Cross Over Ministry, Inc.
8600 Quioccasin Road, Suite 101
Richmond VA 23229
Mission Statement
CrossOver's mission is to provide high quality health care, promote wellness and connect community talents and resources with people in need in the name of Jesus Christ.
CEO/Executive Director Ms. Julie Scott Bilodeau
Board Chair Ms. Betsy Beamer
Board Chair Company Affiliation Community Volunteer
Contact Information
Address 8600 Quioccasin Road, Suite 101
Richmond, VA 23229
Telephone 804 655-2794
Fax 804 622-0804
History and Background
Year of Incorporation 1983
Financial Summary
Revenue vs Expense Bar Graph - All Years
Expense Breakdown Bar Chart - All Years
Projected Revenue $3,273,578.00
Projected Expenses $3,272,779.00
CrossOver's mission is to provide high quality health care, promote wellness and connect community talents and resources with people in need in the name of Jesus Christ.


CrossOver’s recent major accomplishments reflect our strategic plan’s emphasis on quality improvements across all our operations.

  1. CrossOver continued to enhance our collaborative, integrated program of care, specializing in the treatment of patients suffering from chronic diseases.
  2. In 2016, our clinics provided 45,120 patient visits to 6,477 individuals, including patients served from our partner clinics.
  3. CrossOver expanded our dental services to better address our patient population's urgent need for dental care, including the increasing our dental staff, strengthening outreach and recruiting efforts for new dental volunteers, and expanding the dental referral network program. CrossOver also expanded our social work program, and has added a new family case manager to better address the needs of CrossOver families and children.

CrossOver’s main goals for the coming year reflect our strategic plan, which was finalized and approved by our Board of Directors in January of 2017.

  1. CrossOver will continue to invest in quality improvements and optimize operations by redesigning care teams to ensure that clinical programs are efficient and effective.
  2. CrossOver will work to improve our understanding of the changing needs of our patients and implement responsive treatment plans and trauma-informed care models.
  3. CrossOver will increase community awareness through better communicating the value of services that CrossOver provides, fostering relationships with our existing community partners, and actively seeking out new potential partners within the community.
  4. CrossOver will explore new opportunities to enhance cultural competency among our staff and volunteers, address language barriers and gaps in interpretation services, and develop effective strategies to improve communications with our increasingly multilingual patient base.

CrossOver is in need of financial support and community volunteers to support our ongoing clinical operations. These needs are directly related to our clinics' ability to provide ongoing, quality care for the patients we serve. Our current, most urgent needs are:

  1. Unrestricted financial support for clinical operations (i.e. primary care services, chronic disease management, etc.);
  2. Unrestricted financial support for clinical programs (i.e. dental, vision, social work, health education, etc.);
  3. Licensed healthcare professional volunteers;
  4. Skilled administrative volunteers;
  5. Unrestricted financial support for the Community Pharmacy operations.
Founded by volunteers in 1983, CrossOver Healthcare Ministry is a 501(c)3 non-profit organization that provides compassionate, comprehensive health services to the low-income, uninsured residents of Central Virginia. Our mission is to provide healthcare, promote wellness, and connect community talents and resources with people in need in the name of Jesus Christ. 
Since our founding over 30 years ago, CrossOver has grown immensely, and we are now the largest free clinic in Virginia. We have two clinic locations, one in Western Henrico on Quioccasin Road and one on the Southside of Richmond on Cowardin Avenue, to better serve the growing low-income population and increasing need for healthcare services. Our clinics offer a broad spectrum of integrated health services, including: primary care, chronic disease management, medication and medications management, specialty care, dental, vision, mental health counseling, OB/GYN, HIV diagnosis and treatment, social work case management, and community health education. Through this interdisciplinary, collaborative approach to care, CrossOver's goal is to help patients manage various aspects of their health and well-being. 
To assist our staff in efficiently delivering our extensive services to patients, CrossOver relies on over 800 volunteers to provide 60% of our patient care. Our volunteers include, among others: physicians, nurse practitioners, nurses, physicians' assistants, dentists, pharmacists, counselors, eye-care professionals, and administrative volunteers. Our volunteers give over 35,000 hours of service annually. Thanks to our volunteers and generous donors, CrossOver maintains an efficient operating model. We have been named a three-star charity by Charity Navigator, and we are a Better Business Bureau accredited charity. 
CEO Statement

CrossOver Healthcare Ministry serves patients who do not have health insurance, and whose incomes are at or below 200% of the Federal Poverty Level. Despite the implementation of the Affordable Care Act, the demand for CrossOver's services continues to exceed our current capacity. Even though CrossOver serves over 6,000 patients, these patients represent just a fraction of those in need. According to the most recent Virginia Atlas of Community Health, 497,677 Virginia residents are uninsured and are at or below 200% of the FPL, including more than 63,954 in the greater Richmond area. The Affordable Care Act has not reduced the number of CrossOver patients, and the needs of the community continuously exceed our clinics’ capacity. 

