Virginia Association of Free and Charitable Clinics
1801 Libbie Avenue, Suite 104
Richmond VA 23226
Mission Statement

The mission of the VAFCC is to support and advocate for our member clinics so that Virginia's underserved have access to quality care.

CEO/Executive Director Linda D. Wilkinson MPA
Board Chair Ms. Laura D. Windsor Esq
Board Chair Company Affiliation Williams Mullen
Contact Information
Address 1801 Libbie Avenue, Suite 104
Richmond, VA 23226
Telephone 804 340-3434
Fax 804 340-3435
History and Background
Year of Incorporation 1993
Former Names
Virginia Association of Free Clinics, Inc.2013
Association of Free Clinics, Inc.2001
Financial Summary
Revenue vs Expense Bar Graph - All Years
Expense Breakdown Bar Chart - All Years
Projected Revenue $642,650.00
Projected Expenses $642,650.00

The mission of the VAFCC is to support and advocate for our member clinics so that Virginia's underserved have access to quality care.

  1. Hosted regional meetings to solicit input by the clinics to the new VAFCC strategic plan.
  2. Built a new website to better serve both the public and our member clinics.
  3. Total of 57 member free clinic members in Virginia.

Goals for coming year
  1. Continue visioning and planning with clinics best response to Health Care Reform. 
  2. Maintain funds with state legislature for FY 2016-2017.
  3. Support clinics as they continue to improve the quality of care for their patients.
  1. Funding for programs to support the work of member clinics
  2. Healthcare Professional Volunteers in the local clinics
  3. Electronic Health Records in the local clinics
  4. Public understanding of free clinics
  5. Successful response to Health Care Reform
Free Clinic EDs form VA Free Clinic Association and VA Blue Cross Blue Shield awards $25K to each member clinic.
Incorporates. General Assembly(GA) Senate Bill 499 provides expansive immunity from liability and indemnification for FC volunteer practitioners.
Mark Cruise hired as first FT ED.
GA passes resolution SJR 112 studying ways Commonwealth can support FCs. VAFC works with VDH on study.
GA approves 1st state FC appropriation $600,000 FY 2000 earmarked for prescription medications. VAFC serves as fiscal agent.
GA approves new biennial budget containing increase in state funding for FC's $976,000 FY 2001; $1,084,000  FY 2002. Secures $142,000 FC training and technical assistance grant from Virginia Health Care Foundation. (VHCF) 
Trigon BCBS and VHCF  honored for financial contributions of $6 million and $3.5 million, respectively.
Successfully lobbies GA for passage of legislation SB 962/HB 2135 allowing FC's to enroll in Commonwealth’s Risk Management Plan providing liability protection for FC paid clinicians, directors & officers, general liability.
Successfully lobbies GA for FC access to state’s pharmaceutical contract (MMCAP)  and technical improvements in Neighborhood Assistance Program. Awarded 50% ($417,177) of Medco Health Solutions settlement by VA Off. Of Attor. Gen., distributed to FC's in ‘05 to buy pharmaceuticals.
Successfully lobbies the GA for $400,000 in additional funds for FC's FY 2006. Secures $104,438 FC Organizational Capacity Building grant from VHCF.
Anthem BCBS supports first FC TV ad in Richmond, Roanoke, Tidewater markets. FC reps., key external partners create first standards for FC operations. Mark Cruise resigns. 
VAFC hires Lou Markwith as ED.  VAFC receives VHCF  $163,000 grant to create an accreditation program for member clinics.
Receives $750,000 WellPoint Foundation grant for member clinics in Anthem service area. Accreditation Review Team tests model at three volunteer sites. Board of Directors accepts Accreditation Plan granting accreditation to three FC Beta sites.
Six new VA clinics become members. Seven additional clinics receive accreditation. VAFC defends its budget request in the ‘09 GA Session with $850,000 restored to its appropriation. VAFC supports Health Care Reform Process participating with NAFC in gaining “Essential Provider” status for FC's.
2010  Four new clinics receive Accreditation.  Two clinics approved for Membership. 
2011  New contract negotiated with the Virginia Department of Health.  Lou Markwith resigns August, 2011.  Appointment of Linda Wilkinson as new Executive Director beginning December 1, 2011.
2012  VAFC hosts a series of regional meetings to help free clinics consider all the possible outcomes of health care reform and plan for their long-term future.
2013  The Board of Directors votes to change the name of the organization to the Virgina Association of Free and Charitable Clinics.  They also change Linda Wilkinson's title to CEO. VAFCC hosts a 20th Anniversary event to celebrate and honor individuals, businesses and funders that have supported the free clinics for the past two decades.
2016 Many clinics expand their services and facilities to meet their local community needs. One of the biggest needs is dental services.
CEO Statement

