Health Brigade
1010 N. Thompson Street
Richmond VA 23230
Mission Statement Health Brigade provides quality health services, especially to those least served, in a compassionate and non-judgmental environment.
CEO/Executive Director Ms. Karen A. Legato
Board Chair Melanie Green PhD, RN, CNE
Board Chair Company Affiliation Bon Secours
Contact Information
Address 1010 N. Thompson Street
Richmond, VA 23230
Telephone 804 358-6343
Fax 804 354-0702
History and Background
Year of Incorporation 1970
Former Names
Fan Free Clinic, Inc.2016
Financial Summary
Revenue vs Expense Bar Graph - All Years
Expense Breakdown Bar Chart - All Years
Projected Revenue $2,151,800.00
Projected Expenses $2,151,800.00
Additional Documents
Annual Report2016View
Annual Report2015View
Annual Report2014View
Annual Report2013View
Annual Report2012View
Case Statement2012View
Mission Health Brigade provides quality health services, especially to those least served, in a compassionate and non-judgmental environment.

FY17 Accomplishments

  • Our Medical Clinic served 1,604 primary care patients over the course of 5,722 patient visits.
  • Our Mental Health Program provided 435 clients with 4,185 encounters.
  • Our Health Outreach Program tested 1,648 clients for HIV and provided health education/information through 16,412 encounters last year.

FY18 Goals

We are currently developing a new strategic framework in the fall of 2017 that will guide our work for the coming year.  We will focus our efforts on the following:

  • Continue to implement sustainability initiatives to ensure financial stability to achieve the mission of the organization.
  • Develop a culture of philanthropy.
  • Provide high quality, integrated health services.
  • Strengthen administrative and fundraising capacity.
  • Ensure an on-going process for strategic decision making and evaluation of the organization to include its mission and established desired outcomes.



1. General Operating Support. This will help us expand our capacity so that we may accommodate the heightened demand for all of our services.

2. Volunteer Providers. While our current staff of volunteer medical and mental health providers does much to serve the health needs of our community, a larger team of volunteers would enable us to do much more. We are always in need of volunteer M.D.s, (general practitioners, specialists, psychiatrists, therapists), R.N.s, L.P.N.s, etc.


Health Brigade–formerly Fan Free Clinic–continues its nearly 50 year legacy as Virginia’s oldest free clinic offering a growing array of medical, mental health, community outreach and care coordination services to those least served in our community.

In 1968, a small community clinic―formed in conjunction with the free university movement and patterned after similar efforts in San Francisco’s Haight-Ashbury neighborhood―was established in Richmond’s historic Fan District. Incorporated two years later, Health Brigade (formerly Fan Free Clinic) became the first free clinic in the Commonwealth of Virginia.

In the 1970s, Health Brigade’s efforts were focused on women’s health and the prevention of transmissible diseases. In the 1980s—responding to the onset of a national epidemic—Health Brigade established the first community-based HIV/AIDS outreach program in the state (and retains to this day a leadership position among HIV/AIDS service organizations). Today, as more and more individuals and families find themselves without adequate health care coverage and affordable resources, Health Brigade is reshaping itself once again to meet contemporary challenges.

In 2015, we are proud to have received national recognition by the National Committee for Quality Assurance as a Level 2 Patient-Centered Medical Home under the most rigorous quality standards to date. This stamp of approval is an indication of the quality of the integrated care we provide.

Throughout our history, Health Brigade has run TOWARD tough health issues of the day when others retreated. We are health crusaders, and Health Brigade will continue to tirelessly carry the flag and pass the buckets, much like a bucket chain, to quell the next raging health care fire, ensuring everyone has access to the quality care they deserve.


Areas of Service
Areas Served
Metro Richmond
Tri-cities Region
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
Board Chair
Board Chair Melanie Green PhD, RN, CNE
Company Affiliation Bon Secours
Term Jan 2018 to Dec 2019
Board of Directors
Board Members
Andree Aboite RN, MSNVCU Health
Dr. Laura Brewer Westhampton Family Psychologists
Asif Chanaria Keiter
Nakeina Douglas-Glenn PhDVCU Grace E. Harris Leadership Institute
Sherry Dubester M.D., M.S.Anthem BlueCross BlueShield
Melanie Green PhD, RN, CNEBon Secours Memorial College of Nursing
Jullian Harrison Lucrescent Bearing Corporation
Jason Hatcher Dominion
Brenda Hicks RHIA, MPAHousing Opportunities Made Equal of Virginia
Bonita Hogue MSW, LCSWVCU
Lori Elliot Jarvis Esq.Hunton & Williams
Beverly Koerin PhDCommunity Volunteer
Dominic Madigan Esq.Williams Mullen
Roger Neathawk Neathawk Dubuque & Packett
Keisha Smith MPAVirginia Health Workforce Development Authroity
Chet Wade Dominion
Richard Ware CFAChesapeake Wealth Management
Carolyn Watts Ph.D.School of Allied Health Professions, VCU
Susan Brock Wilkes PhDWilkes Consulting
Ali Woodworth PECarMax, Inc.
Board Demographics - Ethnicity
African American/Black 5
Asian American/Pacific Islander 1
Caucasian 13
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 6
Female 14
Board Term Lengths 3
Board Term Limits 2
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Percentage Making In-Kind Contributions 10
Number of Full Board Meetings Annually 6
Standing Committees
Board Governance
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Program / Program Planning
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Executive Director
Executive Director Ms. Karen A. Legato