 Our patient population consists of two groups: those who fail to qualify for Medicaid as an adult in Virginia due to stringent eligibility criteria, as well as a large multi-cultural immigrant population. To qualify for Medicaid in Virginia, regardless of income, citizens must be under 18 or over 65 years old, blind, disabled, or have physical custody of a minor child. For Low Income Families with Children (LIFC) in Virginia, their income limits for Medicaid eligibility vary by household size and region. For the region where most of our patients reside, if a single parent of two children earns more than $7,908 annually, they do not qualify for Medicaid in Virginia. CrossOver's patient population is incredibly diverse, hailing from more than 20 cities and counties in Central Virginia and representing over 100 different nationalities. Considering this significant multicultural population, a majority of our patients speak a language other than English as their first language and necessitate an ongoing commitment to cultural competency from their healthcare providers.
Board Chair Statement

The Board of CrossOver Healthcare Ministry is committed to CrossOver's mission of providing healthcare, promoting wellness, and connecting community talents and resources with people in need. 

CrossOver's most recent strategic plan was created in 2013, and the time period covered by this strategic plan is now complete. CrossOver has begun the process of developing a new strategic plan, which will detail organizational goals and changes planned for the next three years. Our strategic planning process is undertaken by a specific committee comprised of board members, staff, volunteers, and community members with specific knowledge and skills that contribute to the process. Several potential goals and key areas of interest have already emerged for the upcoming strategic plan, including: building a culture of accountability, better understanding patient needs and the value of CrossOver’s services, building an interdisciplinary, efficient care team, better communicating CrossOver’s value to the community, and ensuring long term financial sustainability.
CrossOver’s most significant accomplishment is that we have served tens of thousands of individuals, and made an immeasurable impact on the health and wellness of our community. By providing a full continuum of health care services to the low-income and uninsured, CrossOver offers a preventative strategy that instills hope in patients and gives them the tools to lead healthy and productive lives. Although CrossOver has successfully treated thousands of individuals, an ongoing challenge is that our organization lacks the capacity to fully meet this community need, considering over 60,000 Central Virginia residents are uninsured and at or below 200% of the FPL.  
From a governance perspective, the unpredictable nature of our funding makes financial planning challenging. To combat this lack of stability in funding, CrossOver creates an in-depth annual development plan for each revenue category. Recently, we have focused on growing two key areas: hospital system giving and patient donations. We are working to strengthen the mutually beneficial relationships we currently have with the major Richmond hospital systems. To increase patient revenue, we transitioned to asking for a set fee rather than asking patients if they would like to make a donation. The fee is small and is waived if the patient is unable to pay. Considering the unpredictable nature of CrossOver's funding, finance is integrated into all of CrossOver's significant organizational and programmatic planning. New programs or major programmatic changes require a full funding plan before implementation, to ensure the success and sustainability of the program.


