Northern Neck - Middlesex Free Health Clinic Inc.
P.O. Box 1694
Kilmarnock VA 22482
Mission Statement

We embrace health and wellness as the foundation for quality of life, and we dedicate ourselves to providing the highest level of health care to all those who ordinarily lack access to it within our community.


CEO/Executive Director Ms. Jean Nelson
Board Chair Mr. John O'Shaughnessy
Board Chair Company Affiliation bank vice president
Contact Information
Address P.O. Box 1694
Kilmarnock, VA 22482
Telephone 804 435-0575
Fax 804 435-9017
History and Background
Year of Incorporation 1993
Former Names
Northern Neck Free Health Clinic, Inc.2015
Financial Summary
Projected Revenue $1,311,270.00
Projected Expenses $1,305,700.00

We embrace health and wellness as the foundation for quality of life, and we dedicate ourselves to providing the highest level of health care to all those who ordinarily lack access to it within our community.


In 2015, the Northern Neck - Middlesex Free Health Clinic:
  • Provided $7,068,763 worth of health care
  • Hosted 9,065 patient visits
  • Recorded 17,017 volunteer hours
  • Through its volunteer structure, turned every $1 in donations into $6 worth of care
  • Hosted 21 students from two colleges
  • Continued strategic planning in conjunction with changes in the health-care environment

Goals for the current year are to:
  • Continue upgrading computer systems and networks throughout the Clinic (Medical Clinic, Dental Clinic, Pharmacy, Administration)
  • Purchase software for electronic health records in the Medical Clinic (already done in the Dental Clinic)
  • Expand Dental Clinic hours to serve more Medicaid and low-income Medicare patients in addition to the low-income uninsured
  • Expand Outreach Clinic hours
  • Encourage a team approach in the Medical Clinic, to better tie in primary care, mental-health counseling and group treatments such as the Diabetic and Musculoskeletal Clinics.
  • Move toward the patient-centered medical home concept.
Monetary support
  • Increase the number of grant opportunities for the Clinic
  • Increase the number of individual donors
  • Increase bequests and memorials
  • Expand support from area businesses 
  • Expand support of the church community
  • Increase number of volunteer providers in Medical and Dental Clinics and Pharmacy 
  • Increase the number of volunteers working in all areas: administrative, clerical, filing and data entry work; eligibility screenings; patient reception; patient scheduling
Supplies, Miscellaneous
  • Upgrade computers in all departments
  • Purchase software for Electronic Health Records
Since its founding in 1993 through 2015, the NNMFHC – which includes a Medical Clinic, on-site Counseling services, an on-site Pharmacy, a six-station Dental Clinic, two Outreach sites, and an auxiliary building for specialty clinics - has: 
  • Served 13,500 individuals in a five-county service area
  • Hosted 143,624 patient visits
  • Distributed 485,752 prescriptions
  • Recorded 325,957 volunteer hours
  • Provided $82 million worth of health care

In October of 1992, the community gathered to discuss healthcare concerns in the Northern Neck, and the Northern Neck Health Action Group (NNHAG) was formed. By August of 1993, the NNHAG created and incorporated the Northern Neck Free Health Clinic, which began operations on October 7, 1993 in borrowed space at the Lancaster County Health Department. Clinics were held once a week.

  • October, 1996: Phyllis F. Smith donates $100,000 to have a facility that combines administrative and clinical operations. The facility at 115 DMV Drive is now the Phyllis F. Smith Building and used as an auxiliary facility in Kilmarnock.
  • April, 2002: An Outreach Clinic opens in Montross.
  • April, 2003: The Clinic moves into a permanent home on William B. Graham Court in Kilmarnock and is named after Mary A. Graham. Services now are offered five days and two evenings a week out of the Clinic’s 10,500-square-foot health-care home.
  • January, 2004: The Dental Clinic opens to a waiting list of 600. The first staff dentist is hired in May, and a partnership with the VCU School of Dentistry allows for students to rotate through the Clinic and work with volunteer dentists.
  • February, 2009: An Outreach Administrative Office opens in Middlesex County.
  • 2010: The Clinic gains accreditation from the Virginia Association of Free Clinics.
  • 2010: On-site mental health counseling begins through a partnership with the Middle Peninsula-Northern Neck Community Services Board.
  • 2011: Weekly Group Diabetic Clinics are begun. Patients meet individually and as a group with medical providers and specialists to cover various aspects of diabetes, from diet and nutrition to HbA1c levels and pharmaceutical counseling.
  • 2013: The Clinic hires a new Medical Director and a full-time staff nurse practitioner; observes its 20th anniversary of serving the community; upgrades its Dental Clinic to digital, and provides more than $8 million worth of health care.
  • 2015: A nurse navigator is hired to help connect patients to community resources.
  • 2016: The Clinic Pharmacy fills its 500,000th prescription.
CEO Statement Twenty-three years ago, the Northern Neck Free Health Clinic began as a one-night-per-week operation in borrowed space. Today it delivers more than $7 million worth of health care annually through its Medical Clinic, Dental Clinic, Pharmacy, on-site mental health counseling services, two outreach sites, and an auxiliary facility. Thanks to volunteers and the community's support, every $1 in donations results in $6 worth of health care. 
Board Chair Statement

With so many changes in the health-care field, the Northern Neck - Middlesex Free Health Clinic has been involved in understanding the emerging new realities and determining where we can best serve our community. Many uncertainties are present, yet whatever the future holds we will continue on the path we already are traveling – a commitment to being there for the under-served. The Clinic will continue being needed, perhaps more than ever.

