Access Now, Inc.
2821 Emerywood Parkway
Suite 200
Richmond VA 23294
Mission Statement
The mission of Access Now is to provide free specialty medical care for those who have no health insurance, are at or below 200% of the Federal Poverty level, 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
Physician volunteer
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
History and Background
Year of Incorporation 2007
Financial Summary
Revenue vs Expense Bar Graph - All Years
Expense Breakdown Bar Chart - All Years
Projected Revenue $490,000.00
Projected Expenses $490,000.00
Additional Documents
Annual Report2016View
Annual Report2015View
Annual Report2014View
Annual Report2013View
Annual Report2012View
Annual Report2011View
Annual Report2010View
The mission of Access Now is to provide free specialty medical care for those who have no health insurance, are at or below 200% of the Federal Poverty level, and who receive primary care at area safety net clinics so that no patient goes without care for want of a willing provider.
 Our accomplishments during the fiscal year 2017 include:
  • Served 2,381 patients and coordinated 10,518 appointments across 43 medical specialties;
  • Saw 902 specialty healthcare providers volunteer to care for these patients in the privacy and dignity of their offices. The value of this uncompensated care was $4 million;
  •       Helped hard-working people such as Sally, who said, “Access Now has been wonderful to me. The staff is so helpful; they take care of everything.” "I'm really thankful that they have a service for people such as myself who work but can't afford insurance," added William.

Our Goal: Access Now exists to assures the highest quality of specialty medical care is delivered to more uninsured persons in need by maximizing the resources of local area hospitals, physician and other provider volunteers, thereby providing conscientious stewardship of the community’s charitable resources.
For example:
A woman is seen at a free clinic for her annual physical, during her breast exam a lump is discovered. The patient is referred to Access Now to see a general surgeon.
The surgeon performs a biopsy. If the mass is malignant, the patient receives surgery for a lumpectomy or mastectomy. Care includes all labs, anesthesia, and hospital services.
When surgery is complete, the patient will be scheduled with an oncologist to begin chemotherapy and possibly radiation therapy depending on the extent of cancer.
Once the chemotherapy and radiation therapy are complete, the patient may be a candidate for reconstruction surgery. All of this care will be provided at no cost to the patient through Access Now's network of provider volunteers.
We are a Private sector solution that works!

The top four Access Now needs are: 

  • 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.

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 specialty care.

Starting with a network of 100 physician volunteers, Access Now has grown to over 900 physicians representing over 40 different medical 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 $40 million in services. The safety net clinics using our services have grown from 11 to 26. The 26 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; Caroline Family Practice; Health and Wellness Center of Louisa; King William-Dawn Community Doctors; Westmoreland Medical Center; 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 900+ 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 $40 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 Health Brigade 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 39,000 patient encounters behind us, we’ve mastered navigating among clinics, physicians, hospitals and community services. We have returned to the community over $40 million in charity care. Partner hospitals have provided millions more in a free diagnostic, surgical, and other services. Laboratory Corporation of America provides free lab tests for patients who are cared for by an Access Now physician. 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
Metro Richmond
Richmond, City
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 2018
Board of Directors
Board Members
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
Georgean deBlois MDCommonwealth Laboratory Consultants
Sumac Diaz MDComplete Care Center for Women
Karolina Flemming RAMA Foundation, VA Physicians for Women
Pam Jones RNHCA VP for Quality and Compliance CJW
Hazle S Konerding MDCommonwealth Dermatology
Ms. Karen Legato Health Brigade
John D. McCurley MDCMO Bon Secours Richmond Health System
Mr. Stephen D. Rosenthal Troutman Saunders
Mark Ryan MDHayes E. Willis Health Center, VCU School of Medicine
Mr. W. Matthew Scott Towne Bank
Harry "Chip" Shaia MDOrthoVirginia
Tovia Smith MDVirginia Women's Center
Deborah Trainer PhDCommunity Volunteer
Board Demographics - Ethnicity
African American/Black 1
Asian American/Pacific Islander 0
Caucasian 10
Hispanic/Latino 0
Native American/American Indian 0
Other 3
Board Demographics - Gender
Male 8
Female 7
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
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Strategic Planning / Strategic Direction
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Executive Director
Executive Director Mr. James Beckner
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.
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 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. He also served as the founding President of the VAFCC, the first free clinic association in the Nation, and as a founding Board member of the NAFCC.  His passion for community engagement is long-standing and admirable.
Former CEOs
Ms. Deborah Love 1995 - 2014
Senior Staff
Ms. Leslie Gibson Program Manager
Ms. Sue Speese Associate Director, Access Now
Full Time Staff 4
Part Time Staff 2
Volunteers 902
Contractors 0
Retention Rate 100
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes


Bon Secours Care-A-Van

Capital Area Health Network: Vernon J. Harris,  Northside                       Medical Center, Glenwood Medical Center, Southside Medical                     Center, Bermuda Medical Center                   

       Center for Healthy Hearts

  Central Virginia Health Services:  Appomattox Area Health &                        Wellness Center, Caroline Family Practice, Charles City Regional                Health Services, Health, and Wellness Center of Louisa,                                                      Hopewell-Prince George Community Health Center,  King William-              Dawn Community Doctors, Petersburg Health Care Alliance,                                       Westmoreland Medical Center

  Cheryl Watson Memorial Free Clinic

  Chesterfield Health Department

  Crossover Healthcare Ministry - 2 OFFICES

   Daily Planet  

   Free Clinic of Powhatan 

   GoochlandCares Free Clinic and Family Services

    Health Brigade

    Henrico Health Department- East                

    Ledwith-Lewis Free Clinic

    Northern Neck Free CliniC


   Richmond City Health Department 

   St. James Free Clinic

   Surry Area Free Clinic

   The Cornerstone Free Health Clinic









RX Partnership0
Virginia Association of Free Clinics0
Virginia Hispanic Chamber of Commerce2010

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 900+ 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 $490,000.00
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 $49,000.00
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 $480,200.00
Fiscal Year
Projected Revenue $490,000.00
Projected Expenses $490,000.00
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 Year201720162015
Foundation and
Corporation Contributions
Government Contributions$0$0$0
Individual Contributions$309,179$235,869$245,717
Investment Income, Net of Losses$1,032$438$258
Membership Dues------
Special Events------
Revenue In-Kind$4,548,466$3,843,536$3,003,685
Expense Allocation
Fiscal Year201720162015
Program Expense$4,924,561$4,192,880$3,321,455
Administration Expense$53,497$60,333$70,248
Fundraising Expense$27,428$27,527$25,502
Payments to Affiliates------
Total Revenue/Total Expenses1.021.001.01
Program Expense/Total Expenses98%98%97%
Fundraising Expense/Contributed Revenue5%6%6%
Assets and Liabilities
Fiscal Year201720162015
Total Assets$600,992$560,357$509,770
Current Assets$593,164$552,318$498,546
Long-Term Liabilities$0$0$0
Current Liabilities$7,058$49,205$6,227
Total Net Assets$593,934$511,152$503,543
Short Term Solvency
Fiscal Year201720162015
Current Ratio: Current Assets/Current Liabilities84.0411.2280.06
Long Term Solvency
Fiscal Year201720162015
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView
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.