Access Now, Inc.
2821 Emerywood Parkway
Suite 200
Richmond VA 23294
Mission Statement
The mission of Access Now is to coordinate free specialty medical care for those who have no health insurance, are poor, and who receive primary care at area safety net clinics so that no patient goes without care for want of a willing provider.
 
 
Web and Social Media
Video
Physician volunteer
Leadership
CEO/Executive Director Mr. James Beckner
Board Chair Mr. Steve Rosenthal
Board Chair Company Affiliation Troutman Sanders
Contact Information
Address 2821 Emerywood Parkway
Suite 200
Richmond, VA 23294
Telephone 804 622-8145
Fax 877 220-5608
E-mail sspeese@ramdocs.org
History and Background
Year of Incorporation 2007
Financial Summary
 
 
Projected Revenue $450,000.00
Projected Expenses $450,000.00
Additional Documents
Annual Report2015View
Annual Report2014View
Annual Report2013View
Annual Report2012View
Annual Report2011View
Annual Report2010View
Statements
Mission
The mission of Access Now is to coordinate free specialty medical care for those who have no health insurance, are poor, and who receive primary care at area safety net clinics so that no patient goes without care for want of a willing provider.
 
 
Impact
 Our accomplishments during the fiscal year 2016 include:
  • Served 2,382 patients and coordinated 7,873 appointments across 43 medical specialties;
  • Saw 875 specialty healthcare providers volunteer to care for these patients in the privacy and dignity of their offices. The value of this uncompensated care was $3.7 million;
  • Helped hard-working people such as Suzi Lilly, co- owner of Farm to Family Market in Henrico County, receive critical care that helped them return to work and remain productive citizens. “The doctors I have worked with have been simply amazing, and the care I have been getting will change my life so that I can continue to do the work I do to help others,” she told us.
Our goals for the fiscal year 2017 are:
  1. Access Now will continuously track and monitor the satisfaction of the physician volunteers, the patients served, and the free clinics.
  2. Maintain our current standard of physician, patient and clinic satisfaction of 95% or better.
  3. Host an annual practice manager's meeting to review referral procedures and HCFA 1500 reporting. We will offer to meet one on one with practice managers upon request.
  4. Host an annual safety net provider meeting.
  5. Access Now will monitor quality measures and regularly report to Board of Directors.
  6. Continue monthly monitoring of referrals and enrollment.
  7. Track the number (%) of complete referrals scheduled within three business days of the patient call.
  8. Track appointments kept / not kept as reported by providers’ offices. Provider reporting currently shows 99% of appointments made are kept.
Needs

The top five Access Now needs are: 

  • A sustainable annual fund development plan;
  • Recruiting endocrinologists, rheumatologists, oral surgeons, 
  • neuro-surgeons and neurologists;
  • Creating volunteer appreciation and recognition opportunities;
  • Expanding medical interpreter volunteer pool;
  • Interoperable software/systems for referrals to health systems with different electronic medical record systems.
Background

Access Now is Richmond’s only volunteer network of specialty care doctors who provide complex and free care to thousands of Richmond residents who have no health insurance and very limited means by which to pay for it. The organization was created in 2007 at the request of 11 area clinics and public health departments who could meet the primary care needs of their patients but did not have the resources to provide comprehensive, complex care.

Starting with a network of 100 physician volunteers, Access Now has grown to over 850 physicians representing over 40 different specialty areas. These physicians see patients during office hours in the privacy of their practice or perform procedures and surgeries in local hospitals. Since inception, Access Now physicians have provided over $31.2 million in services. The safety net clinics using our services have grown from 11 to 22. The 22 clinics for which we provide access to specialty care include: Cross Over Ministry; Fan Free Clinic; Daily Planet; Goochland Free Clinic and Family Services; Free Clinic of Powhatan; St. James the Less Free Clinic; Capital Area Health Network; St. David’s Free Clinic; Chesterfield Health Department; Henrico County Health Department; Bon Secours Care-A-Van; City of Richmond Health Department; Richmond Area High Blood Pressure Center; Tappahannock Free Clinic; Surry Area Free Clinic; and Pathways Clinic.