While the Affordable Care Act (ACA) and Medicaid expansion will help many, others will be left out of this health safety net. There will be health-care holes for different reasons and some that haven’t been recognized yet. Individuals may not be able to find a medical provider due to the number of patients overwhelming the medical practices. The poor reimbursement rates of Medicaid to physicians may force physicians to restrict the number of Medicaid patients seen. Patients may find it difficult to get into Medicaid.  Insurance exchanges will be too expensive for many. Because dental care is largely not addressed by the ACA, we are also looking at ways to expand Dental Clinic operations.

Clinic Board members and staff have been preparing for these changes.  They have attended workshops looking at the ACA’s effect on the under-served, and joined a collaborative to gain deeper resources to help us understand our community’s needs. We are developing strategic plans to get us in the best position to respond to the coming needs. We have also worked to educate our community by hosting programs discussing the ACA and the under-served.

We know we will be as essential to the health of the community in the future, as we have been for the last 23 years. We look forward to continue the high standards of our operations as the future unfolds.

Areas of Service
Areas Served
Richmond County
Westmoreland County
Northumberland County
Middlesex County
Lancaster County
The Clinic's service area includes four counties in Virginia's Northern Neck and Middlesex County. This wide geographical area has a high number of low-income uninsured residents in need of a health-care home.  Many residents who do work hold several part-time, low-paying, and seasonal jobs to make ends meet.
Board Chair
Board Chair Mr. John O'Shaughnessy
Company Affiliation bank vice president
Term July 2015 to July 2018
Board of Directors
Board Members
Dr. Richard Baylor MDPhysician, retired
Mrs. Jane Birdsong Public health nurse, retired
Ms Bonnie Bryant Homemaker, philanthropist
Ms Jo Crockett Social Worker
Mr Scott Graham Insurance
Mr R Page Henley businessman and attorney, retired
Mr. William Lee Community volunteer
Mr John May Businessman, retired
Ms R Jean Nelson Executive Director
Mr. John O'Shaughnessy Community Volunteer
Ms. Kathryn K Vose Consultant
Board Demographics - Ethnicity
African American/Black 1
Asian American/Pacific Islander 0
Caucasian 10
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 6
Female 5
Board Term Lengths 3
Board Term Limits 2
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Number of Full Board Meetings Annually 12
Standing Committees
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 Ms. Jean Nelson
Full Time Staff 6
Part Time Staff 13
Volunteers 401
Organization has a Strategic Plan? Under Development
The Medical Clinic is open 5 days and 2 evenings a week for general and chronic care. Group Diabetic Clinics are held weekly, and Musculoskeletal Clinics monthly. On-site mental health counseling is available. An Outreach Clinic is held every other week in Westmoreland County and an Outreach Office once a week in Middlesex County.
Population Served Adults
Description The Dental Clinic opened in 2004 to a waiting list of over 500. It operates with a staff dentist and in partnership with the VCU School of Dentisty. Final-year dental and hygiene students visit the Clinic in two-week rotations to work with the staff dentist and hygienist and volunteer providers.
Description The Pharmacy is for the benefit of NNMFHC patients.  The Clinic applies to pharmaceutical companies on behalf of each patient to acquire the medicines they need.  The Pharmacy also serves other low-income residents who have difficulty affording their medications.
Description A psychiatric nurse practitioner provides counseling services weekly.  
Fiscal Year
Projected Revenue $1,311,270.00
Projected Expenses $1,305,700.00
Endowment Value $2,250,004.00
Spending Policy Percentage
Percentage (if selected) 4
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 Year201520142013
Foundation and
Corporation Contributions
Government Contributions$205,912$0$259,563
Individual Contributions$714,843$599,556$575,855
Investment Income, Net of Losses($16,380)$398,591$204,863
Membership Dues------
Special Events------
Revenue In-Kind$2,874,646$4,084,411$3,541,274
Expense Allocation
Fiscal Year201520142013
Program Expense$4,143,165$4,855,196$4,685,393
Administration Expense$92,324$99,434$111,216
Fundraising Expense$35,499$42,708$21,294
Payments to Affiliates------
Total Revenue/Total Expenses0.951.181.00
Program Expense/Total Expenses97%97%97%
Fundraising Expense/Contributed Revenue3%4%3%
Assets and Liabilities
Fiscal Year201520142013
Total Assets$5,190,323$5,423,263$4,566,264
Current Assets$3,516,240$3,686,775$2,881,443
Long-Term Liabilities$38,958$45,249--
Current Liabilities$71,119$98,940$162,821
Total Net Assets$5,080,247$5,279,074$4,403,443
Short Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities49.4437.2617.70
Long Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets1%1%0%
Capital Campaign
Currently in a Capital Campaign? Yes
Campaign Purpose Our current Capital Campaign is for our transition to EMR (Electronic Medical Records), and all technology improvements that need to be made in order to make this happen.
Goal $126,000.00
Dates July 2014 to June 2017
Amount Raised To Date $15,000.00
Capital Campaign Anticipated in Next 5 Years? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView