Bi-State Primary Care Association

What Bi-State Primary Care Association does

Bi-State Primary Care Association is a nonprofit 501(c)(3) charitable organization founded in 1986 and headquartered in Bow, New Hampshire, with a secondary office in Montpelier, Vermont. The organization serves as a regional Primary Care Association under a cooperative agreement with the Health Resources and Services Administration (HRSA) Bureau of Primary Health Care, delivering training and technical assistance (T/TA) to Federally Qualified Health Centers (FQHCs), FQHC Look-Alikes, and other safety-net providers across New Hampshire and Vermont to improve programmatic, clinical, operational, and financial performance.

The organization represents 26 member organizations — including community health centers, Community Health Access Network, North Country Health Consortium, NH and VT Area Health Education Centers, Planned Parenthood of Northern New England, and Vermont's Free and Referral Clinics — collectively serving more than 344,600 patients at 175 sites. Its core service portfolio comprises T/TA delivery, the Leadership Development Program (a certificate program in community health leadership priced at $2,870 per member seat and $3,845 per non-member seat), and the NH/VT Recruitment Center, which provides workforce recruitment marketing and outreach to healthcare employers. Three wholly-owned programmatic subsidiaries — The Recruitment Center, the Vermont Rural Health Alliance, and the Food Access and Health Care Network — extend the platform into workforce, data/quality improvement, and social-determinants-of-health domains.

Revenue is generated primarily through the HRSA cooperative agreement and federal/state grants, supplemented by member program fees, Leadership Development Program tuition, recruitment services, and event sponsorship. The organization's GTM motion is community-led, with services delivered directly to member organizations and engagement channeled through public-policy publications, an annual events and sponsorship program, and a Health Center Resource Clearinghouse partnership. Bi-State does not develop proprietary technology and operates as a services-and-advocacy platform rather than a software or product company.

Name

Bi-State Primary Care Association

Legal name

Bi-State Primary Care Association, Inc.

Website

https://bistatepca.org

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

11–50 employees

Short description

Bi-State Primary Care Association is a nonprofit Primary Care Association providing training, technical assistance, workforce recruitment, and policy advocacy to 26 Federally Qualified Health Centers and safety-net providers serving 344,600+ patients across New Hampshire and Vermont.

Ownership category

akta.pro rank

Product category

Primary Care Association Support Services

NAICS

Business Associations (813910)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industry

Hospitals, Clinics & Charitable Healthcare Providers (BPAGACAB)

Keywords

• Community health centers
• Primary care services
• Healthcare workforce recruitment
• Training and technical assistance
• Federally Qualified Health Centers

Headquarters

HQ city

Bow

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Revenue model

1. Federal and State Grants: Bi-State operates under a cooperative agreement with HRSA Bureau of Primary Health Care to provide T/TA to safety-net providers. Additional funding from state grants and HRSA.
2. Training Program Fees: Revenue from Leadership Development Program fees - Bi-State Members pay $2,870 per seat, Non-Members pay $3,845 per seat.
3. Recruitment Center Services: Marketing and outreach services provided to NH and VT employers through the Recruitment Center, connecting them with primary care provider networks nationwide.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

Bi-State Primary Care Association is a nonprofit regional primary care association that delivers training, technical assistance, workforce recruitment, and leadership development services to Federally Qualified Health Centers (FQHCs) and other safety-net providers in New Hampshire and Vermont. The organization operates a regional recruitment center, runs leadership and capacity-building programs, and convenes members through events, sponsorship activities, and policy advocacy initiatives such as the Vermont Rural Health Alliance and food access network programs.

Product overview

Bi-State Primary Care Association operates as a nonprofit healthcare association rather than a technology product company. Its core offerings include training and technical assistance (T/TA) to Federally Qualified Health Centers and Look-Alikes, a Leadership Development Program (certificate program in community health leadership), and the NH/VT Recruitment Center for healthcare workforce recruitment. Additional programs include the Vermont Rural Health Alliance (VRHA) providing data and quality improvement supports to Vermont FQHCs, the Food Access and Health Care Network addressing food insecurity in healthcare settings, and an annual Events & Sponsorship Program. These services work together to support Community Health Centers across New Hampshire and Vermont in improving programmatic, clinical, operational, and financial performance.

