2015-11-03T09:26:48-06:00 2015-06-30 540565834 MITCHELL WIGGINS & COMPANY LLP 100 FLANK ROAD PETERSBURG VA 238059152 990 2014-07-01 541802019 VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC VIRG 8043403434 1801 LIBBIE AVENUE NO 104 RICHMOND VA 23226 LINDA D WILKINSON CEO 8043403434 2015-10-16 1 M JAMES HARTSON JRCPA P00590214 8047335566 2014 2016-03-07 17:11:31Z LINDA D WILKINSON 1801 LIBBIE AVENUE SUITE 104 RICHMOND VA 23226 4131982 0 X WWW.VAFREECLINICS.ORG X 1993 VA THE VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS, INC. (THE ORGANIZATION) IS A NON-STOCK VIRGINIA CORPORATION WHOSE MISSION IS TO SUPPORT AND ADVOCATE FOR OUR MEMBER CLINICS SO THAT VIRGINIA'S UNDERSERVED HAVE ACCESS TO QUALITY CARE. TO THIS END, THE ORGANIZATION PROVIDES EDUCATION, TRAINING, TECHNICAL ASSISTANCE, RESEARCH, MARKETING, FINANCIAL SUPPORT, AND POLICY ANALYSIS AND MONITORING FOR VIRGINIA'S FREE AND CHARITABLE CLINICS. 16 16 5 0 0 0 3494438 3696202 425477 421792 2322 13988 0 0 3922237 4131982 3367611 3596988 0 0 330849 286453 0 0 31860 229675 192166 3928135 4075607 -5898 56375 1333492 1303669 947835 872391 385657 431278 X THE VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS, INC. (THE ORGANIZATION) IS A NON-STOCK VIRGINIA CORPORATION WHOSE MISSION IS TO SUPPORT AND ADVOCATE FOR OUR MEMBER CLINICS SO THAT VIRGINIA'S UNDERSERVED HAVE ACCESS TO QUALITY CARE. TO THIS END, THE ORGANIZATION PROVIDES EDUCATION, TRAINING, TECHNICAL ASSISTANCE, RESEARCH, MARKETING, FINANCIAL SUPPORT, AND POLICY ANALYSIS AND MONITORING FOR VIRGINIA'S FREE AND CHARITABLE CLINICS. 0 0 3596988 3596988 346428 THE ASSOCIATION ADMINISTERED FUNDING FROM THE COMMONWEALTH OF VIRGINIA AND MADE GRANTS TO ITS MEMBER CLINICS FOR THE PURPOSE OF PROVIDING ACCESS TO PRESCRIPTION MEDICATIONS AND HEALTHCARE SERVICES FOR THEIR UNINSURED PATIENTS. 45643 75364 THE ASSOCIATION PLANNED AND CONDUCTED AN ANNUAL CONFERENCE OF VIRGINIA'S FREE CLINICS, AN EXECUTIVE DIRECTORS RETREAT, WEBINARS, TELECONFERENCES, REGIONAL WORKSHOPS ON HEALTHCARE REFORM, CLINICAL PROTOCOLS, GOVERNANCE AND LEADERSHIP ISSUES. 277081 THIS CATEGORY INCLUDES ALL OTHER UNALLOCATED PROGRAM EXPENSES. 277081 3919712 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 5 1 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE ORGANIZATION 8043403434 1801 LIBBIE AVENUE SUITE 104 RICHMOND VA 23226 MARGARET HERSH CHAIR 0.50 X X 0 0 0 DARRYL J PIROK SECRETARY 0.50 X X 0 0 0 CAROL L SALE DIRECTOR 0.50 X 0 0 0 A MICHELLE BRAUNS DIRECTOR 0.50 X 0 0 0 BILL GAYNE DIRECTOR 0.50 X 0 0 0 RICK SAMPLE DIRECTOR 0.50 X 0 0 0 CATHY REVELL DIRECTOR 0.50 X 0 0 0 SEAN RILEY TREASURER 0.50 X X 0 0 0 ERIKA VICCELLIO DIRECTOR 0.50 X 0 0 0 LAURA D WINDSOR VICE-CHAIR 0.50 X X 0 0 0 PAT YOUNG DIRECTOR 0.50 X 0 0 0 TAMARA TOLLIVER DIRECTOR 0.50 X 0 0 0 CHRISTINA DELZINGARO DIRECTOR 0.50 X 0 0 0 KIM ISRINGHAUSEN DIRECTOR 0.50 X 0 0 0 C BURKE KING DIRECTOR 0.50 X 0 0 0 PAUL SPEIDELL DIRECTOR 0.50 X 0 0 0 LINDA D WILKINSON CEO 40.00 X 114712 0 5342 114712 0 5342 1 0 0 0 0 90746 4935 3585480 15041 3696202 MANAGEMENT FEES 900099 346428 346428 CONFERENCE REGISTRATIO 900099 49864 49864 