Civic Intelligence

Bi-State Primary Care Association Inc

EIN 22-3061156 • 501(c)3 • Bow, NH

View Organization Page

Profile

The Corporation is to promote access to effective and affordable primary care and preventive services for all, with special emphasis on underserved populations in New Hampshire and Vermont.

525 Clinton StreetBow, NH 03304

www.bistatepca.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

56th percentile

0.17x

Higher debt load relative to assets than 56% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

47th percentile

0.14x

Higher debt load relative to revenue than 47% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

43rd percentile

1.8%

Higher net margin than 43% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

93rd percentile

$408,008

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 6.3% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

34th percentile

-0.4%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

18th percentile

-14%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets56th percentile

Assets

Down

$5,175,409

Down $19,817 (-0.4%) from 2024

Liabilities

Down

$890,764

Down $137,281 (-13%) from 2024

Net Assets

Up

$4,284,645

Up $117,464 (+2.8%) from 2024

Operations
Liabilities / Revenue47th percentileNet Margin43rd percentile

Revenue

Down

$6,467,948

Down $1,024,690 (-14%) from 2024

Expenses

Down

$6,350,484

Down $913,463 (-13%) from 2024

Net Income

Down

$117,464

Down $111,227 (-49%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth34th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2010: $809,663Liabilities 2010: $267,474Net Assets 2010: $542,1892010Assets 2011: $1,579,996Liabilities 2011: $727,212Net Assets 2011: $852,7842011Assets 2012: $1,461,539Liabilities 2012: $519,905Net Assets 2012: $941,6342012Assets 2013: $1,706,187Liabilities 2013: $570,397Net Assets 2013: $1,135,7902013Assets 2014: $2,004,235Liabilities 2014: $719,324Net Assets 2014: $1,284,9112014Assets 2015: $2,186,091Liabilities 2015: $692,037Net Assets 2015: $1,494,0542015Assets 2016: $2,549,333Liabilities 2016: $515,873Net Assets 2016: $2,033,4602016Assets 2017: $2,802,124Liabilities 2017: $717,284Net Assets 2017: $2,084,8402017Assets 2018: $2,967,194Liabilities 2018: $728,336Net Assets 2018: $2,238,8582018Assets 2019: $3,548,926Liabilities 2019: $860,720Net Assets 2019: $2,688,2062019Assets 2020: $3,857,380Liabilities 2020: $1,099,716Net Assets 2020: $2,757,6642020Assets 2021: $4,305,599Liabilities 2021: $1,012,867Net Assets 2021: $3,292,7322021Assets 2022: $4,782,235Liabilities 2022: $1,252,009Net Assets 2022: $3,530,2262022Assets 2023: $5,618,117Liabilities 2023: $1,679,627Net Assets 2023: $3,938,4902023Assets 2024: $5,195,226Liabilities 2024: $1,028,045Net Assets 2024: $4,167,1812024Assets 2025: $5,175,409Liabilities 2025: $890,764Net Assets 2025: $4,284,6452025

Highlighted filing

2025

Assets$5,175,409
Liabilities$890,764
Net Assets$4,284,645
Open 2025 Filing

Operations Trend

Revenue Growth18th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0Expenses 2010: $3,417,4592010Expenses 2011: $4,714,0172011Expenses 2012: $3,318,0122012Expenses 2013: $3,496,9202013Revenue 2014: $3,850,053Expenses 2014: $3,701,361Net Income 2014: $148,6922014Revenue 2015: $4,300,967Expenses 2015: $4,088,983Net Income 2015: $211,9842015Revenue 2016: $4,850,835Expenses 2016: $4,307,409Net Income 2016: $543,4262016Revenue 2017: $4,661,713Expenses 2017: $4,600,264Net Income 2017: $61,4492017Revenue 2018: $4,797,562Expenses 2018: $4,616,693Net Income 2018: $180,8692018Revenue 2019: $4,693,184Expenses 2019: $4,218,323Net Income 2019: $474,8612019Revenue 2020: $4,008,833Expenses 2020: $3,932,507Net Income 2020: $76,3262020Revenue 2021: $4,820,312Expenses 2021: $4,285,244Net Income 2021: $535,0682021Revenue 2022: $5,459,449Expenses 2022: $5,221,955Net Income 2022: $237,4942022Revenue 2023: $8,178,873Expenses 2023: $7,770,609Net Income 2023: $408,2642023Revenue 2024: $7,492,638Expenses 2024: $7,263,947Net Income 2024: $228,6912024Revenue 2025: $6,467,948Expenses 2025: $6,350,484Net Income 2025: $117,4642025