Clinics are safety-net health care organizations that utilize a volunteer/staff model to provide a range of medical, dental, pharmacy, vision and/or behavioral health services to economically disadvantaged individuals. Such clinics are 501(c)(3) tax-exempt organizations, or operate as a program component or affiliate of a 501(c)(3) organization. Entities that otherwise meet the above definition, but charge a nominal/sliding fee to patients, may still be considered free or charitable clinics provided essential services are delivered regardless of the patient's ability to pay. Free or charitable clinics restrict eligibility for their services to individuals who are uninsured, underinsured and/or have limited or no access to primary, specialty or prescription health care. (Approved by Membership on March 14, 2013)

A Free Clinic is committed to minimizing barriers to care and providing quality care. A Free Clinic has a varied and significant base of community financial support and a proven ability to develop financial and in-kind resources. It receives no more than 50% of its annual revenues from federal grants. 

Tremendous Growth in Patients

  • The total number of unduplicated patients at Virginia Free Clinics served last year was 72,208.
  • In 2015 Free Clinics provided 228,000 general medical visits and  specialty medical visits for a combined value of $38,921,147..
  • In 2015 Free Clinics provided 652,048 prescription medications worth $119,951,304 to their patients.
  • In 2015 Free Clinics provided dental care for a total of 40,136 dental visits worth $13,285,982.
  • In 2015 Free Clinics provided 24m125 mental health counseling visits worth $4,143,901.
  • In 2015 Free Clinics provided education to 28,245 patients worth $1.1 million.
  • In 2015 Hospitals and Lab Companies contributed nearly $61.4 million in in-kind services to Free Clinic patients.
  • In 2015 Free Clinics used the volunteer services of 7992 medical health professionals (doctors, nurses, nurse practitioners, dentists, dental hygienists, psychiatrists, etc.)
  • In 2015 Free Clinics used the services of 5708 administrative volunteers.
Board Chair Statement  The VAFCC and the clinics we support are facing unprecedented challenges in this climate of a slow recovering economy, high unemployment, and the approaching healthcare reform.   The Board of the VAFCC is committed to working with our clinics, corporate sponsors, volunteers and all who care about the quality of healthcare in Virginia to insure that we meet the needs of the underinsured and uninsured people of our Commonwealth.   Our mission is to provide stable funding, training, technical assistance, research, resource development and advocacy for our 57 member clinics to support and strengthen the healthcare services they provide to the people who do not have access to healthcare.  The generosity of the people of Virginia thru donations and volunteerism is what enables us to continue to provide healthcare to those most in need.   
Areas of Service
Areas Served
The VAFCC currently has 57 member clinics across the state of Virginia.  Clinics vary in size from small to large, some open one day per week, some open every day but every area of Virginia is served with the exception of the Eastern Shore.  Clinics cover 93% of the Commonwealth geographically.
Board Chair
Board Chair Ms. Laura D. Windsor Esq
Company Affiliation Williams Mullen
Term Jan 2016 to Dec 2017
Board of Directors
Board Members
Ms. Christina Delzingaro Free Clinic of Central Virginia
Ms. Carolyn Long Engelhard MPACenter for Health Policy
Mr. William Gayne MedStar Washington Hospital Center
Mr. Ingram Haley Virginia Premier Health Plan, Inc.
Ms. Kim T. Isringhausen VCU School of Dentistry
Mr. C. Burke King Anthem Blue Cross & Blue Shield
Mr. Rob Marino MSWFauquier Free Clinic
Mr. Rahman A. Parker MSLoudoun Free Clinic
Mr. Stephen D. Porter MHASentara Northern VA Medical Center
Mrs. Cathy Revell RNThe Revell Group
Mr. Sean M. Riley McKesson Medical-Surgical
Mrs. Carol L. Sale RN, MSNLackey Clinic
Mr. Rick Sample Rainbow Station International
Mr. Paul A. Speidell Sentara Healthcare & Optima Health
Ms. Erika Viccellio MEdUnited Way - Charlottesville
Ms. Laura D. Windsor EsqWilliams Mullen
Board Demographics - Ethnicity
African American/Black 1
Asian American/Pacific Islander 0
Caucasian 15
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 9
Female 7
Board Term Lengths 3
Board Term Limits 2
Board Meeting Attendance % 100
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Percentage Making In-Kind Contributions 80
Number of Full Board Meetings Annually 6
Risk Management Provisions
Life Insurance
Computer Equipment and Software
Directors and Officers Policy
Disability Insurance
Employee Benefits Liability
Employment Practices Liability
Employee Dishonesty
Crime Coverage
Blanket Personal Property
Commercial General Liability
Standing Committees
Audit, Compliance and Controls
Board Development / Board Orientation
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Executive Director
Executive Director Linda D. Wilkinson MPA


