Free Clinic of Powhatan
3908 Old Buckingham Road, Suite 101
P.O. Box 544
Powhatan VA 23139
Mission Statement
The mission of the Free Clinic of Powhatan (FCP) is to provide high quality health care and wellness services to the uninsured and low income adult residents of Powhatan County.
Leadership
CEO/Executive Director Mrs. Connie Moslow
Board Chair Mrs. Tina Bustos
Board Chair Company Affiliation Girl Scouts
Contact Information
Address 3908 Old Buckingham Road, Suite 101
P.O. Box 544
Powhatan, VA 23139
Telephone 804 598-5637
Fax 804 598-5636
E-mail ccmoslow@aol.com
History and Background
Year of Incorporation 2008
Financial Summary
 
 
Projected Revenue $273,300.00
Projected Expenses $285,600.00
Statements
Mission
The mission of the Free Clinic of Powhatan (FCP) is to provide high quality health care and wellness services to the uninsured and low income adult residents of Powhatan County.
Impact
Top 3 accomplishments for 2009
1. Women's Health & Wellness Program - kickoff
2. Increased patient load from 2 to over 5 00
3. Increased Physician / Dentist volunteer staff from 10 to 16
 
Goals for 2010
1. Increase our mental health care services by adding a volunteer psychiatrist
2. Increase public awareness of FCP
3. Initiating 3 year Strategic plan process
Needs
1. Funding for ever-increasing operating costs
2. Hiring of part-time administrative staff for specific clinical programs
3. Increase and retain volunteers
4. Meeting the increasing patient caseloads with our limited hours
5. Major donor campaign for capital improvements, (i.e. - building its own facility)
 
Background
The Free Clinic of Powhatan (FCP) began fulfilling its mission the in the Fall of 2007, when Mrs. Connie Moslow brought Bon Secour's Care-A-Van to the local fairgrounds once a month.  Medical and dental services were offered.  In September 2008, the FCP moved into the Powhatan Health Department, using its clinical facilities two days a week. (While it uses the Health Department's facility and resources, the Clinic is not legally associated with the county, state or federal governments.) In addition to medical/dental services, it also now  provides mental health services.
CEO Statement
 The Free Clinic of Powhatan has a unique opportunity to serve the uninsured, impoverished neighbors of our community. We offer a full array of medical care for chronically ill issues, dental care for those who have unmanageable dental carries and a counselor for mental health issues. Many times the patients we see are very proud individuals who struggle with asking for assistance without paying their way. We respect where these patients are in life and treat these patients with dignity.

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.

Board Chair Statement
We expect the Board of Directors to be a working board that contributes time, ideas and financial support to the mission of the Free Clinic of Powhatan. We will continue to make well aware that our board needs to and will promote broad representation of members from a broad range of experience, community participation and expertise that aligns with the needs of the patient and the Clinic. We are cognizant of the busy schedules  of our board Members and realize the importance of communicating the happenings and activities of the Clinic. They are the voice, the stewards and the representatives of the clinic throughout the community. As Chair of the Board I see the value, the importance of the Clinic and what it means to the people in our community.
Areas of Service
Areas Served
Area
Powhatan County
Powhatan, Virginia  23139
Board Chair
Board Chair Mrs. Tina Bustos
Company Affiliation Girl Scouts
Term Feb 2017 to Jan 2018
Email tbustos@verizon.net
Board of Directors
Board Members
NameAffiliation
Mr. Tim Benusa CPA
Mrs. Tina Bustos Girl Scouts
Dr. John Carmack Retreat Hospital
Mrs. India Cox Professional Grant Writer
Mrs. Karla Curtis Business Executive
Mrs. Linda Dalch-Jones Consultant
Mrs. Rebecca Gwilt Attorney
Mr. M. Stevens Harris Retired
Sister Elena Henderson Belmead Francis Emma
Dr. Hermes Kontos Retired physician
Mr. Larry Lyons Central Virginia Bank of Powhatan
Mrs. Connie Moslow Community Activist
Mr. Ronald Spears Director of Programs, Elk Hill
Mr. Jay Turner IIIRoberson, Shepard, and Turner
Ms. Betsy Wilton Retired
Board Demographics - Ethnicity
African American/Black 1
Asian American/Pacific Islander 0
Caucasian 14
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 7
Female 8
Governance
Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 75
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Number of Full Board Meetings Annually 6
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Advisory Board Members
NameAffiliation
Dr. William Nelson Virginia Health Department
Mr. Lee Ware Virginia Delegate; 65th District
Mr. John Watkins Senator; Commonwealth of Virginia
Comments
The leadership structure of the Free Clinic of Powhatan was developed early in the life of the clinic into a traditional corporate organization. We have a Board of Directors that represents a strong cross section of our county leadership, county activists, as well as communities served. Additionally, we have an executive committee that is composed of the chairpersons from each of our four committees (Operations, Planning, Budget, and Outreach) as well as our executive director. The corporatization of the clinic formation was lead by a former healthcare executive member who serves on both our board and executive committee.  This provided a strong foundation and organization in which the strategic and operational goals of the clinic could be realized and governed. 