After seeing a patient and evaluating their medical needs, a clinic determines if more complex care is indicated. The clinic refers the patient to Access Now for enrollment. Once enrolled, Access Now arranges for the initial appointment with a specialist, coordinates the hospitalization of the patient if necessary, and becomes, for the patient, the primary contact for navigating the healthcare system. Once enrolled a patient is eligible to access any additional specialty care services medically indicated. Enrollment is for one year. At the end of the year, the patient, if services continue to be needed, may be re-enrolled provided their financial situation has not changed.

CEO Statement

Richmond is fortunate to have clinics that provide primary care for more than 50,000 residents who live at or below the federal poverty level and have no health insurance. But have you ever wondered where these clinics send patients whose needs exceed their scope? Where a tree climber from Powhatan with torn cartilage receives therapy? Where a caretaker from Henrico goes once, the clinic finds her tumor? Where the Goochland father with herniated discs finds relief?

Until 2007, most clinics simply told patients to go to an area emergency department because limited specialty care was available. It was sadly the only recourse left. Emergency care is not only the most expensive medical care; but it is also not the right care for non-urgent needs, including disease management.

Today, these same clinics turn to Access Now – a volunteer-driven specialty care network of 850+ physicians who provide complex care. Patients receive the right care, at the right time and in the most economical and appropriate setting – a specialty physician’s office. That’s better care, more appropriate care and less expensive care for patients.

Patients aren’t the only winners. Local hospitals win when free care is provided in community settings; clinics win when complex care is available for their patients, and our community wins when the uninsured poor receive quality care by specialists.

Access Now is the only specialty care free clinic in the greater Richmond area. Indeed, our network of specialty care volunteers is among the largest in the nation. Daily, our volunteer doctors, see patients, provide consultation, treatment, and follow-up. If surgery is required, surgeons operate in area hospitals or in private ambulatory surgical centers. 

Since 2007, doctors have provided over $31.2 million in specialty care services.With your help, we can make Richmond a great place for all who need healthcare.

Board Chair Statement

Healthcare reform may provide partial relief for millions of uninsured eventually, but our patients cannot wait a week or a month for treatment. Without Access Now such essential services as chronic disease management, specialty testing, oncology treatment, ophthalmologic, heart, lung and bone surgeries would not be available.

Take Debra, age 49. She lost health insurance when her husband was laid off. Then she lost her job as a stocker at Wal-Mart after developing severe abdominal hernias. By December she couldn’t take the pain any longer and go to Fan Free Clinic. But her needs went far beyond the basic care Fan Free could offer. Through Access Now she received surgical care for free. Debra, a mother of three, said, "I put my pride on the side and asked for help."
 
Providing access to needed care for every Debra is both my goal and my passion. This is why I choose to lead Access Now.

Our governance challenges are:

  1. Sustain volunteer capacity to deliver the ‘deliverables’ to the uninsured patient population;
  2. Educate the public about healthcare reform and how it impacts our patient population;
  3. Define success.
  4. Persuade physician volunteers to remain committed to providing charity care in the face of declining reimbursements, no tax relief, and escalating costs;
  5. Bend the curve on the use of charity care by maximizing appropriate use of government programs;
  6. Manage an immigrant patient population in the absence of national consensus.

Access Now has shown deep penetration into the medical community. With over 36,000 patient encounters behind us, we’ve mastered navigating among clinics, physicians, hospitals and community services. We have returned to the community over $31.2 million in charity care. Partner hospitals have provided millions more in a free lab, diagnostic, and other services. We offer an innovative approach which benefits the greater Richmond communities. By taking incremental steps, we can tackle future challenges.

