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VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC (EIN 54-1802019)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-15
IRS object ID
201241709349300224
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-15T11:00:24-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN540565834EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MITCHELL WIGGINS & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 FLANK ROADAddressLine1
CityPETERSBURGCity
StateVAState
ZIP Code238059152ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541802019EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VA ASSOCIATION OF FREE CLINICS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVIRGNameControl
Phone8043403434Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 MOOREFIELD PARK DRIVE NO CAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA D WILKINSONName
TitleEXECUTIVE DIRECTORTitle
Phone8043403434Phone
Date Signed2012-06-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM JAMES HARTSON JR CPAName
PTINP00590214PTIN
Phone8047335566Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA D WILKINSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1711 MOOREFIELD PARK DRIVE SUITE CAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2869452GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VAFREECLINICS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTHE VIRGINIA ASSOCIATION OF FREE CLINICS, INC. (THE ORGANIZATION) IS A PRIVATE NONPROFIT VIRGINIA MEMBERSHIP CORPORATION WHOSE MISSION IS TO SUPPORT, STRENGTHEN, AND ADVOCATE FOR 60 MEMBER CLINICS AS THEY DELIVER QUALITY HEALTH CARE TO VIRGINIA'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS. TO THIS END, THE ORGANIZATION PROVIDES EDUCATION, TRAINING, TECHNICAL ASSISTANCE, RESEARCH, MARKETING, RESOURCE DEVELOPMENT, FINANCIAL SUPPORT THROUGH CONTRACTUAL RELATIONSHIPS WITH MEMBER CLINICS THAT SERVE IN A SUBCONTRACTOR CAPACITY ON BEHALF OF THE ORGANIZATION, POLICY ANALYSIS AND MONITORING FOR VIRGINIA'S FREE CLINICS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3849871ContributionsGrantsPriorYear
Contributions Grants Current Year2518723ContributionsGrantsCurrentYear
Program Service Revenue Prior Year448806ProgramServiceRevenuePriorYear
Program Service Revenue CY348599ProgramServiceRevenueCY
Investment Income Prior Year2218InvestmentIncomePriorYear
Investment Income Current Year2130InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4300895TotalRevenuePriorYear
Total Revenue Current Year2869452TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3766940GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2784588GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year268825SalariesEtcPriorYear
Salaries Etc Current Year292896SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12357TotalFundrsngExpCurrentYear
Other Expense Prior Year228033OtherExpensePriorYear
Other Expenses Current Year221275OtherExpensesCurrentYear
Total Expenses Prior Year4263798TotalExpensesPriorYear
Total Expenses Current Year3298759TotalExpensesCurrentYear
Revenues Less Expenses Prior Year37097RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-429307RevenuesLessExpensesCY
Total Assets BOY766663TotalAssetsBOY
Total Assets EOY357579TotalAssetsEOY
Total Liabilities BOY26867TotalLiabilitiesBOY
Total Liabilities EOY47090TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY739796NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY310489NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE VIRGINIA ASSOCIATION OF FREE CLINICS, INC. (THE ORGANIZATION) IS A PRIVATE NONPROFIT VIRGINIA MEMBERSHIP CORPORATION WHOSE MISSION IS TO SUPPORT, STRENGTHEN, AND ADVOCATE FOR 60 MEMBER CLINICS AS THEY DELIVER QUALITY HEALTH CARE TO VIRGINIA'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS. TO THIS END, THE ORGANIZATION PROVIDES EDUCATION, TRAINING, TECHNICAL ASSISTANCE, RESEARCH, MARKETING, RESOURCE DEVELOPMENT, FINANCIAL SUPPORT THROUGH CONTRACTUAL RELATIONSHIPS WITH MEMBER CLINICS THAT SERVE IN A SUBCONTRACTOR CAPACITY ON BEHALF OF THE ORGANIZATION, POLICY ANALYSIS AND MONITORING FOR VIRGINIA'S FREE CLINICS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2784588Expense