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.

Executive Director
Executive Director Mrs. Connie Moslow
Staff
Full Time Staff 1
Part Time Staff 2
Volunteers 60
Contractors 1
Retention Rate 100
Plans
Organization has a Fundraising Plan? Under Development
Organization has a Strategic Plan? Under Development
Years Strategic Plan Considers 3
Management Succession Plan? Under Development
Organization Policy and Procedures Under Development
Nondiscrimination Policy Under Development
Whistleblower Policy No
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
Affiliations
AffiliationYear
ConnectRichmond2009
ConnectSouthside2009
RX Partnership2009
Virginia Association of Free Clinics2009
United Way of Greater Richmond & Petersburg Partnership Agency2009
Programs
Description

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.

 

 

 

Population Served Adults
Short Term Success
Short term succees of this program includes fewer visits for our chronically ill patients due to proper medications and education.
Long Term Success The long term goal of this program is to treat and educate our patients so that we are seeing them for wellness visits instead of urgent medical, mental and dental issues.
Description

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.

 

Budget $90,000.00
Long Term Success
The Clinic will gauge its success when more women come in for preventive care than chronic problems resulting from neglect.
CEO/ED/Board Comments   The Free Clinic of Powhatan has a unique opportunity to serve the uninsured, impoverished neighbors of our community. We offer a full array of medical care for chronically ill issues, dental care for those who have unmanageable dental carries and a counselor for mental health issues. Many times the patients we see are very proud individuals that struggle with asking for assistance without paying their way. We respect where these patients are in life and treat these patients with dignity.

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.

Fiscal Year
Projected Revenue $273,300.00
Projected Expenses $285,600.00
Spending Policy Income Only
Form 990s
IRS Letter of Exemption
Detailed Financials
Expense Allocation
Fiscal Year201520142013
Program Expense$150,981$121,205$92,785
Administration Expense$86,635$80,331$68,379
Fundraising Expense$0----
Payments to Affiliates------
Total Revenue/Total Expenses1.541.291.73
Program Expense/Total Expenses64%60%58%
Fundraising Expense/Contributed Revenue0%0%0%
Assets and Liabilities
Fiscal Year201520142013
Total Assets$582,474$453,520$394,925
Current Assets$578,986$451,977$392,497
Long-Term Liabilities$0----
Current Liabilities$0----
Total Net Assets$582,474$453,520$394,925
Short Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities------
Long Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? Yes
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView
Comments
Organization Comments Being a “new” Clinic we are cognizant of being closely scrutinized to maintain a strong fiscal responsibility in delivering medical services and needs to our patients. We are responsible to the county of Powhatan that has been so supportive and has supplied many in kind services. We are responsible to be good stewards of the monies entrusted to us by foundations, hospitals, churches, businesses, individuals etc. 

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.

We are aware that we are in challenging economic times…We have and must tell our compelling story to all.
 
The Free Clinic of Powhatan (FCP) operates under a very small, frugal, yet fiscally sound budget. FCP is just 20 months into operating as a free clinic. The Clinic has spent this time getting its general operations up & running to provide high quality critical medical, dental and mental health services to the county’s qualifying citizens as quickly and efficiently as possible. In order to provide these crucial services, the clinic worked feverishly to develop many partnerships to help cut costs and to keep its operating budget at a minimum. Until recently, the clinic has been able to run entirely on the support of volunteers ~ volunteer staff who utilize a majority of all space and supplies donated as in-kind gifts from the Health Department, local county government, etc. This in-kind assistance, valued at more than $134,400 in 2009, allows the FCP to operate with a tight budget.

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.

Foundation Comments
  • Financial information provided from Form 990, with supplemental information provided from financial reviews.
  • Form 990 prepared by Richard McMinn, III CPA, PLLC
  • Financial reviews prepared by Douglas L. Thompson CPA, PLLC