Areas of Service
Areas Served
Area
Metro Richmond
Richmond, City
Ashland
Chester
Chesterfield County
Colonial Heights, City
Dinwiddie County
Goochland County
Hanover County
Henrico County
Hopewell, City
Petersburg, City
Powhatan County
Prince George County
Sussex County
Charles City County
King and Queen County
Louisa County
New Kent County
Access Now serves the greater Richmond metropolitan area and surrounding counties. As the adjunct aid to counties outside of the Greater Richmond Metro Area, Access Now will take specific referrals when specialists needs are not available within the county.  Examples include Isle of Wight, Southhampton, Surry, Essex, Westmoreland and Lancaster counties.
Board Chair
Board Chair Mr. Steve Rosenthal
Company Affiliation Troutman Sanders
Term Jan 2016 to Dec 2017
Email steve.rosenthal@troutmansanders.com
Board of Directors
Board Members
NameAffiliation
Mr. James G. Beckner Access Now
Joseph W. Boatright III, MDJoseph W. Boatwright III MD PC
Mr. Jeffrey S. Cribbs Richmond Memorial Health Foundation, Retired
Clifford Deal, III, MDRichmond Surgical Center
Georgean deBlois MDCommonwealth Laboratory Consultants
Sumac Diaz MDComplete Care Center for Women
Pam Jones RNHCA VP for Quality and Compliance CJW
Ms. Karen Legato Fan Free Clinic
John D. McCurley MDCMO Bon Secours St. Francis Medical Center
Mr. Stephen D. Rosenthal Troutman Saunders
Mark Ryan MDHayes E. Willis Health Center, VCU School of Medicine
Mr. W. Matthew Scott Sun Trust Bank
Harry "Chip" Shaia MDOrthoVirginia
Tovia Smith MDVirginia Women's Center
Deborah Trainer PhDRAMA Foundation
Board Demographics - Ethnicity
African American/Black 1
Asian American/Pacific Islander 0
Caucasian 13
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 8
Female 6
Governance
Board Term Lengths 3
Board Term Limits 3
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Percentage Making In-Kind Contributions 100
Number of Full Board Meetings Annually 4
Standing Committees
Board Governance
Nominating
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Finance
Strategic Planning / Strategic Direction
Volunteer
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Comments
21Access Now moved from an advisory board to a full board in 2009. Our advisory board members remained part of the full board until the close of 2010. All new board members are asked to make a charitable contribution to the program. 
Executive Director
Executive Director Mr. James Beckner
Experience
Jim Beckner is the Executive Director of the Richmond Academy of Medicine, Access Now, Centralized Credentials Verification Service and the Richmond Academy of Medicine Services Corporation. Access Now provides a management fee to the Richmond Academy of Medicine to cover the portion of his time spent directing the program.
Access Now, in response to safety net clinics seeking assistance from the Academy in locating specialty care physicians, researched Project Access programs across the nation and designed Access Now to meet Richmond's needs.
 
Jim is a respected and successful executive having led several Richmond-area healthcare organizations, including his most recent post as President of IVNA, the Instructive Visiting Nurse Association, Central Virginia’s largest and oldest home health care agency. Under Jim’s leadership, IVNA experienced a financial and organizational turnaround that has brought national and local awards.
 
Before revitalizing IVNA, Jim helped organize and establish RX Partnership Inc., a statewide organization brokering free medications for use in Virginia’s free clinics and health centers. Additionally, for 15 years, Jim served as the Executive Director of the Fan Free Clinic, Inc., Virginia’s oldest community-based, multi-service Free Clinic and AIDS Service Organization. His passion for community engagement is long-standing and admirable.
Former CEOs
NameTerm
Ms. Deborah Love 1995 - 2014
Senior Staff
NameTitle
Ms. Leslie Gibson Program Manager
Ms. Sue Speese Associate Director, Access Now
Staff
Full Time Staff 5
Part Time Staff 0
Volunteers 850
Contractors 0
Retention Rate 100
Plans
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan?
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
Collaborations
Access Now partners with clinics that provide primary care for the patients referred to us for specialty care.  The referring clinics serve Richmond and a broad network of surrounding counties. Clinics include:
  • CrossOver Clinics - 2 locations
  • Fan Free clinic
  • Daily Planet
  • Goochland Free Clinic and Family Services
  • Free Clinic of  Powhatan
  • St. James the Less
  • Capital Area Health Network
  • St. David's Free Clinic
  • Chesterfield Health Department
  • Henrico County Health Department
  • Bon Secours Care-A-Van
  • City of Richmond Health Department
  • Richmond Area High Blood Pressure Center
  • Tappahannock Free Clinic
  • Surry Free Clinic
  • Pathways

