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VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC (EIN 54-1802019)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201122279349302697
Schema version
2010v3.4
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)
Timestamp2011-08-15T15:10:44-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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)
NameLOUIS M MARKWITHName
TitleEXECUTIVE DIRECTORTitle
Phone8043403434Phone
Date Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM JAMES HARTSON JR CPAName
Phone8047335566Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOUIS M MARKWITHNameOfPrincipalOfficerPerson

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 Receipts4300895GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VAFREECLINICS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE TRAINING AND TECHNICAL ASSISTANCE, RESEARCH, RESOURCE DEVELOPMENT AND ADVOCACY TO FREE CLINICS THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THE VAFC REPRESENTS AND SUPPORTS VIRGINIA'S NETWORK OF 60 FREE CLINICS, WHICH ARE ONE OF VIRGINIA'S LARGEST PROVIDERS OF HEALTH CARE TO THE UNINSURED.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4066199ContributionsGrantsPriorYear
Contributions Grants Current Year3849871ContributionsGrantsCurrentYear
Program Service Revenue Prior Year492685ProgramServiceRevenuePriorYear
Program Service Revenue CY448806ProgramServiceRevenueCY
Investment Income Prior Year1957InvestmentIncomePriorYear
Investment Income Current Year2218InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4560841TotalRevenuePriorYear
Total Revenue Current Year4300895TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3917011GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3766940GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year258710SalariesEtcPriorYear
Salaries Etc Current Year268825SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9271TotalFundrsngExpCurrentYear
Other Expense Prior Year197054OtherExpensePriorYear
Other Expenses Current Year228033OtherExpensesCurrentYear
Total Expenses Prior Year4372775TotalExpensesPriorYear
Total Expenses Current Year4263798TotalExpensesCurrentYear
Revenues Less Expenses Prior Year188066RevenuesLessExpensesPriorYear
Revenues Less Expenses CY37097RevenuesLessExpensesCY
Total Assets BOY780752TotalAssetsBOY
Total Assets EOY766663TotalAssetsEOY
Total Liabilities BOY78053TotalLiabilitiesBOY
Total Liabilities EOY26867TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY702699NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY739796NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE TRAINING AND TECHNICAL ASSISTANCE, RESEARCH, RESOURCE DEVELOPMENT AND ADVOCACY TO FREE CLINICS THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THE VAFC REPRESENTS AND SUPPORTS VIRGINIA'S NETWORK OF 60 FREE CLINICS, WHICH ARE ONE OF VIRGINIA'S LARGEST PROVIDERS OF HEALTH CARE TO THE UNINSURED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3766940Expense
Grants3577609Grants
Revenue359558Revenue
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 FOR THEIR PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Grants3000Grants
DescriptionTHE ASSOCIATION ADMINISTERED FUNDING FROM THE ANTHEM BLUE CROSS AND BLUE SHIELD FOUNDATION AND MADE GRANTS TO ITS MEMBER CLINICS FOR THE PURPOSE OF BUILDING A STRONG AND VIBRANT NETWORK OF FREE CLINICS ACROSS THE COMMONWEALTH OF VIRGINIA.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense89635Expense
Revenue89248Revenue
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)
Expense305059Expense
Grants186332Grants
DescriptionTHIS CATEGORY INCLUDES ALL OTHER UNALLOCATED PROGRAM EXPENSES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp305059TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt186332TotalOfOtherProgramServiceGrnt
Total Program Service Expense4161634TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 (15 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeek
JAMES A KOHLER JR
CHAIRXX000
CATHY LEWIS
VICE CHAIRXX000
JEAN NELSON
SECRETARYXX000
EV CLARKE
DIRECTORX000
COLIN DROZDOWSKI
DIRECTORX000
L TRICE GRAVATTE IV
DIRECTORX000
MARGARET HERSH
DIRECTORX000
DANIEL M JANNUZZI
DIRECTORX000
KEVIN MCCUSTY
DIRECTORX000
PAMELA PEARCE MURPHY
DIRECTORX000
DARRYL J PIROK
DIRECTORX000
SUZANNE SHERIDAN
DIRECTORX000
PAT YOUNG
DIRECTORX000
M CAROLINE MARTIN
DIRECTORX000
LOUIS M MARKWITH
