Virginia Association of Free and Charitable Clinics

Working towards a Virginia where all people have access to comprehensive, quality healthcare

Richmond, VA   |
GuideStar Charity Check

Virginia Association of Free and Charitable Clinics

EIN: 54-1802019


The mission of the VAFCC is to support and advocate for our member clinics so that Virginia's underserved have access to quality care.

Ruling year info



Rufus Phillips

Main address

1801 Libbie Avenue Suite 104

Richmond, VA 23226 USA

Show more contact info

Formerly known as

Virginia Association of Free Clinics, Inc.

Association of Free Clinics, Inc.



Subject area info


Health care clinics

Public affairs

Community and economic development

Population served info


Economically disadvantaged people

Low-income people

NTEE code info

Professional Societies & Associations (E03)

Alliance/Advocacy Organizations (W01)

Management & Technical Assistance (S02)

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Clinics are safety-net health care organizations that utilize a volunteer/staff model to provide a range of medical, dental, pharmacy, vision and/or behavioral health services to economically disadvantaged individuals. Such clinics are 501(c)3 tax-exempt organizations, or operate as a program component or affiliate of a 501(c)3 organization. Entities that otherwise meet the above definition, but charge a nominal/sliding fee to patients, may still be considered free or charitable clinics provided essential services are delivered regardless of the patient's ability to pay. Free and charitable clinics treat the whole patient by providing a combination of care that addresses not only healthcare needs but also social needs including: primary care, chronic care, specialty care, dental care, pharmaceutical care, vision care, women’s health, mental health, health education, case management, care coordination, and various supportive services.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Chronic Care; Dental; Mental Health

Free Clinics primarily see patients with chronic care issues such as: diabetes; hypertension; high cholesterol; asthma; depression; cardiovascular problems; obesity and smoking cessation.  Specialty care is available for free from participating doctors at most clinics.  Dental care is widely available.  Mental health care is becoming increasingly available at a wider array of clinics.

Population(s) Served
Economically disadvantaged people

Prescription drugs are provided at little or no cost to patients through such resources as the Pharmacy Connection, Rx Partnership, low cost generic vouchers, low cost pharmaceutical contracts available to free clinics, and samples.

Population(s) Served
Economically disadvantaged people

Where we work


Affiliations & memberships

National Association of Free & Charitable Clinics 2001

Combined Federal Campaign 2012

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of adults with a source of ongoing care

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Number of patient visits

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Our organization supports and advocates for the free and charitable clinics across Virginia. We aspire to help meet the current and future resource, technical, business and operational demands of member clinics. We are an active leader and participant in promoting relationships that will enhance the growth of member clinics. We also promote best practice models of standards of care in member clinics to ensure a consistent high quality of health care. Through our support of the clinics, we want to see improved capacity to provide greater access to quality health care for the Commonwealth's low-income, uninsured and underinsured residents.

Virginia’s free and charitable clinics have a long history of providing much needed quality healthcare to Virginia’s low-income, uninsured populations – and providing that care with compassion, dignity and respect. By delivering important preventative and chronic care, Virginia’s free and charitable clinics help patients remain healthy, reduce unnecessary visits to the emergency room, and avoid missed time from work due to illness.

Our organization is using 4 strategies to meet these goals:
a. Work to increase funding and resources to the free and charitable clinics. This means researching and sharing information with the clinics about health care reform and the Affordable Care Act. We will also encourage the clinics to diversify their funding base. As the fiscal agent with the General Assembly on behalf of the clinics, we will continue to pursue funding in Virginia's annual budget.
b. Represent our members' interests with all key stakeholders. This means proactively engaging in healthcare policy at both the state and federal levels. We also support implementation of health care reform and the health insurance exchanges.
c. Improve access to health care. This means working with the clinics to expand services in the areas of mental health, dental and pharmacies.
d. Promote and support consistent high quality care. This means developing a standardized definition of Quality and uses outcomes to measure and report results.