Grants2771588Grants
Revenue276554Revenue
DescriptionTHE 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 PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense71235Expense
Revenue72045Revenue
DescriptionTHE ASSOCIATION PLANNED AND CONDUCTED AN ANNUAL CONFERENCE OF VIRGINIA'S FREE CLINICS, AN EXECUTIVE DIRECTORS RETREAT, MEDICAL DIRECTORS COUNCIL MEETINGS, A CLINICAL COORDINATORS WORKDAY, AND GOVERNANCE TRAINING.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense327904Expense
Grants13000Grants
DescriptionTHIS CATEGORY INCLUDES ALL OTHER UNALLOCATED PROGRAM EXPENSES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp327904TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt13000TotalOfOtherProgramServiceGrnt
Total Program Service Expense3183727TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8043403434TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1711 MOOREFIELD PARK DRIVE SUITE CAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23236ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JAMES A KOHLER JR
DIRECTOR0.00X000
CATHY LEWIS
CHAIR0.00X000X
JEAN NELSON
DIRECTOR0.00X000
EV CLARKE
VICE CHAIR0.00X000X
COLIN DROZDOWSKI
DIRECTOR0.00X000
L TRICE GRAVATTE IV
DIRECTOR0.00X000
MARGARET HERSH
DIRECTOR0.00X000
DANIEL M JANNUZZI
DIRECTOR0.00X000
KEVIN MCCUSTY
DIRECTOR0.00X000
PAMELA PEARCE MURPHY
DIRECTOR0.00X000
DARRYL J PIROK
SECRETARY0.00X000X
SUZANNE SHERIDAN
DIRECTOR0.00X000
PAT YOUNG
DIRECTOR0.00X000
M CAROLINE MARTIN
DIRECTOR0.00X000
CEDRIC B RUCKER
DIRECTOR0.00X000
LOUIS M MARKWITH
IMMEDIATE PAST EXECUTIVE DIRECTOR40.009360806283X
LINDA D WILKINSON
EXECUTIVE DIRECTOR40.003958068X
FieldValueIRS element (for citing)
Total Reportable Comp From Org97566TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6351TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues64550MembershipDues
Government Grants2444027GovernmentGrants
All Other Contributions10146AllOtherContributions
Total Contributions2518723TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES900099276554276554
CONFERENCE REGISTRATIO9000994679546795
CONFERENCE SPONSORSHIP9000992525025250
FieldValueIRS element (for citing)
Total Program Service Revenue348599TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2130TotalRevenueColumn
Exclusion$2,130ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2869452TotalRevenueColumn
Related Or Exempt Function Income348599RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,130ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2784588Total
Program Services2784588ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total98277Total
Program Services75622ProgramServices
Management And General21506ManagementAndGeneral
Fundraising1149Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total144388Total
Program Services102322ProgramServices
Management And General38118ManagementAndGeneral
Fundraising3948Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8059Total
Program Services6037ProgramServices
Management And General1861ManagementAndGeneral
Fundraising161Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23869Total
Program Services19670ProgramServices
Management And General3601ManagementAndGeneral
Fundraising598Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18303Total
Program Services13568ProgramServices
Management And General4356ManagementAndGeneral
Fundraising379Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1623Total
Management And General1623ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7200Total
Management And General7200ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total18000Total
Program Services18000ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37750Total
Program Services37750ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16535Total
Program Services10540ProgramServices
Management And General4865ManagementAndGeneral
Fundraising1130Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15983Total
Program Services11188ProgramServices
Management And General3996ManagementAndGeneral
Fundraising799Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total17535Total
Program Services12275ProgramServices
