Being that Powhatan is a suburb of Richmond, it allows us to maintain the intimate feeling of a personable healthcare office while also being able to offer the latest diagnostic test and procedure technology to our clients. We have created wonderful partnerships with several local hospitals, outpatient diagnostic centers and specialty physicians who see our patients at no cost to the patient. To move our patients through the healthcare system, we have many volunteers to assist them. All of our volunteers believe in the clinic’s mission of providing high quality care to those low-income patients that are uninsured and have no place to go for healthcare. We care for the whole patient when there is nowhere else for them to turn for compassionate, high quality health care.
One of our greatest strengths and opportunities within our governance is the professional skill set within our executive committee and strong leadership within our committee structure. Additionally, the support from our local county government leadership continues to provide a strong opportunity within the governance of the clinic. The planning which occurred within our strategic planning session 2010 I believe also highlights our strong governance in action.
Challenges continue to be in terms of recruiting and maintaining actively engaged board members. While we have a dynamic board, we continue to look for ways to attract additional energy to the board.
We are a community. We care for those in need of services whether it be medical, dental or mental health services. We the Free Clinic of Powhatan need to meet these needs of our patients. As our Clinic grows so do our responsibilities and the need for additional programs, supplies, prescriptive medicines, education and of course money. Most of our medical patients had not been to a physician in many years to treat their chronic illnesses of diabetes, high blood pressure. COPD, etc. They went without their medicine and treatment so their chronic illnesses have turned into major health conditions, some of which have become life threatening. Many of our dental patients have not had care for such long lapses of time that the only course of treatment by the clinic’s dentists is to extract their teeth. Most cannot afford the dentures so the clinic must provide the funding. The Clinic has the same situation with our patients not being able to afford eye exams, glasses, and hearing aids. Our stories are many and sad. The Clinic feels it has the responsibility to care for their neighbors in their community. No one should have to suffer from physical or mental pain and have no recourse for relief.
In the one and one half years since the opening of the clinic it has grown from 10 patients to over 500 and is registering an average of 6 patients each week. We quickly identified that our non-childbearing female population was in dire need of pelvic examinations, hormone therapy, mammograms, bone density testing, hormone education and private counseling for females suffering from physical and mental abuse. Many of the women patients had not had any female care for decades since the birth of their last child. In the next month the clinic will be initiating their new Women’s Health Care Wellness Program.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
We must spend wisely yet deliver to our patients the best of care. We must carefully register our uninsured, low income patients and demand the correct financial information.
We must continue to encourage all partnerships that will value our clinic and patients. We need to always look to the future for growth and planning.
To-date the clinic's program expenses have almost entirely been covered through volunteers and in-kind donations. Our biggest out-of-pocket program expense has been for Prescription Assistance. The clinic recently had to alter its bare-bones budget to incorporate new ‘administrative salaries’ due to the rapid influx in patient roster and clinic growth as a whole. In order for the clinic to support its demand, full-time paid staff needed to be established. FCP is initiating a new Women’s Health & Wellness program in 2010. The initiation of this new program will increase the clinic’s program related expenses as volunteer services become harder and harder to secure. So while, currently, FCP’s administration & management expense percentage is much higher than its’ program expense percentage; the Clinic’s operating budget will not remain this way for long. The Free Clinic of Powhatan expects to have less than 25% Administrative/Management expense ratio by 2012.
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