CONFERENCE SPONSORSHIP 900099 25500 25500 421792 13988 13988 0 4935 0 0 4131982 421792 0 13988 3596988 3596988 110531 71845 27633 11053 123971 81673 31920 10378 8571 5322 1983 1266 23975 14538 6794 2643 19405 10148 6647 2610 150 150 31848 31848 10000 10000 26265 26265 21305 16073 4205 1027 24154 19323 3623 1208 7794 6625 390 779 45643 45643 993 993 4756 4756 DUES FEES & PUBLICATION 12985 9739 2597 649 BOARD AND COMMITTEE SUP 4307 3661 431 215 WORKSHOPS AND OTHER 1320 1320 STAFF DEVELOPMENT 646 549 65 32 4075607 3919712 124035 31860 257740 159836 91018 68763 823636 810961 2376 2583 13398 7907 2572 5491 72610 99438 76350 83540 80247 1333492 1303669 21533 20767 815551 848976 106797 0 3954 2648 947835 872391 X 381997 427770 3660 3508 385657 431278 1333492 1303669 56375 -10754 0 X X 0 1 X 1 0 X 3849871 6331921 2489963 3466982 3691267 19830004 3849871 6331921 2489963 3466982 3691267 19830004 19830004 2218 3665 661 2322 13988 22854 19852858 2435360 0.99880 0.99950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 17587 17587 4058020 4075607 353780 88445 0 0 678461 284557 346406 353780 1663204 2494806 55609 11725 16863 17587 101784 169616 71139 86602 88445 415802 623703 3115 3115 13398 7907 5491 5491 MUTUAL OF AMERICA - BOND ACTIVITY FUND 76350 F 76350 DEOPSIT 2000 ACCRUED MANAGEMENT FEE 78247 80247 EMPLOYEE PAYROLL DEDUCTIONS 2648 2648 X 4121228 -10754 -10754 4131982 0 4131982 4075607 0 4075607 0 4075607 PART X, LINE 2: THE ORGANIZATION ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS". THIS ACCOUNTING STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOWS. THE TAX YEARS 2012 TO 2014 REMAIN SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. THE ORGANIZATION INCLUDES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES IN OPERATING EXPENSES. NO PENALTIES OR INTEREST WERE INCURRED FOR THE YEAR ENDED JUNE 30, 2014. 1 FREE CLINIC SUPPORT ACCESS NOW 2201 W BROAD STREET SUITE 205 RICHMOND VA 23220 261695468 501(C)(3) 31568 FREE CLINIC SUPPORT ARLINGTON FREE CLINIC 3833 N FAIRFAX DRIVE SUITE 400 ARLINGTON VA 22203 541671883 501(C)(3) 112066 FREE CLINIC SUPPORT AUGUSTA REGIONAL FREE CLINIC POST OFFICE BOX 153 FISHERVILLE VA 22939 541651896 501(C)(3) 96102 FREE CLINIC SUPPORT BEACH HEALTH CLINIC 3396 HOLLAND ROAD SUITE 102 VIRGINIA BEACH VA 23542 541366960 501(C)(3) 57890 FREE CLINIC SUPPORT BEDFORD CHRISTIAN FREE CLINIC POST OFFICE BOX 357 BEDFORD VA 24523 541630812 501(C)(3) 37149 FREE CLINIC SUPPORT BRADLEY FREE CLINIC 1240 THIRD STREET SW ROANOKE VA 24016 237380491 501(C)(3) 113282 FREE CLINIC SUPPORT BROCK HUGHES FREE CLINIC 100 EDGEMONT ROAD WYTHEVILLE VA 24382 202353144 501(C)(3) 86608 FREE CLINIC SUPPORT CHARLOTTESVILLE FREE CLINIC 1138 ROSE HILL DRIVE 200 CHARLOTTESVILLE VA 22903 541610405 501(C)(3) 113946 FREE CLINIC SUPPORT CHESAPEAKE CARE FREE CLINIC 2145 MILITARY HIGHWAY SOUTH CHESAPEAKE VA 23320 541642754 501(C)(3) 89999 FREE CLINIC SUPPORT CROSS OVER MINISTRY 108 COWARDIN AVENUE RICHMOND VA 23224 541371067 501(C)(3) 115648 FREE CLINIC SUPPORT CROSSROADS MEDICAL MISSION POST OFFICE BOX 16852 BRISTOL VA 24209 542038877 501(C)(3) 43120 FREE CLINIC SUPPORT DR