Management And General1753ManagementAndGeneral
Fundraising3507Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total71235Total
Program Services71235ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2757Total
Management And General2757ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4439Total
Management And General4439ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
RETREAT1239512395
BOARD AND COMMITTEE SUP608236491825608
DUES FEES & PUBLICATION45414541
WORKSHOPS AND OTHER44204420

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total780Total
Program Services468ProgramServices
Management And General234ManagementAndGeneral
Fundraising78Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3298759Total
Program Services3183727ProgramServices
Management And General102675ManagementAndGeneral
Fundraising12357Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY646255BOY
EOY217929EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY28821BOY
EOY29872EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY86854BOY
EOY107702EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1150BOY
EOY1250EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8321LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7495LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3583BOY
EOY826EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY766663BOY
EOY357579EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24295BOY
EOY30437EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY13395EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2572BOY
EOY3258EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26867BOY
EOY47090EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY392050BOY
EOY309242EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY347746BOY
EOY1247EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY739796BOY
EOY310489EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY766663BOY
EOY357579EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-429307ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2166268CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3782270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4066199CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3849871CurrentTaxYearMinus1Year
Current Tax Year2518723CurrentTaxYear
Total16383331Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2166268CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3782270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4066199CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3849871CurrentTaxYearMinus1Year
Current Tax Year2518723CurrentTaxYear
Total16383331Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total671793AmountsSubstContributorsTotal
Public Support Total17015711538PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9446CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2218CurrentTaxYearMinus1Year
Current Tax Year2130CurrentTaxYear
Total27034Total
FieldValueIRS element (for citing)
Total Support16410365TotalSupport
Gross Receipts From Admissions Etc1948545GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95740PublicSupportPertcentage170
Public Support Pertcent Prior Year0.92660PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals3115FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals30046FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals33161FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals3265598FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals3298759FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals314938FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals78735FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3343767CurrentYearMinus3
Current Year Minus2368639CurrentYearMinus2
Current Year Minus1363190CurrentYearMinus1
Current Year314938CurrentYear
Total1390534Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,085,801LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus339904CurrentYearMinus3
Current Year Minus243883CurrentYearMinus2
Current Year Minus156874CurrentYearMinus1
Current Year33161CurrentYear
Total173822Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus385942CurrentYearMinus3
Current Year Minus292160CurrentYearMinus2