 

Affiliations
AffiliationYear
ConnectRichmond2010
ConnectSouthside2010
RX Partnership2010
Virginia Association of Free Clinics2010
Virginia Hispanic Chamber of Commerce2010
Programs
Description

Access Now links the primary care patients receive in safety net clinics to more advanced specialty care not available at the free clinic. The specialty care secured through Access Now is provided in private offices, surgical centers and in hospitals. It is without charge. As a specialty care referral program, Access Now’s 850 physician volunteers ensure that no eligible uninsured patient goes without specialty care for want of a willing provider. Access Now Care Coordinators match patient needs to specialty volunteers, work intimately with patients as they navigate the healthcare system, provide translation services when needed, secure appointments, and ensure the successful transfer of medical records. Throughout this process, Access Now Care Coordinators keep the referring clinic, the patient, the volunteer physician and the hospital informed.

Budget $101,400.00
Description
Having a steady supply of physician volunteers for specialist referrals is absolutely essential to the success of  Access Now. Volunteer management and recruitment includes: physician registration and pledge for service as a volunteer; registration by Access Now with the Commonwealth Department of Risk Management to secure medical malpractice coverage for physician when seeing referred patients; training and education of physicians and their practices regarding the rules of Access Now; and receiving, recording and maintaining a record of services provided by the physician. Additionally volunteer management includes creating and sustaining volunteer recognition programs.
Budget $50,700.00
Description
Sustainability of  Access Now services is dependent upon fund development and cultivation of public and private resources. Developing funding plans, managing existing grants, fostering new relationships among community partners and civic leaders is essential to the work of the program. 
Budget $16,900.00
Fiscal Year
Projected Revenue $450,000.00
Projected Expenses $450,000.00
Spending Policy N/A
Form 990s
IRS Letter of Exemption
Detailed Financials
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201620152014
Foundation and
Corporation Contributions
$202,779$196,884$134,808
Government Contributions$0$0$0
Federal------
State------
Local------
Unspecified------
Individual Contributions$235,869$245,717$335,680
--$13,467--
------
Investment Income, Net of Losses$438$258$40
Membership Dues------
Special Events------
Revenue In-Kind$3,843,536$3,003,685$3,233,920
Other$5,727--$2,758
Expense Allocation
Fiscal Year201620152014
Program Expense$4,192,880$3,321,455$3,569,948
Administration Expense$60,333$70,248$56,695
Fundraising Expense$27,527$25,502$35,566
Payments to Affiliates------
Total Revenue/Total Expenses1.001.011.01
Program Expense/Total Expenses98%97%97%
Fundraising Expense/Contributed Revenue6%6%8%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$560,357$509,770$462,625
Current Assets$552,318$498,546$450,217
Long-Term Liabilities$0$0--
Current Liabilities$49,205$6,227$1,888
Total Net Assets$511,152$503,543$460,737
Short Term Solvency
Fiscal Year201620152014
Current Ratio: Current Assets/Current Liabilities11.2280.06238.46
Long Term Solvency
Fiscal Year201620152014
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView
Comments
Organization Comments
Access Now began as a pilot project of the Richmond Academy of Medicine in 2007. In late 2007, we applied for tax exempt status and received approval in early 2008, retroactive to September 2007. Our first full year of operation as a charity care organization was 2008.
Foundation Comments
  • Form 990 and audit prepared by Mitchell, Wiggins & Compnay, LLP.
  • Financial analysis performed with audit.