Our organization is capable of achieving these strategies through these methods:
a. We received grant funding to engage an expert facilitator and conduct regional trainings. The focus of these trainings is on resource development and outcome measurement. We have also created a staff position of Director of Development.
b. We participated in coalitions with organizations with similar strategic direction. We have also worked with the Department of Medical Assistance in Virginia on Medicaid acceptance for clinics that may transition post health care reform.
c. We conducted regional trainings on outcome measurement and use for funding for the clinics. We also continue to seek out funding to support the expansion of services provided by the clinics.
d. We worked closely with Rx Partnership and the Virginia Health Care Foundation to find new resources for obtaining medications for free clinic patients.

The landscape of health care is constantly changing in both Virginia and our country. Our organization is going to have to continue to support the clinics as the Affordable Care Act moves through its stages of implementation. According to the Congressional Budget Office, there may be as many as 29 million people, including documented, undocumented and those who are eligible for Medicaid but reside in states that are not going to expand this program, who are still without access to health insurance. In the upcoming months and years, doctors, hospitals, navigators, states, clinics and patients will be addressing the needs of the underserved with respect to affordability, accessibility and portability of primary, specialty, dental care and medication access. Our organization and our member clinics intend on being part of the solution.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We demonstrated a willingness to learn more by reviewing resources about feedback practice.
done We shared information about our current feedback practices.
  • How is your organization using feedback from the people you serve?

    To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To strengthen relationships with the people we serve

  • Which of the following feedback practices does your organization routinely carry out?

  • What challenges does the organization face when collecting feedback?

    It is difficult to get the people we serve to respond to requests for feedback, The people we serve tell us they find data collection burdensome

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2023 info

SOURCE: IRS Form 990


Average of 1.35 over 10 years

Months of cash in 2023 info

SOURCE: IRS Form 990


Average of 2.5 over 10 years

Fringe rate in 2023 info

SOURCE: IRS Form 990


Average of 17% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

SOURCE: IRS Form 990

Virginia Association of Free and Charitable Clinics

Revenue & expenses

Fiscal Year: Jul 01 - Jun 30

SOURCE: IRS Form 990 info

Fiscal year ending: cloud_download Download Data

Virginia Association of Free and Charitable Clinics

Balance sheet

Fiscal Year: Jul 01 - Jun 30

SOURCE: IRS Form 990 info

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data

Virginia Association of Free and Charitable Clinics

Financial trends analysis Glossary & formula definitions

Fiscal Year: Jul 01 - Jun 30

SOURCE: IRS Form 990 info

This snapshot of Virginia Association of Free and Charitable Clinics’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

Created in partnership with

Business model indicators

Profitability info 2019 2020 2021 2022 2023
Unrestricted surplus (deficit) before depreciation $24,979 $280,639 $276,371 $120,407 $117,755
As % of expenses 0.3% 3.0% 2.5% 1.4% 0.9%
Unrestricted surplus (deficit) after depreciation $24,449 $280,041 $275,365 $119,071 $114,619
As % of expenses 0.3% 3.0% 2.5% 1.4% 0.9%
Revenue composition info
Total revenue (unrestricted & restricted) $9,122,203 $9,419,497 $11,312,133 $8,491,665 $13,394,072
Total revenue, % change over prior year 22.7% 3.3% 20.1% -24.9% 57.7%
Program services revenue 6.1% 7.7% 5.4% 7.0% 4.6%
Membership dues 1.1% 1.1% 0.8% 1.2% 0.8%
Investment income 0.1% 0.1% 0.1% 0.1% 0.2%
Government grants 74.1% 72.8% 86.6% 80.8% 88.4%
All other grants and contributions 18.6% 18.4% 7.0% 10.9% 6.2%
Other revenue 0.0% 0.0% 0.1% 0.1% -0.1%
Expense composition info
Total expenses before depreciation $8,961,691 $9,207,624 $11,124,886 $8,314,042 $13,272,910
Total expenses, % change over prior year 20.6% 2.7% 20.8% -25.3% 59.6%
Personnel 4.0% 3.7% 3.5% 5.1% 3.6%
Professional fees 2.7% 2.4% 2.8% 3.7% 1.8%
Occupancy 0.3% 0.3% 0.3% 0.4% 0.2%
Interest 0.0% 0.0% 0.0% 0.0% 0.0%
Pass-through 91.2% 92.3% 92.8% 89.4% 93.1%
All other expenses 1.8% 1.2% 0.6% 1.5% 1.2%
Full cost components (estimated) info 2019 2020 2021 2022 2023
Total expenses (after depreciation) $8,962,221 $9,208,222 $11,125,892 $8,315,378 $13,276,046
One month of savings $746,808 $767,302 $927,074 $692,837 $1,106,076
Debt principal payment $0 $0 $0 $0 $0
Fixed asset additions $784 $2,585 $2,217 $0 $32,187
Total full costs (estimated) $9,709,813 $9,978,109 $12,055,183 $9,008,215 $14,414,309