Current Year Minus190798CurrentYearMinus1
Current Year78735CurrentYear
Total347635Total
FieldValueIRS element (for citing)
Grassroots Ceiling$521,453GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus310591CurrentYearMinus3
Current Year Minus214125CurrentYearMinus2
Current Year Minus14312CurrentYearMinus1
Current Year3115CurrentYear
Total32143Total

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8321OtherCostOrOtherBasis
Depreciation7495Depreciation
Book Value826BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings826TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEMPLOYEE PAYROLL DEDUCTIONSDescription
Amount$3,258Amount
FieldValueIRS element (for citing)
Total Of Amounts3258TotalOfAmounts
Total Revenue2869452TotalRevenue
Total Expenses3298759TotalExpenses
Excess Or Deficit For Year-429307ExcessOrDeficitForYear
Excess Or Deficit Per FS-429307ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2869452TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal2869452RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902869452TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3298759TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3298759ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903298759TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170(B)(1)(A)(VI). EFFECTIVE JANUARY 1, 2009, 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 2008 TO 2010 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 YEARS ENDED DECEMBER 31, 2011 AND 2010.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (57 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ALLEGHANY HIGHLANDS FREE CLINIC
POST OFFICE BOX 216LOW MOORVA24457541904342501(C)(3)41091FREE CLINIC SUPPORT
AMERICAN RED CROSS ADULT DENTAL CLINIC
611 WEST BRAMBLETON AVENUENORFOLKVA23510540505864501(C)(3)28069FREE CLINIC SUPPORT
ARLINGTON FREE CLINIC
3833 N FAIRFAX DRIVE SUITE 400ARLINGTONVA22203541671883501(C)(3)103757FREE CLINIC SUPPORT
AUGUSTA REGIONAL FREE CLINIC
POST OFFICE BOX 153FISHERVILLEVA22939541651896501(C)(3)57768FREE CLINIC SUPPORT
BEACH HEALTH CLINIC
3396 HOLLAND ROAD SUITE 102VIRGINIA BEACHVA23542541366960501(C)(3)62325FREE CLINIC SUPPORT
BEDFORD CHRISTIAN FREE CLINIC
POST OFFICE BOX 357BEDFORDVA24523541630812501(C)(3)17993FREE CLINIC SUPPORT
BRADLEY FREE CLINIC
1240 THIRD STREET SWROANOKEVA24016237380491501(C)(3)73671FREE CLINIC SUPPORT
BROCK HUGHES FREE CLINIC
100 EDGEMONT ROADWYTHEVILLEVA24382202353144501(C)(3)58820FREE CLINIC SUPPORT
CHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DRIVE 200CHARLOTTESVILLEVA22903541610405501(C)(3)74765FREE CLINIC SUPPORT
CHESAPEAKE CARE FREE CLINIC
2145 MILITARY HIGHWAY SOUTHCHESAPEAKEVA23320541642754501(C)(3)75432FREE CLINIC SUPPORT
CROSS OVER MINISTRY
108 COWARDIN AVENUERICHMONDVA23224541371067501(C)(3)95248FREE CLINIC SUPPORT
CROSSROADS MEDICAL MISSION
POST OFFICE BOX 16852BRISTOLVA24209542038877501(C)(3)28671FREE CLINIC SUPPORT
DR RICHARD F CLARK HELP FREE CLINIC
POST OFFICE BOX 190HAMPTONVA23669541209213501(C)(3)65400FREE CLINIC SUPPORT
FAN FREE CLINIC
POST OFFICE BOX 6477RICHMONDVA23230540927792501(C)(3)90729FREE CLINIC SUPPORT
FAUQUIER FREE CLINIC
POST OFFICE BOX 3138WARRENTONVA20188541669652501(C)(3)60708FREE CLINIC SUPPORT
FREE CLINIC OF CENTRAL VIRGINIA
1016 MAIN STREETLYNCHBURGVA24504541420756501(C)(3)77204FREE CLINIC SUPPORT
FREE CLINIC OF CULPEPER
610 LAUREL STREET SUITE 3CULPEPERVA22701521366700501(C)(3)24674FREE CLINIC SUPPORT
FREE CLINIC OF DANVILLE
POST OFFICE BOX 665DANVILLEVA24543541667654501(C)(3)38738FREE CLINIC SUPPORT
FREE CLINIC OF FRANKLIN COUNTY
POST OFFICE BOX 764ROCKY MOUNTVA24151541634138501(C)(3)45523FREE CLINIC SUPPORT
GOOCHLAND FREE CLINIC & FAMILY SERVICES
POST OFFICE BOX 898GOOCHLANDVA23063541967650501(C)(3)54847FREE CLINIC SUPPORT
CARING HEARTS FREE CLINIC OF PULASKI COUNTY
POST OFFICE BOX 1088PULASKIVA24301141909014501(C)(3)35682FREE CLINIC SUPPORT
FREE CLINIC OF NEW RIVER VALLEY
215 ROANOKE STREETCHRISTIANSBURGVA24073510247098501(C)(3)66995FREE CLINIC SUPPORT
FREE CLINIC OF THE TWIN COUNTIES
POST OFFICE BOX 1708GALAXVA24333541632194501(C)(3)29077FREE CLINIC SUPPORT
FREE MEDICAL CLINIC OF MARTINSVILLE AND HENRY COUNTY