EXECUTIVE DIRECTORX978850912040.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org97885TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation9120TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues59750MembershipDues
Government Grants3747154GovernmentGrants
All Other Contributions42967AllOtherContributions
Noncash Contributions20537NoncashContributions
Total Contributions3849871TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES900099359558359558
CONFERENCE REGISTRATIO9000995759857598
CONFERENCE SPONSORSHIP9000993165031650
FieldValueIRS element (for citing)
Total Program Service Revenue448806TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2218TotalRevenueColumn
Exclusion$2,218ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4300895TotalRevenueColumn
Related Or Exempt Function Income448806RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,218ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3766940Total
Program Services3766940ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total97885Total
Program Services72435ProgramServices
Management And General23492ManagementAndGeneral
Fundraising1958Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total123767Total
Program Services104040ProgramServices
Management And General19727ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total29509Total
Program Services25866ProgramServices
Management And General3461ManagementAndGeneral
Fundraising182Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17664Total
Program Services14304ProgramServices
Management And General3217ManagementAndGeneral
Fundraising143Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2982Total
Management And General2982ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6800Total
Management And General6800ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total18000Total
Program Services18000ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25937Total
Program Services15615ProgramServices
Management And General8001ManagementAndGeneral
Fundraising2321Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16608Total
Program Services11626ProgramServices
Management And General4152ManagementAndGeneral
Fundraising830Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total14109Total
Program Services9876ProgramServices
Management And General1411ManagementAndGeneral
Fundraising2822Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total89635Total
Program Services89635ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2875Total
Management And General2875ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4290Total
Management And General4290ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
RETREAT1339713397
BOARD AND COMMITTEE SUP1233599401796599
DUES FEES & PUBLICATION90019001
CONSULTANTS63566356
STAFF DEVELOPMENT415724941247416

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1551Total
Program Services1110ProgramServices
Management And General441ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4263798Total
Program Services4161634ProgramServices
Management And General92893ManagementAndGeneral
Fundraising9271Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY633129BOY
EOY646255EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY28818BOY
EOY28821EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY113526BOY
EOY86854EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY1150EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8321LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4738LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5279BOY
EOY3583EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY780752BOY
EOY766663EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY73092BOY
EOY24295EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4961BOY
EOY2572EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY78053BOY
EOY26867EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY512598BOY
EOY392050EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY190101BOY
EOY347746EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY702699BOY
EOY739796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY780752BOY
EOY766663EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses37097ReconcilationRevenueExpenses
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 Years2547323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2166268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3782270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4066199CurrentTaxYearMinus1Year
Current Tax Year3849871CurrentTaxYear
