Virginia Association of Free and Charitable Clinics

Transcription

1 Virginia Association of Free and Charitable Clinics General Information Contact Information Nonprofit Virginia Association of Free and Charitable Clinics Address 1801 Libbie Avenue, Suite 104 Richmond, VA Phone Fax Web Site Facebook facebook.com/vafreeclinics At A Glance Year of Incorporation 1993 Former Names Organization's type of tax exempt status Virginia Association of Free Clinics, Inc. Association of Free Clinics, Inc. Public Supported Charity 1

2 Statements & Search Criteria Mission The mission of the VAFCC is to support and advocate for our member clinics so that Virginia's underserved have access to quality care. Background Free Clinic EDs form VA Free Clinic Association and VA Blue Cross Blue Shield awards $25K to each member clinic Incorporates. General Assembly(GA) Senate Bill 499 provides expansive immunity from liability and indemnification for FC volunteer practitioners Mark Cruise hired as first FT ED GA passes resolution SJR 112 studying ways Commonwealth can support FCs. VAFC works with VDH on study GA approves 1st state FC appropriation $600,000 FY 2000 earmarked for prescription medications. VAFC serves as fiscal agent GA approves new biennial budget containing increase in state funding for FC's $976,000 FY 2001; $1,084,000 FY Secures $142,000 FC training and technical assistance grant from Virginia Health Care Foundation. (VHCF) 2002 Trigon BCBS and VHCF honored for financial contributions of $6 million and $3.5 million, respectively Successfully lobbies GA for passage of legislation SB 962/HB 2135 allowing FC's to enroll in Commonwealth's Risk Management Plan providing liability protection for FC paid clinicians, directors & officers, general liability Successfully lobbies GA for FC access to state's pharmaceutical contract (MMCAP) and technical improvements in Neighborhood Assistance Program. Awarded 50% ($417,177) of Medco Health Solutions settlement by VA Off. Of Attor. Gen., distributed to FC's in 05 to buy pharmaceuticals Successfully lobbies the GA for $400,000 in additional funds for FC's FY Secures $104,438 FC Organizational Capacity Building grant from VHCF Anthem BCBS supports first FC TV ad in Richmond, Roanoke, Tidewater markets. FC reps., key external partners create first standards for FC operations. Mark Cruise resigns VAFC hires Lou Markwith as ED. VAFC receives VHCF $163,000 grant to create an accreditation program for member clinics Receives $750,000 WellPoint Foundation grant for member clinics in Anthem service area. Accreditation Review Team tests model at three volunteer sites. Board of Directors accepts Accreditation Plan granting accreditation to three FC Beta sites Six new VA clinics become members. Seven additional clinics receive accreditation. VAFC defends its budget request in the 09 GA Session with $850,000 restored to its appropriation. VAFC supports Health Care Reform Process participating with NAFC in gaining Essential Provider status for FC's Four new clinics receive Accreditation. Two clinics approved for Membership New contract negotiated with the Virginia Department of Health. Lou Markwith resigns August, Appointment of Linda Wilkinson as new Executive Director beginning December 1, VAFC hosts a series of regional meetings to help free clinics consider all the possible outcomes of health care reform and plan for their long-term future. 2013The Board of Directors votes to change the name of the organization to the Virgina Association of Free and Charitable Clinics. They also change Linda Wilkinson's title to CEO. VAFCC hosts a 20th Anniversary event to celebrate and honor individuals, businesses and funders that have supported the free clinics for the past two decades.2016 Many clinics expand their services and facilities to meet their local community needs. One of the biggest needs is dental services.2017 VAFCC celebrates 25 years of service with Champions of Health Care awards program. Impact Hosted regional meetings to solicit input by the clinics to the new VAFCC strategic plan.built a new website to better serve both the public and our member clinics.total of 60 member free clinic members in Virginia. Goals for coming year: Continue visioning and planning with clinics best response to Health Care Reform. Maintain funds with state legislature for FY Support clinics as they continue to improve the quality of care for their patients. Needs Funding for programs to support the work of member clinicshealthcare Professional to volunteers in local clinicselectronic Health Records in the local clinicspublic understanding of free clinicssuccessful response to Health Care Reform 2