Highlighted filing

2025

Revenue$6,467,948
Expenses$6,350,484
Net Income$117,464
Open 2025 Filing

Filings

Most recent year

2025 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$5,175,409
Liabilities
$890,764
Net assets
$4,284,645
Revenue
$6,467,948
Expenses
$6,350,484
Net income
$117,464
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.18$0.89$4.28$6.47$6.35$0.12
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.20$1.03$4.17$7.49$7.26$0.23
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.62$1.68$3.94$8.18$7.77$0.41
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.78$1.25$3.53$5.46$5.22$0.24
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.31$1.01$3.29$4.82$4.29$0.54
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.86$1.10$2.76$4.01$3.93$0.08
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.55$0.86$2.69$4.69$4.22$0.47
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.97$0.73$2.24$4.80$4.62$0.18
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.80$0.72$2.08$4.66$4.60$0.06
2016Detailed filing. Detailed filing data is available for this year.$2.55$0.52$2.03$4.85$4.31$0.54
2015Detailed filing. Detailed filing data is available for this year.$2.19$0.69$1.49$4.30$4.09$0.21
2014Detailed filing. Detailed filing data is available for this year.$2.00$0.72$1.28$3.85$3.70$0.15
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.71$0.57$1.14$3.50
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.46$0.52$0.94$3.32
2011XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.58$0.73$0.85$4.71
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.81$0.27$0.54$3.42
Latest Detailed Filing

The latest 2025 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2023 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Oct 24, 2023
Return Version
2022v5.0
Gross Receipts
$8,178,873
Mission and Program Overview

Mission

To promote access to effective and affordable primary care and preventive services for all, with special emphasis on underserved populations in New Hampshire and Vermont.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,551,054$2,729,542▲ $1,178,488
Accounts Receivable$879,826$1,551,834▲ $672,008
Land, Buildings, and Equipment, Net$487,985$478,475▼ $9,510
Pledges and Grants Receivable$136,278$297,429▲ $161,151
Investments Other Securities$1,551,357$204,534▼ $1,346,823
Cash and Non-Interest-Bearing Accounts$128,746$139,716▲ $10,970
Intangible Assets-$111,749-
Prepaid Expenses and Deferred Charges$46,989$104,838▲ $57,849
Total Assets$4,782,235$5,618,117▲ $835,882
Liabilities
Accounts Payable and Accrued Expenses$684,641$1,065,717▲ $381,076
Other Liabilities$199,679$321,721▲ $122,042
Deferred Revenue$367,689$292,189▼ $75,500
Total Liabilities$1,252,009$1,679,627▲ $427,618
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,530,226$3,938,490▲ $408,264
Total Net Assets Fund Balance$3,530,226$3,938,490▲ $408,264
Total Liabilities and Net Assets / Fund Balance$4,782,235$5,618,117▲ $835,882

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$373,381$286,001$659,382
Equipment$55,094$1,265$56,359
Land$50,000-$50,000
Compensation and Service Providers
Top Officer Pay93rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Teresa KuenningPresident & CEOFT$256,296$90,570$346,866
Georgia MaherasSr. VP, Policy & StrategyFT$136,368$34,052$170,420
Kristine StoddardSr, Director, NH Public PolicyFT$121,567$47,286$168,853
Katherine SimmonsSr. Director, OperationsFT$115,892$50,080$165,972
Kimberly MartinSr. Director Finance & Admin.FT$138,594$10,511$149,105
Lori RealEVP, Talent & Culture, Finance & ITPT$129,486$5,327$134,813

Board Members and Trustees

NameTitle
Gregory WhiteBoard Chair
Martha HalnonImmediate Past Chair/Treasurer
Dan BennettBoard Vice Chair
Anna ThomasBoard Member
Kayla DavisBoard Member
Michael CostaBoard Member
Robert MacLeodBoard Member
Stuart MayBoard Member
Kenneth GordonBoard Secretary
Gail AuclairPast Board Member
Edward ShanshalaPast Board Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$7,315,613
Program Service Revenue
$810,406
Investment Income
$52,854
Other Revenue
$0
All Other Contributions
$1,520,279
Change in Net Assets
$408,264