Total16411931Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2547323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2166268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3782270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4066199CurrentTaxYearMinus1Year
Current Tax Year3849871CurrentTaxYear
Total16411931Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1171021AmountsSubstContributorsTotal
Public Support Total17015240910PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12131CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1957CurrentTaxYearMinus1Year
Current Tax Year2218CurrentTaxYear
Total37035Total
FieldValueIRS element (for citing)
Total Support16448966TotalSupport
Gross Receipts From Admissions Etc1679902GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.92660PublicSupportPertcentage170
Public Support Pertcent Prior Year0.91360PublicSupportPertcentPriorYear
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 Totals4312FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals52562FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals56874FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals4206924FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals4263798FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals363190FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals90798FilingOrganizationsTotals

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 Minus3276630CurrentYearMinus3
Current Year Minus2343767CurrentYearMinus2
Current Year Minus1368639CurrentYearMinus1
Current Year363190CurrentYear
Total1352226Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,028,339LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus349862CurrentYearMinus3
Current Year Minus239904CurrentYearMinus2
Current Year Minus143883CurrentYearMinus1
Current Year56874CurrentYear
Total190523Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus369158CurrentYearMinus3
Current Year Minus285942CurrentYearMinus2
Current Year Minus192160CurrentYearMinus1
Current Year90798CurrentYear
Total338058Total
FieldValueIRS element (for citing)
Grassroots Ceiling$507,087GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus311364CurrentYearMinus3
Current Year Minus210591CurrentYearMinus2
Current Year Minus114125CurrentYearMinus1
Current Year4312CurrentYear
Total40392Total

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8321OtherCostOrOtherBasis
Depreciation4738Depreciation
Book Value3583BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3583TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEMPLOYEE PAYROLL DEDUCTIONSDescription
Amount$2,572Amount
FieldValueIRS element (for citing)
Total Of Amounts2572TotalOfAmounts
Total Revenue4300895TotalRevenue
Total Expenses4263798TotalExpenses
Excess Or Deficit For Year37097ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS37097ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4300895TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4300895RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904300895TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4263798TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4263798ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904263798TotalExpensesPerForm990

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 2007 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, 2010 AND 2009.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (58 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
ALLEGHANY HIGHLANDS FREE CLINIC
POST OFFICE BOX 216LOW MOORVA24457541904342501(C)(3)63505FREE CLINIC SUPPORT
AMERICAN RED CROSS ADULT DENTAL CLINIC
611 WEST BRAMBLETON AVENUENORFOLKVA23510540505864501(C)(3)37968FREE CLINIC SUPPORT
ARLINGTON FREE CLINIC
3833 N FAIRFAX DRIVE SUITE 400ARLINGTONVA22203541671883501(C)(3)142806FREE CLINIC SUPPORT
AUGUSTA REGIONAL FREE CLINIC
POST OFFICE BOX 153FISHERVILLEVA22939541651896501(C)(3)79960FREE CLINIC SUPPORT
BEACH HEALTH CLINIC
3396 HOLLAND ROAD SUITE 102VIRGINIA BEACHVA23542541366960501(C)(3)81309FREE CLINIC SUPPORT
BEDFORD CHRISTIAN FREE CLINIC
POST OFFICE BOX 357BEDFORDVA24523541630812501(C)(3)23809FREE CLINIC SUPPORT
BRADLEY FREE CLINIC
1240 THIRD STREET SWROANOKEVA24016237380491501(C)(3)98106FREE CLINIC SUPPORT
BROCK HUGHES FREE CLINIC
100 EDGEMONT ROADWYTHEVILLEVA24382202353144501(C)(3)73156FREE CLINIC SUPPORT
CHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DRIVE 200CHARLOTTESVILLEVA22903541610405501(C)(3)102860FREE CLINIC SUPPORT