Areas of Service
Areas Served
Metro Richmond
Tri-cities Region
Richmond, City
Chesterfield County
Hanover County
Henrico County
Petersburg, City
Colonial Heights, City
Board Chair
Board Chair Ms. Betsy Beamer
Company Affiliation Community Volunteer
Term July 2016 to June 2018
Board of Directors
Board Members
Fr. Shay Auerbach Sacred Heart Catholic Church
Ms. Betsy Beamer Community Volunteer
Mr. John Beckner National Community Pharmacists Association
Mr. David Belde Bon Secours Health System
Mr. Andrew Bennett Bon Secours
Ms. Julie Bilodeau CrossOver Healthcare Ministry
Mrs. Judy Collins CNPRetired
Ms. Aggie Cullen Retired
Dr. James Dageforde MDCommonwealth Primary Care
Dr. Georgean deBlois MDVirginia Care Partners, an HCA Affiliate
Mr. Frank Gorse Patient First
Mr. John Ivins Hirschler Fleischer Attorneys At Law
Mr. Kenneth Johnson Johnson Marketing
Mr. Patrick Leonard McKesson
Dr. Michael Murchie MDCrossOver Healthcare Ministry
Ms. Helen Nunley Retired
Mr. Timothy O'Shea Clearview Logix
Mr. Duncan Owen TowneBank
Mr. Dana Rust McGuireWoods LLP
Dr. Stephen J. Todd DDSStephen J. Todd, DDS
Mr. Bruce Tyler AIABaskervill & Associates
Ms. Alexa Warner MHACommunity Volunteer
Mr. Ken Wayland Free Agents Marketing
Board Demographics - Ethnicity
African American/Black 3
Asian American/Pacific Islander 0
Caucasian 20
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 16
Female 7
Board Term Lengths 3
Board Term Limits 2
Board Meeting Attendance % 77
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Percentage Making In-Kind Contributions 41
Number of Full Board Meetings Annually 6
Standing Committees
Audit, Compliance and Controls
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Program / Program Planning
Human Resources / Personnel
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Our program planning committee is divided into a Dental Committee and a Quality Improvement Committee, which focuses on new projects and quality improvements across all of CrossOver's programming.
In recent years, the Board of Directors has moved  from being focused on operations to focusing on fund development and long term planning.  The composition of the Board has changed from being primarily clinicians and religious leaders to a mix of corporate executives, community leaders, and clinicians.  CrossOver's Board recruitment and orientation process focuses on the fundraising responsibility of Board members. Board and Staff Leadership have embraced a more businesslike approach to governance and management.
Executive Director
Executive Director Ms. Julie Scott Bilodeau
Before coming to CrossOver, Ms. Bilodeau was employed at Circuit City stores for over 10 years in the strategic planning and market research departments.  Ms.  Bilodeau holds a M.B.A. from the Darden School of Business at the University of Virginia and a B.A. in Economics from the College of William and Mary.
Senior Staff
Ms. Marilyn Metzler Director of Patient Education
Dr. Michael S. Murchie M.D.Medical Director
Full Time Staff 33
Part Time Staff 11
Volunteers 587
Contractors 0
Retention Rate 78
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 3
Date Strategic Plan Adopted Jan 2017
Management Succession Plan? No
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
CrossOver has many key collaborations, including, among others: 

AccessNow, Bon Secours Care-A-Van, Bon Secours Health System, Capital Area Health Network, Center for High Blood Pressure, Child Savers, Commonwealth Catholic Charities, Daily Planet, Family Lifeline, Fan Free Clinic, Free Clinic of Powhatan, Goochland Free Clinic and Family Services, Greater Richmond Patient-Centered Medical Home Collaborative, Hanover Safe Place, HCA Virginia, Lab Corp, Lens Crafters, Medarva Foundation Fund, Mental Health America of Virginia, Richmond Behavioral Health Authority, Rx Partnership, Ryan White HIV/AIDS program, Safe Harbor, SCAN, St. Joseph's Villa Outreach Clinic, VCU Health System, VCU School of Dentistry, VCU School of Hygiene, VCU School of Medicine, VCU School of Nursing, VCU School of Pharmacy, VCU School of Social Work, Virginia Association of Free and Charitable Clinics, Virginia Eye Institute

Greater Richmond Patient Centered Medical Home Initiative2009
RX Partnership2006
Virginia Association of Free Clinics2000
Three Star CharityCharity Navigator2017
Accredited CharityBetter Business Bureau2013
CrossOver’s medical services are designed to help our patients manage various aspects of their health and well-being. CrossOver patients receive ongoing care from our team of primary care practitioners. Our patient population is disproportionately at risk for developing chronic diseases such as diabetes and hypertension, and as a result chronic disease management accounts for the majority of the care that we provide.
In addition to our primary care and chronic disease management services, CrossOver also offers around 20 sub-specialty services. The largest of our sub-specialties is women's health, which includes obstetrics and gynecology services. CrossOver also provides care in the specialty areas of orthopedics, pulmonology, cardiology, and physical therapy, among others.

CrossOver has an on-site, licensed pharmacy so that patients can access the medications they need. The Community Pharmacy is stocked with a variety of generic medications, in addition to name-brand medications provided through Rx Partnership. CrossOver's pharmacy is the only free clinic pharmacy in the Richmond area, and it dispenses prescriptions for CrossOver patients as well as for patients of other area medical clinics. 

CrossOver is also able to provide medications for our patients through The Pharmacy Connection (TPC), a software program created by the Virginia Health Care Foundation. This software helps provide prescription medications to chronically ill, uninsured individuals through the Patient Assistance Programs of various major pharmaceutical companies. Medications and medications management is a critical component of our healthcare services, and our Community Pharmacy ensures our patients’ access to the medications they need to manage their health.

