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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 it funds
01100% classified

What it funded, over time

Every grant placed by its stated purpose and the recipient’s mission, by year, FY2017 to 2025.

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

Where the money goes

Grants by size, and the largest recipients.

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

Does the money reach high-need areas?

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

show:

Dollar for dollar, its grants (FY17–25) land where the poverty rate runs at 9%, against an area that typically sits at 7%. 69% of its dollars go to grantees based in above-average-need neighborhoods. Most of its 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
How this is measured
Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty line in the grantee’s ZIP, averaged from the tracts in that ZIP.
How this is measured
US grants placed by each grantee’s ZIP, which can differ from where services are delivered. Need from public data (U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA), shown as context about the area, never attributed to the funder’s giving.
04

Where the work is directed

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

About 6% of Bi-State Primary Care Association Inc’s grant dollars are earmarked for a different county than the recipient’s own address. By recipient address, 100% of the giving stays in NH; by stated purpose, 91%.

Bi-State Primary Care Association Inclessmore of its giving
Placed by recipient address · 9.3% directed abroad (not shown)
How this is measured
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 funder’s own 990 grant descriptions.
03Its grantees
repeat funding

Who it funds again

Organizations funded in more than one year, against those funded once.

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

Grantees it renews have grown median revenue +73% since the first grant, against +2% for those 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%
+2%

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
How this is measured
First-time means a grantee’s first year in the filing window; renewed means funded in an earlier year too. The renewed share climbs naturally as a portfolio matures, so the signal is a year that bucks it (a wave of new grantees). 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 +2%
  • 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%
How this is measured

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

04Its field

Closest unfunded matches

The nonprofits that most resemble its grantees but are not funded by it, scored along the direction from the rest of the field toward the portfolio. 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
How this is measured
The grantee most central to the portfolio’s shape is Battenkill Valley Health Center Inc; 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.
05the grantee network

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

Each grant beside the grantee’s revenue from every source, year by year.

How this is measured

Counted here: distinct organizations funded across 2017 to 2025, 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.

Each grantee is resolved to its own IRS returns. Association, dated; never a causal claim.

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

Where the money sits, by cause and 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 grantee by its size and the funder’s share of it; top left is load-bearing

25%50%75%100%$10M$100Mgrantee revenue →↑ funder's 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, 0.3% 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
Grantee by grantee: a decade per organization, before and after funding

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

Co-funders

Grantmakers whose grantees overlap with this funder’s far more than size alone predicts. Closer means stronger alignment; arcs show where they also fund each other. Here they form a tightly interlocked group: 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

How this is measured
Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. Overlap is association, not proof of shared intent.

How much its grantees rely on government

Each dot is one organization Bi-State Primary Care Association Inc funds: left to right is the share of its income from government, bottom to top the share from Bi-State Primary Care Association Inc. Bigger dots raise more.

2024
’20’21’22’23’24’25
no gov · 10%1%4%8%15%funder's share of their income ↑0%25%50%75%100%share of the org’s income from government →median 16%
  • Battenkill Valley Health Center Inc: 33% of income from government
  • Northeast Organic Farming Association of Vermont: 31% of income from government
  • Hunger Free Vermont Inc: 24% of income from government
  • Richford Health Center Inc: 19% of income from government
  • Lamoille Health Partners Inc: 19% of income from government
  • Community Health Centers of Burlington Inc: 17% of income from government
  • Springfield Medical Care Systems Inc: 16% of income from government
  • Five Town Health Alliance Inc: 16% of income from government
  • Little Rivers Health Care Inc: 15% of income from government
  • Northern Counties Health Care Inc: 14% of income from government
  • Vermont Foodbank: 13% of income from government
  • Behavioral Health Network of Vt Inc: 8% of income from government
  • Community Health Centers of the Rutland Region: 5% of income from government
  • Gifford Medical Center Inc: 0% 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, FY20–25
How this is measured
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 a grant caused the public funding. Coverage is precision-first, a floor rather than 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 to 24 months.

On method. Every financial figure here is read from IRS e-file XML, the funder’s own 990/990-PF, and from the multi-year returns of the 28 grantees we resolved, each linked to its source. Grantee outcomes are each organization’s own program-service reporting (Form 990, Part III), read as association with funding, never as caused by it. Low-confidence name matches are suppressed rather than guessed. How we build these →

How this is measured
Each figure carries one of six labels. Filed is what the funder reported on its 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.

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

Source object · view filing

Play a game based on Bi-State Primary Care Association’s filings →

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