22 EAST CHURCH SUITE 311MARTINSVILLEVA24112202908001501(C)(3)33539FREE CLINIC SUPPORT
FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY
POST OFFICE BOX 44WINCHESTERVA22604541373296501(C)(3)64435FREE CLINIC SUPPORT
GLOUCESTER-MATHEWS FREE CLINIC
2276 GEORGE WASHINGTON HIGHWAYHAYESVA23072541875619501(C)(3)66781FREE CLINIC SUPPORT
GREENE CARE CLINIC
POST OFFICE BOX 54STANARDSVILLEVA22973721602744501(C)(3)16858FREE CLINIC SUPPORT
HARRISONBURG-ROCKINGHAM FREE CLINIC
25 WEST WATER STREETHARRISONBURGVA22801541568909501(C)(3)50794FREE CLINIC SUPPORT
HEALING HANDS HEALTH CENTER
210 MEMORIAL DRIVEBRISTOLVA37620780001847501(C)(3)18909FREE CLINIC SUPPORT
JEANIE SCHMIDT FREE CLINIC
POST OFFICE BOX 5143HERNDONVA20172710877944501(C)(3)76919FREE CLINIC SUPPORT
LACKEY FREE FAMILY MEDICINE CENTER
1620 OLD WILLIAMSBURG ROADYORKTOWNVA23690541850915501(C)(3)77168FREE CLINIC SUPPORT
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARD SUITE 100FREDERICKSBURGVA22401541677934501(C)(3)73660FREE CLINIC SUPPORT
LOUDOUN COMMUNITY FREE CLINIC
224 CORNWALL STREET NWLEESBURGVA20176541921059501(C)(3)79190FREE CLINIC SUPPORT
CHRISTIAN FREE CLINIC BOTETOURT
7330 ROANOKE ROADFINCASTLEVA24092204342697501(C)(3)12640FREE CLINIC SUPPORT
MADISON FREE CLINIC
12343 SIR JAMES COURTRICHMONDVA23233311654015501(C)(3)23735FREE CLINIC SUPPORT
NORTHERN NECK FREE HEALTH CLINIC
POST OFFICE BOX 1694KILMARNOCKVA22482541679279501(C)(3)67562FREE CLINIC SUPPORT
PRINCE WILLIAM AREA FREE CLINIC
9301 LEE AVENUEMANASSASVA20110541619202501(C)(3)102217FREE CLINIC SUPPORT
PRO BONO COUNSELING PROGRAM
303 CHURCH STREETBLACKSBURGVA24060311579158501(C)(3)10984FREE CLINIC SUPPORT
REDDY TRI-COUNTY HEALTH CLINIC
POST OFFICE BOX 202RICHLANDSVA24641541590912501(C)(3)18535FREE CLINIC SUPPORT
RESCUE MISSION HEALTH CARE CENTER
POST OFFICE BOX 11525ROANOKEVA24022540573900501(C)(3)40543FREE CLINIC SUPPORT
RICHMOND AREA HIGH BLOOD PRESSURE CENTER
POST OFFICE BOX 5039RICHMONDVA23220521303481501(C)(3)52160FREE CLINIC SUPPORT
ROANOKE VALLEY MH CARE COLLABORATIVE
POST OFFICE BOX 592ROANOKEVA24004540703132501(C)(3)12491FREE CLINIC SUPPORT
ROCKBRIDGE AREA FREE CLINIC
POST OFFICE BOX 1573LEXINGTONVA24450541642220501(C)(3)70095FREE CLINIC SUPPORT
SHENANDOAH COUNTY FREE CLINIC
POST OFFICE BOX 759WOODSTOCKVA22664542032008501(C)(3)47478FREE CLINIC SUPPORT
SMYTH COUNTY FREE CLINIC
POST OFFICE BOX 1273MARIONVA24354541993876501(C)(3)25606FREE CLINIC SUPPORT
ST DAVID'S FREE HEALTH CLINIC
11241 WEST RIVER ROADAYLETTVA23009260117479501(C)(3)19354FREE CLINIC SUPPORT
ST LUKE COMMUNITY CLINIC
316 NORTH ROYAL AVENUEFRONT ROYALVA22630541801220501(C)(3)54166FREE CLINIC SUPPORT
SURRY AREA FREE CLINIC
POST OFFICE BOX 32SURRYVA23883541715186501(C)(3)14762FREE CLINIC SUPPORT
FREE CLINIC OF PULASKI COUNTY
POST OFFICE BOX 1088PULASKIVA24301521318621501(C)(3)42596FREE CLINIC SUPPORT
HANOVER INTERFAITH FREE CLINIC
125 BEVERLY ROADASHLANDVA23005412214314501(C)(3)42173FREE CLINIC SUPPORT
HEALTH WAGON
119 NUMBER TEN STREETCLINCHCOVA24266043739083501(C)(3)43558FREE CLINIC SUPPORT
ORANGE COUNTY FREE CLINIC
450 N MADISON STREETORANGEVA22960251922019501(C)(3)15214FREE CLINIC SUPPORT
PATHWAYS FREE SPECIALTY CLINIC
1200 W WASHINGTON STREETPETERSBURGVA23803541868900501(C)(3)20428FREE CLINIC SUPPORT
TAPPAHANNOCK FREE CLINIC
317 DUKE STREETTAPPAHANNOCKVA22560204715344501(C)(3)13459FREE CLINIC SUPPORT
WESTERN TIDWATER FREE CLINIC
2019 MEADE PARKWAYSUFFOLKVA23434263302837501(C)(3)57935FREE CLINIC SUPPORT
CULMORE CLINIC
6377 LANDESS STREETALEXANDRIAVA22312540550102501(C)(3)44017FREE CLINIC SUPPORTFREE CLINIC SUPPORT
FREE CLINIC OF POWHATAN
POST OFFICE BOX 544POWHATANVA23139261275136501(C)(3)9796FREE CLINIC SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants57TotalNbrOf501C3AndGovtGrants

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION DISTRIBUTES A COPY OF THE FORM 990 TO ALL MEMBERS OF THE FINANCE & AUDIT COMMITTEE AND MAKES IT AVAILABLE FOR ALL OTHER BOARD MEMBERS PRIOR TO THE FORM BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 19THE 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.
THE ORGANIZATION HAS A FORMAL AUDIT COMMITTEE THAT MAINTAINS THIS OVERSIGHT RESPONSIBILITY. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.