Former CEOs
Mr. Mark Cruise Jan 1997 - Sept 2006
Mr. Louis M. Markwith Mar 2007 - Aug 2011
Senior Staff
Linda Pretlow Business Manager
Kathryn Zapach Director of Membership Support
Full Time Staff 3
Part Time Staff 2
Volunteers 0
Contractors 0
Retention Rate 75
Organization has a Fundraising Plan? No
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 3
Date Strategic Plan Adopted Oct 2014
Management Succession Plan? Yes
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
Virginia Health Care Foundation; Virginia Association of Community Service Boards; Virginia Community Health Care Association; Healthcare for All Virginians Coalition; Rx Partnership; Richmond Memorial Foundation
Partnership for Nonprofit Excellence2010
RX Partnership2004
Community Health Charities2013
Combined Federal Campaign2012
Networthy AwardVirginia Health Care Foundation2010
Free Clinics primarily see patients with chronic care issues such as: diabetes; hypertension; high cholesterol; asthma; depression; cardiovascular problems; obesity and smoking cessation.  Specialty care is available for free from participating doctors at most clinics.  Dental care is widely available.  Mental health care is becoming increasingly available at a wider array of clinics. 
Budget $350,000.00
Prescription drugs are provided at little or no cost to patients through such resources as the Pharmacy Connection, Rx Partnership, low cost generic vouchers, low cost pharmaceutical contracts available to free clinics, and samples.
Budget $0.00
CEO/ED/Board Comments
Fiscal Year
Projected Revenue $642,650.00
Projected Expenses $642,650.00
Spending Policy N/A
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 Year201720162015
Foundation and
Corporation Contributions
Government Contributions$6,110,785$6,298,027$3,585,480
Individual Contributions$496,291$590,231$11,541
Investment Income, Net of Losses$26,069$14,222$3,234
Membership Dues$90,094$95,353$90,746
Special Events------
Revenue In-Kind------
Expense Allocation
Fiscal Year201720162015
Program Expense$7,068,173$7,292,298$3,919,712
Administration Expense$136,278$142,890$124,035
Fundraising Expense$22,105$21,425$31,860
Payments to Affiliates------
Total Revenue/Total Expenses1.001.011.01
Program Expense/Total Expenses98%98%96%
Fundraising Expense/Contributed Revenue0%0%1%
Assets and Liabilities
Fiscal Year201720162015
Total Assets$2,176,640$2,247,931$1,303,669
Current Assets$1,887,236$2,055,029$1,122,390
Long-Term Liabilities$0$0--
Current Liabilities$1,613,319$1,711,584$872,391
Total Net Assets$563,321$536,347$431,278
Short Term Solvency
Fiscal Year201720162015
Current Ratio: Current Assets/Current Liabilities1.171.201.29
Long Term Solvency
Fiscal Year201720162015
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView
Organization Comments
Our operating budget is different from the revenue/expense listed on our 990.  In our FY2015-2016 budget $6.5M is pass through funds that go from the state to our member clinics.
Foundation Comments
  • Organization changed its name in 2013.
  • Financial information provided from audit
  • Audit and Form 990 prepared by Mitchell, Wiggins & Company