CHESAPEAKE CARE FREE CLINIC
2145 MILITARY HIGHWAY SOUTHCHESAPEAKEVA23320541642754501(C)(3)97019FREE CLINIC SUPPORT
LOVE OF JESUS FORMERLY COMMONWEALTH CLINIC
10930 HULL STREET ROADMIDLOTHIANVA23112030450006501(C)(3)60691FREE CLINIC SUPPORT2821FMVFURNITURE, ETC.
CROSS OVER MINISTRY
108 COWARDIN AVENUERICHMONDVA23224541371067501(C)(3)126370FREE CLINIC SUPPORT4348FMVFURNITURE, ETC.
CROSSROADS MEDICAL MISSION
POST OFFICE BOX 16852BRISTOLVA24209542038877501(C)(3)40894FREE CLINIC SUPPORT
DR RICHARD F CLARK HELP FREE CLINIC
POST OFFICE BOX 190HAMPTONVA23669541209213501(C)(3)75031FREE CLINIC SUPPORT
FAN FREE CLINIC
POST OFFICE BOX 6477RICHMONDVA23230540927792501(C)(3)118509FREE CLINIC SUPPORT
FAUQUIER FREE CLINIC
POST OFFICE BOX 3138WARRENTONVA20188541669652501(C)(3)86593FREE CLINIC SUPPORT
FREE CLINIC OF CENTRAL VIRGINIA
1016 MAIN STREETLYNCHBURGVA24504541420756501(C)(3)110898FREE CLINIC SUPPORT453FMVFURNITURE, ETC.
FREE CLINIC OF CULPEPER
610 LAUREL STREET SUITE 3CULPEPERVA22701521366700501(C)(3)39947FREE CLINIC SUPPORT
FREE CLINIC OF DANVILLE
POST OFFICE BOX 665DANVILLEVA24543541667654501(C)(3)62638FREE CLINIC SUPPORT
FREE CLINIC OF FRANKLIN COUNTY
POST OFFICE BOX 764ROCKY MOUNTVA24151541634138501(C)(3)61850FREE CLINIC SUPPORT
GOOCHLAND FREE CLINIC & FAMILY SERVICES
POST OFFICE BOX 898GOOCHLANDVA23063541967650501(C)(3)68845FREE CLINIC SUPPORT
CARING HEARTS FREE CLINIC OF PULASKI COUNTY
POST OFFICE BOX 1088PULASKIVA24301141909014501(C)(3)51247FREE CLINIC SUPPORT
FREE CLINIC OF NEW RIVER VALLEY
215 ROANOKE STREETCHRISTIANSBURGVA24073510247098501(C)(3)100131FREE CLINIC SUPPORT
FREE CLINIC OF THE TWIN COUNTIES
POST OFFICE BOX 1708GALAXVA24333541632194501(C)(3)35571FREE CLINIC SUPPORT
FREE MEDICAL CLINIC OF MARTINSVILLE AND HENRY COUNTY
22 EAST CHURCH SUITE 311MARTINSVILLEVA24112202908001501(C)(3)44333FREE CLINIC SUPPORT
FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY
POST OFFICE BOX 44WINCHESTERVA22604541373296501(C)(3)143073FREE CLINIC SUPPORT
GLOUCESTER-MATHEWS FREE CLINIC
2276 GEORGE WASHINGTON HIGHWAYHAYESVA23072541875619501(C)(3)82429FREE CLINIC SUPPORT
GREENE CARE CLINIC
POST OFFICE BOX 54STANARDSVILLEVA22973721602744501(C)(3)24776FREE CLINIC SUPPORT
HARRISONBURG-ROCKINGHAM FREE CLINIC
25 WEST WATER STREETHARRISONBURGVA22801541568909501(C)(3)78128FREE CLINIC SUPPORT
HEALING HANDS HEALTH CENTER
210 MEMORIAL DRIVEBRISTOLVA37620780001847501(C)(3)26967FREE CLINIC SUPPORT
JEANIE SCHMIDT FREE CLINIC
POST OFFICE BOX 5143HERNDONVA20172710877944501(C)(3)114249FREE CLINIC SUPPORT
LACKEY FREE FAMILY MEDICINE CENTER
1620 OLD WILLIAMSBURG ROADYORKTOWNVA23690541850915501(C)(3)108885FREE CLINIC SUPPORT
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARD SUITE 100FREDERICKSBURGVA22401541677934501(C)(3)107053FREE CLINIC SUPPORT184FMVFURNITURE, ETC.
LOUDOUN COMMUNITY FREE CLINIC
224 CORNWALL STREET NWLEESBURGVA20176541921059501(C)(3)101641FREE CLINIC SUPPORT
CHRISTIAN FREE CLINIC BOTETOURT
7330 ROANOKE ROADFINCASTLEVA24092204342697501(C)(3)11013FREE CLINIC SUPPORT
MADISON FREE CLINIC
12343 SIR JAMES COURTRICHMONDVA23233311654015501(C)(3)32173FREE CLINIC SUPPORT
NORTHERN NECK FREE HEALTH CLINIC
POST OFFICE BOX 1694KILMARNOCKVA22482541679279501(C)(3)93642FREE CLINIC SUPPORT
PRINCE WILLIAM AREA FREE CLINIC
9301 LEE AVENUEMANASSASVA20110541619202501(C)(3)137113FREE CLINIC SUPPORT
PRO BONO COUNSELING PROGRAM
303 CHURCH STREETBLACKSBURGVA24060311579158501(C)(3)16653FREE CLINIC SUPPORT
REDDY TRI-COUNTY HEALTH CLINIC
POST OFFICE BOX 202RICHLANDSVA24641541590912501(C)(3)31519FREE CLINIC SUPPORT
RESCUE MISSION HEALTH CARE CENTER
POST OFFICE BOX 11525ROANOKEVA24022540573900501(C)(3)54237FREE CLINIC SUPPORT
RICHMOND AREA HIGH BLOOD PRESSURE CENTER
POST OFFICE BOX 5039RICHMONDVA23220521303481501(C)(3)78046FREE CLINIC SUPPORT212FMVFURNITURE, ETC.