3 CEO/Executive Director Statement 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 or charitable clinics restrict eligibility for their services to individuals who are uninsured, underinsured and/or have limited or no access to primary, specialty or prescription health care. (Approved by Membership on March 14, 2013) A Free Clinic is committed to minimizing barriers to care and providing quality care. A Free Clinic has a varied and significant base of community financial support and a proven ability to develop financial and in-kind resources. It receives no more than 50% of its annual revenues from federal grants. Tremendous Growth in Patients The total number of unduplicated patients at Virginia Free Clinics served last year was 72,208.In 2015 Free Clinics provided 228,000 general medical visits and specialty medical visits for a combined value of $38,921,147..In 2015 Free Clinics provided 652,048 prescription medications worth $119,951,304 to their patients.in 2015 Free Clinics provided dental care for a total of 40,136 dental visits worth $13,285,982.In 2015 Free Clinics provided 24m125 mental health counseling visits worth $4,143,901.In 2015 Free Clinics provided education to 28,245 patients worth $1.1 million.in 2015 Hospitals and Lab Companies contributed nearly $61.4 million in in-kind services to Free Clinic patients.in 2015 Free Clinics used the volunteer services of 7992 medical health professionals (doctors, nurses, nurse practitioners, dentists, dental hygienists, psychiatrists, etc.)in 2015 Free Clinics used the services of 5708 administrative volunteers. Board Chair Statement The VAFCC and the clinics we support are facing unprecedented challenges in this climate of a slow recovering economy, high unemployment, and the approaching healthcare reform. The Board of the VAFCC is committed to working with our clinics, corporate sponsors, volunteers and all who care about the quality of healthcare in Virginia to insure that we meet the needs of the underinsured and uninsured people of our Commonwealth. Our mission is to provide stable funding, training, technical assistance, research, resource development and advocacy for our 60 member clinics to support and strengthen the healthcare services they provide to the people who do not have access to healthcare. The generosity of the people of Virginia thru donations and volunteerism is what enables us to continue to provide healthcare to those most in need. Areas Of Service Areas Served Areas Statewide The VAFCC currently has 60 member clinics across the state of Virginia. Clinics vary in size from small to large, some open one day per week, some open every day but every area of Virginia is served with the exception of the Eastern Shore. Clinics cover 100% of the Commonwealth geographically. Service Categories Community Clinics Alliances & Advocacy Management & Technical Assistance 3

4 Programs Programs Chronic Care; Dental; Mental Health Description 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. Budget $350, Pharmacy Program Description 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. Budget $0.00 4

5 Board & Governance Board Chair Board Chair Carol L. Sale RN, MSN Company Affiliation Williamsburg Health Foundation Term Jan 2017 to Dec Board Members Name Affiliation Status Jim Beckner Access Now Voting Christina Delzingaro MBA Free Clinic of Central Virginia Voting Carolyn Long Engelhard MPA UVA School of Medicine, Center for Health Policy Voting Helen Ferguson MPH G. Wayne Fralin Free Clinic Voting William Gayne CPA, MBA MedStar Washington Hospital Center Voting Ingram Haley MPA, MSHA Virginia Premier Health Plan, Inc. Voting Kim Isringhausen BSDH, RDH, MPH VCU School of Dentistry Voting C. Burke King Anthem Blue Cross & Blue Shield Voting Rob Marino MSW Fauquier Free Clinic Voting Rahman A. Parker MS Booze Allen Hamilton Voting Cathy Revell RN The Revell Group Voting Sean M. Riley Home Care Delivered Voting Carol L. Sale RN, MSN Lackey Clinic Voting Rick Sample MBA, CTP Rainbow Station International Voting Paul Speidell MPA Sentara Healthcare & Optima Health Voting Board Demographics - Ethnicity African American/Black 2 Asian American/Pacific Islander 0 Caucasian 14 Hispanic/Latino 0 Native American/American Indian 0 Board Demographics - Gender Male 10 Female 6 Unspecified 0 5