Health Brigade welcomed Karen A. Legato, M.P.S., M.S.W., as its new Executive Director on August 2, 2010. Highly respected in the health and social service arena, Karen came to Health Brigade with over 25 years experience in non-profit management and direct services.

Prior to accepting the position, Karen served for 11 years as the Director of Program Services at FRIENDS Association for Children, a three-center agency assisting vulnerable children and families to succeed against the odds in some of Richmond’s most impoverished neighborhoods. Karen has also worked as an organizational consultant, a Virginia Commonwealth University School of Social Work adjunct professor and field supervisor, Brookside Home Health Director of Medical Social Work Services, a youth minister, pastoral administrator and hospital chaplain.

Karen has served on various boards and community councils and currently is actively involved in the United Way of Greater Richmond and Petersburg’s AGE WAVE planning, Full Circle Grief Center, Stop Child Abuse Now (SCAN) and the Richmond Organization for Sexual Minority Youth (Side by Side fka ROSMY).

Full Time Staff 29
Part Time Staff 5
Volunteers 240
Contractors 2
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 3
Date Strategic Plan Adopted Apr 2014
Organization Policy and Procedures Under Development
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
Central Virginia Foodbank Partner Agency1998
Greater Richmond Patient Centered Medical Home Initiative2009
Virginia Association of Free Clinics1993
United Way of Greater Richmond & Petersburg Partnership Agency1985
Virginia Network of Nonprofit Organizations2007
HandsOn Greater Richmond2007
External Assessments and Accreditations
Virginia Association of Free Clinics2009
Patient Centered Medical Home Recognition Level IINational Committee for Quality Assurance2015

Primary Care Medical Services are provided to low income and uninsured residents in the Greater Richmond area to improve their health and wellness.

Health Brigade offers the following medical services:

  • Adult general medicine
  • Chronic disease management
  • Specialty care (women’s health, rheumatology, endocrinology, nutrition)
  • Referrals to specialists through Access Now and VCC
  • Sexually-transmitted disease (STD) testing and treatment
  • Links to medication assistance 
  • Integrated behavioral health
  • Transgender health services
Health Outreach & Advocacy Services are provided through education to the larger community and to individuals in need of services through the following:
  • Post incarceration linkage to care and case management
  • HIV testing & linkage to care
  • STI testing & education
  • Referrals and linkage to services
  • LGBTQ support and advocacy
Mental Health & Wellness Services are provided to clients and medical patients of Health Brigade to enhance life satisfaction and well-being.
Through our committed and growing number of volunteer mental health providers, Health Brigade provides:
  • Specialty mental health treatment
  • Psychiatric evaluation and medication
  • Integrated care groups
  • Wellness services (meditation, psycho-educational, support & other groups)
Fiscal Year
Projected Revenue $2,151,800.00
Projected Expenses $2,151,800.00
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$1,214,828$1,436,259$1,029,154
Individual Contributions$1,300,105$947,357$1,789,114
Investment Income, Net of Losses$11,068$2,749$1,916
Membership Dues------
Special Events----$35,684
Revenue In-Kind$3,990,701$4,947,215$5,055,734
Expense Allocation
Fiscal Year201620152014
Program Expense$6,200,608$7,304,816$6,979,886
Administration Expense$323,306$234,181$206,096
Fundraising Expense$224,728$204,713$162,523
Payments to Affiliates------
Total Revenue/Total Expenses0.980.961.09
Program Expense/Total Expenses92%94%95%
Fundraising Expense/Contributed Revenue9%8%6%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$1,993,954$2,154,556$2,466,603
Current Assets$598,314$776,085$1,464,711
Long-Term Liabilities$0$0--
Current Liabilities$26,308$37,804$30,825
Total Net Assets$1,967,646$2,116,752$2,435,778
Short Term Solvency
Fiscal Year201620152014
Current Ratio: Current Assets/Current Liabilities22.7420.5347.52
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