Audited Revenue Reconciliation

Revenue per Audited Statements
$8,178,873
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$8,178,873
Total Revenue per Form 990
$8,178,873
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,304,662
Grants and Similar Amounts Paid$3,245,824
Other Expenses$1,220,123
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$3,245,824--$3,245,824
Other Salaries and Wages$1,785,892$494,013-$2,279,905
Fees for Services Other$499,355$809-$500,164
Current Officers, Directors, Trustees, and Key Employees$203,254$292,718-$495,972
Other Employee Benefits$185,320$59,041-$244,361
Payroll Taxes$137,681$53,025-$190,706
Occupancy$78,068$30,066-$108,134
Conferences and Meetings$76,426$29,434-$105,860
Pension Plan Contributions$73,664$20,054-$93,718
Fees for Services Lobbying$61,307$23,611-$84,918
Fees for Services Legal$45,706$17,603-$63,309
Office Expenses$38,362$14,776-$53,138
Insurance$36,482$14,051-$50,533
Depreciation Depletion$27,154$10,458-$37,612
Other Expenses$24,506$9,438-$33,944
Advertising$21,357$8,225-$29,582
Fees for Services Accounting$20,576$7,924-$28,500
Travel$16,370$6,304-$22,674
Total Functional Expenses$6,650,767$1,119,842$0$7,770,609

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$7,770,609
Total Expenses per Audited Statements$7,770,609
Total Expenses per Form 990$7,770,609
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mid-State Health CenterPlymouth, NH501(c)(3)Pass Through - iMAT Services (DZ-23) - COVID/CHW (DE-22) - Dental Residency (HD-23)$590,109
Amoskeag HealthManchester, NH501(c)(3)Pass Through - iMAT Services (DM-23/DZ-23) - COVID (DE-23)$584,994
HealthFirst Family Care CenterFranklin, NH501(c)(3)Pass Through - COVID/CHW (DE-22)$376,977
Coos County Family Health ServicesBerlin, NH501(c)(3)Pass Through - COVID/CHW (DE-23)$333,901
Ammonoosuc Community Health ServicesLittleton, NH501(c)(3)Pass Through - COVID/CHW (DE-23)$275,159
White Mountain Community Health CenterConway, NH501(c)(3)Pass Through - COVID/CHW (DE-23)$236,186
Lamprey Health CareNewmarket, NH501(c)(3)Pass Through - iMAT Services (DM-23 DZ-23)$210,334
Harbor HomesNashua, NH501(c)(3)Pass Through - COVID/CHW (DE-23) - Dental Residency (HD-23)$194,699
Greater Seacoast Community HealthSomersworth, NH501(c)(3)Pass Through - COVID/CHW (DE-23) - Dental Residency (HD-23)$147,167
Northern Tier Center for HealthRichford Health CenterRichford, VT501(c)(3)Pass Through - US DHHS Healthcare Consortium (HO-22) - VT Dental Therapy (VW-22) - Pew Dental Therapy (PD-21)$102,721
North Star HealthSpringfield, VT501(c)(3)Pass Through - VT Dental Therapy (VW-22)$51,971
Little Rivers Health CareBradford, VT501(c)(3)Pass Through - US DHHS Healthcare Consortium (HO-22)$45,890
Community HealthRutland, VT501(c)(3)Pass Through - VT Dental Therapy (VW-22)$39,945
Lamoille Health PartnersMorrisville, VT501(c)(3)Pass Through - US DHHS Healthcare Consortium (HO-22)$23,706
Hunger Free VermontSouth Burlington, VT501(c)(3)Pass Through - Food Access & Health Consortium (HN-22)$15,000
Vermont Food BankBarre, VT501(c)(3)Pass Through - US DHHS Food Insecurity (HN-22)$7,191
Northeast Organic Farming AssociationRichmond, VT501(c)(3)Pass Through - Food Access & Health Consortium (HN-22)$5,854
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred compensation payable$209,276
Operating lease liability$112,445
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 7A

“Each one of Bi-State's members receives a ballot to vote for Bi-State's Board of Directors.”

Form 990, Part VI, Section A, line 8B

“No other committee beyond the Executive Committee has authority to act on behalf of the governing body. Meeting notes are maintained for all committees.”