RICHARD F CLARK HELP FREE CLINIC POST OFFICE BOX 190 HAMPTON VA 23669 541209213 501(C)(3) 77693 FREE CLINIC SUPPORT FAN FREE CLINIC POST OFFICE BOX 6477 RICHMOND VA 23230 540927792 501(C)(3) 85067 FREE CLINIC SUPPORT FAUQUIER FREE CLINIC POST OFFICE BOX 3138 WARRENTON VA 20188 541669652 501(C)(3) 117013 FREE CLINIC SUPPORT FREE CLINIC OF CENTRAL VIRGINIA 1016 MAIN STREET LYNCHBURG VA 24504 541420756 501(C)(3) 84232 FREE CLINIC SUPPORT FREE CLINIC OF CULPEPER 610 LAUREL STREET SUITE 3 CULPEPER VA 22701 521366700 501(C)(3) 53319 FREE CLINIC SUPPORT FREE CLINIC OF DANVILLE POST OFFICE BOX 665 DANVILLE VA 24543 541667654 501(C)(3) 46822 FREE CLINIC SUPPORT FREE CLINIC OF FRANKLIN COUNTY POST OFFICE BOX 764 ROCKY MOUNT VA 24151 541634138 501(C)(3) 72599 FREE CLINIC SUPPORT GOOCHLAND FREE CLINIC & FAMILY SERVICES POST OFFICE BOX 898 GOOCHLAND VA 23063 541967650 501(C)(3) 65481 FREE CLINIC SUPPORT CARING HEARTS FREE CLINIC OF PULASKI COUNTY POST OFFICE BOX 1088 PULASKI VA 24301 141909014 501(C)(3) 41004 FREE CLINIC SUPPORT COMMUNITY FREE CLINIC OF NEWPORT NEWS 727 25TH STREET NEWPORT NEWS VA 23607 273510814 501(C)(3) 9932 FREE CLINIC SUPPORT FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY POST OFFICE BOX 44 WINCHESTER VA 22604 541373296 501(C)(3) 149466 FREE CLINIC SUPPORT GLOUCESTER-MATHEWS FREE CLINIC 2276 GEORGE WASHINGTON HIGHWAY HAYES VA 23072 541875619 501(C)(3) 104163 FREE CLINIC SUPPORT GREENE CARE CLINIC POST OFFICE BOX 54 STANARDSVILLE VA 22973 721602744 501(C)(3) 33992 FREE CLINIC SUPPORT HARRISONBURG-ROCKINGHAM FREE CLINIC 25 WEST WATER STREET HARRISONBURG VA 22801 541568909 501(C)(3) 85913 FREE CLINIC SUPPORT HEALING HANDS HEALTH CENTER 210 MEMORIAL DRIVE BRISTOL VA 37620 780001847 501(C)(3) 40123 FREE CLINIC SUPPORT LACKEY FREE FAMILY MEDICINE CENTER 1620 OLD WILLIAMSBURG ROAD YORKTOWN VA 23690 541850915 501(C)(3) 88005 FREE CLINIC SUPPORT LLOYD F MOSS FREE CLINIC 1301 SAM PERRY BOULEVARD SUITE 100 FREDERICKSBURG VA 22401 541677934 501(C)(3) 110566 FREE CLINIC SUPPORT LOUDOUN COMMUNITY FREE CLINIC 224 CORNWALL STREET NW LEESBURG VA 20176 541921059 501(C)(3) 65436 FREE CLINIC SUPPORT CHRISTIAN FREE CLINIC BOTETOURT 7330 ROANOKE ROAD FINCASTLE VA 24092 204342697 501(C)(3) 41848 FREE CLINIC SUPPORT MADISON FREE CLINIC 12343 SIR JAMES COURT RICHMOND VA 23233 311654015 501(C)(3) 49475 FREE CLINIC SUPPORT NORTHERN NECK FREE HEALTH CLINIC POST OFFICE BOX 1694 KILMARNOCK VA 22482 541679279 501(C)(3) 100289 FREE CLINIC SUPPORT PRINCE WILLIAM AREA FREE CLINIC 9301 LEE AVENUE MANASSAS VA 20110 541619202 501(C)(3) 115771 FREE CLINIC SUPPORT REDDY TRI-COUNTY HEALTH CLINIC POST OFFICE BOX 202 RICHLANDS VA 24641 541590912 501(C)(3) 21431 FREE CLINIC SUPPORT RESCUE MISSION HEALTH CARE CENTER POST OFFICE BOX 11525 ROANOKE VA 24022 540573900 501(C)(3) 86994 FREE CLINIC SUPPORT RICHMOND AREA HIGH BLOOD PRESSURE CENTER POST OFFICE BOX 5039 RICHMOND VA 23220 521303481 501(C)(3) 68991 FREE CLINIC SUPPORT ROANOKE VALLEY MH CARE COLLABORATIVE POST OFFICE BOX 592 ROANOKE VA 24004 540703132 501(C)(3) 40631 FREE CLINIC SUPPORT FREE CLINIC SUPPORT SHENANDOAH COUNTY FREE CLINIC POST