6 Governance Board Term Lengths 3 Board Term Limits 2 Board Meeting Attendance % 100 Written Board Selection Criteria? Written Conflict of Interest Policy? Percentage Making Monetary Contributions 100 Percentage Making In-Kind Contributions 80 Number of Full Board Meetings Annually 6 Risk Management Provisions Life Insurance Computer Equipment and Software Directors and Officers Policy Disability Insurance Employee Benefits Liability Employment Practices Liability Employee Dishonesty Crime Coverage Blanket Personal Property Commercial General Liability Standing Committees Audit, Compliance and Controls Board Development / Board Orientation Finance Membership Comments 6

7 Management Executive Director/CEO Executive Director Linda D. Wilkinson MPA Term Start Dec Experience Former CEOs Name Term Mr. Mark Cruise Jan Sept 2006 Mr. Louis M. Markwith Mar Aug 2011 Senior Staff Name Kathryn Zapach Title Director of Membership Support Staff Full Time Staff 4 Part Time Staff 1 Volunteers 0 Contractors 0 Retention Rate 80 Plans Organization has a Fundraising Plan? Organization has a Strategic Plan? No Years Strategic Plan Considers 3 Date Strategic Plan Adopted Oct 2014 Management Succession Plan? Organization Policy and Procedures Nondiscrimination Policy Whistleblower Policy Document Destruction Policy Directors and Officers Insurance Policy Collaborations 7

8 Virginia Health Care Foundation; Virginia Association of Community Service Boards; Virginia Community Health Care Association; Healthcare for All Virginians Coalition; Rx Partnership; Richmond Memorial Foundation Affiliations Affiliation Year ConnectRichmond 2010 Partnership for Nonprofit Excellence 2010 RX Partnership 2004 Community Health Charities 2013 Combined Federal Campaign 2012 Awards Awards Award/Recognition Organization Year Networthy Award Virginia Health Care Foundation

9 Financials Fiscal Year July Fiscal Year 2019 Projected Revenue $642, Projected Expenses $642, Endowment Value 0 Spending Policy N/A Percentage (if selected) 0% s Detailed Financials Revenue and Expenses Total Revenue $7,253,530 $7,561,682 $4,121,228 Total Expenses $7,226,556 $7,456,613 $4,075,607 Revenue Sources Foundation and Corporation -- $25,000 $3,500 Contributions Government Contributions $6,110,785 $6,298,027 $3,585,480 Federal State $6,110,785 $6,298,027 $3,585,480 Local Unspecified Individual Contributions $496,291 $590,231 $11,541 Indirect Public Support Earned Revenue $530,051 $536,743 $421,792 Investment Income, Net of Losses $26,069 $14,222 $3,234 Membership Dues $90,094 $95,353 $90,746 Special Events Revenue In-Kind Other $240 $2,106 $4,935 9

10 Expense Allocation Program Expense $7,068,173 $7,292,298 $3,919,712 Administration Expense $136,278 $142,890 $124,035 Fundraising Expense $22,105 $21,425 $31,860 Payments to Affiliates Total Revenue/Total Expenses Program Expense/Total Expenses 98% 98% 96% Fundraising Expense/Contributed Revenue 0% 0% 1% Assets and Liabilities Total Assets $2,176,640 $2,247,931 $1,303,669 Current Assets $1,887,236 $2,055,029 $1,122,390 Long-Term Liabilities $0 $0 -- Current Liabilities $1,613,319 $1,711,584 $872,391 Total Net Assets $563,321 $536,347 $431,278 Short Term Solvency Current Ratio: Current Assets/Current Liabilities Long Term Solvency Long-Term Liabilities/Total Assets 0% 0% 0% Top Funding Sources Top Funding Source & Dollar Amount Second Highest Funding Source & Dollar Amount Third Highest Funding Source & Dollar Amount Capital Campaign Currently in a Capital Campaign? No Goal 0 State Charitable Solicitaions Permit Permit? No 0 Registration Exempt Apr 2017 Comments Organization Comments Our operating budget is different from the revenue/expense listed on our 990. In our budget $6.7M is pass through funds that go from the state to our member clinics. Foundation Comments Organization changed its name in 2013.Financial information provided from auditaudit and prepared by Mitchell, Wiggins & Company 10

11 Created Copyright 2018 The Community Foundation Serving Richmond & Central Virginia 11