Form 990, Part VI, Section B, line 10B

“Bi-State is currently the sole member of Center of Primary Health Care Solutions, LLC (CPHCS, LLC). There are no written policies and procedures governing the activities of the affiliates. Bi-State employees manage operations of CPHCS, LLC following the policies and procedures of Bi-State.”

Form 990, Part VI, Section B, line 11B

“The Board of Directors receives the Form 990 prior to filing.”

Form 990, Part VI, Section B, line 12C

“Employees are to immediately disclose any conflicts.”

Form 990, Part VI, Section B, line 15

“The Board of Directors approves the budget. Management works within this budget and has final decision over bonus amounts. Bonus amounts are based off performance and other measures as determined by management and Board budget. The Executive Committee determines President & CEO compensation. President & CEO determines compensation for the organization after review of local salary surveys and the Board approved budget. From time to time the Board undertakes an external market benefit and compensation study. This external review study was completed this year.”

Form 990, Part VI, Section C, line 19

“The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Bi-State Primary Care Association Inc
EIN
22-3061156
Phone
6032282830
Address
525 Clinton Street, Bow, NH 03304

Signing Officer

Name
Teresa Stack Kuenning
Title
President and CEO
Phone
6032240849
Signed
2023-10-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Teresa Stack Kuenning
Formed
1986
Legal Domicile
Nh
Voting Board Members
9
Independent Board Members
9
Employees
31
Volunteers
11

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
1000 Elm Street 4th Floor, Manchester, NH 03101
Preparer
Melissa Magoon CPA
Phone
6036697337
Supplemental Narrative

Additional Explanations

Form 990, Part X, Line 10: Land, Buildings, and Equipment

“Section 1.263(a)-3(n) Election: Bi-State Primary Care Association, Inc. 525 Clinton Street Bow, NH 03304 EIN: 22-3061156 Bi-State Primary Care Association, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”

Financial Statement Notes

Part X, Line 2:

“Bi-State Primary Care Association, Inc. (BSPCA) is a public charity under Section 501(c)(3) of the Internal Revenue Code (IRC). As a public charity, the entity is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. CPHCS is a limited liability company; however, for federal tax purposes, it is considered to be a disregarded entity and, as such, CPHCS's income, expenses, losses, gains, deductions and credits are reported on BSPCA's information return. Management believes the services provided by CPHCS are consistent with BSPCA's tax-exempt purpose and its revenue does not constitute unrelated business income. Management has evaluated BSPCA's tax positions and concluded that there are no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements.”

Raw XML AppendixShowing 400 of 824 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt160
IRS990/Form990PartVIISectionAGrp/PersonNm0Teresa Kuenning
IRS990/Form990PartVIISectionAGrp/PersonNm1Georgia Maheras
IRS990/Form990PartVIISectionAGrp/PersonNm2Kristine Stoddard
IRS990/Form990PartVIISectionAGrp/PersonNm3Katherine Simmons
IRS990/Form990PartVIISectionAGrp/PersonNm4Kimberly Martin
IRS990/Form990PartVIISectionAGrp/PersonNm5Lori Real
IRS990/Form990PartVIISectionAGrp/PersonNm6Gregory White
IRS990/Form990PartVIISectionAGrp/PersonNm7Dan Bennett
IRS990/Form990PartVIISectionAGrp/PersonNm8Martha Halnon
IRS990/Form990PartVIISectionAGrp/PersonNm9Kenneth Gordon
IRS990/Form990PartVIISectionAGrp/PersonNm10Michael Costa
IRS990/Form990PartVIISectionAGrp/PersonNm11Kayla Davis
IRS990/Form990PartVIISectionAGrp/PersonNm12Robert MacLeod
IRS990/Form990PartVIISectionAGrp/PersonNm13Stuart May
IRS990/Form990PartVIISectionAGrp/PersonNm14Anna Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm15Edward Shanshala
IRS990/Form990PartVIISectionAGrp/PersonNm16Gail Auclair
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/TitleTxt0President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Sr. VP, Policy & Strategy
IRS990/Form990PartVIISectionAGrp/TitleTxt2Sr, Director, NH Public Policy
IRS990/Form990PartVIISectionAGrp/TitleTxt3Sr. Director, Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt4Sr. Director Finance & Admin.
IRS990/Form990PartVIISectionAGrp/TitleTxt5EVP, Talent & Culture, Finance & IT
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt8Immediate Past Chair/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt14Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15Past Board Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt16Past Board Member
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