Capital structure indicators

Liquidity info 2019 2020 2021 2022 2023
Months of cash 4.3 3.5 2.7 3.8 2.0
Months of cash and investments 4.6 3.8 3.0 4.3 2.8
Months of estimated liquid unrestricted net assets 0.8 1.1 1.2 1.8 1.2
Balance sheet composition info 2019 2020 2021 2022 2023
Cash $3,192,973 $2,719,065 $2,513,969 $2,650,788 $2,177,337
Investments $207,991 $189,252 $265,332 $311,534 $954,879
Receivables $13,683 $33,224 $384,627 $27,462 $710,975
Gross land, buildings, equipment (LBE) $15,473 $18,060 $20,277 $21,556 $53,743
Accumulated depreciation (as a % of LBE) 90.4% 80.8% 76.9% 78.6% 37.3%
Liabilities (as a % of assets) 79.3% 70.5% 64.6% 57.9% 64.5%
Unrestricted net assets $585,113 $865,154 $1,140,519 $1,259,590 $1,374,209
Temporarily restricted net assets $146,197 N/A N/A N/A N/A
Permanently restricted net assets $0 N/A N/A N/A N/A
Total restricted net assets $146,197 $54,212 $29,172 $48,368 $76,254
Total net assets $731,310 $919,366 $1,169,691 $1,307,958 $1,450,463

Key data checks

Key data checks info 2019 2020 2021 2022 2023
Material data errors No No No No No


The people, governance practices, and partners that make the organization tick.

Form 1023/1024 is not available for this organization


Rufus Phillips

Number of employees

Source: IRS Form 990

Virginia Association of Free and Charitable Clinics

Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

There are no highest paid employees recorded for this organization.

Virginia Association of Free and Charitable Clinics

Board of directors
as of 01/19/2024
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board chair

Christina Delzingaro

Community Access Network

Term: 2022 - 2024

Cindy Rockett

Crossroads Medical Mission

Christina Delzingaro

Community Access Network

Helen Scott

Healing Hands Health Center

Helen Ferguson

G. Wayne Fralin Free Clinic

Jenny Daniels

Christian Free Clinic in Botetourt

Karen Dulaney

Lloyd F. Moss Free Clinic

Brandon Jennings

Abilyn Consulting LLC

Keith Martin

Virginia Chamber of Commerce

Nancy White

Arlington Free Clinic

Donney John

NOVA Scripts Central

Arlene Armentor

Gloucester Mathews Free Clinic

Deanna Callahan

Patient Services, Inc

Janine Underwood

Bradley Free Clinic

Melissa Deal

Free Clinic of the Twin Counties

Brian Martin

Eastern Virginia Medical School

Jennifer Webb

Free Clinic of Central Virginia

Thomas Rayner

Anthem Healthkeepers/AEleance, Inc

Juanita Epps

Pathways Specialty Clinic

Alexandra Luevano

Mother of Mercy Free Medical Clinics

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 1/19/2024

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity
Sexual orientation
Heterosexual or Straight

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation

No data


No data