlay is: it describes the area a grantee’s address sits in, not where its work lands. Inferred is drawn by a model from text, like the partnerships read out of public news and organization websites. Each is labeled where it appears. How we build these →

Generated from your IRS Form 990 e-file return for fiscal year 2025, released 2025. Filings run roughly 12–24 months behind; figures are dated accordingly.

Source object · view filing

More from the funding graph