ROANOKE VALLEY MH CARE COLLABORATIVE
POST OFFICE BOX 592ROANOKEVA24004540703132501(C)(3)19324FREE CLINIC SUPPORT
ROCKBRIDGE AREA FREE CLINIC
POST OFFICE BOX 1573LEXINGTONVA24450541642220501(C)(3)95782FREE CLINIC SUPPORT
SHENANDOAH COUNTY FREE CLINIC
POST OFFICE BOX 759WOODSTOCKVA22664542032008501(C)(3)88178FREE CLINIC SUPPORT
SMYTH COUNTY FREE CLINIC
POST OFFICE BOX 1273MARIONVA24354541993876501(C)(3)37857FREE CLINIC SUPPORT
ST DAVID'S FREE HEALTH CLINIC
11241 WEST RIVER ROADAYLETTVA23009260117479501(C)(3)30894FREE CLINIC SUPPORT
ST LUKE COMMUNITY CLINIC
316 NORTH ROYAL AVENUEFRONT ROYALVA22630541801220501(C)(3)105504FREE CLINIC SUPPORT
SURRY AREA FREE CLINIC
POST OFFICE BOX 32SURRYVA23883541715186501(C)(3)21075FREE CLINIC SUPPORT
FREE CLINIC OF PULASKI COUNTY
POST OFFICE BOX 1088PULASKIVA24301521318621501(C)(3)57851FREE CLINIC SUPPORT
HANOVER INTERFAITH FREE CLINIC
125 BEVERLY ROADASHLANDVA23005412214314501(C)(3)35235FREE CLINIC SUPPORT1805FMVFURNITURE, ETC.
HEALTH WAGON
119 NUMBER TEN STREETCLINCHCOVA24266043739083501(C)(3)35098FREE CLINIC SUPPORT
ORANGE COUNTY FREE CLINIC
450 N MADISON STREETORANGEVA22960251922019501(C)(3)12118FREE CLINIC SUPPORT
PATHWAYS FREE SPECIALTY CLINIC
1200 W WASHINGTON STREETPETERSBURGVA23803541868900501(C)(3)16298FREE CLINIC SUPPORT
TAPPAHANNOCK FREE CLINIC
317 DUKE STREETTAPPAHANNOCKVA22560204715344501(C)(3)11013FREE CLINIC SUPPORT
WESTERN TIDWATER FREE CLINIC
2019 MEADE PARKWAYSUFFOLKVA23434263302837501(C)(3)38559FREE CLINIC SUPPORT
CULMORE CLINIC
6377 LANDESS STREETALEXANDRIAVA22312540550102501(C)(3)5500FREE CLINIC SUPPORTFREE CLINIC SUPPORT
FREE CLINIC OF POWHATAN
POST OFFICE BOX 544POWHATANVA23139261275136501(C)(3)10785FREE CLINIC SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants58TotalNbrOf501C3AndGovtGrants

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION'S BYLAWS WERE AMENDED ON SEPTEMBER 17, 2010.
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.
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 B, LINE 12C
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 VI, SECTION C, LINE 19
THE ORGANIZATION HAS A FORMAL AUDIT COMMITTEE THAT MAINTAINS THIS OVERSIGHT RESPONSBILITY. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C