Differentiator

Problem solved

Functional benefit

Brands

• The Recruitment Center: Nonprofit Recruitment Center that provides New Hampshire and Vermont employers with marketing and outreach services that reach primary care provider networks nationwide.
• Vermont Rural Health Alliance (VRHA)
• The Food Access and Health Care Network

Products and services

• Training and Technical Assistance (T/TA) Training, technical assistance, and capacity-building services delivered to community health centers and safety-net providers across New Hampshire and Vermont to strengthen operations, clinical quality, and compliance.
• Leadership Development Program Structured leadership development offering for staff of FQHCs and partner organizations to build executive and management capabilities in safety-net primary care settings.
• NH/VT Recruitment Center Regional recruitment service that connects clinicians, providers, and job-seeking candidates with employment opportunities at community health centers in New Hampshire and Vermont.
• Vermont Rural Health Alliance (VRHA) Convening and advocacy program focused on rural health issues in Vermont, bringing together stakeholders to coordinate policy and program initiatives for rural communities.
• Food Access and Health Care Network Cross-sector program addressing food insecurity and health care by connecting community health centers with food access partners in the bi-state region.
• Events & Sponsorship Program Member events, conferences, and sponsorship opportunities that facilitate peer learning, networking, and fundraising for FQHC members in New Hampshire and Vermont.

Quantifiable outcome

• 26 member organizations serving over 344,600 patients at 175 sites
• +1 more outcomes

Named customers7 records

Segments4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eleven partnerships are on record, tiered core and minor.

• Health Resources and Services Administration (HRSA) Bureau of Primary Health CarecoreStrategic or Co-development PartnerBi-State holds a cooperative agreement with HRSA BPHC to provide training and technical assistance to safety-net providers. This T/TA is based on statewide and regional needs to help health centers improve programmatic, clinical, and financial performance.
• Health Center Resource ClearinghousecoreStrategic or Co-development PartnerA clearinghouse of upcoming trainings, toolkits, promising practices, and resources developed by health centers, national T/TA partners, primary care associations, and health center controlled networks.
• ECRIminorStrategic or Co-development PartnerIndependent healthcare patient safety experts contracted with HRSA providing client-only resources to health center staff through Bi-State.
• Capital LinkminorStrategic or Co-development PartnerA national nonprofit that works with health centers to plan for sustainability and growth, access capital, improve operations and financial management, and articulate value.
• Commonwealth Purchasing GroupminorChannel Partner/ Reseller/ DistributorA group purchasing organization providing products and services at lower costs for health centers and nonprofit human services organizations.
• NH Area Health Education CentercoreStrategic or Co-development PartnerMember organization providing health professions education and training programs in New Hampshire.
• VT Area Health Education CentercoreStrategic or Co-development PartnerMember organization providing health professions education and training programs in Vermont.
• Vermont Rural Health Alliance (VRHA)coreStrategic or Co-development PartnerA health-center controlled network serving Vermont's FQHCs with data and quality improvement supports. Part of Bi-State's organizational structure.
• Food Access and Health Care NetworkminorStrategic or Co-development PartnerA Bi-State initiative that innovates at the intersection of food access and health care.
• Community Health Access NetworkcoreStrategic or Co-development PartnerMember organization affiliated with Bi-State.
• North Country Health ConsortiumcoreStrategic or Co-development PartnerMember organization affiliated with Bi-State.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• New York State Primary Care Association: The New York state PCA representing community health centers across a much larger geography. Operates under the same federal PCA framework as Bi-State and serves as a useful benchmark for scale and program breadth at a larger state footprint.
• Maine Primary Care Association: A fellow state Primary Care Association in neighboring New England that delivers the same HRSA-funded training, technical assistance, and advocacy to Maine's FQHCs. Operates under an identical cooperative-agreement model, serving a similar rural safety-net population.
• Pennsylvania Association of Community Health Centers: Pennsylvania's state-level PCA serving FQHCs across a mix of rural and urban markets. Operates with the same HRSA cooperative-agreement framework, workforce development, and policy representation functions as Bi-State.
• Massachusetts League of Community Health Centers: The Massachusetts state PCA representing community health centers. Closely comparable organizational model and HRSA cooperative-agreement funding structure, with a larger member footprint due to greater population density in Massachusetts.
• Community Health Center Association of Connecticut: Connecticut's state Primary Care Association, also operating under an HRSA cooperative agreement to provide T/TA to FQHCs. Directly comparable mandate, governance, and revenue structure to Bi-State.

Broad incumbents

• National Association of Community Health Centers (NACHC): The national trade association representing all U.S. community health centers. NACHC operates as the umbrella organization above state-level PCAs like Bi-State, providing comparable training, policy, and technical assistance functions at the federal level.

Regional players

• Vermont Association of Hospitals and Health Systems: A Vermont-based health advocacy and T/TA organization representing hospitals and health systems rather than FQHCs. Operates in Bi-State's Vermont territory with overlapping policy and workforce concerns but a different provider constituency.

Others

• New England Rural Health Roundtable: A regional nonprofit addressing rural health access and workforce issues across New England. Operates in the same geographies as Bi-State (NH, VT, and beyond) with overlapping missions around rural workforce and primary care access.

Emerging players

• Capital Link: A national nonprofit that partners with health centers on capital planning, financial management, and growth strategy. Listed as a Bi-State strategic partner; offers overlapping but more specialized financial/operational T/TA services.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/bistatepca
• LinkedInlinkedin.com/company/bi-state-primary-care-association

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Bi-State Primary Care Association