CrossOver has provided dental services as a standard component of our continuum of care since the founding of the organization in 1983. Many of CrossOver's patients present with severe dental complications such as tooth decay, gum disease, and facial pain.With the help of volunteer dentists and hygienists, our clinics offer dental cleanings, screenings, fillings, and extractions, and also provide dentures to those who require them. CrossOver's dental program also places great importance on oral health education, and the program collaborates with our primary care providers to help patients understand the connection between oral health and overall health. 

In addition to our dental services, CrossOver offers vision services through our vision program. This program was designed in collaboration with the Medarva Foundation Fund. Our vision services are available to CrossOver patients as well as patients from other area clinics. Patients can receive a complete eye exam including retinal screenings, refractions, and visual field exams. Through partnerships with Lens Crafters and Virginia Eye Institute, CrossOver provides glasses vouchers for patients who need corrective lenses. 

To help patients manage their mental health needs, CrossOver has a mental health program to provide counseling and psychiatric medications management. Patients in the mental health program are treated by a team of clinicians with primary care providers, counselors, and psychiatrists collaborating on their care. The program includes a staff counselor as well as volunteer psychiatrists and counselors. All CrossOver counselors provide talk therapy services to their patients. 

Through our on-site pharmacy, CrossOver is able to provide a variety of mental health medications to those who need them. Our clinics also provide social work case management services to patients, and our staff social worker and dedicated interns work to connect our patients with community resources such as food banks, legal assistance, and housing programs. 

CrossOver's comprehensive health services also include health education. Our Lay Health Promoter (LHP) program is a community education program in which CrossOver staff members teach a free 40 hour health class to members of low-income communities. The classes are offered over 10 weeks, in both English and Spanish (Promotores de Salud), and cover a variety of health topics, from chronic disease symptoms and management to the importance of cancer screening and early detection. The LHP program is hosted at various area churches and community centers. Twice per year the program is also offered to residents of the Richmond City Justice Center. Class participants gain health knowledge that they then share with members of their community. 

CEO/ED/Board Comments

CrossOver serves a patient population that is economically disadvantaged, disproportionately at risk for chronic disease, and uninsured. CrossOver patients are also incredibly diverse, coming from more than 20 cities and counties in Central Virginia, representing more than 100 nationalities, and speaking more than a dozen different languages.

A key programmatic challenge at CrossOver is working with a multicultural patient population with unique histories and needs. Cultural competency is an ongoing learning process with no real ending point, which is a significant challenge in effectively and sensitively managing our large multicultural patient population. While many of our staff are bilingual, speaking English and Spanish, our patient population is extremely diverse and is made up of many non-Spanish-speaking immigrants and refugees. CrossOver is sensitive to this challenge, and is constantly identifying new strategies for developing cultural competency in order to provide the best, most culturally contextualized care possible. For example, enhancing patient education emerged as a key focus area of our Quality Improvement Committee. Providing interpretation services and framing this education in a way that is sensitive to the cultural backgrounds of the people we serve have already emerged as essential factors in successful patient education. I am confident that, despite the challenges incumbent in our work, that CrossOver is well positioned to continue to be a leader in providing quality healthcare to the low-income, uninsured residents of Central Virginia.

Fiscal Year
Projected Revenue $3,273,578.00
Projected Expenses $3,272,779.00
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
Government Contributions$257,451$322,972$190,195
Individual Contributions$181,541$484,691$306,832
Investment Income, Net of Losses$113$813--
Membership Dues------
Special Events$179,993$227,256$219,997
Revenue In-Kind$6,442,986$5,613,762$7,740,951
Expense Allocation
Fiscal Year201620152014
Program Expense$8,434,566$7,675,343$9,831,025
Administration Expense$225,181$174,364$192,038
Fundraising Expense$299,575$279,051$281,545
Payments to Affiliates------
Total Revenue/Total Expenses1.040.990.99
Program Expense/Total Expenses94%94%95%
Fundraising Expense/Contributed Revenue13%15%14%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$1,746,299$1,837,432$1,886,104
Current Assets$1,267,610$1,316,298$1,476,637
Long-Term Liabilities$0$0--
Current Liabilities$106,691$129,947$130,571
Total Net Assets$1,639,608$1,707,485$1,755,533
Short Term Solvency
Fiscal Year201620152014
Current Ratio: Current Assets/Current Liabilities11.8810.1311.31
Long Term Solvency
Fiscal Year201620152014
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView
Foundation Comments
  • Financial information provided from audited financial statements.
  • Audited financial statements and IRS 990s prepared by Keiter, Stephens, Hurst, Gary & Shreaves.