Indian Stream Health Center

What Indian Stream Health Center does

Indian Stream Health Center (ISHC), legally Indian Stream Health Center, Inc., is a private, nonprofit Federally Qualified Health Center (FQHC) headquartered in Colebrook, New Hampshire, with a satellite location in Canaan, Vermont. The organization originated as a medical facility operating for more than 30 years and was formally designated an FQHC under 42 U.S.C. 254b in January 2006, granting it Federal Public Health Service deemed status and ongoing federal operating grant funding. ISHC delivers comprehensive primary health care through an integrated healthcare team model that combines physicians, physician assistants, Licensed Independent Clinical Social Workers, pharmacists, and care management staff across two clinical sites and an on-site pharmacy.

The core service portfolio spans primary care with emphasis on disease prevention and chronic disease management, behavioral health services for individuals, families, and groups, a care management department providing home visits, hospice coordination, meals, transportation, and social services, and community outreach including the EDGE diabetes education program, O.W.L.S. senior wellness program, flu clinics, and a tobacco treatment group. A Patient Portal supports digital patient engagement and Health Insurance Marketplace application assistance. The organization holds Health Center Program grantee status and PHS employment status, and is affiliated with Bi-State Primary Care Association and Invest in Coos Kids to embed itself within the regional primary care and pediatric health ecosystem on a shared campus with Upper Connecticut Valley Hospital.

ISHC serves residents of Coos County, New Hampshire and surrounding Northern New England communities across an 850-mile rural service area characterized by low population density of 6.7 people per square mile, including populations spanning Maine, Vermont, and Canada. Revenue is generated through a mix of patient service revenue (insurance, Medicare, Medicaid) and federal operating grants, with a Sliding Fee Scale program that subsidized $272,499 in fees to 635 uninsured or underinsured patients in 2010 and a low-cost pharmacy program that subsidized $95,446 across 2,747 prescriptions for 371 uninsured patients in 2009. The pricing model is a sliding-fee, pay-as-you-go structure based on household income and family size, with go-to-market executed through direct patient care at physical locations complemented by active community outreach and home visits.

Name

Indian Stream Health Center

Legal name

Indian Stream Health Center, Inc.

Website

https://indianstream.org

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

51–100 employees

Short description

Indian Stream Health Center is a private nonprofit Federally Qualified Health Center in Colebrook, New Hampshire with a satellite in Canaan, Vermont, serving rural Northern New England residents across an 850-mile service area. It delivers primary care, behavioral health, pharmacy, care management, and community outreach under a sliding-fee model funded by patient revenue and federal grants.

Ownership category

akta.pro rank

Product category

Community Health Center Services

NAICS

Ambulatory Health Care Services (621), Outpatient Care Centers (6214)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Community Health Centers (FQHCs & Look-Alikes) (HLAFAGAB)

Keywords

• Federally qualified health center
• Rural primary care
• Behavioral health services
• Community pharmacy services
• Sliding fee healthcare

Headquarters

HQ city

Colebrook

HQ country

United States

HQ region

North America

Offices2 records

Markets served

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Others

Revenue model

1. Patient Services and Federal Grant Funding: ISHC operates as a Federally Qualified Health Center receiving Federal Public Health Service funding and grant funding to provide care regardless of patients' ability to pay. Revenue comes from patient service revenue (insurance, Medicare, Medicaid) supplemented by federal operating grants.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Indian Stream Health Center (ISHC) is a Federally Qualified Health Center providing comprehensive primary healthcare, behavioral health services, on-site pharmacy, care management, and community outreach programs to rural residents of Coos County, NH and surrounding areas. Services are delivered through a healthcare team model across two clinic locations (Colebrook, NH and Canaan, VT) with a sliding fee scale program for uninsured and underinsured patients.

Product overview

Indian Stream Health Center (ISHC) is a Federally Qualified Health Center (FQHC) offering a unified set of healthcare services primarily serving Coos County, New Hampshire and surrounding rural areas. The organization operates using a healthcare team model that integrates primary health care, behavioral health services, an on-site pharmacy, care management, and community outreach programs. Services are delivered across two locations (Colebrook, NH and Canaan, VT) with a sliding fee scale program to assist uninsured and underinsured patients.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Health Care Services
• Behavioral Health Services
• ISHC Pharmacy
• Care Management Department
• Community Outreach Services
• Sliding Fee Scale Program
• Family Planning Services

Quantifiable outcome

• Subsidized $95,446 for 2,747 prescriptions to 371 uninsured patients (2009)
• +1 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core and minor.

• Bi-State Primary Care AssociationcoreStrategic or Co-development PartnerISHC is affiliated with Bi-State Primary Care Association, a regional organization supporting primary care health centers.
• Invest in Coos KidsminorStrategic or Co-development PartnerISHC is affiliated with Invest in Coos Kids, a local organization focused on children's health and wellness in the Coos County region.

Scale indicators5 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• Mid-State Health Center: FQHC serving central New Hampshire with primary care, behavioral health, and pharmacy services. Comparable rural FQHC with similar integrated service offerings and federal funding model.
• Ammonoosuc Community Health Services: FQHC serving rural Grafton County, New Hampshire with primary care, behavioral health, and pharmacy services. Highly comparable rural New Hampshire FQHC with a similar multi-service integrated care model and sliding fee scale.
• Greater Seacoast Community Health: FQHC serving the New Hampshire seacoast region with primary care, behavioral health, and community services. Directly comparable as a New Hampshire FQHC with similar patient mix and federal funding structure.
• Coös County Family Health Services: Another FQHC serving Coös County, New Hampshire with primary care, behavioral health, and community health programs. Directly comparable as a rural New Hampshire FQHC with similar sliding fee scale and federal grant funding structure.
• White Mountain Community Health Center: FQHC serving the Mount Washington Valley region of New Hampshire. Comparable as a rural New Hampshire FQHC providing primary care, behavioral health, and care coordination to underserved populations.
• Lamprey Health Care: FQHC serving southern New Hampshire with multiple locations, primary care, behavioral health, and community programs. Comparable multi-location FQHC model with sliding fee scale and federal grant funding.

Broad incumbents

• Dartmouth Health (Dartmouth-Hitchcock): Major academic health system serving New Hampshire and Vermont with rural referral relationships. Comparable as a regional healthcare provider whose network includes rural FQHC partners like ISHC.
• Upper Connecticut Valley Hospital: Critical access hospital co-located with ISHC in Colebrook, NH. Comparable as a rural New Hampshire healthcare provider serving the same Coos County population, though operating as a hospital rather than FQHC.
• MaineHealth: Large regional health system serving Maine and parts of New Hampshire. Comparable as a broader healthcare delivery network with rural community health partnerships across northern New England.

Others

• Bi-State Primary Care Association: Regional primary care association supporting FQHCs in New Hampshire and Vermont. Comparable as ISHC's strategic affiliate and ecosystem partner that provides training, advocacy, and operational support to peer community health centers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/IndianStreamHC

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

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 Indian Stream Health Center