OFFICE BOX 759 WOODSTOCK VA 22664 542032008 501(C)(3) 80001 FREE CLINIC SUPPORT ST LUKE COMMUNITY CLINIC 316 NORTH ROYAL AVENUE FRONT ROYAL VA 22630 541801220 501(C)(3) 87389 FREE CLINIC SUPPORT SURRY AREA FREE CLINIC POST OFFICE BOX 32 SURRY VA 23883 541715186 501(C)(3) 29238 FREE CLINIC SUPPORT FREE CLINIC OF PULASKI COUNTY POST OFFICE BOX 1088 PULASKI VA 24301 521318621 501(C)(3) 30846 FREE CLINIC SUPPORT HANOVER INTERFAITH FREE CLINIC 125 BEVERLY ROAD ASHLAND VA 23005 412214314 501(C)(3) 43423 FREE CLINIC SUPPORT HEALTH WAGON 119 NUMBER TEN STREET CLINCHCO VA 24266 043739083 501(C)(3) 116092 FREE CLINIC SUPPORT ORANGE COUNTY FREE CLINIC 450 N MADISON STREET ORANGE VA 22960 251922019 501(C)(3) 62737 FREE CLINIC SUPPORT PATHWAYS FREE SPECIALTY CLINIC 1200 W WASHINGTON STREET PETERSBURG VA 23803 541868900 501(C)(3) 45760 FREE CLINIC SUPPORT TAPPAHANNOCK FREE CLINIC 317 DUKE STREET TAPPAHANNOCK VA 22560 204715344 501(C)(3) 46651 FREE CLINIC SUPPORT WESTERN TIDWATER FREE CLINIC 2019 MEADE PARKWAY SUFFOLK VA 23434 263302837 501(C)(3) 84154 FREE CLINIC SUPPORT THE CORNERSTONE FREE HEALTH CLINIC 11241 WEST RIVER ROAD AYLETT VA 23009 260117479 501(C)(3) 23684 FREE CLINIC SUPPORTFREE CLINIC SUPPORT MEL LEAMAN FREE CLINIC OF SMYTH COUNTY POST OFFICE BOX 1273 MARION VA 24354 261275136 501(C)(3) 45407 FREE CLINIC SUPPORT MISSION HOPE LIFE CENTER 10721 MAIN STREET FAIRFAX VA 22030 752999280 501(C)(3) 36952 FREE CLINIC SUPPORT FREDERICKSBURG COUNSELING SERVICES 305 HANSON AVENUE SUITE 140 FREDERICKSBURG VA 22401 540844464 501(C)(3) 28495 FREE CLINIC SUPPORT FREE CLINIC OF POWHATAN POST OFFICE BOX 544 POWHATAN VA 23139 261275136 501(C)(3) 21779 FREE CLINIC SUPPORT NOVA SCRIPTS CENTRALINC 6400 ARLINGTON BOULEVARD FALLS CHURCH VA 22042 651275162 501(C)(3) 6958 FREE CLINIC SUPPORT RIVERSIDE HEALTH CENTER 322 W RIVERSIDE STREET COVINGTON VA 24426 541904342 501(C)(3) 44892 FREE CLINIC SUPPORT FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION DISTRIBUTES THE FORM 990 TO THE AUDIT AND FINANCE COMMITTEE AND TO ALL BOARD MEMEBERS. BOARD MINUTES REFLECT THAT THE BOARD HAS RECEIVED AND ACCEPTED THE AUDIT AND FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN "CONFLICT OF INTEREST" POLICY WHICH IS REAFFIRMED EACH JANUARY. EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST FORM AND SIGNS THE FORM IN JANUARY. THE FORMS ARE MAINTAINED ON FILE IN THE ORGANIZATION'S OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION POSTS ITS CURRENT AUDITED FINANCIAL STATEMENT ON ITS WEB SITE AND ON WWW.GIVERICHMOND.COM , EACH YEAR. IN ADDITION, COPIES OF THE AUDITED FINANCIAL STATEMENTS ARE SENT ELECTRONICALLY TO EACH MEMBER CLINIC. IT IS THE POLICY OF THE ORGANIZATION TO PROVIDE COPIES OF FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFICT OF INTEREST INFORMATION AND OTHER DOCUMENTS TO THE MEMBERS OF THE PUBLIC UPON WRITTEN REQUEST. SINGLE COPIES ARE PROVIDED FREE OF CHARGE. MULTIPLE COPIES ARE SENT UPON THE RECEIPT OF FIFTY CENTS FOR EACH PAGE REQUESTED. THESE REQUESTS ARE PROCESSED AND THE INFORMATION IS FORWARDED WITHIN TWO WEEKS. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.